Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13055 East 17thAve, Aurora, CO, 80045, USA.
Econometrica, Inc., Bethesda, MD, USA.
Curr Diab Rep. 2021 Nov 7;21(11):46. doi: 10.1007/s11892-021-01414-3.
This scoping literature review seeks to answer the question "What is known in the existing literature about multi-level diabetes prevention and treatment interventions for Native people living in the United States and Canada?"
Multi-level interventions to prevent and/or treat chronic diseases, such as diabetes, promise to help individuals who experience health disparities related to social determinants of health. As described by the socio-ecological model, such interventions mobilize support through a combination of individual, interpersonal, organizational, community, and policy levels of activity. This review revealed little literature about multi-level diabetes prevention and/or treatment programs for US and Canada-based Native peoples. Ten interventions were identified; all focused on diabetes prevention; eight were specific to youth. Multi-level intervention design elements were largely individual-, school-, and community-based. Only three interventions included environmental or policy-level components.
本范围界定文献综述旨在回答以下问题：“关于生活在美国和加拿大的原住民的多层次糖尿病预防和治疗干预措施，现有文献中有哪些了解？”
预防和/或治疗慢性病（如糖尿病）的多层次干预措施有望帮助那些因健康决定因素而面临健康差距的人。正如社会生态模型所描述的那样，这些干预措施通过结合个人、人际、组织、社区和政策层面的活动来动员支持。这项综述发现，关于美国和加拿大本土民族的多层次糖尿病预防和/或治疗计划的文献很少。确定了 10 项干预措施；所有这些都侧重于糖尿病预防；八项针对年轻人。多层次干预设计要素主要是基于个人、学校和社区的。只有三个干预措施包括环境或政策层面的内容。
