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加拿大原住民中糖尿病流行趋势加剧:一项系统评价

The Growing Epidemic of Diabetes Among the Indigenous Population of Canada: A Systematic Review.

作者信息

Cheran Kaaviya, Murthy Chinmayee, Bornemann Elisa A, Kamma Hari Krishna, Alabbas Mohammad, Elashahab Mohammad, Abid Naushad, Manaye Sara, Venugopal Sathish

机构信息

General Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2023 Mar 15;15(3):e36173. doi: 10.7759/cureus.36173. eCollection 2023 Mar.

Abstract

Diabetes is one of the most well-known and well-researched non-communicable diseases known to humankind. The goal of this article is to show that the prevalence of diabetes is constantly increasing among indigenous people, a major population subgroup in Canada. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to conduct this systematic review, and the databases used were PubMed and Google Scholar. Studies that were published in the last 15 years (2007-2022) were selected for this review, and after applying the inclusion and exclusion criteria, screening, and removing duplicates, 10 articles were selected for the final review - three qualitative studies, three observational studies, and four studies without a specified methodology. We used the JBI (Joanna Briggs Institute) checklist, NOS (Newcastle-Ottawa Scale) checklist, and SANRA (Scale for the Assessment of Narrative Review) checklist for quality assessment. We found that all the articles showed that the prevalence of diabetes is increasing in all the Aboriginal communities despite all the interventional programs already in place. Rigorous health plans, health education, and wellness clinics for primary prevention can all be effective in reducing the potential risks of diabetes. More studies exploring the prevalence, effects, and outcomes of diabetes in the indigenous population of Canada are needed to effectively understand the disease and its complications in this group.

摘要

糖尿病是人类已知的最广为人知且研究充分的非传染性疾病之一。本文的目的是表明,在加拿大的主要人口亚群体——原住民中,糖尿病的患病率在不断上升。本系统评价采用了系统评价与Meta分析的首选报告项目(PRISMA)指南,所使用的数据库为PubMed和谷歌学术。本评价选取了过去15年(2007 - 2022年)发表的研究,在应用纳入和排除标准、筛选并去除重复项后,最终选取了10篇文章进行综述——3篇定性研究、3篇观察性研究以及4篇未明确方法的研究。我们使用了JBI(乔安娜·布里格斯研究所)清单、NOS(纽卡斯尔 - 渥太华量表)清单和SANRA(叙述性综述评估量表)清单进行质量评估。我们发现,所有文章均表明,尽管已有各种干预项目,但所有原住民社区的糖尿病患病率仍在上升。严格的健康计划、健康教育以及用于一级预防的健康诊所均有助于有效降低糖尿病的潜在风险。需要开展更多研究来探索加拿大原住民中糖尿病的患病率、影响及转归情况,以便有效了解该群体中的这一疾病及其并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa28/10103803/571d162e7891/cureus-0015-00000036173-i01.jpg

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