Daniel M, Gamble D
Department of Health Care and Epidemiology, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Int J Nurs Stud. 1995 Jun;32(3):243-59. doi: 10.1016/0020-7489(94)00045-l.
The high prevalence of non-insulin-dependent diabetes mellitus (NIDDM) in Canada's native communities corresponds with high diabetes prevalence rates in other populations of indigenous peoples that have undergone changes associated with acculturation. Behavioural risk factors can be particularly amenable to public health action. There exists a need to develop, implement and test in collaboration with native people, interventions aimed at reducing the incidence and impact of NIDDM, by reducing the risk of its onset, and by early detection and treatment. Intervention programmes should be conceived with sensitivity to the overall health, social, economic, educational and cultural environment within a community. Although this review focuses specifically on diabetes in Canada, many of the points relating to the need for primary prevention of the disease will be appropriate in other situations.
加拿大原住民社区中非胰岛素依赖型糖尿病（NIDDM）的高患病率与其他经历了与文化适应相关变化的原住民群体中较高的糖尿病患病率相一致。行为风险因素尤其适合采取公共卫生行动。有必要与原住民合作制定、实施和测试旨在通过降低发病风险以及早期发现和治疗来减少NIDDM发病率和影响的干预措施。干预计划的制定应考虑到社区内的整体健康、社会、经济、教育和文化环境。尽管本综述专门关注加拿大的糖尿病，但许多与该疾病一级预防需求相关的要点在其他情况下也同样适用。
