魁北克北部詹姆斯湾克里族人群中的糖尿病患病率。
Prevalence of diabetes mellitus among the James Bay Cree of northern Quebec.
作者信息
Brassard P, Robinson E, Lavallée C
机构信息
Department of Community Health, Montreal General Hospital, Que.
出版信息
CMAJ. 1993 Aug 1;149(3):303-7.
OBJECTIVE
To determine the prevalence of diabetes mellitus among the James Bay Cree in northern Quebec.
DESIGN
Chart survey of physician-diagnosed cases of diabetes. The biochemical criteria of the World Health Organization were used to confirm the diagnoses.
SETTING
Eight James Bay Cree communities: six remote and two rural.
SUBJECTS
All James Bay Cree with diabetes whose names were in a chronic disease registry or on a diabetes clinic list kept at each community clinic.
OUTCOME MEASURES
Prevalence rates, both crude and standardized to the 1986 Canadian population, were estimated by sex, age group and type of diabetes.
RESULTS
A total of 235 cases of diabetes were confirmed, for a crude prevalence of 2.7%. The age-standardized rate of non-insulin-dependent diabetes mellitus was 6.6% among people 20 years and over. The prevalence increased as the latitude decreased.
CONCLUSIONS
Our crude prevalence resembles that in similar native linguistic and cultural groups elsewhere in Canada. Diabetes is becoming an important disease in the Cree population of Quebec. A better understanding of the sociocultural changes in this population is necessary.
目的
确定魁北克北部詹姆斯湾克里族人群中糖尿病的患病率。
设计
对医生诊断的糖尿病病例进行图表调查。采用世界卫生组织的生化标准来确诊。
地点
八个詹姆斯湾克里族社区：六个偏远社区和两个乡村社区。
研究对象
所有名字在慢性病登记册上或在每个社区诊所保存的糖尿病诊所名单中的詹姆斯湾克里族糖尿病患者。
观察指标
按性别、年龄组和糖尿病类型估计粗患病率以及根据1986年加拿大人口进行标准化后的患病率。
结果
共确诊235例糖尿病病例，粗患病率为2.7%。20岁及以上人群中非胰岛素依赖型糖尿病的年龄标准化患病率为6.6%。患病率随着纬度降低而升高。
结论
我们的粗患病率与加拿大其他地区类似的本土语言和文化群体相近。糖尿病在魁北克的克里族人群中正成为一种重要疾病。有必要更好地了解该人群的社会文化变化。
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