Brosseau J D
Department of Community Medicine, University of North Dakota, Grand Forks 58203.
Diabetes Care. 1993 Jan;16(1):248-9. doi: 10.2337/diacare.16.1.248.
The findings from a 1988 audit of medical records of the Three Affiliated Tribes (the Mandan, Arickara, and Hidatsa) at the Fort Berthold, ND, Indian Reservation were compared with the findings from a 1975 audit. The total population served by the IHS clinic there has remained about the same. However, the number of people diagnosed as having diabetes has increased by > 40%. This increase in known cases is caused largely by an increase in the number of women aged > 40 yr who have diabetes. The actual prevalence of diabetes among people aged > 40 yr has increased very little, presumably because the clinic population has aged somewhat over this period of time.
对北达科他州贝托尔德堡印第安保留地三附属部落(曼丹、阿里卡拉和希达察)1988年的病历审计结果与1975年的审计结果进行了比较。印第安卫生服务局(IHS)在该地诊所服务的总人口数基本保持不变。然而,被诊断患有糖尿病的人数增加了40%以上。已知病例数的增加主要是由于40岁以上患糖尿病女性人数的增加。40岁以上人群中糖尿病的实际患病率几乎没有增加,大概是因为在此期间诊所的人口有所老龄化。