Schraer C D, Bulkow L R, Murphy N J, Lanier A P
Diabetes Program, Alaska Area Native Health Service, Anchorage 99501.
Diabetes Care. 1993 Jan;16(1):257-9. doi: 10.2337/diacare.16.1.257.
To provide descriptive epidemiological data on diabetes mellitus among Alaska Natives, including incidence, updated prevalence, and incidence rates of ESRD, LEA, MI, and stroke in the diabetic population.
In IHS and tribal contract hospitals and clinics throughout Alaska, Alaskan Indians, Eskimos, and Aleuts living in Alaska with documented diabetes mellitus were studied from 1986 to 1987.
The number of diabetic patients increased from 610 to 708, and the prevalence changed from 15.7 to 17.4/1000 (not a statistically significant increase). Incidence rates per 10,000 diabetic person-yr for complications were 38 for ESRD, 69 for LEA, 92 for MI, and 92 for stroke.
The prevalence of diabetes mellitus increased during the period of observation, but not to a statistically significant degree. Incidence rates for diabetes are lower than for the U.S. general population, but complications rates are as high as those in other diabetic populations.
提供阿拉斯加原住民糖尿病的描述性流行病学数据，包括发病率、最新患病率以及糖尿病患者中终末期肾病（ESRD）、下肢截肢（LEA）、心肌梗死（MI）和中风的发病率。
1986年至1987年，对阿拉斯加所有印第安卫生服务局（IHS）及部落签约医院和诊所中患有糖尿病且有记录的阿拉斯加印第安人、爱斯基摩人和阿留申人进行了研究。
糖尿病患者人数从610人增加到708人，患病率从15.7/1000变为17.4/1000（无统计学显著增加）。每10000糖尿病患者年的并发症发病率分别为：ESRD为38例，LEA为69例，MI为92例，中风为92例。
在观察期内糖尿病患病率有所上升，但未达到统计学显著程度。糖尿病发病率低于美国普通人群，但并发症发生率与其他糖尿病群体一样高。
