1987年美国印第安人和阿拉斯加原住民中确诊糖尿病的患病率。来自全国门诊数据库的估计值。
Prevalence of diagnosed diabetes among American Indians and Alaska Natives, 1987. Estimates from a national outpatient data base.
作者信息
Valway S, Freeman W, Kaufman S, Welty T, Helgerson S D, Gohdes D
机构信息
Indian Health Service Diabetes Program, Albuquerque, New Mexico 87102.
出版信息
Diabetes Care. 1993 Jan;16(1):271-6. doi: 10.2337/diacare.16.1.271.
OBJECTIVE
To estimate the prevalence of diagnosed diabetes among American Indians and Alaska Natives served by the IHS.
RESEARCH DESIGN AND METHODS
This was a cross-sectional study of the 1987 IHS national outpatient data base.
RESULTS
Prevalence rates of diagnosed diabetes determined from the IHS outpatient data base were consistent with recent studies of diabetes in different IHS areas. IHS-wide, age-adjusted prevalence was 69/100,000, or 2.8 times the U.S. rate. There was considerable variation in prevalence rates of diabetes throughout the country, with rates ranging from 15.3/100,000 in Alaska to 119.2/100,000 in southern Arizona.
CONCLUSIONS
This study documented the high prevalence of diabetes among American Indians and Alaska Natives and the wide variation in rates between different tribal groups. This study also demonstrated the feasibility of using an outpatient data base to estimate rates of disease that have uniform methods of diagnosis and result in frequent clinic visits.
目的
评估由印第安卫生服务局（IHS）服务的美国印第安人和阿拉斯加原住民中已确诊糖尿病的患病率。
研究设计与方法
这是一项对1987年IHS全国门诊数据库的横断面研究。
结果
根据IHS门诊数据库确定的已确诊糖尿病患病率与近期对IHS不同地区糖尿病的研究结果一致。在整个IHS范围内，年龄调整后的患病率为69/100,000，是美国患病率的2.8倍。全国各地糖尿病患病率存在相当大的差异，从阿拉斯加的15.3/100,000到亚利桑那州南部的119.2/100,000不等。
结论
本研究记录了美国印第安人和阿拉斯加原住民中糖尿病的高患病率以及不同部落群体之间患病率的广泛差异。本研究还证明了使用门诊数据库来估计具有统一诊断方法且导致频繁门诊就诊的疾病患病率的可行性。
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