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1990年萨斯喀彻温省保留地第一民族成年人中的糖尿病患病率:按部落分组、地理位置以及与非第一民族人群的比较。

Diabetes prevalence rates among First Nations adults on Saskatchewan reserves in 1990: comparison by tribal grouping, geography and with non-First Nations people.

作者信息

Pioro M P, Dyck R F, Gillis D C

机构信息

Department of Medicine, Royal University Hospital, Saskatoon.

出版信息

Can J Public Health. 1996 Sep-Oct;87(5):325-8.

PMID:8972968
Abstract

OBJECTIVE

To determine age-specific, sex-specific and total prevalence rates of diabetes mellitus among Saskatchewan First Nations adults and to compare these rates by tribal grouping, geography and with non-First Nations people.

DESIGN

A point prevalence study of all Saskatchewan reserves in 1990.

RESULTS

Age-adjusted rates of diabetes mellitus were higher (risk ratio 1.8) among First Nations adults (9.7%) than among non-First Nations adults (6.1%). These racial differences were greater between women (12.1 vs 6.6%) than men (7.2 vs 5.6%). First Nations diabetes rates were highest among individuals with Saulteaux and Sioux ancestry, and among those living on southern reserves.

CONCLUSIONS

The prevalence of diabetes mellitus among Saskatchewan First Nations people has increased from 0% to almost 10% within the adult population since 1934 and has more than doubled from 1980 to 1990. This epidemic manifests itself to a greater extent among women and certain tribal groups, possibly due to differences in exposure to non-traditional lifestyles.

摘要

目的

确定萨斯喀彻温省原住民成年人中糖尿病的年龄、性别及总体患病率,并按部落分组、地理位置进行比较,同时与非原住民进行对比。

设计

1990年对萨斯喀彻温省所有保留地进行的现患率研究。

结果

原住民成年人(9.7%)经年龄调整后的糖尿病患病率高于非原住民成年人(6.1%)(风险比1.8)。女性之间(12.1%对6.6%)的种族差异大于男性(7.2%对5.6%)。具有索尔托和苏族血统的个体以及居住在南部保留地的人群中,原住民糖尿病患病率最高。

结论

自1934年以来,萨斯喀彻温省原住民成年人中糖尿病患病率已从0%增至近10%,1980年至1990年期间患病率增加了一倍多。这种流行在女性和某些部落群体中表现得更为明显,可能是由于接触非传统生活方式的差异所致。

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