Harris S B
Thames Valley Family Practice Research Unit, London, Ontario, Canada.
Diabet Med. 1998;15 Suppl 4:S20-3. doi: 10.1002/(sici)1096-9136(1998120)15:4+<s20::aid-dia744>3.3.co;2-j.
The increasing prevalence of Type 2 diabetes mellitus has made diabetes a major public health problem worldwide. Healthcare systems are faced with the major challenge of developing innovative approaches to improving the prevention of diabetes and associated complications, particularly in populations undergoing rapid cultural development. Examples of community-based primary prevention projects in two Native communities in Canada that have high incidences of diabetes are reviewed. These projects are notable for the active participation of the communities, the collaborative relationship that was established between the communities and the researchers, and the way that traditional native culture and beliefs were incorporated into the intervention design. This phenomenon has impacted on the success of the projects and has enhanced their long-term sustainability.
2型糖尿病患病率的不断上升已使糖尿病成为全球主要的公共卫生问题。医疗保健系统面临着重大挑战，即要开发创新方法来改善糖尿病及其相关并发症的预防，尤其是在经历快速文化发展的人群中。本文回顾了加拿大两个糖尿病高发的原住民社区开展的基于社区的初级预防项目实例。这些项目的显著特点是社区的积极参与、社区与研究人员之间建立的合作关系，以及将传统原住民文化和信仰纳入干预设计的方式。这种现象影响了项目的成功，并增强了其长期可持续性。
