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标题：Increasing rates of diabetes and cardiovascular risk in Métis settlements in northern Alberta
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作者：Kelli Ralph-Campbell ; Richard T. Oster ; Tracy Connor 等
期刊名称：International Journal of Circumpolar Health
印刷版ISSN：1239-9736
电子版ISSN：2242-3982
出版年度：2009
卷号：68
期号：5
DOI：10.3402/ijch.v68i5.17382
语种：English
摘要：Objectives. To determine the prevalence of diabetes (using secondary data analysis), as well as undiagnosed diabetes and pre-diabetes (using primary research methods) among adult Métis Settlement dwellers in northern Alberta. We also sought to identify cardiovascular risk factors. Study design. Quantitative research study utilizing both population census and community-based diabetes screening data. Methods. Self-reported diabetes was analyzed from the results of the Métis Settlement specific censuses in 1998 and 2006. Mobile clinics travelled into each of the 8 Métis Settlement communities in Alberta recruiting 693 subjects for screening for undiagnosed diabetes, pre-diabetes and metabolic syndrome. Logistic regression analyses (adjusted for age and sex) were used to identify associated factors. Results. According to the censuses, 4,312 Métis individuals were living on Settlements in 1998 and 5,059 in 2006. Self-reported age-adjusted prevalence of diabetes increased significantly from 5.1% in 1998 to 6.9% in 2006 (p<0.01), with a crude prevalence increase of 66% (p<0.01). In 2006, diabetes prevalence was higher among females than males, 7.8% vs. 6.1% respectively (p<0.05). Of the 266 adults screened in the fasting state, 5.3% had undiagnosed diabetes, whereas 20.3% (Canadian Diabetes Association criteria) and 51.9% (American Diabetes Association criteria) had 434 International Journal of Circumpolar Health 68:5 2009 pre-diabetes. Rates of obesity and metabolic syndrome were 49.4% (n=693) and 46.4% (n=266), respectively. Hemoglobin A1c>6.1% was strongly associated with diabetes, pre-diabetes and metabolic syndrome. Conclusions. Our results indicate high rates of diabetes, undiagnosed diabetes, pre-diabetes and metabolic syndrome among adult Alberta Métis Settlement dwellers.(Int J Circumpolar Health 2009; 68(5): 433-442)Keywords: Aboriginal, North American, type 2 diabetes, mass screening, mobile health units, Indigenous health services
关键词：Aboriginal, North American, type 2 diabetes, mass screening, mobile health units, Indigenous health services