Increasing rates of diabetes amongst status Aboriginal youth in Alberta, Canada
Autor: | Richard T. Oster, Lawrence W. Svenson, Ellen L. Toth, Stephanie U. Balko, Jeffrey A. Johnson |
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Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
Gerontology
Male medicine.medical_specialty Canada lcsh:Arctic medicine. Tropical medicine Health (social science) Diabetes risk Adolescent lcsh:RC955-962 Population Indigenous Alberta 03 medical and health sciences Young Adult 0302 clinical medicine Diabetes mellitus Epidemiology Prevalence Medicine Humans 030212 general & internal medicine Original Research Article Longitudinal Studies Young adult education Child education.field_of_study youth 030505 public health business.industry Incidence (epidemiology) Incidence Public Health Environmental and Occupational Health Infant General Medicine medicine.disease indigenous population 3. Good health epidemiology diabetes mellitus Child Preschool Indians North American Observational study Female 0305 other medical science business Demography |
Zdroj: | International Journal of Circumpolar Health International Journal of Circumpolar Health; Vol 71 (2012) International Journal of Circumpolar Health, Vol 71, Iss 0, Pp 1-7 (2012) |
ISSN: | 2242-3982 1239-9736 1797-237X |
Popis: | Objectives. To track and compare trends in diabetes rates from 1995 to 2007 for Status Aboriginal and general population youth. Study design. Longitudinal observational research study (quantitative) using provincial administrative data. Methods. De-identified data was obtained from Alberta Health and Wellness administrative databases for Status Aboriginal (First Nations and Inuit people with Treaty status) and general population youth (B20 years). Diabetes cases were identified using the National Diabetes Surveillance System algorithm. Crude annual diabetes prevalence and incidence rates were calculated. The likelihood of being a prevalent case and incident case of diabetes for the 2 populations was compared for the year 2007. Average Annual Percent Changes (AAPC) in prevalence and incidence from 1995 to 2007 were determined and compared between the 2 groups to examine trends over time. Results. While the prevalence of diabetes was higher in the general population in 1995, by 2007 there were no between group differences, reflected in the significantly higher AAPC of 6.98 for Status Aboriginal youth. Status Aboriginal males had a lower diabetes risk in 1995 compared with females, and experienced a greater increase in prevalence over the 13 years (AAPC 9.18) so that by 2007 their rates were equivalent to those of the females. Differences in diabetes incidence trends were only observed among male youth, where increases in incidence were greater for Status Aboriginal (AAPC 11.65) compared to general population males (AAPC 4.62) (p0.03). Conclusion. Youth-onset diabetes is an increasing problem in Alberta, especially among young Status Aboriginal males. Keywords: indigenous population; Canada; epidemiology; youth; diabetes mellitus (Published: 7 May 2012) Citation: Int J Circumpolar Health 2012, 71 : 18501 - http://dx.doi.org/10.3402/ijch.v71i0.18501 |
Databáze: | OpenAIRE |
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