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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Nilka Ríos Burrows, MPH1, Stephanie Benjamin, PhD1, Linda Geiss, MA1, and Kelly J. Acton, MD, MPH2. (1) Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS/K10, Atlanta, GA 30341, 770-488-1057, nrios@cdc.gov, (2) National Headquarters Diabetes Program, Indian Health Service, 5300 Homestead Rd NE, Albuquerque, NM 87110
Objective: Diabetes is increasing in the United States. We examined whether the relative increase in diabetes is greater among American Indians/Alaska Natives (AI/AN) than in the U.S. general population (U.S.).
Methods: From outpatient data of the Indian Health Service, we obtained prevalence of diagnosed diabetes among AI/AN aged 20 years or older from 1994–98. From the Behavioral Risk Factor Surveillance System, we obtained prevalence of self-reported diabetes among persons of similar age in the U.S. for the same period. We age-adjusted prevalence based on the 2000 U.S. population.
Results:
Diabetes prevalence (%) and increase among persons aged 20 years or older, by age — U.S. general population and American Indians/Alaska Natives, 1994 and 1998
|
Age group |
1994 Prevalence |
1998 Prevalence |
Percent Increase 1994–1998 |
|||
|
U.S. |
AI/AN |
U.S. |
AI/AN |
U.S. |
AI/AN |
|
|
20–34 |
0.9 |
1.7 |
1.0 |
2.2 |
11.0 |
27.3 |
|
35–44 |
1.8 |
6.3 |
2.7 |
6.8 |
45.1 |
8.4 |
|
45–54 |
4.8 |
15.3 |
6.0 |
16.0 |
25.8 |
5.1 |
|
55–64 |
9.1 |
22.9 |
11.1 |
24.9 |
23.0 |
8.8 |
|
³ 65 |
11.3 |
21.1 |
12.9 |
23.6 |
14.6 |
11.6 |
|
³ 20 |
4.6 |
8.6 |
5.8 |
9.8 |
26.7 |
14.2 |
|
³ 20* |
4.8 |
11.4 |
5.8 |
12.4 |
22.3 |
9.5 |
*
Age-adjusted based on the 2000 U.S. populationConclusions: Diabetes increased in all age groups. The overall increase in prevalence among AI/AN was about half that of the U.S. Younger AI/AN, however, had the highest increase in prevalence compared with the U.S. Persons with a longer duration of diabetes are at increased risk of developing complications. Diabetes care needs to be optimal to prevent or delay complications.
Learning Objectives: At the conclusion of the session, the participant will be able to
Keywords: Diabetes, American Indians
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.