Prevalence of diagnosed diabetes in American Indian and Alaska Native adults, 2006–2017
Authors: Ann Bullock MD, Karen Sheff MS, Israel Hora , Nilka Rios Burrows, Stephen R Benoit, Sharon H Saydah, Edward W Gregg, Carmen Licavoli Hardin
Publication Year: 2020
Last Updated: 2020-07-15 15:45:06
Journal: British Medical Journal Open Diabetes Research and Care
Keywords: diabetes prevalence, IHS active clinical population,
Short Abstract:
The objective of this study was to examine recent trends in diagnosed diabetes prevalence for American Indian and Alaska Native (AI/AN) adults aged 18 years and older in the Indian Health Service (IHS) active clinical population. The study found that diabetes prevalence in AI/AN adults in the IHS active clinical population has decreased significantly since 2013.
After increasing significantly from 2006 to 2013, diabetes prevalence for AI/AN adults in the IHS active clinical population decreased significantly from 2013 to 2017. Prevalence was 14.4% (95% CI 13.9% to 15.0%) in 2006; 15.4% (95% CI 14.8% to 16.0%) in 2013; and 14.6% (95% CI 14.1% to 15.2%) in 2017. Trends for men and women were similar to the overall population, as were those for all age groups. For all geographic regions, prevalence either decreased significantly or leveled off in recent years.
Abstract:
Diabetes prevalence in AI/AN adults in the IHS active clinical population has decreased significantly since 2013. While these results cannot be generalized to all AI/AN adults in the USA, this study documents the first known decrease in diabetes prevalence for AI/AN people. What is already known about this subject?
â–º Diabetes prevalence in American Indian and Alaska Native (AI/AN) people is the highest of any racial or ethnic group in the USA, but no recent trends have been published. What are the new findings?
â–º After increasing significantly from 2006 to 2013, diabetes prevalence for AI/AN adults overall decreased significantly from 2013 to 2017.
â–º The trends for AI/AN men and women were similar to the overall adult population, with women consistently having slightly higher prevalence than men.
â–º All age groups had significant increases in diabetes prevalence from 2006 to 2013 or 2014 and then decreased significantly.
â–º For all geographic regions, diabetes prevalence either decreased significantly or leveled off in recent years. There were considerable differences in prevalence across geographic regions, with Alaska consistently having the lowest and Southwest subregion 2 consistently having the highest.
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