International Journal of Circumpolar Health最新文献

Substance use and lifestyle risk factors for somatic disorders among psychiatric patients in Greenland. 格陵兰精神病患者躯体疾病的药物使用和生活方式风险因素。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-10-27 DOI: 10.1080/22423982.2024.2421049

Ida Margrethe Nielsen, Lisbeth Uhrskov Sørensen, Søren Wichmand, Parnûna Heilmann, Michael Lynge Pedersen

{"title":"Substance use and lifestyle risk factors for somatic disorders among psychiatric patients in Greenland.","authors":"Ida Margrethe Nielsen, Lisbeth Uhrskov Sørensen, Søren Wichmand, Parnûna Heilmann, Michael Lynge Pedersen","doi":"10.1080/22423982.2024.2421049","DOIUrl":"10.1080/22423982.2024.2421049","url":null,"abstract":"Patients with psychotic disorders exhibit elevated mortality and morbidity rates compared to the general population primarily due to comorbid somatic diseases. This study aims to describe the prevalence of selected risk factors and somatic disorders among psychiatric patients with a diagnosis of psychotic disorder. Material and methods: Data were retrieved from Greenland's nationwide electronic medical record. The study population consists of 104 patients diagnosed with a psychotic disorder, encompassing schizophrenia or schizotypal and delusional disorders, residing in Nuuk. The study population comprised 104 patients (68 males and 36 females) with a mean age of 40 years. More than 80% were daily smokers, and 68% had harmful use of cannabis. More than half had dyslipidemia (any imbalance in lipids), while over a quarter were classified as obese with body mass index of 30 kg/m2 or higher. Eighteen percent had hypertension, and six percent suffered from diabetes. This study revealed a notable prevalence of risk factors for somatic diseases, particularly smoking and cannabis use among patients with schizophrenia in Nuuk, indicating that a high prevalence of somatic diseases might be expected as the population gets older and the risk of developing somatic diseases becomes greater. Increased focus on monitoring and preventing those as part of the health care is recommended.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2421049"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of care among patients diagnosed with atrial fibrillation in Greenland. 格陵兰确诊心房颤动患者的护理质量。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-08 DOI: 10.1080/22423982.2024.2311965

Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Stig Andersen, Sam Riahi, Uka Wilhjelm Geisler, Michael Lynge Pedersen, Nadja Albertsen

{"title":"Quality of care among patients diagnosed with atrial fibrillation in Greenland.","authors":"Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Stig Andersen, Sam Riahi, Uka Wilhjelm Geisler, Michael Lynge Pedersen, Nadja Albertsen","doi":"10.1080/22423982.2024.2311965","DOIUrl":"10.1080/22423982.2024.2311965","url":null,"abstract":"This cross-sectional study sought to assess the prevalence of atrial fibrillation (AF) diagnosis in Greenland among various age groups and examine the corresponding quality of care. We collected data from Greenland's electronic medical records and evaluated the quality of care using six internationally recommended indicators, which are: percentage of AF patients with an assessment of smoking status within the previous year, an assessment of body mass index within the previous year, assessment of blood pressure within the previous year, measurement of thyroid stimulating hormone (TSH), treatment with an anticoagulant and percentage of patients with a measurement of serum-creatinine. We found the prevalence of AF among patients aged 20 years or older in Greenland to be 1.75% (95% CI 1.62-1.88). We found an increasing prevalence of AF with age and a greater proportion of men than women until the age of 74 years. Our study suggests that the associated quality of care could be higher as the requirement of only one of the six quality indicators was met. A lack of registration may partly explain this, and initiatives to improve the quality of care are recommended.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2311965"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139706700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community directed assessment of pain in a northern Saskatchewan Cree community. 在萨斯喀彻温省北部的克里社区，由社区指导对疼痛进行评估。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-01-07 DOI: 10.1080/22423982.2023.2300858

Tayah Zhang, Elder Rose Dorian, Sally Sewap, Rachel Johnson, Heather Foulds, Brenna Bath, Stacey Lovo

{"title":"Community directed assessment of pain in a northern Saskatchewan Cree community.","authors":"Tayah Zhang, Elder Rose Dorian, Sally Sewap, Rachel Johnson, Heather Foulds, Brenna Bath, Stacey Lovo","doi":"10.1080/22423982.2023.2300858","DOIUrl":"10.1080/22423982.2023.2300858","url":null,"abstract":"Indigenous Elder advisors in Pelican Narrows, a Cree community in Northern Saskatchewan, have indicated that Western pain scales may not be responsive tools for pain assessments within their community. This study employed a mixed methods research design that involved two phases. Phase one was the development of a pain scale in collaboration with an Elder and a Knowledge Keeper. Phase two was a pilot of the CDPS utilised during virtual physiotherapy sessions for chronic back pain. Twenty-seven participants completed the pre-physiotherapy treatment questionnaires, and 10 participants engaged in semi-structured interviews (9 community members; 1 healthcare provider). A weighted kappa analysis yielded k = 0.696, indicating a good agreement between the CDPS and Faces Pain Scale-Revised in terms of documenting participants' pain. Qualitative data from interviews with community members revealed three major themes: 1) Learnings Regarding Pain Scales, 2) Patient Centered Care; and 3) Strength-Based Solutions for Improving Pain Communication. Two themes were uncovered through conversations with the HCP: 1) Perspectives on CDPS and 2) Healthcare Provider Experiences Communicating about Pain. Moreover, a patient-centredcentred approach is important to ensure comprehensive pain assessments.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2300858"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139110881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The social and organisational factors shaping acceptability of a self-management education and exercise intervention for people with hip or knee osteoarthritis in Greenland. 影响格陵兰岛髋关节或膝关节骨关节炎患者接受自我管理教育和锻炼干预的社会和组织因素。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-05 DOI: 10.1080/22423982.2024.2350120

Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Sonja Sørensen, Morten Skovdal

{"title":"The social and organisational factors shaping acceptability of a self-management education and exercise intervention for people with hip or knee osteoarthritis in Greenland.","authors":"Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Sonja Sørensen, Morten Skovdal","doi":"10.1080/22423982.2024.2350120","DOIUrl":"10.1080/22423982.2024.2350120","url":null,"abstract":"This study aimed to explore the experiences and perspectives of people with osteoarthritis attending the \"Osteoarthritis School\" (OA School) in Nuuk, Greenland to generate insights and lessons that can inform the development of self-management education and exercise interventions for people with other lifestyle conditions in a Greenland context. We conducted a qualitative interpretive description (ID) study based on ten semi-structured interviews with people with hip or knee osteoarthritis. Interviews were audio-recorded, transcribed, and coded. Using ID, we identified three themes: 1) perceptions and experiences of how the OA School intervention was organised (time and place); 2) perspectives and experiences of the education and exercise components (social factors, motivation, and education); and 3) significant change stories (physical and mental improvements and increased knowledge of OA). Social and organisational factors, such as working out with peers and the time and place of the intervention, influenced the participants' acceptance of the OA School intervention. Knowledge from this study will help us gain insight into what to address when developing future self-management education and exercise interventions in the Greenlandic healthcare system.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2350120"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metal exposure in the Greenlandic ACCEPT cohort: follow-up and comparison with other Arctic populations. 格陵兰 ACCEPT 队列中的金属暴露：跟踪调查以及与其他北极地区人群的比较。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-07-30 DOI: 10.1080/22423982.2024.2381308

Maria Wielsøe, Manhai Long, Jens Søndergaard, Eva Cecilie Bonefeld-Jørgensen

{"title":"Metal exposure in the Greenlandic ACCEPT cohort: follow-up and comparison with other Arctic populations.","authors":"Maria Wielsøe, Manhai Long, Jens Søndergaard, Eva Cecilie Bonefeld-Jørgensen","doi":"10.1080/22423982.2024.2381308","DOIUrl":"10.1080/22423982.2024.2381308","url":null,"abstract":"Humans are exposed to metals through diet and lifestyle e.g. smoking. Some metals are essential for physiologically body functions, while others are non-essential and can be toxic to humans. This study follows up on metal concentrations in the Greenlandic ACCEPT birth-cohort (mothers and fathers) and compares with other Arctic populations. The data from 2019 to 2020 include blood metal concentrations, lifestyle and food frequency questionnaires from 101 mothers and 76 fathers, 24-55 years, living in Nuuk, Sisimiut, and Ilulissat. A high percentage (25-45%) exceeded international guidance values for Hg. For the mothers, the metal concentrations changed significantly from inclusion at pregnancy to this follow-up 3-5 years after birth; some increased and others decreased. Most metals differed significantly between mothers and fathers, while few also differed between residential towns. Several metals correlated significantly with marine food intake and socio-economic factors, but the direction of the correlations varied. Traditional marine food intake was associated positively with Se, As and Hg. To the best of our knowledge, this study provides the most recent data on metal exposure of both men and women in Greenland, elucidating metal exposure sources among Arctic populations, and documents the need for continuing biomonitoring to follow the exceeding of guidance values for Hg. [Figure: see text].","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2381308"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The trends in perceived health, well-being, and risk behaviours among high school students in Finnmark, Norway, compared to the national average. 与全国平均水平相比，挪威芬马克地区高中生的健康、幸福感和风险行为认知趋势。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI: 10.1080/22423982.2024.2420480

Shiho Hansen

{"title":"The trends in perceived health, well-being, and risk behaviours among high school students in Finnmark, Norway, compared to the national average.","authors":"Shiho Hansen","doi":"10.1080/22423982.2024.2420480","DOIUrl":"10.1080/22423982.2024.2420480","url":null,"abstract":"This study examines trends in health, well-being, and risk behaviours among high school students in Finnmark, Norway, and compares them with the national average. Data were drawn from the Ungdata survey, covering three waves between 2014 and 2023. The sample included 6,084 high school students in Finnmark and 254,048 students nationwide. MANOVA with polynomial contrasts assessed linear trends among students in Finnmark, and MANOVA with difference contrast tested pairwise differences between Finnmark and national samples. Trend analysis revealed that 26 out of 63 variables, including digital use, school-related variables, antisocial behaviours, and depressive thoughts, increased over time, while 25 variables, such as physical activities, local environment, and bullying remained unchanged. Relationships with parents and substance use improved. Pairwise comparisons showed worse outcomes for Finnmark students in 43 and 41 out of 63 variables across waves, except for substance use and antisocial behaviours. This study indicates limited improvement in health and risk behaviours among high school students in Finnmark. Public health policies tailored to adolescents in Finnmark should focus on mental health services, promoting physical activity, and reducing antisocial behaviours and bullying. Further research should explore Finnmark's multiethnic context, including the Sámi and Kven populations.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2420480"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Nunavut community-directed Inuit youth mental wellness initiative: making I-SPARX fly. 努勒维特社区指导的因努伊特青年心理健康倡议：让 I-SPARX 飞起来。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-10-10 DOI: 10.1080/22423982.2024.2401210

Yvonne Bohr, Jeffrey Hankey, Alaina Thomas, Marette Abdelmaseh, Leigh Armour, Hugh McCague, Jenna Barnhardt, Megis Oskalns, Nichaela Garvey, Yogita Singh, Cassie Danz, Chelsea Singoorie, Reuben Qaunaq, Iola Oshoweetok, Mathijs Lucassen, Sally Merry, Matthew Shepherd, Marc H Bornstein, Farah Ahmad, Shmuel Shulman, Jonathan Weiss

{"title":"A Nunavut community-directed Inuit youth mental wellness initiative: making I-SPARX fly.","authors":"Yvonne Bohr, Jeffrey Hankey, Alaina Thomas, Marette Abdelmaseh, Leigh Armour, Hugh McCague, Jenna Barnhardt, Megis Oskalns, Nichaela Garvey, Yogita Singh, Cassie Danz, Chelsea Singoorie, Reuben Qaunaq, Iola Oshoweetok, Mathijs Lucassen, Sally Merry, Matthew Shepherd, Marc H Bornstein, Farah Ahmad, Shmuel Shulman, Jonathan Weiss","doi":"10.1080/22423982.2024.2401210","DOIUrl":"10.1080/22423982.2024.2401210","url":null,"abstract":"Inuit youth in Nunavut (NU) are resilient but face a protracted suicide crisis. The SPARX serious game and e-intervention, developed originally in New Zealand, teaches youth cognitive behavioural therapy (CBT) skills to ameliorate stress and depression. Inuit youth in NU reviewed and culturally adapted SPARX and an existing wellness outcome measure for Inuit. One hundred and twenty-one youth, aged 13 to 24, across NU then tested, played, and evaluated I(nuit)-SPARX, showing improvement in several areas of wellbeing post-play. Youth completed a CBT skills survey, engaged in sharing circles to assess CBT skill retention, and shared their thoughts about the usefulness and cultural fit of I-SPARX with Inuit Qaujimajatuqangit (IQ). Communication Skills, Listening Skills, and Problem Solving emerged as the most helpful learned CBT skills, and NU youth provided real-world examples of using I-SPARX skills to support their mental wellness. Several principles of IQ were exemplified and upheld in the content of the adapted SPARX tool and the process of the project as a whole. Empirically grounded, asynchronous e-tools, developed in collaboration with Inuit communities to ensure cultural specificity, may support psychological wellness in communities where mental health resources are scarce.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2401210"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11468022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethnic differences in CT derived abdominal body composition measures: a comparative retrospect pilot study between European and Inuit study population. CT 导出的腹部身体成分测量的种族差异：欧洲人和因纽特人研究人群的对比回顾性试验研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-05 DOI: 10.1080/22423982.2024.2312663

Mia Solholt Godthaab Brath, Marina Sahakyan, Esben Bolvig Mark, Henrik Højgaard Rasmussen, Lasse Riis Østergaard, Jens Brøndum Frøkjær, Ulla Møller Weinreich, Marit Eika Jørgensen

{"title":"Ethnic differences in CT derived abdominal body composition measures: a comparative retrospect pilot study between European and Inuit study population.","authors":"Mia Solholt Godthaab Brath, Marina Sahakyan, Esben Bolvig Mark, Henrik Højgaard Rasmussen, Lasse Riis Østergaard, Jens Brøndum Frøkjær, Ulla Møller Weinreich, Marit Eika Jørgensen","doi":"10.1080/22423982.2024.2312663","DOIUrl":"10.1080/22423982.2024.2312663","url":null,"abstract":"Understanding ethnic variations in body composition is crucial for assessing health risks. Universal models may not suit all ethnicities, and there is limited data on the Inuit population. This study aimed to compare body composition between Inuit and European adults using computed tomography (CT) scans and to investigate the influence of demographics on these measurements. A retrospective analysis was conducted on 50 adults (29 Inuit and 21 European) who underwent standard trauma CT scans. Measurements focused on skeletal muscle index (SMI), various fat indices, and densities at the third lumbar vertebra level, analyzed using the Wilcoxon-Mann-Whitney test and multiple linear regression. Inuit women showed larger fat tissue indices and lower muscle and fat densities than European women. Differences in men were less pronouncehd, with only Intramuscular fat density being lower among Inuit men. Regression indicated that SMI was higher among men, and skeletal muscle density decreased with Inuit ethnicity and age, while visceral fat index was positively associated with age. This study suggests ethnic differences in body composition measures particularly among women, and indicates the need for Inuit-specific body composition models. It higlights the importance of further research into Inuit-specific body composition measurements for better health risk assessment.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2312663"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 impacts in Northernmost Finland. COVID-19 对芬兰北部的影响。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-15 DOI: 10.1080/22423982.2024.2314368

Ulla Timlin, Arja Rautio

{"title":"COVID-19 impacts in Northernmost Finland.","authors":"Ulla Timlin, Arja Rautio","doi":"10.1080/22423982.2024.2314368","DOIUrl":"10.1080/22423982.2024.2314368","url":null,"abstract":"The COVID-19 pandemic challenged our lives during the years 2020-2022. Impacts could be seen in everyday life, both locally and nationally, through economic, mental and social elements. However, these effects varied depending on the life situation of individuals. This paper aims to gather information from the representatives and operators working in two Finnish municipalities, Inari and Utsjoki, to understand and learn about their experiences during the COVID-19 pandemic. The data (20 interviews) were collected between December 2021 and February 2022 and analysed following the principles of the qualitative content analysis. The results suggest that the effects of COVID-19 emerged through issues related to the national border between Finland and Norway, economic challenges, and the pressure that people experienced. However, despite challenges, people were supported by everyday life and a connection to nature, communality and close co-operation. Additionally, local needs were highlighted among participants. The results provide a deeper understanding about the public health impacts in these Northernmost municipalities and can therefore be utilised in future development work. They also provide relevant information on the experiences of Sámi people, and specific views related to Sámi people can be recognised.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2314368"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10877646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study. 为居住在阿拉斯加中南部的阿拉斯加原住民糖尿病前期患者提供循证筛查、临床护理和健康教育建议：阿拉斯加 EARTH 跟踪研究的结果。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-01 DOI: 10.1080/22423982.2024.2343143

Kathryn R Koller, Sarah H Nash, Julie A Beans, Gretchen M Day, Vanessa Y Hiratsuka, Ai-Ling Lin, Meera Narayanan, Christi A Patten, Sherry A Hammock, Barbara V Howard, Jason G Umans

{"title":"Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study.","authors":"Kathryn R Koller, Sarah H Nash, Julie A Beans, Gretchen M Day, Vanessa Y Hiratsuka, Ai-Ling Lin, Meera Narayanan, Christi A Patten, Sherry A Hammock, Barbara V Howard, Jason G Umans","doi":"10.1080/22423982.2024.2343143","DOIUrl":"10.1080/22423982.2024.2343143","url":null,"abstract":"Pre-diabetes (pre-DM) is a strong predictor of diabetes (DM) over time. This study investigated how much of the recent increase in pre-DM identified among Alaska Native (AN) peoples living in urban southcentral Alaska may be due to changes in diagnostic methods. We used clinical and demographic data collected at baseline between 2004 and 2006 and at follow-up collected between 2015 and 2017 from the urban southcentral Alaska Education and Research Towards Health (EARTH) cohort. We used descriptive statistics and logistic regression to explore differences in demographic and clinical variables among the identified pre-DM groups. Of 388 participants in the follow-up study, 243 had A1c levels indicating pre-DM with only 20 demonstrating pre-DM also by fasting blood glucose (FBG). Current smoking was the sole predictor for pre-DM by A1c alone while abdominal obesity and elevated FBG-predicted pre-DM by A1c+FBG. No participants had an elevated FBG without an A1c elevation. A substantial portion of the rise in pre-DM found among urban southcentral AN peoples in the EARTH follow-up study was due to the addition of A1c testing. Pre-DM by A1c alone should be used to motivate behavioural changes that address modifiable risk factors, including smoking cessation, physical activity and weight management.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2343143"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11064735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0