International Journal of Circumpolar Health最新文献

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Inuit youth health and wellbeing programming in Canada. 加拿大因纽特人青年健康和福祉计划。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-07-11 DOI: 10.1080/22423982.2024.2376799
Jeevan S K Toor, Josée G Lavoie, Adriana Mudryj
{"title":"Inuit youth health and wellbeing programming in Canada.","authors":"Jeevan S K Toor, Josée G Lavoie, Adriana Mudryj","doi":"10.1080/22423982.2024.2376799","DOIUrl":"10.1080/22423982.2024.2376799","url":null,"abstract":"<p><p>Inuit youth face challenges in maintaining their wellbeing, stemming from continued impacts of colonisation. Recent work documented that urban centres, such as Winnipeg Canada, have large Inuit populations comprised of a high proportion of youth. However, youth lack culturally appropriate health and wellbeing services. This review aimed to scan peer-reviewed and grey literature on Inuit youth health and wellbeing programming in Canada. This review is to serve as an initial phase in the development of Inuit-centric youth programming for the <i>Qanuinngitsiarutiksait</i> program of research. Findings will support further work of this program of research, including the development of culturally congruent Inuit-youth centric programming in Winnipeg. We conducted an environmental scan and used an assessment criteria to assess the effectiveness of the identified programs. Results showed that identified programs had Inuit involvement in creation framing programming through Inuit knowledge and mostly informed by the culture as treatment approach. Evaluation of programs was diffcult to locate, and it was hard to discren between programming, pilots or explorative studies. Despite the growing urban population, more non-urban programming was found. Overall, research contributes to the development of effective strategies to enhance the health and wellbeing of Inuit youth living in Canada.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2376799"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579630","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
Sámi community perspectives on the COVID-19 pandemic: a mixed methods case study in Arctic Sweden. 萨米社区对 COVID-19 大流行病的看法:瑞典北极地区的混合方法案例研究。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-25 DOI: 10.1080/22423982.2024.2372123
Jon Petter A Stoor, Oscar Sedholm, Miguel San Sebastián, Lena Maria Nilsson
{"title":"Sámi community perspectives on the COVID-19 pandemic: a mixed methods case study in Arctic Sweden.","authors":"Jon Petter A Stoor, Oscar Sedholm, Miguel San Sebastián, Lena Maria Nilsson","doi":"10.1080/22423982.2024.2372123","DOIUrl":"10.1080/22423982.2024.2372123","url":null,"abstract":"<p><p>The COVID-19 pandemic posed a grave threat not only to Indigenous people's health and well-being, but also to Indigenous communities and societies. This applies also to the Indigenous peoples of the Arctic, where unintentional effects of public health actions to mitigate the spread of virus may have long-lasting effects on vulnerable communities. This study aim was to identify and describe Sámi perspectives on how the Sámi society in Sweden was specifically affected by the pandemic and associated public health actions during 2020-2021. A mixed-method qualitative case study approach was employed, including a media scoping review and stakeholder interviews. The media scoping review included 93 articles, published online or in print, from January 2020 to 1 September 2021, in Swedish or Norwegian, regarding the pandemic-related impacts on Sámi society in Sweden. The review informed a purposeful selection of 15 stakeholder qualitative interviews. Thematic analysis of the articles and interview transcripts generated five subthemes and two main themes: \"weathering the storm\" and \"stressing Sámi culture and society\". These reflect social dynamics which highlight stressors towards, and resilience within, the Sámi society during the pandemic. The results may be useful when evaluating and developing public health crisis response plans concerning or affecting the Sámi society in Sweden.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2372123"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11207918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450373","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
Prevalence of cardiovascular and other selected diseases among Greenlanders with and without type 2 diabetes. 患有和未患有 2 型糖尿病的格陵兰人心血管疾病和其他特定疾病的患病率。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-11-06 DOI: 10.1080/22423982.2024.2421052
Lise Lyngbak Klockmann, Emma Marie Kragh Tøttenborg, Marie Balslev Backe, Marit Eika Jørgensen, Michael Lynge Pedersen
{"title":"Prevalence of cardiovascular and other selected diseases among Greenlanders with and without type 2 diabetes.","authors":"Lise Lyngbak Klockmann, Emma Marie Kragh Tøttenborg, Marie Balslev Backe, Marit Eika Jørgensen, Michael Lynge Pedersen","doi":"10.1080/22423982.2024.2421052","DOIUrl":"10.1080/22423982.2024.2421052","url":null,"abstract":"<p><p>This study aims to estimate the prevalence of cardiovascular disease, kidney disease, and other selected diseases including hypertension, atrial fibrillation, asthma, chronic obstructive lung disease, osteoarthritis, osteoporosis, psoriasis and depression among Greenlanders living in Nuuk with and without type 2 diabetes (T2D). The study was designed as a cross-sectional case-control study based on data from the electronic medical record (EMR) in Greenland. Persons with a registered T2D diagnosis in EMR and residence in Nuuk (<i>N</i> = 435) were included. The prevalence of cardiovascular disease was 17.9% among persons with T2D and significantly higher compared to the control group (10.1%). In addition, our results showed a significantly higher prevalence of ischaemic heart disease, hypertension, heart failure, atrial fibrillation, osteoarthritis and psoriasis among persons with T2D compared to the control group.Our study found a higher prevalence in five out of 10 selected diseases in regularly followed persons with T2D in Nuuk compared to unselected controls. This enlightens the importance of a broad multifaceted approach in combination of changing primary health care to focus on early detection of controllable risk factors and chronic conditions care in Artic Greenland.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2421052"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590837","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 prevalence and disease course of autoimmune liver diseases in Greenland. 格陵兰岛自身免疫性肝病的发病率和病程。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-03-11 DOI: 10.1080/22423982.2024.2327693
Rasmus Hvidbjerg Gantzel, Carina Nørskov Bagge, Gerda Elisabeth Villadsen, Karsten Fleischer Rex, Henning Grønbæk, Michael Lynge Pedersen
{"title":"The prevalence and disease course of autoimmune liver diseases in Greenland.","authors":"Rasmus Hvidbjerg Gantzel, Carina Nørskov Bagge, Gerda Elisabeth Villadsen, Karsten Fleischer Rex, Henning Grønbæk, Michael Lynge Pedersen","doi":"10.1080/22423982.2024.2327693","DOIUrl":"10.1080/22423982.2024.2327693","url":null,"abstract":"<p><p>Autoimmune liver diseases are rare serious diseases causing chronic inflammation and fibrosis in the liver parenchyma and bile ducts. Yet, the prevalence and burden of autoimmune liver diseases are largely unexplored in Arctic native populations. We investigated the prevalence and management of autoimmune liver diseases in Greenland using nationwide cross-sectional register data and subsequent medical chart reviews validating diagnoses and extracting liver histology examinations and medical treatments. The overall prevalence of autoimmune liver diseases in Greenland was 24.6 per 100,000 (95% CI: 14.7-41.3). This was based on 7 patients with autoimmune hepatitis (AIH) (12.3 per 100,000), 3 patients with primary biliary cholangitis (PBC) (5.3 per 100,000), 4 patients with AIH/PBC overlap disease (7.0 per 100,000), and no patients with primary sclerosing cholangitis. All diagnoses were confirmed by liver histology examinations. Medical treatments adhered to internal recommendations and induced complete remission in most patients with AIH, and complete or partial remission in 1 patient with PBC and 3 patients with AIH/PBC overlap disease. One patient had established cirrhosis at the time of diagnosis, while 2 patients progressed to cirrhosis. In conclusion, the prevalence of autoimmune liver diseases was lower in Greenland than in Scandinavia and among Alaska Inuit.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2327693"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10930088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093947","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
Identifying sources of variation in added sugar intake for Alaska Native children using a hair biomarker. 利用毛发生物标志物确定阿拉斯加原住民儿童添加糖摄入量变化的来源。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-04-01 DOI: 10.1080/22423982.2024.2336286
Alice Ko, Diane O'Brien, Patricia Rivera, Lloyd Mancl, Scarlett Hopkins, Cameron Randall, Daisy Patiño Nguyen, Donald L Chi
{"title":"Identifying sources of variation in added sugar intake for Alaska Native children using a hair biomarker.","authors":"Alice Ko, Diane O'Brien, Patricia Rivera, Lloyd Mancl, Scarlett Hopkins, Cameron Randall, Daisy Patiño Nguyen, Donald L Chi","doi":"10.1080/22423982.2024.2336286","DOIUrl":"10.1080/22423982.2024.2336286","url":null,"abstract":"<p><p>Sugars from sugar-sweetened beverages (SSBs) are an important risk factor for tooth decay. The study goal was to determine if there was variation in added sugar intake across communities and between and within households. In this cross-sectional study, intakes of total sugar, added sugar, and sugar-sweetened beverages (SSBs) were estimated for 282 Alaska Native children ages 0-10 years from 131 households in three Yukon-Kuskokwim (YK) Delta communities using biomarker equations based on hair carbon and nitrogen isotope ratios previously developed for the Yup'ik population. ANOVA was used to assess associations between each predictor (community and household) and outcome (estimated total sugars, added sugars, and SSB intake). Between- and within-household variation was estimated using a linear mixed-effects model with a random intercept for households with three or more children. There was no significant difference in mean estimated total sugar (<i>p</i> = 0.29), added sugar (<i>p</i> = 0.24), or SSB intake (<i>p</i> = 0.40) across communities. Significant variations were observed between and within households, with within-household variation amounting to 59% of the between-household variation. Added sugar intake in Alaska Native children from the three study communities is higher than the recommended maximum, and the variation is greater within households than between households.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2336286"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10986438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335534","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
Correction. 更正。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-23 DOI: 10.1080/22423982.2024.2320471
{"title":"Correction.","authors":"","doi":"10.1080/22423982.2024.2320471","DOIUrl":"10.1080/22423982.2024.2320471","url":null,"abstract":"","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2320471"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10896123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139939869","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
Who visits primary health care general practitioners and why? A register-based study in a Finnish city. 谁去看全科医生?一项基于芬兰城市登记的研究。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-13 DOI: 10.1080/22423982.2024.2366034
Mika T Lehto, Timo Kauppila, Hannu Kautiainen, Ossi Rahkonen, Merja K Laine, Kaisu Pitkälä
{"title":"Who visits primary health care general practitioners and why? A register-based study in a Finnish city.","authors":"Mika T Lehto, Timo Kauppila, Hannu Kautiainen, Ossi Rahkonen, Merja K Laine, Kaisu Pitkälä","doi":"10.1080/22423982.2024.2366034","DOIUrl":"10.1080/22423982.2024.2366034","url":null,"abstract":"<p><p>This is a register-based study that examines the distribution of diagnoses made by general practitioners (GPs) in the public primary health care of the city of Vantaa, Finland. Data were gathered from the electronic health record (EHR) system and consisted of every record entered into the EHR system between 1 January 2016 and 31 December 2018. Both absolute numbers and relative proportions of the 10<sup>th</sup> edition of International Classification of Diseases (ICD-10) diagnosis recordings were reported and calculated. Among GP visits, the 88 most common diagnoses covered 75% of all diagnoses. The most common diagnoses were related to the musculoskeletal (3.8%, ICD code M54) and respiratory systems (6.0%, ICD-10 code J06). Primary health care GP services were mostly used by children (age <5 years) and older adults (>65 years). Health examinations - mostly children's and maternity clinics appointments/visits - covered 20% of the GP office visits. Women between the ages 15-79 years had relatively more GP visits compared to men. The 88 most commonly recorded diagnoses covered the majority of the GP visits. Health examinations for the healthy were an important part of GPs' work. In an urban Finnish city, GP services were predominantly used by children and older adults.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2366034"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317248","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
"You can feel the fresh air … " Rural Alaska Native household perceptions of home air purifiers and health. "你能感受到清新的空气...... "阿拉斯加农村原住民家庭对家用空气净化器和健康的看法。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-03-28 DOI: 10.1080/22423982.2024.2335702
Madilyn Short, Jennifer Dobson, Gretchen Day, Brian Lefferts, Rosalyn Singleton, James Keck
{"title":"\"You can feel the fresh air … \" Rural Alaska Native household perceptions of home air purifiers and health.","authors":"Madilyn Short, Jennifer Dobson, Gretchen Day, Brian Lefferts, Rosalyn Singleton, James Keck","doi":"10.1080/22423982.2024.2335702","DOIUrl":"10.1080/22423982.2024.2335702","url":null,"abstract":"<p><p>Alaska Native and American Indian children experience frequent respiratory illness. Indoor air quality is associated with the severity and frequency of respiratory infections in children. High efficiency particulate air (HEPA) purifiers effectively improve indoor air quality and may protect respiratory health. In 2019, the Yukon-Kuskokwim Health Corporation implemented a pilot programme that provided education and HEPA purifiers to households of children with chronic lung conditions. The team evaluated HEPA purifier acceptability and use by interviewing representatives from 11 households that participated in the pilot programme. All interviewees reported improvement in their child's health, and some believed that the health of other household members was also improved because of the HEPA purifier. Interviewees reported that the HEPA purifiers were easy to use, quiet, and not expensive to run. Five of 11 households were still using the HEPA purifier at the time of the interview, which was about three years after receipt of the unit. The most common reasons for discontinuing use were equipment failure and lack of replacement filter, suggesting that programme support could increase sustainability. Our evaluation suggests that HEPA purifiers are acceptable and feasible for use in rural Alaska Native households.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2335702"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10984226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140305576","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
Prevalence of Haemophilus influenzae in the nasopharynx of children from regions with varying incidence of invasive H. influenzae serotype a disease: Canadian Immunization Research Network (CIRN) study. 来自入侵性流感嗜血杆菌血清型 a 疾病不同发病率地区的儿童鼻咽部的流感嗜血杆菌流行率:加拿大免疫研究网络(CIRN)研究。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-28 DOI: 10.1080/22423982.2024.2371111
Marina Ulanova, Raymond Sw Tsang, David M Goldfarb, Marek Smieja, Brenda Huska, Kathy Luinstra, Nicole Le Saux
{"title":"Prevalence of <i>Haemophilus influenzae</i> in the nasopharynx of children from regions with varying incidence of invasive <i>H. influenzae</i> serotype a disease: Canadian Immunization Research Network (CIRN) study.","authors":"Marina Ulanova, Raymond Sw Tsang, David M Goldfarb, Marek Smieja, Brenda Huska, Kathy Luinstra, Nicole Le Saux","doi":"10.1080/22423982.2024.2371111","DOIUrl":"10.1080/22423982.2024.2371111","url":null,"abstract":"<p><p><i>Haemophilus influenzae</i> serotype a (Hia) has recently emerged as an important cause of invasive disease in the North American Arctic and Sub-Arctic regions, mainly affecting young Indigenous children. In this study, we addressed the question of whether the prevalence of Hia and all <i>H. influenzae</i> in the nasopharynx differed between paediatric populations from regions with high <i>versus</i> low incidence of invasive Hia disease. Nasopharyngeal specimens from children with acute respiratory tract infections (ARTI) collected for routine diagnostic detection of respiratory viruses were analysed with molecular-genetic methods to identify and serotype <i>H. influenzae</i>. In Nunavut, a region with a high incidence of invasive Hia disease, all <i>H. influenzae</i> and particularly Hia were found in the nasopharynx of 60.6% and 3.0% children. In Southern Ontario (Hamilton region), where Hia invasive disease is rare, the frequencies of all <i>H. influenzae</i> and Hia detection were 38.5% and 0.6%, respectively. In both cohorts, non-typeable <i>H. influenzae</i> was prevalent (57.0% and 37.9%, respectively). Considering that Hia is an important cause of severe invasive disease in Nunavut children, 3% prevalence of Hia among children with ARTI can reflect continuing circulation of the pathogen in the Northern communities that may result in invasive disease outbreaks.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2371111"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141467828","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
Living well with diabetes in Alaska. 阿拉斯加糖尿病患者的美好生活。
IF 1.3 4区 医学
International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-08 DOI: 10.1080/22423982.2024.2341988
Meera L Narayanan, Peter Holck, Ai-Ling Lin, Cynthia D Schraer
{"title":"Living well with diabetes in Alaska.","authors":"Meera L Narayanan, Peter Holck, Ai-Ling Lin, Cynthia D Schraer","doi":"10.1080/22423982.2024.2341988","DOIUrl":"10.1080/22423982.2024.2341988","url":null,"abstract":"<p><p>Many people with diabetes mellitus experience minimal or no complications. Our objective was to determine the proportion of Alaska Native people who experienced four major complications or mortality and to identify factors that may be associated with these outcomes. We used records in a diabetes registry and clinical and demographic variables in our analyses. We used logistic regression and Cox Proportional Hazards models to evaluate associations of these parameters with death and complications that occurred prior to 2013. The study included 591 Alaska Native people with non-type 1 diabetes mellitus, diagnosed between 1986 and 1992. Over 60% of people in this study remained free of four major diabetes-related complications for the remainder of life or throughout the approximately 20-year study period. Lower BMI, higher age at diagnosis of diabetes, and use of at least one diabetes medication were associated with death and a composite of four complications. A majority of Alaska Native people with DM had none of four major complications over a 20-year period. Lower BMI and use of diabetes medications were associated with higher hazard for some deleterious outcomes. This suggests that goals in care of elders should be carefully individualised. In addition, we discuss several programme factors that we believe contributed to favourable outcomes.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2341988"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891823","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
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