Prevalence of diagnosed diabetes in American Indian and Alaska Native adults, 2006-2017
Open Access
- 1 January 2020
- journal article
- research article
- Published by BMJ in BMJ Open Diabetes Research & Care
- Vol. 8 (1), e001218
- https://doi.org/10.1136/bmjdrc-2020-001218
Abstract
Introduction 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. Research design and methods Data were extracted from the IHS National Data Warehouse for AI/AN adults for each fiscal year from 2006 (n=729470) through 2017 (n=1 034 814). The prevalence of diagnosed diabetes for each year and the annual percentage change were estimated for adults overall, as well as by sex, age group, and geographic region. Results 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. Conclusions 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.This publication has 32 references indexed in Scilit:
- Trends in Diabetes Incidence Among 7 Million Insured Adults, 2006–2011American Journal of Epidemiology, 2014
- Diabetes-Related Mortality Among American Indians and Alaska Natives, 1990–2009American Journal of Public Health, 2014
- Translating the Diabetes Prevention Program Into American Indian and Alaska Native CommunitiesDiabetes Care, 2013
- Prevalence of Diabetes and High Risk for Diabetes Using A1C Criteria in the U.S. Population in 1988–2006Diabetes Care, 2010
- Standards of Medical Care in Diabetes—2010Diabetes Care, 2010
- Developing and validating a diabetes database in a large health systemDiabetes Research and Clinical Practice, 2007
- Review of the performance of methods to identify diabetes cases among vital statistics, administrative, and survey dataAnnals of Epidemiology, 2004
- Who Has Diabetes? Best Estimates of Diabetes Prevalence in the Department of Veterans Affairs Based on Computerized Patient DataDiabetes Care, 2004
- Patients with Diagnosed Diabetes Mellitus Can Be Accurately Identified in an Indian Health Service Patient Registration DatabasePublic Health Reports, 2001
- Prevalence of Diagnosed Diabetes Among American Indians and Alaska Natives, 1987: Estimates from a national outpatient data baseDiabetes Care, 1993