ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2011
Recent epidemiologic trends of diabetes mellitus among status Aboriginal adults.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Pooled it
- Trends in incidence of total or type 2 diabetes: systematic review.BMJ (Clinical research ed.) · 2019Pooled it
- The FORGE AHEAD clinical readiness consultation tool: a validated tool to assess clinical readiness for chronic disease care mobilization in Canada's First Nations.BMC health services research · 2017Trial
- Article
- Structural Components of Indigenous Diabetes Care: An Indigenous-informed Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Honoring Indigenous self-determination, and Canada's responsibility to address health inequities: Reflections on the Lalonde Report.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Consideration of sex as a biological variable in diabetes research across twenty years.Biology of sex differences · 2024Article
- The Growing Epidemic of Diabetes Among the Indigenous Population of Canada: A Systematic Review.Cureus · 2023Review
- Sex differences in islet stress responses support female β cell resilience.Molecular metabolism · 2023Article
- (Re)claiming our bodies using a Two-Eyed Seeing approach: Health-At-Every-Size (HAES®) and Indigenous knowledge.Canadian journal of public health = Revue canadienne de sante publique · 2021Review
- Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment.BMC health services research · 2021Article
- Diabetes prevalence, incidence and mortality in First Nations and other people in Ontario, 1995-2014: a population-based study using linked administrative data.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Working towards a better understanding of type 2 diabetes care organization with First Nations communities: a qualitative assessment.Archives of public health = Archives belges de sante publique · 2020Review
- Perceived needs in women with gestational diabetes: A qualitative study.Electronic physician · 2016Article
- Factors that could explain the increasing prevalence of type 2 diabetes among adults in a Canadian province: a critical review and analysis.Diabetology & metabolic syndrome · 2016Review
- Exploring policy driven systemic inequities leading to differential access to care among Indigenous populations with obstructive sleep apnea in Canada.International journal for equity in health · 2015Article
- Incident diabetes, hypertension and dyslipidemia in a Manitoba First Nation.International journal of circumpolar health · 2015Article
- Cultural continuity, traditional Indigenous language, and diabetes in Alberta First Nations: a mixed methods study.International journal for equity in health · 2014Article
- Diabetes in pregnancy among First Nations women in Alberta, Canada: a retrospective analysis.BMC pregnancy and childbirth · 2014Article
- Differential mortality and the excess burden of end-stage renal disease among First Nations people with diabetes mellitus: a competing-risks analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundLittle is known about longitudinal trends in diabetes mellitus among Aboriginal people in Canada. We compared the incidence and prevalence of diabetes, and its impact on mortality, among status Aboriginal adults and adults in the general population between 1995 and 2007.
methodsWe examined de-identified data from Alberta Health and Wellness administrative databases for status Aboriginal people (First Nations and Inuit people with treaty status) and members of the general public aged 20 years and older who received a diagnosis of diabetes mellitus from Apr. 1, 1995, to Mar. 31, 2007. We calculated the incidence and prevalence of diabetes and mortality rate ratios by sex and ethnicity in 2007. We examined the average relative changes per year for longitudinal trends.
resultsThe average relative change per year in the prevalence of diabetes showed a smaller increase over time in the Aboriginal population than in the general population (2.39 v. 4.09, p < 0.001). A similar finding was observed for the incidence of diabetes. In the Aboriginal population, we found that the increase in the average relative change per year was greater among men than among women (3.13 v. 1.88 for prevalence, p < 0.001; 2.60 v. 0.02 for incidence, p = 0.001). Mortality among people with diabetes decreased over time to a similar extent in both populations. Among people without diabetes, mortality decreased in the general population but was unchanged in the Aboriginal population (-1.92 v. 0.11, p = 0.04). Overall, mortality was higher in the Aboriginal population than in the general population regardless of diabetes status.
interpretationThe increases in the incidence and prevalence of diabetes over the study period appeared to be slower in the status Aboriginal population than in the general population in Alberta, although the overall rates were higher in the Aboriginal population. Mortality decreased among people with diabetes in both populations but was higher overall in the Aboriginal population regardless of diabetes status.
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