ArticleAmerican journal of public health2012
The costs of treating American Indian adults with diabetes within the Indian Health Service.
Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Systems, Social, and Individual Factors Influencing Glycemic Control Among American Indian/Alaska Native Adults with Type 2 Diabetes: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- The Economic Costs of Type 2 Diabetes: A Global Systematic Review.PharmacoEconomics · 2015Pooled it
- A systematic review of evidence on the association between hospitalisation for chronic disease related ambulatory care sensitive conditions and primary health care resourcing.BMC health services research · 2013Pooled it
- Pilot Test of Diabetes Screening and Referral to Primary Care Within an Alaska Native Dental Clinic: Protocol for a Feasibility Study.JMIR research protocols · 2026Article
- Management of Type 2 Diabetes Mellitus in Native Americans and Alaska Natives: A Systematic Review.Journal of racial and ethnic health disparities · 2025Review
- The costs of treating all-cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022Article
- Social Support and Diabetes Management Among Older American Indians.Frontiers in public health · 2022Article
- Association of stress and resilience with cardiometabolic health among American Indian and Alaska Native adults.Preventive medicine reports · 2021Article
- Multi-level Diabetes Prevention and Treatment Interventions for Native People in the USA and Canada: a Scoping Review.Current diabetes reports · 2021Article
- The Prevalence of Cardiovascular Disease and Other Comorbidities Among American Indian and Alaska Native Adults with Diabetes.EC endocrinology and metabolic research · 2021Article
- Type 2 diabetes management among older American Indians: beliefs, attitudes, and practices.Ethnicity & health · 2020Article
- The Mediating Role of Diabetes Distress and Depressive Symptoms in Type 2 Diabetes Medication Adherence Gender Differences.Health education & behavior : the official publication of the Society for Public Health Education · 2020Article
- Community-based outreach associated with increased health utilization among Navajo individuals living with diabetes: a matched cohort study.BMC health services research · 2020Observational
- Developing Graduate Medical Education Partnerships in American Indian/Alaska Native Communities.Journal of graduate medical education · 2019Article
- Perceptions and Prevalence of Alcohol and Cigarette Use Among American Indian Adults With Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2019Article
- Association of depressive symptomology and psychological trauma with diabetes control among older American Indian women: Does social support matter?Journal of diabetes and its complications · 2017Article
- Access to Care and Diabetes Management Among Older American Indians With Type 2 Diabetes.Journal of aging and health · 2017Article
- Diabetes Self-Management Behaviors among American Indians in the Midwestern United States.ARC journal of diabetes and endocrinology · 2017Article
- Barriers and facilitators to following the Dietary Guidelines for Americans reported by rural, Northern Plains American-Indian children.Public health nutrition · 2015Article
- Serious Psychological Distress and Diabetes Management among American Indians and Alaska Natives.Ethnicity & disease · 2015Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe examined the costs of treating American Indian adults with diabetes within the Indian Health Service (IHS).
methodsWe extracted demographic and health service utilization data from the IHS electronic medical reporting system for 32 052 American Indian adults in central Arizona in 2004 and 2005. We derived treatment cost estimates from an IHS facility-specific cost report. We examined chronic condition prevalence, medical service utilization, and treatment costs for American Indians with and without diabetes.
resultsIHS treatment costs for the 10.9% of American Indian adults with diabetes accounted for 37.0% of all adult treatment costs. Persons with diabetes accounted for nearly half of all hospital days (excluding days for obstetrical care). Hospital inpatient service costs for those with diabetes accounted for 32.2% of all costs.
conclusionsIn this first study of treatment costs within the IHS, costs for American Indians with diabetes were found to consume a significant proportion of IHS resources. The findings give federal agencies and tribes critical information for resource allocation and policy formulation to reduce and eventually eliminate diabetes-related disparities between American Indians and Alaska Natives and other racial/ethnic populations.
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Registered trials
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