Evidence map›Paper›PMID 32312721›Full record

ArticleBMJ open diabetes research & care2020

Prevalence of diagnosed diabetes in American Indian and Alaska Native adults, 2006-2017.

Ann Bullock, Karen Sheff, Israel Hora, Nilka Rios Burrows, Stephen R Benoit, Sharon H Saydah, Carmen Licavoli Hardin, Edward W Gregg

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Social epidemiology of cardiometabolic risk factors in early adolescents.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Ann BullockDivision of Diabetes Treatment and Prevention, Indian Health Service, Rockville, Maryland, USA.
Karen SheffDivision of Diabetes Treatment and Prevention, Indian Health Service, Rockville, Maryland, USA karen.sheff@ihs.gov.ORCID 0000-0001-5745-9523
Israel HoraDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Nilka Rios BurrowsDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Stephen R BenoitDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-3455-133X
Sharon H SaydahDivision of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Carmen Licavoli HardinDivision of Diabetes Treatment and Prevention, Indian Health Service, Rockville, Maryland, USA.
Edward W GreggEpidemiology and Biostatistics, Imperial College London, London, UK.
Centers for Disease Control and Prevention · USIndian Health Service · USImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 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

methodsData were extracted from the IHS National Data Warehouse for AI/AN adults for each fiscal year from 2006 (n=729 470) 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.

resultsAfter 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.

conclusionsDiabetes 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.

Indexed as

Alaska NativesDiabetes MellitusIndians, North AmericanAdultAlaskaAmerican Indian or Alaska NativeFemaleHumansMalePrevalenceadult diabetesAmerican Indian(s)

Identifiers

PMID32312721
PMCPMC7199144
OpenAlexW3016359992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.