Diabetes prevalence and determinants in Indigenous Australian populations: A systematic review (original) (raw)
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BMJ Open, 2022
Objectives To assess the prevalence and incidence of diabetes among Aboriginal peoples in remote communities of the Northern Territory (NT), Australia. Design Retrospective cohort analysis of linked clinical and administrative data sets from 1 July 2012 to 30 June 2019. Setting Remote health centres using the NT Government Primary Care Information System (51 out of a total of 84 remote health centres in the NT). Participants All Aboriginal clients residing in remote communities serviced by these health centres (N=21 267). Primary outcome measures Diabetes diagnoses were established using hospital and primary care coding, biochemistry and prescription data. Results Diabetes prevalence across all ages increased from 14.4% (95% CI: 13.9% to 14.9%) to 17.0% (95% CI: 16.5% to 17.5%) over 7 years. Among adults (≥20 years), the 2018/2019 diabetes prevalence was 28.6% (95% CI: 27.8% to 29.4%), being higher in Central Australia (39.5%, 95% CI: 37.8% to 41.1%) compared with the Top End region (24.2%, 95% CI: 23.3% to 25.1%, p<0.001). Between 2016/2017 and 2018/2019, diabetes incidence across all ages was 7.9 per 1000 person-years (95% CI: 7.3 to 8.7 per 1000 person-years). The adult incidence of diabetes was 12.6 per 1000 person-years (95% CI: 11.5 to 13.8 per 1000 person-years). Conclusions The burden of diabetes in the remote Aboriginal population of the NT is among the highest in the world. Strengthened systems of care and public health prevention strategies, developed in partnership with Aboriginal communities, are needed.
Diabetes mellitus in the australian indigenous community
This report aims to investigate the higher prevalence of type 2 diabetes (T2D) among Indigenous Australians, with recommendations to Australians Health Professionals in order to increase awareness of Indigenous health peculiarities related to diabetes mellitus (DM). Diabetes has become one of the most common public health problems of the 21st century. The proportion of Aborigines Australians developing T2D is 5 to 10 times greater than non-Aborigines. Although DM in Aboriginal community is multifactorial, this report shows three perceived causes: (i) obesity and the "Thrifty Gene Hypothesis", (ii) geographical position and (iii) smoking. It concluded that the combination of these causes have increased the incidence of DM among Indigenous Australians. Therefore, the following are recommended: improvement of genetic research, improvement of medical facilities, and increased employment of Indigenous Health Professionals and improvement of anti-smoking policies.
Diabetes care in remote northern Australian Indigenous communities
The Medical journal of Australia, 2004
To assess primary care processes and clinical characteristics of adults with diabetes in remote northern Australian Indigenous communities. Clinical audit from diabetes registers in 21 remote primary healthcare centres in the Torres Strait Health Service District (n = 921), three in Cape York, Queensland (n = 252), and three in the Northern Territory (n = 194), between September 2002 and February 2003. Aboriginal and Torres Strait Islander adults with diabetes who were receiving their routine diabetes care in these 27 centres. Provision of regular checks for weight, blood pressure, glycaemia (HbA(1c)), proteinuria, lipid levels, renal function, eyes and feet, influenza and pneumococcal vaccination. Weight, blood pressure and glycaemic control. Most routine diabetes checks were delivered according to recommended schedules, except for eye and foot checks in the NT. There were uniformly high rates of appropriate treatment for hypertension and albuminuria, but low rates of insulin treat...
2010
Point-by-point response to reviewers' comments Dear Editor, Thank you for providing reviewers' comments and the opportunity to revise our manuscript. We have addressed the issues raised by the reviewers, as outlined below: Reviewer: Christine Meisinger Major Compulsory Revisions: 1.The methods section is not very clearly written and needs revision. The fact, that not all of the participants got a standardized OGTT to determine glucose status is the main shortcoming of the study. Thus, it is probable, that some of the participants are misclassified.