Incidence and prevalence of type 2 diabetes in the first nation community of Kahnawá: ke, Quebec, Canada, 1986-2003

Ojitoh Kahnawahere Horn, Heather Jacobs-Whyte, Amy Ing, Amanda Bruegl, Gilles Paradis, Ann C. Macaulay

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Type 2 diabetes is an increasing global health concern, most notably for Aboriginal peoples living in Canada among whom prevalence rates are 3 to 5 times those of the general population. The objective of this study is to determine the incidence and prevalence of type 2 diabetes among adults living in a First Nation community from 1986 to 2003. Methods: Kahnawá:ke is a Kanien'kehá:ka (Mohawk) community in Quebec, Canada. Numerators for incident and prevalent cases were derived from the community hospital Diabetes Registry. Denominators were derived from population distributions provided to Kahnawá:ke by Indian and Northern Affairs Canada. Rates were standardized to 2000/01 Canadian population. Results: From 1986-88 to 2001-03, incidence rates per 1000 for those 18 years and over decreased from 8.8 to 7.0 in males, and 8.8 to 5.2 in females. Prevalence rates increased from 6.0% to 8.4% in males and 6.4% to 7.1 % in females. The prevalence rate among Kahnawá:ke men aged 45-64 years was 14%, twice the corresponding rate among Canadian men. Male to female ratios for both incidence and prevalence rates were above 1.0. Discussion: Kahnawá:ke incidence rates are much lower than those of First Nation peoples of Manitoba. Kahnawá:ke prevalence rates are midway between national Aboriginal and general Canadian populations. Kahnawá:ke incidence rates and gender ratios are closer to those of the Canadian population. The results highlight the variations of type 2 diabetes between individual communities, and may reflect Kahnawá:ke's socio-economic status, ongoing diabetes education, clinical care and diabetes primary prevention efforts.

Original languageEnglish (US)
Pages (from-to)438-443
Number of pages6
JournalCanadian Journal of Public Health
Volume98
Issue number6
StatePublished - Nov 2007
Externally publishedYes

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Quebec
Type 2 Diabetes Mellitus
Canada
Incidence
Population
Manitoba
Community Hospital
Primary Prevention
Registries
Economics
Demography
Education

Keywords

  • Incidence
  • Indians
  • North American
  • Prevalence
  • Type 2 diabetes melli tus

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Incidence and prevalence of type 2 diabetes in the first nation community of Kahnawá : ke, Quebec, Canada, 1986-2003. / Horn, Ojitoh Kahnawahere; Jacobs-Whyte, Heather; Ing, Amy; Bruegl, Amanda; Paradis, Gilles; Macaulay, Ann C.

In: Canadian Journal of Public Health, Vol. 98, No. 6, 11.2007, p. 438-443.

Research output: Contribution to journalArticle

Horn, Ojitoh Kahnawahere ; Jacobs-Whyte, Heather ; Ing, Amy ; Bruegl, Amanda ; Paradis, Gilles ; Macaulay, Ann C. / Incidence and prevalence of type 2 diabetes in the first nation community of Kahnawá : ke, Quebec, Canada, 1986-2003. In: Canadian Journal of Public Health. 2007 ; Vol. 98, No. 6. pp. 438-443.
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abstract = "Background: Type 2 diabetes is an increasing global health concern, most notably for Aboriginal peoples living in Canada among whom prevalence rates are 3 to 5 times those of the general population. The objective of this study is to determine the incidence and prevalence of type 2 diabetes among adults living in a First Nation community from 1986 to 2003. Methods: Kahnaw{\'a}:ke is a Kanien'keh{\'a}:ka (Mohawk) community in Quebec, Canada. Numerators for incident and prevalent cases were derived from the community hospital Diabetes Registry. Denominators were derived from population distributions provided to Kahnaw{\'a}:ke by Indian and Northern Affairs Canada. Rates were standardized to 2000/01 Canadian population. Results: From 1986-88 to 2001-03, incidence rates per 1000 for those 18 years and over decreased from 8.8 to 7.0 in males, and 8.8 to 5.2 in females. Prevalence rates increased from 6.0{\%} to 8.4{\%} in males and 6.4{\%} to 7.1 {\%} in females. The prevalence rate among Kahnaw{\'a}:ke men aged 45-64 years was 14{\%}, twice the corresponding rate among Canadian men. Male to female ratios for both incidence and prevalence rates were above 1.0. Discussion: Kahnaw{\'a}:ke incidence rates are much lower than those of First Nation peoples of Manitoba. Kahnaw{\'a}:ke prevalence rates are midway between national Aboriginal and general Canadian populations. Kahnaw{\'a}:ke incidence rates and gender ratios are closer to those of the Canadian population. The results highlight the variations of type 2 diabetes between individual communities, and may reflect Kahnaw{\'a}:ke's socio-economic status, ongoing diabetes education, clinical care and diabetes primary prevention efforts.",
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