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Diabetes Care, Vol 16, Issue 12 1619-1620, Copyright © 1993 by American Diabetes Association

ARTICLES

Diabetes and associated risk factors among Native Americans

B Muneta, J Newman, S Wetterall and J Stevenson
Division of Diabetes, Centers for Disease Control, Atlanta, Georgia 30333.

OBJECTIVES--To estimate the prevalence of diabetes and related risk factors among Native Americans. RESEARCH DESIGN AND METHODS--We used 1988-1989 data from the Behavioral Risk Factor Surveillance System to calculate the overall, age-adjusted prevalence of diabetes, obesity, sedentary life-style, hypertension, and smoking among Native Americans. The SESUDAAN software package was used to derive confidence intervals. RESULTS--The prevalence of diabetes was 11.6% among the 768 Native American Behavioral Risk Factor Surveillance System respondents (95% confidence interval 7.8-15.4) and 4.7% among the 121,986 white respondents (95% confidence interval 4.6-4.8). The age-adjusted prevalence of diabetes was 2.5 times higher among Native Americans than among whites. The prevalence of obesity was higher among Native Americans (34.4; 95% confidence interval 31.7-37.1) than among whites (23.9%; confidence interval 23.7-24.1). The prevalences of sedentary lifestyle (58%), hypertension (16%), and smoking (28%) were similar among both populations. CONCLUSIONS--The Behavioral Risk Factor Surveillance System may prove as a useful tool for surveying Native Americans living on and off reservations for inclusion in national estimates of diabetes prevalences.
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Copyright © 1993 by the American Diabetes Association.