Diabetes Mellitus in the First Nations Population of British Columbia, Canada. Part 2. Hospital morbidity
Andrew Jin, J. David Martin, Christopher Sarin

 

ABSTRACT [full text] [back to issue 61(3)]

 

Objectives: To describe hospitalization rates from diabetes mellitus or its complications among residents of the province of British Columbia, Canada during the 5-year period 1993 to 1997, comparing people with Indian Status to rest of the population.

Study design: A data base of all acute-care hospital discharges with diabetes mellitus anywhere among the discharge diagnoses was created. Case definitions of diabetes-related hospitalization were based on logical combinations of ICD-9 coded discharge diagnoses. Indirect standardization was used to adjust for age differences between the two populations.

Results: Among persons aged 35 years or older, Status Indian males and pregnant females were twice as likely to be hospitalized for diabetes-related illness than other males or pregnant females. Status Indian non-pregnant females were three times as likely to be hospitalized as their non-Status Indian counterparts. Under age 35 years there was no difference in risk. Older First Nations women have a higher risk of diabetes during pregnancy but this analysis cannot distinguish gestational diabetes from pre-existing Type 2 diabetes.
(Int J Circumpolar Health 2002; 61: 254-259)

Keywords: Diabetes Mellitus (MeSH); Morbidity (MeSH); Hospitalization (MeSH); Indians, North American (MeSH); Canada, British Columbia (MeSH)