Prevalence of self-reported diabetes and diabetic retinopathy in indigenous Australians: the National Indigenous Eye Health Survey

Xie, Jing; Arnold, Anna Lena; Keeffe, Jill; Goujon, Nicolas; Dunn, Ross A.; Fox, Sarah; Taylor, Hugh R.

doi:10.1111/j.1442-9071.2011.02502.x

Cited by 29 publications

(38 citation statements)

References 23 publications

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“…Our findings are consistent with previous epidemiological evidence reporting a significantly higher prevalence of diabetes in Indigenous Australians compared to non-Indigenous Australians, and with an earlier age of onset of the disease [8–10]. We found that the prevalence of self-reported diabetes (43.77%) was higher than that identified in the NIEHS in 2008 (37.3%) [10].…”

Section: Discussionsupporting

confidence: 92%

“…In Australia alone, 1.5 million adults have diabetes and the number is predicted to increase to 2.9 million by the year 2025 [6, 7]. The prevalence of diabetes is much higher in Indigenous Australians and the onset of diabetes occurs at a significantly younger age than in non-Indigenous Australians [8–10]. …”

Section: Introductionmentioning

confidence: 99%

“…Several studies have estimated the prevalence of diabetes in Indigenous Australians in a limited number of geographic areas [8, 9, 18–21] and only a few studies have reported the national prevalence of diabetes in this group [10, 22, 23]. The National Indigenous Eye Health Survey (NIEHS) was conducted in 2008 and found the prevalence of self-reported diabetes in Indigenous Australians age 40 years and over to be 37.3%, approximately 8 times higher than that of the general population of Australia [24].…”

Section: Introductionmentioning

confidence: 99%

“…The National Indigenous Eye Health Survey (NIEHS) was conducted in 2008 and found the prevalence of self-reported diabetes in Indigenous Australians age 40 years and over to be 37.3%, approximately 8 times higher than that of the general population of Australia [24]. The most recent Australian Aboriginal and Torres Strait Islander Health Survey (2012–13) found that approximately one in six (18%) Indigenous persons aged 25 years and over had self-reported diabetes, with the prevalence increasing to 39% in those aged 55 years or more [23].…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Self-Reported Diabetes in the Australian National Eye Health Survey

et al. 2017

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ObjectiveTo present the prevalence of self-reported diabetes in Indigenous and non-Indigenous participants in the National Eye Health Survey.Research Design and Methods3098 non-Indigenous Australians aged 50–98 years and 1738 Indigenous Australians aged 40–92 years were examined in 30 randomly selected sites, stratified by remoteness. A history of diabetes was obtained using an interviewer-administered questionnaire.Results13.91% (431/3098) of non-Indigenous Australians and 37.11% (645/1738) of Indigenous Australians had self-reported diabetes. The age-adjusted prevalence of self-reported diabetes for non-Indigenous and Indigenous Australians was 11.49% and 43.77%, respectively (p <0.001). The prevalence of self-reported diabetes increased markedly with age (OR = 1.04 per year, p = 0.017). Indigenous Australians living in very remote areas were more likely to have self-reported diabetes than those in major city areas (OR = 1.61, p = 0.038).ConclusionsThe prevalence of self-reported diabetes in Australia was high, with the prevalence being almost 4 times higher in Indigenous Australians compared with non-Indigenous Australians. With the prevalence of diabetes likely to increase, the results of this national survey may inform future policy, planning and funding allocation to assist in controlling the diabetes epidemic.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Self-Reported Diabetes in the Australian National Eye Health Survey

et al. 2017

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“…The prevalence of various manifestations of diabetic retinopathy in Indigenous people varies considerably but overall is similar to that of non-Indigenous people [7,15]. Worldwide the prevalence of any diabetic retinopathy is approximately 35%, while among Indigenous people it ranges from 17% in Canadian First Nation and Metis to approximately 50% in New Zealand Maori [7].…”

Section: Diabetic Complications In Indigenous People: Nephropathy and Rmentioning

confidence: 99%

Diabetic foot disease in Indigenous people

Schoen

Norman²

2014

Diabetes Management

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This article will examine what is known about the epidemiology of diabetic foot disease in Indigenous people and what strategies have been used to manage the problem. The prevalence of diabetes is several-fold higher in Indigenous people compared with non-Indigenous people. The prevalence of diabetic peripheral neuropathy varies but in general it appears to be more common and start at a younger age in Indigenous compared with non-Indigenous people. Peripheral artery disease is also more prevalent and the incidence of lower extremity amputation is higher. Various strategies have been shown to be effective in the delivery healthcare for diabetic foot disease in Indigenous people. There are, however, social and political barriers to the implementation and success of these interventions.

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Prevalence and Causes of Visual Loss Among the Indigenous Peoples of the World

et al. 2018

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IMPORTANCEStudies have documented a higher disease burden in indigenous compared with nonindigenous populations, but no global data on the epidemiology of visual loss in indigenous peoples are available. A systematic review of literature on visual loss in the world's indigenous populations could identify major gaps and inform interventions to reduce their burden of visual loss.OBJECTIVE To conduct a systematic review on the prevalence and causes of visual loss among the world's indigenous populations.EVIDENCE REVIEW A search of databases and alternative sources identified literature on the prevalence and causes of visual loss (visual impairment and blindness) and eye diseases in indigenous populations. Studies from January 1, 1990, through August 1, 2017, that included clinical eye examinations of indigenous participants and, where possible, compared findings with those of nonindigenous populations were included. Methodologic quality of studies was evaluated to reveal gaps in the literature.FINDINGS Limited data were available worldwide. A total of 85 articles described 64 unique studies from 24 countries that examined 79 598 unique indigenous participants. Nineteen studies reported comparator data on 42 085 nonindigenous individuals. The prevalence of visual loss was reported in 13 countries, with visual impairment ranging from 0.6% in indigenous Australian children to 48.5% in native Tibetans 50 years or older. Uncorrected refractive error was the main cause of visual impairment (21.0%-65.1%) in 5 of 6 studies that measured presenting visual acuity. Cataract was the main cause of visual impairment in all 6 studies measuring best-corrected acuity (25.4%-72.2%). Cataract was the leading cause of blindness in 13 studies (32.0%-79.2%), followed by uncorrected refractive error in 2 studies (33.0% and 35.8%).CONCLUSIONS AND RELEVANCE Most countries with indigenous peoples do not have data on the burden of visual loss in these populations. Although existing studies vary in methodologic quality and reliability, they suggest that most visual loss in indigenous populations is avoidable. Improvements in quality and frequency of research into the eye health of indigenous communities appear to be required, and coordinated eye care programs should be implemented to specifically target the indigenous peoples of the world.

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Prevalence of self-reported diabetes and diabetic retinopathy in indigenous Australians: the National Indigenous Eye Health Survey

Abstract: The prevalence of self-reported diabetes in indigenous Australians is more than eight times higher than that in non-indigenous Australians. The prevalence of diabetic retinopathy in people with diabetes is similar to that of non-indigenous Australians.

Cited by 29 publications

References 23 publications

The Prevalence of Self-Reported Diabetes in the Australian National Eye Health Survey

The Prevalence of Self-Reported Diabetes in the Australian National Eye Health Survey

Diabetic foot disease in Indigenous people

Prevalence and Causes of Visual Loss Among the Indigenous Peoples of the World

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