Diabetes mellitus in the First Nations population of British Columbia, Canada. Part 2. Hospital morbidity

Int J Circumpolar Health. 2002 Aug;61(3):254-9. doi: 10.3402/ijch.v61i3.17459.

Abstract

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.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • British Columbia / epidemiology
  • Child
  • Diabetes Complications
  • Diabetes Mellitus / epidemiology*
  • Diabetes Mellitus / therapy
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Indians, North American / statistics & numerical data*
  • Male
  • Middle Aged
  • Pregnancy
  • Pregnancy in Diabetics / epidemiology
  • Pregnancy in Diabetics / therapy