Type 2 diabetes in Indigenous populations: quality of intervention research over 20 years.

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  • Author(s): McNamara BJ;McNamara BJ; Sanson-Fisher R; D'Este C; Eades S
  • Source:
    Preventive medicine [Prev Med] 2011 Jan; Vol. 52 (1), pp. 3-9. Date of Electronic Publication: 2010 Nov 08.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Academic Press Country of Publication: United States NLM ID: 0322116 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-0260 (Electronic) Linking ISSN: 00917435 NLM ISO Abbreviation: Prev Med Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York, Academic Press.
    • Subject Terms:
      Indians, North American* ; Native Hawaiian or Other Pacific Islander*; Diabetes Mellitus, Type 2/*ethnology ; Periodicals as Topic/*standards; Australia/epidemiology ; Bibliometrics ; Canada/epidemiology ; Diabetes Mellitus, Type 2/mortality ; Diabetes Mellitus, Type 2/prevention & control ; Humans ; New Zealand/epidemiology ; United States/epidemiology
    • Abstract:
      Background: A robust evidence base is needed to reduce the disproportionately high rates of diabetes-related mortality and complications among Indigenous peoples.
      Objective: This study aimed to evaluate the quantity and methodological quality of published intervention research on Type 2 and gestational diabetes in the Indigenous populations of Australia, Canada, New Zealand, and the United States from 1989 to 2008. A robust evidence base is needed to reduce the disproportionately high rates of diabetes-related mortality and complications among Indigenous peoples.
      Methods: Systematic searches of Medline, Embase, and EBM Reviews identified publications focused on Type 2 or gestational diabetes in Indigenous peoples published between 1 January 1989 and 31 December 2008. Total publication number and proportion of research involving interventions over time were examined. The quality of intervention studies was evaluated using Cochrane's Effective Practice and Organisation of Care (EPOC) criteria.
      Results: Total publication number increased significantly over the 20 years (p<0.004). Research was predominantly descriptive (87%), with the proportion of research involving interventions increasing from 3% in 1989-1993 to 12% in 2003-2008 (χ(2)=12.42, df=3, p=0.006). However, only 25% (95%CI: 9-41%) of intervention studies met the EPOC methodological quality criteria; other studies lacked sufficient controls or measurements over time.
      Conclusions: Increases in the amount of high-quality intervention research for prevention and treatment of Type 2 and gestational diabetes among Indigenous populations of these countries are needed.
      (Copyright © 2010 Elsevier Inc. All rights reserved.)
    • Publication Date:
      Date Created: 20101113 Date Completed: 20110426 Latest Revision: 20211203
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.ypmed.2010.11.002
    • Accession Number:
      21070804