Emerging Longitudinal Trends in Health Indicators for Rural
Residents Participating in a Diabetes and Cardiovascular Screening
Program in Northern Alberta, Canada

Ralph-Campbell, Kelli; Oster, Richard T.; Connor, Tracy

doi:10.1155/2011/596475

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…mass (kg), BMI, HbA1c, BP, MAP, LDL and total cholesterol) (4) Screened n = 1151 clients, modest improvements in program outcomes at 6 to 12 months Canadian Health Infostructure Partnership Program (CHIPP), Health Canada and Aboriginal Diabetes Initiative Mobile Diabetes Screening Initiative (MDSi) Metis adults (aged 18 years and over) and other remote Indigenous communities Diabetes screening service Implemented in partnership with Metis communities (1) Descriptive cross-sectional quantitative study with multiple measures (e.g. body mass index (BMI), waist circumference, blood pressure, blood glucose, blood lipids and HbA1c) [ 82 ] (2) Telephone survey [ 83 ] (3) Longitudinal analysis [ 84 ] (1) Patients screened with fasting glucose without a known history of diabetes ( n = 266) between 2003 and 2007 (2) Adult patients ( n = 175) between 2003 and 2008 (3) Clinical data from 2003 to 2009 (1) Prevalence of undiagnosed diabetes was 5.3% and pre-diabetes was 20.3% (CDA criteria) and 51.9% (ADA criteria) (2) 51% of participants indicated GP follow up after screening, with 66% of those who had been told they had probable diabetes, visiting a physician. (3) For returning adults with diabetes, significant improvements ( p < 0.05) were observed in BMI, blood pressure, total cholesterol and HbA1c.…”

Section: Resultsmentioning

confidence: 99%

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Beks

Ewing

Charles

et al. 2020

Int J Equity Health

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Background Mobile clinics have been used to deliver primary health care to populations that otherwise experience difficulty in accessing services. Indigenous populations in Australia, Canada, New Zealand, and the United States experience greater health inequities than non-Indigenous populations. There is increasing support for Indigenous-governed and culturally accessible primary health care services which meet the needs of Indigenous populations. There is some support for primary health care mobile clinics implemented specifically for Indigenous populations to improve health service accessibility. The purpose of this review is to scope the literature for evidence of mobile primary health care clinics implemented specifically for Indigenous populations in Australia, Canada, New Zealand, and the United States. Methods This review was undertaken using the Joanna Brigg Institute (JBI) scoping review methodology. Review objectives, inclusion criteria and methods were specified in advance and documented in a published protocol. The search included five academic databases and an extensive search of the grey literature. Results The search resulted in 1350 unique citations, with 91 of these citations retrieved from the grey literature and targeted organisational websites. Title, abstract and full-text screening was conducted independently by two reviewers, with 123 citations undergoing full text review. Of these, 39 citations discussing 25 mobile clinics, met the inclusion criteria. An additional 14 citations were snowballed from a review of the reference lists of included citations. Of these 25 mobile clinics, the majority were implemented in Australia (n = 14), followed by United States (n = 6) and Canada (n = 5). No primary health mobile clinics specifically for Indigenous people in New Zealand were retrieved. There was a pattern of declining locations serviced by mobile clinics with an increasing population. Furthermore, only 13 mobile clinics had some form of evaluation. Conclusions This review identifies geographical gaps in the implementation of primary health care mobile clinics for Indigenous populations in Australia, Canada, New Zealand, and the United States. There is a paucity of evaluations supporting the use of mobile clinics for Indigenous populations and a need for organisations implementing mobile clinics specifically for Indigenous populations to share their experiences. Engaging with the perspectives of Indigenous people accessing mobile clinic services is imperative to future evaluations. Registration The protocol for this review has been peer-reviewed and published in JBI Evidence Synthesis (doi: 10.11124/JBISRIR-D-19-00057).

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Section: Resultsmentioning

confidence: 99%

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Beks

Ewing

Charles

et al. 2020

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…10 The Mobile Diabetes Screening Initiative (MDSi) has travelled to rural Aboriginal 'off-reserve' and remote Alberta communities providing diabetes screening since 2003. 11 Both projects deploy mobile clinics equipped with portable technology and health-care personnel into the communities. All subjects were counseled on-site regarding testing results and encouraged to follow up with their physicians.…”

Section: Methodsmentioning

confidence: 99%

“…Since 2001, the Screening for Limb, I-Eye, Cardiovascular and Kidney complications of diabetes (SLICK) project has travelled to each of the 44 Alberta First Nations communities providing diabetes risk assessment, diabetes complications screening and community-based care 10 . The Mobile Diabetes Screening Initiative (MDSi) has travelled to rural Aboriginal ‘off-reserve’ and remote Alberta communities providing diabetes screening since 2003 11 . Both projects deploy mobile clinics equipped with portable technology and health-care personnel into the communities.…”

Section: Methodsmentioning

confidence: 99%

Birth weight predicts both proteinuria and overweight/obesity in a rural population of Aboriginal and non-Aboriginal Canadians

Oster

Luyckx

2012

J Dev Orig Health Dis

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The risk for many chronic diseases appears to be mediated in part by birth weight. Among Aboriginal Canadians, the prevalence of end-stage renal disease and cardiovascular disease risk is disproportionately high, largely because of elevated diabetes prevalence. The relationships between birth weight (and other potential risk factors) and diabetes, hypertension, proteinuria and overweight/obesity were explored in 1439 rural Albertans (Canada), of whom 67.3% were Aboriginal. At voluntary outreach screening programs, demographic and clinical data were measured and recalled birth weights recorded. Statistical modeling using logistic regression was used to evaluate the relationships. In the final adjusted models, associations remained for low birth weight and proteinuria [odds ratio (OR) 2.36; 95% CI 1.24-4.49], as well as for high birth weight and overweight/obesity (OR 1.58; 95% CI 1.00-2.53). These findings emphasize the need to strive for healthy pregnancies, with appropriate weight gains in these and other disadvantaged populations around the world.

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PDB49 Cost Benefit Analysis of a Diabetes Prevention Program in Rural Kenya

et al. 2012

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OBJECTIVES: Diabetes mellitus (DM) represents a challenging problem to healthcare systems globally as it requires a high level of expenditure. In Algeria, nearly US$264 million was spent on DM in 2010; this is expected to rise to US$461 million by 2030. The aim of this study was to collect 2011 direct medical costs of the management and treatment of DM-related complications from the Algerian Social Insurance perspective. METHODS: A structured literature search was conducted to search for the published costs of interest but no relevant publications were identified. Consequently, IMS collected the required costs from official sources identified using its local resources. Six groups of costs were created based mainly on type of complications: management costs, cardiovascular complications, renal complications, acute events, eye-disease and neuropathy/foot ulcers which were presented as first-year costs and costs in subsequent years following an event in 2011

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Emerging Longitudinal Trends in Health Indicators for Rural Residents Participating in a Diabetes and Cardiovascular Screening Program in Northern Alberta, Canada

Cited by 3 publications

References 11 publications

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Birth weight predicts both proteinuria and overweight/obesity in a rural population of Aboriginal and non-Aboriginal Canadians

PDB49 Cost Benefit Analysis of a Diabetes Prevention Program in Rural Kenya

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