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Diabetes in St. Regis Mohawk Indians

C B Martinez1, K Strauss

  • 1St. Regis Mohawk Health Service, Hogansburg, New York.

Diabetes Care
|January 1, 1993
PubMed
Summary

The St. Regis Mohawk community in New York has a high prevalence of diabetes, twice the U.S. rate. This indicates a significant future burden on healthcare systems due to early-onset complications.

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Area of Science:

  • Epidemiology
  • Public Health
  • Diabetes Research

Background:

  • Diabetes mellitus poses a significant public health challenge.
  • Understanding disease prevalence within specific populations is crucial for targeted interventions.
  • The St. Regis Mohawk community's health status requires specific investigation.

Purpose of the Study:

  • To establish a diabetes patient registry for the St. Regis Mohawk community.
  • To determine the point prevalence of diabetes in this population as of August 1989.
  • To compare diabetes rates with national and international benchmarks.

Main Methods:

  • A survey of diabetes cases was conducted among St. Regis Mohawk residents registered at the local clinic.
  • Diagnosis followed National Diabetes Data Group criteria.
  • Prevalence rates were compared with U.S. data from the National Health Interview Survey and Canadian Mohawk Indian data.

Main Results:

  • The age-adjusted diabetes prevalence was 48.8/1000 Mohawk population, double the U.S. rate (95% CI 1.2-3.2).
  • A high prevalence (21%) was observed in New York Mohawk Indians under 45 years, exceeding the U.S. rate (17%) for this age group.
  • Comparisons with Canadian studies showed similar rates for Quebec Mohawks aged 45-64.

Conclusions:

  • The high prevalence of diabetes, particularly in younger New York Mohawk Indians, suggests an increased risk of early-onset complications.
  • This necessitates proactive healthcare strategies to manage the anticipated rise in diabetes-related health issues and associated costs.
  • The established registry will facilitate ongoing data collection on complications and risk factors to inform program evaluation.

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