Open AccessEnd state renal disease among Native Americans, 1983-86.
Author(s) -
Jeffrey Newman,
Anthony A. Marfin,
Paul W. Eggers,
Steven D. Helgerson
Publication year - 1990
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.80.3.318
Subject(s) - medicine , incidence (geometry) , demography , diabetes mellitus , native american , disease , disease control , population , end stage renal disease , white (mutation) , gerontology , kidney disease , environmental health , endocrinology , biology , sociology , optics , history , biochemistry , gene , ethnology , physics
We used data reported to Medicare from 1983 through 1986 to determine the incidence of end-stage renal disease (ESRD) among Native Americans and Whites in the United States. The 1,075 Native American cases represented an annual incidence, age-adjusted to the White population, of 269 per million, 2.8 times the rate for Whites. Fifty-six percent of Native American cases and 27 percent of the White cases were attributed to diabetes, indicating that ESRD is a major problem. Diabetes control provides the greatest opportunity for prevention.