Currently, there are about 75,000 Saskatchewan people living with diabetes and this number will increase by 2020 with a subsequent increase in the economic burden of diabetes in Saskatchewan (Provincial Auditor Saskatchewan 2012). Diabetes occurs in all populations however, certain populations have higher rates of incidence and prevalence of diabetes than others such as, Aboriginal populations (Harris et al. 2013). Diabetes is now a leading cause of mortality, morbidity and severe disabilities among Aboriginal people (Dyck et al. 2010) thus, it is a significant health concern among Aboriginal peoples in Canada with prevalence rates higher than in the general Canadian population with an earlier age of diabetes onset (Canadian Diabetes Association 2011). Also, off reserve Aboriginal population is 1.5 times more likely than the non-Aboriginal population to report at least one chronic condition such as diabetes, high blood pressure or arthritis (Carter 2004).
Diabetes occurs more in First Nations women than men, especially during the reproductive years 20-49 (Dyck et al. 2010). Also, the prevalence of diabetes is slightly higher female in the 30- 34 years age group (Saskatchewan Ministry of Health 2013). Aboriginal women are particularly prone to develop type 2 diabetes with more than four times the rate of non–Aboriginal women due to the higher rates of overweight and obesity as well as the high rates of gestational diabetes. Although gestational diabetes mellitus it usually
The health of Aboriginal people in Canada is both a tragedy and a crisis (Aboriginal Affairs and North Development Canada, 2010). Aboriginals have a higher rate of death among aboriginal babies, twice the national average, higher rate of Infectious diseases example gastrointestinal infections to tuberculosis, and chronic and degenerative diseases such as cancer and heart disease are affecting more aboriginal people than they once did (AANDC, 2010). Availability of important medical facility is not enough to accommodate the growing medical needs of Aboriginals. A socioeconomic and cultural issue also hinders the access of aboriginals to access health care in the community.
Although the health of some Aboriginal peoples is gradually improving, it is generally still poorer than the health of non-Aboriginal peoples living in Ontario. The Aboriginal Peoples Survey indicates that the most commonly reported chronic health conditions for Aboriginal peoples in Ontario over 15 years of age and living off reserve are: arthritis or rheumatism, high blood pressure, asthma, stomach problems, diabetes, and heart problems. (Noelle Spotton. 2001, page. 20)
Diabetes is a growing health concern within Aboriginal communities across Canada, it is a health concern that is often an underlying condition secondary to many other health issues and often goes undiagnosed or untreated. Many individuals within these communities choose to leave their diabetes untreated until it becomes life threatening and becomes too late to treat or control. According to Health Canada (2013), Aboriginal peoples who are living on reserves have a rate of diabetes that is three to five times higher as compared to Non-Aboriginal Canadians (Para. 1). The growing rate of diabetes is especially concerning amongst the Inuit communities, and is a growing concern; the rate of diabetes within this community is expected to steadily increase over the coming years from contributing factors such as lack of activity, poor nutrition and obesity (Health Canada, 2013). For these reasons alone it is important to raise awareness and educate these communities about diabetes and healthy lifestyle so that positive steps can be taken in order to maintain healthy living. Aboriginal peoples living in Canada have higher rates of diabetes as compared to non Aboriginal Canadians, and of the two types of diabetes, type 1 and type 2, the latter is more prevalent in First Nations communities (Brooks, Darroch, & Giles, 2013). With diabetes uncontrolled, an individual can come across many health problems such as poor circulation, foot ulcers, and sometimes even amputation (American
As health professionals, we must look beyond individual attributes of Indigenous Australians to gain a greater understanding and a possible explanation of why there are such high rates of ill health issues such as alcoholism, depression, abuse, shorter life expectancy and higher prevalence of diseases including diabetes, heart disease and obesity in our indigenous population. Looking at just the individual aspects and the biomedical health model, we don’t get the context of Aboriginal health. This is why we need to explore in further detail what events could have created such inequities in Aboriginal health. Other details that we should consider are the historical and cultural factors such as, ‘terra nullius’, dispossession and social
The prevalence of diabetes is increasing in Canada, and is growing health concern. This increase is especially apparent in Canadian Aboriginal population where the estimated prevalence of diabetes is three to five times higher than in the general Canadian population. Because of the risk of several health complications such as coronary heart diseases, neuropathy, eye damage, kidney failure, and peripheral arterial diseases, diabetes is a one of the leading causes of mortality and morbidity. Developing health complications increases when diabetes is undiagnosed and represents unseen, but important burden with significant long-term impact on the people’s health status. First Nations individuals have more diabetes risk factors and suffer more diabetes-related health complications than non-Aboriginals. Therefore, accurate data on diabetes prevalence are essential for government, health care and research organizations.
Since the arrival of Columbus in 1492, American Indians have been in a continuous struggle with diseases. It may not be small pox anymore, but illnesses are still haunting the native population. According to statistics, Native Americans have much higher rates of disease than the overall population. This includes a higher death rate from alcoholism, tuberculosis, and diabetes than any other racial or ethnic group. Recent studies by Indian health experts show that diabetes among Indian youth ages 15-19 has increased 54% since 1996 and 40% of Indian children are overweight. Even though diabetes rates vary considerably among the Native American population, deaths caused from diabetes are 230 percent greater
As health professionals, we must look beyond individual attributes of Indigenous Australians to gain a greater understanding and a possible explanation of why there are such high rates of ill health issues such as alcoholism, depression, abuse, shorter life expectancy and higher prevalence of diseases including diabetes, heart disease and obesity in our indigenous population. Looking at just the individual aspects and the biomedical health model, we don’t get the context of Aboriginal health. This is why we need to explore in further detail what events could have created such inequities in Aboriginal health. Other details that we should consider are the historical and cultural factors such as, ‘terra nullius’, dispossession and social
Native Americans have the highest rates of obesity and diabetes in the United States. According to the U.S. Department of Health and Human Services Native Americans are 60% more likely to be obese and are over twice as likely to have diabetes than the general population. These numbers are even higher for Southwest Native Americans. But their diet is very similar to the rest of modern society. So why do Native Americans suffer these conditions at higher rates than the general population? The answer may be found in new research that is beginning to point to a genetic cause for these conditions. In a study by Peggy Halpern, Ph.D. for the U.S. Department of Health and Human Services, she found that historically Native Americans of the
Health has become a growing issue among individuals around the world due to a variety of social determinants such as diet, lifestyles, environment, and level of education that impact one’s health. These factors determine whether an individual receives health problems or not – such as diabetes. Among indigenous individuals, diabetes is an issue that is prevalent because of dietary changes in Canada, different lifestyles compared to indigenous ancestors, and whether one lives on or off reserves. Indigenous individuals like First Nations, Metis or Inuit people overtime have adapted to lifestyle changes, which in the end has impacted their health. As the result of being more sedentary in the West, indigenous individuals have developed poor eating habits along with the lack of exercise that comes with living in the West. The environment is a key influencer in the development of diabetes, which will be discussed in this paper by explaining how society and the physical environment are interconnected with diabetes. This research paper will discuss the reasons for an increased prevalence of diabetes among indigenous peoples in Canada compared to individuals of non-Aboriginal status. Furthermore, the prevalence of diabetes among indigenous individuals in Canada results from factors like poor diet, lack of exercise, colonization, lack of access to medical care, and whether one lives on or off the reserves.
Despite enjoying excellent health and receiving comprehensive and universal healthcare access, Canada has seen continuing healthcare inequality especially among those people living at or below the poverty level and those who are members of the Aboriginal Peoples. The greatest impact of this disparity is evidenced through earlier mortality rates and greater incidences of injury and illness. Nowhere in Canada is this more true than among the Aboriginal Peoples, who, for example, have the highest rate or and risk for Type 2 Diabetes. This risk costs Canada an additional 18 billion dollars CAD every year (Strategic Initiatives and Innovations Directorate, 2011).
The National Aboriginal Community Controlled Health Organisation, (NACCHO) is an existing representation of the hope of Aboriginal communities and their fight for self-rule. NACCHO is the nationwide climax organization representative. It controls over 150 Aboriginal Community Health Services (ACCHSs) across the country on Aboriginal health and issues.
Indigenous people of the Australia, New Zealand, USA, and Canada suffer the high mortality compare to the overall population. Amongst them Australian aboriginals suffer highest disparity in life expectancy. Australia’s 5,17,200 Aboriginals make up 2.5% of population and they are the most disadvantaged group. Drug abuse, alcoholism, and infant mortality rates are high in the aboriginals compare to the other people. They also suffer from diseases associated with the poor living condition. Diabetes and Heart diseases are thrice and twice more common respectively in aboriginals between age of 35 to 45 compare to other population. Eliminate trachoma by 2020 was launched by the World health organization (WHO) in 1998. Blinding trachoma occurs still in 54 countries and Australia is the only developed country in that list. Large disparity exists in aboriginals for diabetes mortality. When Indigenous mortality rates were compared with non-indigenous mortality rates in Australia, Aboriginal
In the 1990's, almost every Native American was involved either "personally with diabetes, or with family and friends with diabetes." Diabetes has been called the "new small pox" among the Native American community. However, the difference is that small pox kills quickly, as diabetes is a "slow killer." There has been increasing concern about the how diabetes has caused the Native Americans to be so prone to this disease. Many conferences have been held and research has been preformed to "identify the underlying factors and propose
The Aboriginals also known as the Indigenous people are the first people’s inhabitants of mainland Australia (WIKIPEDIA). Historically, Aboriginals enjoyed better health before any invasions from non-Indigenous peoples. They didn’t suffer from any major illnesses though they did have other type of health issues, but their life was happier and content. Everything started to change after 1788 when non-Indigenous people introduced illnesses where the mortality rate of Aboriginals population started to increase, and this affected their life and the community (http://www.healthinfonet.ecu.edu.au/health-facts/overviews/the-context-of-indigenous-health). There are various factors that contribute to the poor health status of Indigenous people, and this is part of the social determinants of health which should been seen in a broader context (1)(2). Factors such as employment, income, stress, gender, education, behavioral aspects, working and living conditions, social networks and support, are interrelated and complex, and are part of the social
The First Nations of Canada is experiencing a current day health crisis of diabetes. According to Health Canada’s Diabetes