PDF(Pubmed)
Abstract：
Diabetes is an epidemic in the United States and is ranked as the sixth leading cause of death in the District of Columbia. According to the US Census population in 2010, >52,000 out of 610,000 residents have been diagnosed with diabetes. The highest prevalence was noted in wards 4, 5, 7, and 8, with the worst impact recorded in ward 8. The diabetes death rate among African Americans is five times that for Caucasians living in Colombia district, according to the DC department of health. There is an 11% disparity in the prevalence of diabetes when comparing black- and white people in the district (14% and 3%, respectively). This amounts to more than double the 6% disparity in the national population. This is also evident at both district and nationwide levels (prevalence of diabetes among people with no high school diploma, 21%; that in college graduates, 5%). The incidence of end-stage renal disease (ESRD), a life-threatening condition and diabetes-related complication is increasing in Colombia district and is rated as the number one cause of death from diabetes. In 2010, the newly diagnosed ESRD cases (420) and total number of ESRD cases due to diabetes (642) in the district were twice that of neighboring states (Maryland, Virginia, and West Virginia) and the entire US. In this review, the importance of implementing an evidence-based public health program in solving the epidemic of diabetes among the black community living in Ward 8 is emphasized. This study applies to every poor or minority ethnic group worldwide and in the US.
摘要：
糖尿病在美国是一种流行病，在哥伦比亚特区被列为第六大死亡原因。根据2010年的美国人口普查人口，610,000名居民中有>52,000名被诊断患有糖尿病。患病率最高的是第4、5、7和8病房，影响最差的是8病房。非洲裔美国人的糖尿病死亡率是居住在哥伦比亚地区的白种人的五倍，根据DC卫生部的说法。当比较该地区的黑人和白人时，糖尿病的患病率有11%的差异(14%和3%，分别)。这相当于全国人口6%的差距的两倍多。这在地区和全国范围内也很明显（没有高中文凭的人群中糖尿病的患病率，21%；在大学毕业生中，5%)。终末期肾病（ESRD）的发病率，在哥伦比亚地区，危及生命的疾病和糖尿病相关并发症正在增加，被列为糖尿病死亡的头号原因。2010年，该地区新诊断的ESRD病例（420）和糖尿病引起的ESRD病例总数（642）是邻近州的两倍（马里兰州，弗吉尼亚,和西弗吉尼亚州）和整个美国。在这次审查中,强调了在居住在8号病房的黑人社区中实施基于证据的公共卫生计划对解决糖尿病流行的重要性.这项研究适用于全球和美国的每个贫困或少数民族群体。
