Diabetes mellitus in the First Nations population of British Columbia, Canada. Part 3. Prevalence of diagnosed cases
Bibliographic record
Abstract
OBJECTIVES: To describe the prevalence of diabetes mellitus in the on-reserve Status Indian population of British Columbia based on a survey conducted in 1997 and to compare these rates with previous surveys carried out in 1987, 1992 and 1995. STUDY DESIGN: Survey questionnaires were distributed to health centres, health stations and nursing stations providing health services to the 198 First Nations reserves in British Columbia. RESULTS: Data were received from 82 of 198 First Nations communities (41%) representing 24,407 (45%) of the on-reserve population of the province (53,893). A total of 636 cases of diabetes were identified. Seventy-seven percent of cases were age 35 plus. The overall prevalence in 1997 was 2.6% for all ages combined, more than doubled from 1.2% in 1987. First Nation's men and women 35 and older when compared to the general population by indirect age-standardization experienced a higher prevalence ratio-males 1.27, 95% CI 1.22, 1.40 and females 2.53, 95% CI: 2.77, 2.58. Among those with diabetes for > 20 years, 62.5% used insulin compared to 13% who had the disease < five years (622/636 reporting). Diabetic complications were reported in 48% of individuals. Diagnosed gestational diabetes was 28/1000 live births. CONCLUSIONS: General preventive initiatives must continue including Screening, nutrition and fitness education, and improved diabetic management directed at reduction in complications.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".