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Aboriginal Adolescents (aboriginal + adolescent)
Selected AbstractsFoot abnormalities in Canadian Aboriginal adolescents with Type 2 diabetesDIABETIC MEDICINE, Issue 7 2007J. Chuback Abstract Aims To determine the profile of foot abnormalities in Canadian Aboriginal adolescents with Type 2 diabetes and the risk factors associated with these abnormalities. Methods Aboriginal adolescents with Type 2 diabetes underwent an interview, medical record review and foot examination in a tertiary care, paediatric hospital diabetes clinic and two geographically remote outreach clinics. The notes of 110 subjects were reviewed [mean age 15 ± 3 years; mean duration of diabetes, 30 ± 20 months; 71 (66%) female and 39 (34%) male] and 77 (70%) of the subjects were examined. Results Foot abnormalities were identified by either interview or notes review, and included poor toenail condition in 85 (77%), paronychia in 29 (26%), ingrowing toenails in 16 (15%) and neuropathic symptoms in 13 (12%) subjects. Foot abnormalities were identified by examination in many subjects, including poor toenail condition in 38 (49%), calluses in 34 (44%) and paronychia in 13 (17%) subjects. Eighteen (24%) of 75 subjects did not have running water in the home. Factors that significantly increased the presence of foot abnormalities included: foot care provided by a person other than self; absence of running water in the home; decreased frequency of bathing; and decreased frequency of nail clipping. A greater percentage of subjects living on a reservation or rural community had specialized consultations for retinal examination, footwear, or both than of those living in an urban or unknown residence. Conclusions A high prevalence of foot abnormalities was noted in Aboriginal adolescents with Type 2 diabetes. These findings highlight the associated comorbidities in this population, emphasizing the need for early detection and intervention. [source] Exploring the effects of psychosocial and acculturation factors on drinking behavior among aboriginal adolescents in TaiwanPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 5 2004MEI-YU YEH phd Abstract, The purpose of this study was to examine the effects of psychosocial and acculturation factors on drinking behavior among Taiwanese aboriginal teenagers. Stratified random sampling was used to select six of the 19 aboriginal schools in Taipei, Pingtung, Hualien, and Taitung counties. A total of 495 student subjects were enrolled in the study, including 290 boys and 205 girls, with classification by tribe of 206 Amis, 97 Atayal, 94 Paiwan, 47 Bunun, 19 Rukai, 15 Yami, 10 Puyuma, two Saisiyat, one Tsou, and four unknown. The analysis indicated that the psychosocial and acculturation factors that directly influenced drinking behaviors of aboriginal teenagers were: self-efficacy, drinking behaviors of parents, peer alcohol use, social assimilation, social attitude, and territorial attitude. In this model, peer alcohol use had the most prominent impact on drinking behavior among aboriginal teenagers. The findings suggest that parents' behaviors play a significant role in the development of problematic drinking behavior in the aboriginal teenager through observation and imitation, and also that self-efficacy and the level of acculturation influences drinking behavior in aboriginal teenagers. [source] | ||||||||||