Abstract:
OBJECTIVES:Current evidence shows that type 2 diabetes (T2D) can be prevented by life-style changes and medication. To meet the menacing diabetes epidemic, there is an urgent need to translate the scientific evidence regarding prevention of T2D into daily clinical practice and public health. In Finland, a national programme for the prevention of T2D has been launched. The programme comprises 3 concurrent strategies for prevention: the population strategy, the high-risk strategy and the strategy of early diagnosis and management. The article describes the implementation strategy for the prevention programme for T2D. METHODS:The implementation project, FIN-D2D, is being conducted in 5 hospital districts, covering a population of 1.5 million, during the years 2003-2007. The main actors in the FIN-D2D are primary and occupational health care providers. RESULTS:The goals of the project are (1) to reduce the incidence and prevalence of T2D and prevalence of cardiovascular risk factor levels; (2) to identify individuals who are unaware of their T2D; (3) to generate regional and local models and programmes for the prevention of T2D; (4) to evaluate the effectiveness, feasibility and costs of the programme; and (5) to increase the awareness of T2D and its risk factors in the population and to support the population strategy of the diabetes prevention programme. The feasibility, effectiveness and costs of the programme will be evaluated according to a specific evaluation plan. CONCLUSIONS:Current research evidence shows that the type 2 diabetes can be effectively prevented in high-risk subjects by life-style changes, which include increased physical activity and weight reduction. FIN-D2D explores ways to implement these methods on a national level.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Saaristo T,Peltonen M,Keinänen-Kiukaanniemi S,Vanhala M,Saltevo J,Niskanen L,Oksa H,Korpi-Hyövälti E,Tuomilehto J,FIN-D2D Study Group.doi
10.3402/ijch.v66i2.18239subject
Has Abstractpub_date
2007-04-01 00:00:00pages
101-12issue
2eissn
1239-9736issn
2242-3982pii
96journal_volume
66pub_type
杂志文章abstract:OBJECTIVES:To compare 3 questionnaires used to evaluate early developmental problems, emotional disturbances and competence in 18-month-old infants. STUDY DESIGN:A follow-up study with parents of infants 8 to 36 months of age who responded to a developmental questionnaire. METHODS:Fifty infants (18 months of age) wer...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i4.17365
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:To examine the contribution of student co-researchers to a community-based participatory Photovoice investigation of Indigenous children's food-related lived experience. We examine co-researchers' contributions to the research process, their role in knowledge co-generation and dissemination, and factors that ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v74.27838
更新日期:2015-07-27 00:00:00
abstract:OBJECTIVES:To analyze the prevalence of poor oral health and selected determinants in First Nations (FN) and Caucasian samples in Manitoba, Canada. STUDY DESIGN:Cross-sectional survey, nested in a cohort study. METHODS:FN and Caucasian participants completed a questionnaire on socio-demographic variables, oral health...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17394
更新日期:2012-03-19 00:00:00
abstract::Because Alaska does not have its own medical school, it has become part of WAMI (Washington, Alaska, Montana, Idaho), an educational agreement with the University of Washington School of Medicine (UWSM). Each year, 10 Alaskans are accepted into the entering class of UWSM and spend their first year at the University of...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:This paper describes the overall aims and design of the Social Transitions in the North study. The objective of the STN study was to assess how epidemiological, demographic and domestic changes have affected Northern communities. STUDY DESIGN:Sixteen communities in the Russian Far East and Alaska were compar...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17766
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVES:To examine the development of smoking and alcohol use among Greenlandic schoolchildren and propose future preventive strategies. STUDY DESIGN:National survey in schoolchildren grade 6-11. METHODS:Analysis of data from the 1994, 1998, 2002 and 2006 Health Behaviour in SchoolAged Children (HBSC) surveys in G...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v67i4.18344
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:To describe the method, data collection procedure and participation in The Population-based Study on Health and Living Conditions in Areas with both Sami and Norwegian Settlements - the SAMINOR 2 questionnaire study. STUDY DESIGN:Cross-sectional and semi-longitudinal. METHODS:In 2012, all inhabitants aged ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v73.23147
更新日期:2014-06-18 00:00:00
abstract:OBJECTIVE:The Brightening Our Home Fires (BOHF) project was conceptualized as an exploratory project to examine the issue of the prevention of foetal alcohol spectrum disorder (FASD) from a women's health perspective in the Northwest Territories (NT). While dominant discourse suggests that FASD is preventable by absten...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21140
更新日期:2013-08-05 00:00:00
abstract::The most important risk factors and findings of acute accidental hypothermia and concomitant local frostbites are reviewed. Both external and internal risk factors are usually present when exposure to cold is leading to death. The external factors are alcohol and psychic drugs, too light a clothing for the circumstanc...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::We compared rates of unintentional injury (UI) deaths (total and by injury category) among Alaska Native (AN) people to rates of U.S. White (USW) and Alaska White (AKW) populations during 2006-2015. The mortality data for AN and AKW populations were obtained from Alaska Bureau of Vital Statistics and USW mortality dat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1422671
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The US commercial fishing industry is hazardous, as measured by mortality data. However, research on non-fatal injuries is limited. Non-fatal injuries constitute the majority of occupational injuries and can result in workers' lowered productivity and wages, lost quality of life, and disability. In the Unite...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30070
更新日期:2016-01-14 00:00:00
abstract:PURPOSE:The Behavioral Risk Factor Surveillance System (BRFSS) is a nationally developed and state-administered telephone survey which monitors the health behaviors and practices of adults aged 18 and older. One use of the survey is to monitor progress towards some of the Year 2000 Health Objectives for the United Stat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Human health is now a critical component of the Arctic Council's sustainable development program. The newly formed Arctic Human Health Expert Group (AHHEG), a subsidiary body of experts within the Sustainable Development Working Group (SDWG), will focus on identifying human health priorities that will improve the heal...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i3.17622
更新日期:2010-06-01 00:00:00
abstract::The goal of the Norwegian Ministry of Health and Care Services is to offer an equal health-care service with the same outcomes wherever people are living within the country. The aim of this study was to evaluate whether this was true for patients diagnosed with metastatic prostate cancer (mPC) and living in Nordland C...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1620086
更新日期:2019-12-01 00:00:00
abstract::Anglican Church of Canada burial records from 1851-1964 for the Moose Factory First Nation are analysed for mortality seasonality. The 113-year study period is subdivided into three death cohorts (1851-1906, 1914-1945 and 1946-1964) that broadly reflect the late 19th century, early 20th century, and the post-WWII peri...
journal_title:International journal of circumpolar health
pub_type: 历史文章,杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVES:To estimate the age- and gender-specific consultation rates of patients who availed primary health care service in Greenland and to analyse contact patterns among patients in Nuuk. DESIGN:Observational and cross-sectional register study using data captured from the medical records. MATERIALS AND METHODS:Th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.18431
更新日期:2012-07-24 00:00:00
abstract:BACKGROUND:Tobacco use rates are exceptionally high among indigenous people in North America. Alaska Native, low socio-economic status (SES) and rural communities are high-priority populations for Alaska's Tobacco Control program. DESIGN:For the purpose of better informing tobacco control interventions, we conducted a...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21582
更新日期:2013-08-05 00:00:00
abstract:BACKGROUND:There is a dearth of literature to guide the development of community-based HIV and sexually transmitted infection (STI) prevention and sexual health promotion programs within Inuit communities. OBJECTIVE:The aim of this study was to create a dialogue with Inuit women to address the lack of information avai...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.32135
更新日期:2016-12-09 00:00:00
abstract::The Innuulisivik Maternity is a northern-based service in Povungnituk, Quebec, which serves the Inuit women of the Hudson Coast. Although most women stay in the North for childbirth, others are transferred south. This paper will describe the experience of the Innuulisivik Maternity, which uses committee-based risk ass...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:We set out to find out in which way seasonal changes of environmental luminosity could affect melatonin secretion in humans. STUDY DESIGN:For an entire year we collected every two months nocturnal urine samples from 20 male outdoor workers who lived and worked in an area of the circumpolar region from which...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17888
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Rickets was first described in the 17th century and vitamin D deficiency was recognized as the underlying cause in the early 1900s. Despite this long history, vitamin D deficiency remains a significant health concern. Currently, vitamin D supplementation is recommended in Canada for breast fed infants. There...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.20244
更新日期:2013-04-16 00:00:00
abstract:OBJECTIVES:The aim of the Tromstannen-Oral Health in Northern Norway (TOHNN) study was to investigate oral health and dental-related diseases in an adult population. This article provides an overview of the background of the study and a description of the sample characteristics and methods employed in data collection. ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30169
更新日期:2016-02-19 00:00:00
abstract:OBJECTIVES:A population-based birth registry has been set up for the Arctic town of Moncegorsk in north-western Russia. This investigation describes the health status of the delivering population, including pregnancy history and the prevalence of obesity, infections, smoking and alcohol abuse during the pregnancy perio...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i1.17647
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to develop a dietary instrument (food frequency questionnaire [FFQ]) that measured total dietary intake over 1 year among Alaska Native people in 2 regions. Ways of assessing diet are needed in order to accurately evaluate how the diets of Alaska Natives relate to their health. ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i2.18319
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:Aboriginal communities have a high prevalence of diabetes and heart disease, and limited resources to address them. The objective of this study was to test the effectiveness of prioritizing care with audit and feedback on cholesterol management of diabetic patients. STUDY DESIGN:A controlled before-after in...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,随机对照试验
doi:10.3402/ijch.v69i4.17629
更新日期:2010-09-01 00:00:00
abstract::Under the auspices of Arctic Monitoring and Assessment Programme (AMAP), a Russian-Norwegian co-operation project was established to assess the exposure of delivering women to persistent organic pollutants (POPs) in Arctic areas of Russia. In the period 1993-95 blood and breast milk samples were collected from 94 deli...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::Two different possible behaviors at -5 degrees C after cold water immersion were studied. A test subject wearing winter clothing walked (5 km/h) on a treadmill for 45 minutes at -5 degrees C and at a wind velocity of 3 m/s with dry clothing, immediately after a thorough immersion in 5 degrees C water, or after immersi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Emerging infections have in recent years caused enormous health problems. About 70% of these infections are zoonotic e.g. arise from natural foci in the environment. As climate change impacts ecosystems there is an ongoing transition of infectious diseases in humans. With the fastest changes of the climate occurring i...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1601991
更新日期:2019-12-01 00:00:00
abstract::Ethical appraisal of medical protocols for research is now well accepted, and needed when research may carry side effects and risks that may be difficult to understand for the people invited to take part in research. We argue that time has come for Greenland to establish a formal medical research ethics committee with...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i0.17878
更新日期:2004-01-01 00:00:00
abstract::Inuit women's perceptions of health risks from potential contamination in the arctic food chain were investigated in 1995 through in-depth interviews with 47 women in a Canadian arctic community. This number represents 34% of the eligible participants in the population of the research community. Many of these Inuit wo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00