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At least 19 recordsLinked to original sources
PubMed1993

Diabetes and its complications among selected tribes in North Dakota, South Dakota, and Nebraska.

OBJECTIVE: To determine the prevalence and incidence rates of diabetes and two specific complications for selected American-Indian tribes in North Dakota, South Dakota, and Nebraska. RESEARCH DESIGN AND METHODS: A descriptive epidemiological study was conducted using ambulatory care data during 1987 for prevalence and diabetes registries and complication case reporting during 1988 from IHS facilities on reservations in these states. RESULTS: The Winnebago and Omaha tribes had the highest age-adjusted diabetes rates, with prevalence 8.8 times and incidence 7.7 times the respective U.S. rates. The diabetes prevalence rate of combined data for the Sioux was 3.7 times the U.S. rate. Among Sioux Indians, the age-adjusted incidence rate for ESRD was 4.8 times the American-Indian/Alaska-Native rate and 13.4 times the rate for U.S. whites. The proportion of new diabetes-related ESRD (86%) was almost 3 times greater than the general U.S. population rate (30%). Also, among the Sioux, the age-adjusted incidence rate for LEA (86.7/10,000 diabetic population) was 1.5 times higher than the U.S. rate; the proportion of diabetes-related LEA (84%) was 1.8 times higher than the general U.S. population rate (45%). CONCLUSIONS: The age-adjusted rates of diabetes and certain complications among these Northern Plains tribes are greater than the U.S. rates. Improved health services to detect and monitor diabetes and its complications and community-based prevention activities directed at the epidemic of diabetes among the various Indian tribes are urgently needed.

Age Factors↗
PubMed1991

Tuberculosis outbreak on Standing Rock Sioux Reservation--North Dakota and South Dakota, 1987-1990.

From 1987 through 1988, a cluster of cases of tuberculosis (TB) occurred among persons residing on the Standing Rock Sioux Reservation; recognition of this cluster prompted an epidemiologic investigation by the Indian Health Service (IHS), Standing Rock Sioux Tribal Health and Community Health Programs, South Dakota State Department of Health, North Dakota State Department of Health, and CDC. This report summarizes the findings of that investigation and follow-up public health interventions.

Adult↗
PubMed2004

State of South Dakota's child: 2003.

In South Dakota between 2001 and 2002 there was a 2% increase in births with the number of both white and minority newborns increasing. In recent decades, trends in natality data show an ongoing shift in the ethnic distribution of the state's youngest population with 19% of the 2002 births now representing minorities. Further, though in recent years there has been a slight increase in the number of births, the current yearly birth cohorts represents a 19% decrease from what was observed in 1980. The percent of low birth weight newborns (< 2500 g) increased in 2002 to 7.2%, however, this rate is lower than the 7.8% rate observed nationally, and did not include an increase in very low birth weight (< 1500 g), which dropped to below 1% of all births. The South Dakota infant mortality rate also dropped to 6.5 in 2002, reflecting a decrease for white infants during both the neonatal (< 28 days) and for the post neonatal period of time (29 to 365th day of life). For infants of minority ethnicity, there was a decrease in only post neonatal mortality with their overall rate of infant death remaining over twice that observed for South Dakota's white population. The No Child Left Behind Act of 2001 is the special topic of this year's report and includes a discussion of how this significant federal legislation is being implemented in South Dakota's public schools.

Adolescent↗
PubMed2000

Lifestyle satisfaction of rural, South Dakota, family practice physicians.

South Dakota (SD) rural, family practice physicians were surveyed relative to their lifestyle satisfaction. Sixty-eight of 192 surveys were returned (45%), with 75% men and 22% women responding (3% no response). Forty-nine percent of respondents had attended the University of South Dakota School of medicine. Besides overall satisfaction, factor analysis grouped survey questions into four clusters: a) activities; b) community; c) income; and, d) time. As compared to other physicians, those physicians who were born in SD or had graduated from a SD high school, or had received their undergraduate education in either SD or a bordering state, reported significantly greater overall satisfaction as well as significantly greater satisfaction with both the community and availability of leisure activities. Interestingly, there was no significant difference in lifestyle satisfaction among physicians who attended medical school in either SD or a bordering state, as compared to physicians who attended medical school elsewhere. It does appear that the degree of "connectedness" to SD positively impacts the lifestyle satisfaction of SD, rural, family practice physicians.

Analysis of Variance↗
PubMed1989

The state of South Dakota's child: 1988.

South Dakota's five year (1982-86) mean neonatal mortality rate (6.2) has achieved the Surgeon General's 1990 goal of 6.5 and is lower than the 7.1 national mean rate. The rate of post neonatal mortality continues to be an area of concern, especially for the non-white population whose five year mean rate is twice that of the nation. Inadequate utilization of prenatal care in South Dakota is significantly related to higher neonatal and post neonatal mortality, higher admission rates to neonatal intensive care and higher costs for neonatal intensive care. Improving access and utilization of prenatal care is advocated as a cost effective and humane investment of public resources.

Birth Rate↗
PubMed1990

Statewide breast cancer study. South Dakota Tumor Registrars' Association.

The South Dakota Tumor Registrars' Association reviewed breast cancer cases in South Dakota for the years 1983 and 1988. There were 225 cases in the 1983 group and 266 cases in the 1988 group. Data from this project revealed over 16% of patients in both groups had positive family histories for breast cancer. More cases in 1988 (119) were Stage I as compared to 1983 (69) suggesting earlier detection through increased awareness of the dangers of this disease by improved educational programs from 1983 to 1988, and the increased use of mammography in 1988 (86.8% of patients) as compared to 1983 (48% of patients). Modified radical mastectomy was the initial therapy in the majority of cases in both groups. Segmental resection followed by radiation therapy was the initial local therapy for 13 patients in 1988 as compared to six patients in 1983. Hormone receptor analysis was obtained in over 70% of patients in both groups. Adjuvant drug therapy was given to 25% of patients in both groups. Only two patients in 1983 and one patient in 1988 were entered on national research protocols.

Adult↗
PubMed1976

An analysis of practice in Georgia and South Dakota.

Family practitioners in Georgia and South Dakota were surveyed in order to ascertain percentage of practice devoted to various specialty areas, daily case loads, type of diagnoses, method of handling telephone calls, and patterns of agency utilization. Questionnaires were sent to all South Dakota and Georgia family practitioners. In Georgia 22% of family practitioners do no surgery and 55% do no obstetrics, while in South Dakota 90% practice obstetrics. Differences in availability of specialists and in pysician referral patterns caused marked variations in family practice patterns. Diagnoses showing geographic differences included chronic lung disease, arthritis, sore throat, heart disease, and neuroses. About 50% of all physicians handled medical phone calls personally. Less than half the respondents in each state used some agency or resource in this time period. The distribution of specialists affects the patient load and needs to be considered when primary care is planned.

Community Health Services↗
PubMed1999

State of South Dakota's child: 1998.

Births in South Dakota again decreased in 1997, continuing an ongoing trend that began in 1980. Progress in 1997 was noted in the use of first trimester prenatal care and the rate of low birth weight in the State remained lower than that observed nationally. The State's infant mortality rate for 1997 showed a continuation of the favorable shift in rates of the last decade that was initiated with the progress observed in 1996. Smoking and drinking during pregnancy is higher in South Dakota than noted nationally. How and why substance abuse prevention efforts must begin during childhood is discussed in this review. Currently, the rates of smoking and alcohol use are higher among South Dakota teens than noted nationally, and have increased over the past six years. Approaches to preventing substance abuse for the sake of the health and well being of youth and their potential future children are presented.

Adolescent↗
PubMed1994

The state of South Dakota's child: 1993.

This annual report on South Dakota's children highlights 1992 natality and mortality data and discusses the state's effort to improve its rate of childhood immunizations. In 1992 there was a slight increase over the previous year in total births (11,007) with 15% of these American Indians and 2% of other ethnic backgrounds. The state's 1992 infant mortality rate of 9.3 is the lowest ever recorded by South Dakota but represents a rate that is 9% higher than that of the United States. Analyses show that the post neonatal rate of death for American Indians remains much higher than that observed by minorities nation-wide. Progress is continuing in decreasing deaths due to perinatal causes, but infant death due to congenital anomalies and Sudden Infant Death are higher for South Dakota's white and minority populations than they are nation-wide. Current data show that only 61% of young children in South Dakota are up to date in their immunizations. The state is one of six sites in the nation to receive special funds to develop innovative strategies to achieve the year 2000 goal of a 90% childhood immunization rate. To achieve this goal there must be a commitment on the part of all health care providers to assure surveillance of children's immunization status and provision of vaccines to protect children and communities from preventable serious diseases.

Child↗
PubMed1990

The state of South Dakota's child: 1989.

The 1987 infant mortality in South Dakota returned to a rate below that of the nation as had been the trend for the eight years prior to 1986. Comparisons of South Dakota and the United States data show that for both whites and non whites the mean five year neonatal mortality rates were below those of the nation. Alternately, the South Dakota white post neonatal mortality rate is slightly higher than that of the nation and the non white post neonatal mortality rate is more than three times higher than that of the United States. Comparisons of the causes of post neonatal deaths show that the relative risk of death from potentially preventable causes is four times higher among South Dakota non whites as whites. The paper concludes with a discussion of the incidence of child abuse and neglect and the important role health care providers may play in preventing and treating this cause of significant mortality and morbidity of children.

Child↗