Abstract

Indigenous Canadians experience worse clinical and patient-oriented outcomes compared with the general population, including increased rates of diabetes, hypertension, CKD, and kidney failure. These inequities become more pronounced with increasing rurality. Compared with the general population, rates of CKD are two- and three-fold higher for rural and remote dwellers, respectively, and rates of diabetes four- and six-fold higher. Driving these poor outcomes are social inequities derived from intergenerational effects of institutionalized racism that rural and remote dwellers disproportionately face, such as poverty, food insecurity, and poor living conditions.

Harasemiw O, Komenda P, Tangri N

Journal of the American Society of Nephrology

Published 2022

Research Project: Kidney Check

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