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Diabetes Screening Among Immigrants: A population-based urban cohort study
OBJECTIVE: To examine diabetes screening, predictors of screening, and the burden of undiagnosed diabetes in the immigrant population and whether these estimates differ by ethnicity. RESEARCH DESIGN AND METHODS: A population-based retrospective cohort linking administrative health data to immigratio...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Diabetes Association
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308303/ https://www.ncbi.nlm.nih.gov/pubmed/22357181 http://dx.doi.org/10.2337/dc11-1393 |
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author | Creatore, Maria I. Booth, Gillian L. Manuel, Douglas G. Moineddin, Rahim Glazier, Richard H. |
author_facet | Creatore, Maria I. Booth, Gillian L. Manuel, Douglas G. Moineddin, Rahim Glazier, Richard H. |
author_sort | Creatore, Maria I. |
collection | PubMed |
description | OBJECTIVE: To examine diabetes screening, predictors of screening, and the burden of undiagnosed diabetes in the immigrant population and whether these estimates differ by ethnicity. RESEARCH DESIGN AND METHODS: A population-based retrospective cohort linking administrative health data to immigration files was used to follow the entire diabetes-free population aged 40 years and up in Ontario, Canada (N = 3,484,222) for 3 years (2004–2007) to determine whether individuals were screened for diabetes. Multivariate regression was used to determine predictors of having a diabetes test. RESULTS: Screening rates were slightly higher in the immigrant versus the general population (76.0 and 74.4%, respectively; P < 0.001), with the highest rates in people born in South Asia, Mexico, Latin America, and the Caribbean. Immigrant seniors (age ≥65 years) were screened less than nonimmigrant seniors. Percent yield of new diabetes subjects among those screened was high for certain countries of birth (South Asia, 13.0%; Mexico and Latin America, 12.1%; Caribbean, 9.5%) and low among others (Europe, Central Asia, U.S., 5.1–5.2%). The number of physician visits was the single most important predictor of screening, and many high-risk ethnic groups required numerous visits before a test was administered. The proportion of diabetes that remained undiagnosed was estimated to be 9.7% in the general population and 9.0% in immigrants. CONCLUSIONS: Overall diabetes-screening rates are high in Canada’s universal health care setting, including among high-risk ethnic groups. Despite this finding, disparities in screening rates between immigrant subgroups persist and multiple physician visits are often required to achieve recommended screening levels. |
format | Online Article Text |
id | pubmed-3308303 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | American Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-33083032013-04-01 Diabetes Screening Among Immigrants: A population-based urban cohort study Creatore, Maria I. Booth, Gillian L. Manuel, Douglas G. Moineddin, Rahim Glazier, Richard H. Diabetes Care Original Research OBJECTIVE: To examine diabetes screening, predictors of screening, and the burden of undiagnosed diabetes in the immigrant population and whether these estimates differ by ethnicity. RESEARCH DESIGN AND METHODS: A population-based retrospective cohort linking administrative health data to immigration files was used to follow the entire diabetes-free population aged 40 years and up in Ontario, Canada (N = 3,484,222) for 3 years (2004–2007) to determine whether individuals were screened for diabetes. Multivariate regression was used to determine predictors of having a diabetes test. RESULTS: Screening rates were slightly higher in the immigrant versus the general population (76.0 and 74.4%, respectively; P < 0.001), with the highest rates in people born in South Asia, Mexico, Latin America, and the Caribbean. Immigrant seniors (age ≥65 years) were screened less than nonimmigrant seniors. Percent yield of new diabetes subjects among those screened was high for certain countries of birth (South Asia, 13.0%; Mexico and Latin America, 12.1%; Caribbean, 9.5%) and low among others (Europe, Central Asia, U.S., 5.1–5.2%). The number of physician visits was the single most important predictor of screening, and many high-risk ethnic groups required numerous visits before a test was administered. The proportion of diabetes that remained undiagnosed was estimated to be 9.7% in the general population and 9.0% in immigrants. CONCLUSIONS: Overall diabetes-screening rates are high in Canada’s universal health care setting, including among high-risk ethnic groups. Despite this finding, disparities in screening rates between immigrant subgroups persist and multiple physician visits are often required to achieve recommended screening levels. American Diabetes Association 2012-04 2012-03-13 /pmc/articles/PMC3308303/ /pubmed/22357181 http://dx.doi.org/10.2337/dc11-1393 Text en © 2012 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details. |
spellingShingle | Original Research Creatore, Maria I. Booth, Gillian L. Manuel, Douglas G. Moineddin, Rahim Glazier, Richard H. Diabetes Screening Among Immigrants: A population-based urban cohort study |
title | Diabetes Screening Among Immigrants: A population-based urban cohort study |
title_full | Diabetes Screening Among Immigrants: A population-based urban cohort study |
title_fullStr | Diabetes Screening Among Immigrants: A population-based urban cohort study |
title_full_unstemmed | Diabetes Screening Among Immigrants: A population-based urban cohort study |
title_short | Diabetes Screening Among Immigrants: A population-based urban cohort study |
title_sort | diabetes screening among immigrants: a population-based urban cohort study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3308303/ https://www.ncbi.nlm.nih.gov/pubmed/22357181 http://dx.doi.org/10.2337/dc11-1393 |
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