Diabetes screening among immigrants: a population-based urban cohort study.

Diabetes Care
Maria I CreatoreRichard H Glazier

Abstract

To examine diabetes screening, predictors of screening, and the burden of undiagnosed diabetes in the immigrant population and whether these estimates differ by ethnicity. 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. 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 admin...Continue Reading

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Citations

Feb 5, 2016·Journal of Community Health·April K WilhelmDeborah H Boehm
Apr 19, 2015·International Journal for Equity in Health·Nadia R BennettUNKNOWN U.S. Caribbean Alliance for Health Disparities Research Group (USCAHDR)
Oct 28, 2016·Journal of Community Health·Seth A BerkowitzSanja Percac-Lima
Jul 28, 2016·Clinical & Experimental Ophthalmology·Mohamed DiraniEcosse L Lamoureux
Dec 30, 2017·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Rinku SutradharLawrence Paszat
Feb 20, 2019·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Lu WangGelsomina Montana
May 4, 2018·Journal of the American Society of Nephrology : JASN·Jeffrey PerlRon Wald
Feb 3, 2016·CMAJ Open·Kimberly A FernandesUNKNOWN Ontario Cancer Screening Research Network
Jul 1, 2020·BMJ Open Diabetes Research & Care·Ghazal S FazliGillian L Booth
Sep 21, 2013·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Cornelia M BorkhoffLawrence F Paszat
Jul 8, 2017·BMC Gastroenterology·Lawrence PaszatLinda Rabeneck
Jan 1, 2014·Qatar Medical Journal·Marjonneke J Mook-KanamoriKarsten Suhre
Feb 1, 2021·Primary Care·Colleen PaytonMark L Wieland

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Postal Code Conversion File ( PCCF

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