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
References
Oct 5, 1991·Lancet·J K CruickshankU Drubra
Nov 1, 1994·British Heart Journal·J DhawanJ Morris
May 26, 2001·Diabetes Care·L A LeiterUNKNOWN Diabetes Screening in Canada (DIASCAN) Study
Mar 5, 2002·Diabetes Care·Janet E HuxAdina Bica
May 30, 2006·Diabetes Care·Catherine C CowieEdward W Gregg
Apr 30, 2008·Diabetologia·A SandbaekT Lauritzen
Sep 12, 2008·The New England Journal of Medicine·Rury R HolmanH Andrew W Neil
Oct 10, 2008·The New England Journal of Medicine·John Chalmers, Mark E Cooper
Nov 20, 2008·Diabetes Care·Catherine C CowieLinda S Geiss
Dec 25, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Paul Gh JanssenGuy Ehm Rutten
Mar 3, 2009·BMC Health Services Research·Sarah E WilsonDouglas G Manuel
Mar 12, 2009·Current Opinion in Endocrinology, Diabetes, and Obesity·Stephen Colagiuri, Daniel Davies
Jan 29, 2010·Diabetes Care·UNKNOWN American Diabetes Association
Apr 2, 2010·Lancet·Richard KahnNick J Wareham
Apr 21, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Maria Isabella CreatoreRichard H Glazier
Jun 16, 2010·Medical Care·Aisha K LoftersRichard H Glazier
Aug 24, 2010·BMC Public Health·Sarah E WilsonDouglas G Manuel
Jun 4, 2011·Diabetologia·D R WebbM J Davies
Jun 18, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·M van den DonkG E H M Rutten
Jun 28, 2011·Lancet·Simon J GriffinTorsten Lauritzen
Citations
Feb 5, 2016·Journal of Community Health·April K WilhelmDeborah H Boehm
Dec 8, 2014·Social Science & Medicine·Lu Wang, Min-Jung Kwak
Aug 21, 2015·BMC Health Services Research·Anna DurbinRichard H Glazier
Apr 19, 2015·International Journal for Equity in Health·Nadia R BennettUNKNOWN U.S. Caribbean Alliance for Health Disparities Research Group (USCAHDR)
Jul 17, 2014·Diabetes Care·Karen OkrainecChaim M Bell
Oct 28, 2016·Journal of Community Health·Seth A BerkowitzSanja Percac-Lima
Jul 28, 2016·Clinical & Experimental Ophthalmology·Mohamed DiraniEcosse L Lamoureux
Mar 3, 2017·The Breast Journal·Javaid IqbalPaula A Rochon
Jan 13, 2018·The American Journal of Nursing·H Hu SophiaWen-Yin Chang
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
Mar 15, 2019·International Journal of Public Health·Giuseppe SeghieriFabio Voller
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
Sep 21, 2021·Diabetes Research and Clinical Practice·Calvin KeBaiju R Shah