Age- and sex-related prevalence of diabetes mellitus among immigrants to Ontario, Canada

Creatore, Maria Isabella; Moineddin, Rahim; Booth, Gillian; Manuel, Doug H.; DesMeules, Marie; McDermott, Sarah; Glazier, Richard H.
May 2010
CMAJ: Canadian Medical Association Journal;5/18/2010, Vol. 182 Issue 8, p781
Academic Journal
Background: The majority of immigrants to Canada originate from the developing world, where the most rapid increase in prevalence of diabetes mellitus is occurring. We undertook a population-based study involving immigrants to Ontario, Canada, to evaluate the distribution of risk for diabetes in this population. Methods: We used linked administrative health and immigration records to calculate age-specific and age-adjusted prevalence rates among men and women aged 20 years or older in 2005. We compared rates among 1 122 771 immigrants to Ontario by country and region of birth to rates among long-term residents of the province. We used logistic regression to identify and quantify risk factors for diabetes in the immigrant population. Results: After controlling for age, immigration category, level of education, level of income and time since arrival, we found that, as compared with immigrants from western Europe and North America, risk for diabetes was elevated among immigrants from South Asia (odds ratio [OR] for men 4.01, 95% CI 3.82-4.21; OR for women 3.22, 95% CI 3.07-3.37), Latin America and the Caribbean (OR for men 2.18, 95% CI 2.08-2.30; OR for women 2.40, 95% CI: 2.29-2.52), and sub-Saharan Africa (OR for men 2.31, 95% CI 2.17-2.45; OR for women 1.83, 95% CI 1.72-1.95). Increased risk became evident at an early age (35-49 years) and was equally high or higher among women as compared with men. Lower socio-economic status and greater time living in Canada were also associated with increased risk for diabetes. Interpretation: Recent immigrants, particularly women and immigrants of South Asian and African origin, are at high risk for diabetes compared with long-term residents of Ontario. This risk becomes evident at an early age, suggesting that effective programs for prevention of diabetes should be developed and targeted to immigrants in all age groups.


Related Articles

  • The burden of gestational diabetes mellitus in Jamaican women with a family history of autosomal dominant type 2 diabetes. Irving, Rachael R.; Mills, James L.; Choo-Kang, Eric G.; Morrison, Errol Y.; Kulkarni, Santosh; Wright-Pascoe, Rosemarie; Mclaughlin, Wayne // Revista Panamericana de Salud Publica;Feb2008, Vol. 23 Issue 2, p85 

    Objectives: To determine if Jamaican women of African descent with a family history of early onset autosomal dominant type 2 diabetes have greater odds of developing gestational diabetes mellitus (GDM) than those without a family history of the disease. Methods: A comparative study was conducted...

  • Globalization, immigration and diabetes self-management: an empirical study amongst immigrants with type 2 diabetes mellitus in Ireland. THABIT, H.; SHAH, S.; NASH, M.; BREMA, I.; NOLAN, J. J.; MARTIN, G. // QJM: An International Journal of Medicine;Oct2009, Vol. 102 Issue 10, p713 

    Background: We have previously reported that immigrants in Ireland have poorer glycemic control compared with a matched population of Irish patients. This may be associated with poor diabetes self-care and low health literacy.

  • Association between Diabetes Mellitus and Tuberculosis in United States-Born and Foreign-Born Populations in San Francisco. Suwanpimolkul, Gompol; Grinsdale, Jennifer A.; Jarlsberg, Leah G.; Higashi, Julie; Osmond, Dennis H.; Hopewell, Philip C.; Kato-Maeda, Midori // PLoS ONE;Dec2014, Vol. 9 Issue 12, p1 

    Setting: The impact of diabetes on tuberculosis in United States and foreign-born populations in San Francisco has not been studied. Objective: To determine the characteristics, prevalence and temporal trends of diabetes in US and foreign-born persons attending the San Francisco Tuberculosis...

  • Exploring Doctor—Patient Communication in Immigrant Australians with Type 2 Diabetes: A Qualitative Study. Kokanovic, Renata; Manderson, Lenore // JGIM: Journal of General Internal Medicine;Apr2007, Vol. 22 Issue 4, p459 

    OBJECTIVE: The study explored the perceptions of Australian immigrants about their interactions with doctors regarding the diagnosis, treatment, and management of type 2 diabetes mellitus. RESEARCH DESIGN AND METHODS: In-depth interviews were conducted with 30 men and women from Greek, Indian,...

  • nmg in Sierra Leone!  // New Moon Girls;Sep/Oct2014, Vol. 22 Issue 1, p19 

    An interview with a certain Jordene who headed off to Africa to African girls to get ahead of their lives with education is presented wherein she discusses her thoughts of working abroad, the things that made her work with girls and women in Sierra Leone, and the biggest challenges that confront...

  • Increased Diabetes Incidence in Greek and Italian Migrants to Australia. Hodge, Allison M.; English, Dallas R.; O'Dea, Kerin; Giles, Graham G. // Diabetes Care;Oct2004, Vol. 27 Issue 10, p2330 

    OBJECTIVE -- The aims of the study were to determine whether Greek or Italian migrants to Australia have an elevated incidence of type 2 diabetes compared with Australian-born individuals and to what extent any differences can be explained by known risk factors. RESEARCH DESIGN AND METHODS --...

  • A Canadian immigrant with coinfection of Strongyloides stercoralis and human T-lymphotropic virus 1. Lagacé-Wiens, Philippe R. S.; Harding, Godfrey K. M. // CMAJ: Canadian Medical Association Journal;8/28/2007, Vol. 177 Issue 5, p451 

    The article presents a case study of a 57-year-old Canadian immigrant presented to the hospital with malaise, abdominal pain and bilateral leg edema. His medical history showed that he had hypertension, persistent strongyloidiasis, and type 2 diabetes. Initial investigations revealed ascites,...

  • Acculturation, dietary acceptability, and diabetes management among Chinese in North America. Feiyue Deng; Anran Zhang; Chan, Catherine B. // Frontiers in Endocrinology;Aug2013, Vol. 4, p1 

    Immigrants to a new country face many challenges when diagnosed with type 2 diabetes, a chronic disease with a complex treatment involving both medical and behavioral interventions. These challenges will depend upon the extent to which the patient has adapted to the new country's social and...

  • Stories for change: development of a diabetes digital storytelling intervention for refugees and immigrants to minnesota using qualitative methods. Njeru, Jane W.; Patten, Christi A.; Hanza, Marcelo M. K.; Brockman, Tabetha A.; Ridgeway, Jennifer L.; Weis, Jennifer A.; Clark, Matthew M.; Goodson, Miriam; Osman, Ahmed; Porraz-Capetillo, Graciela; Hared, Abdullah; Allison Myers, Allison Myers; Sia, Irene G.; Wieland, Mark L.; Myers, Allison // BMC Public Health;12/29/2015, Vol. 15 Issue 1, p1 

    Background: Immigrants and refugees are affected by diabetes-related health disparities, with higher rates of incident diabetes and sub-optimal diabetes outcomes. Digital storytelling interventions for chronic diseases, such as diabetes may be especially powerful among immigrants...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics