{"id":21276,"date":"2025-02-20T09:49:20","date_gmt":"2025-02-20T14:49:20","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=21276"},"modified":"2025-09-23T09:13:18","modified_gmt":"2025-09-23T13:13:18","slug":"comparing-quality-of-diabetes-care-between-immigrants-and-non-immigrants-within-dimensions-of-marginalization","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/comparing-quality-of-diabetes-care-between-immigrants-and-non-immigrants-within-dimensions-of-marginalization\/","title":{"rendered":"Comparing quality of diabetes care between immigrants and non-immigrants within dimensions of marginalization: a population-based cohort study"},"content":{"rendered":"<p><strong>Aims<\/strong> \u2014 Immigrants in western countries face an increased risk of developing diabetes and have been shown to receive lower quality of diabetes care. However, it is uncertain whether this disparity in care persists when comparing immigrants and non-immigrants with similar levels of marginalization with respect to the social determinants of health.<\/p>\n<p><strong>Methods<\/strong> \u2014 Using population-based healthcare administrative data linked to immigration and neighbourhood census data, we conducted a retrospective cohort study of all people aged \u2265\u202f40 years with diabetes in Ontario, Canada on 1 April 2019. Process measures (testing for HbA1c, LDL-cholesterol and urine albumin-creatinine ratio; eye examinations; and appropriate prescriptions) and outcome measures (achieving guideline-recommended targets for laboratory tests) over the following year were ascertained. They were compared between immigrants and non-immigrants overall and within the highest and lowest quintiles of three measures of marginalization: material deprivation, residential instability and dependency.<\/p>\n<p><strong>Results<\/strong> \u2014 There were 1,449,589 people with diabetes included in the study (22.6\u202f% immigrants). Immigrants were less likely than non-immigrants to achieve many of the process quality indicators and were less likely to achieve both HbA1c and LDL-cholesterol targets. These findings were similar when stratified within the highest and lowest quintiles of material deprivation, residential instability and dependency.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 Even within similar levels of marginalization, immigrants were less likely to achieve many quality indicators for diabetes care than non-immigrants. This finding suggests that the gap in quality of care between immigrants and non-immigrants is not simply due to differences in these social determinants of health, and highlights the intersecting impact of immigration and marginalization. However, the disparities were relatively small, so the greater issue is the overall low achievement of these quality indicators among all people with diabetes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aims \u2014 Immigrants in western countries face an increased risk of developing diabetes and have been shown to receive lower quality of diabetes care. However, it is uncertain whether this disparity in care persists when comparing immigrants and non-immigrants with similar levels of marginalization with respect to the social determinants of health. Methods \u2014 Using [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[50,62,18],"migration-helper-qa-sample-set":[],"class_list":["post-21276","journal_article","type-journal_article","status-publish","hentry","topic-endocrinology","topic-health-services-research","topic-racialized-communities"],"acf":{"citation":"Adekunte S, Bai YQ, Booth GL, Fazli G, Ke C, Lipscombe LL, Mah SM, Rosella LC, Wodchis WP, Shah BR. <em>Prim Care Diabetes<\/em>. 2025; S1751-9918(25)00048-8. Epub 2025 Feb 20.","source_url":"https:\/\/doi.org\/10.1016\/j.pcd.2025.02.007","ices_scientist":[1175,17627,1142,1295,1339,1135,1361],"site":[6735],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Comparing quality of diabetes care between immigrants and non-immigrants within dimensions of marginalization: a population-based cohort study<\/title>\n<meta name=\"description\" content=\"Aims \u2014 Immigrants in western countries face an increased risk of developing diabetes and have been shown to receive lower quality of diabetes care.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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