PMID- 23058475
OWN - NLM
STAT- MEDLINE
DCOM- 20130509
LR  - 20221207
IS  - 1872-8227 (Electronic)
IS  - 0168-8227 (Linking)
VI  - 98
IP  - 2
DP  - 2012 Nov
TI  - Healthcare, self-care, and health status of immigrants and non-immigrants with 
      type 2 diabetes in the Canadian Community Health Surveys.
PG  - 320-8
LID - S0168-8227(12)00311-7 [pii]
LID - 10.1016/j.diabres.2012.09.007 [doi]
AB  - AIMS: To identify healthcare, self-care, and health status disparities between 
      immigrants and non-immigrants with type 2 diabetes mellitus (T2DM) in Canada. 
      METHODS: Immigrants and non-immigrants with T2DM were compared in the nationally 
      representative 2005 and 2007 Canadian Community Health Surveys (N = 7658 
      representing 1,205,000 in 2005; N = 3605 representing 1,446,000 in 2007). 
      RESULTS: No significant differences existed between immigrants and non-immigrants 
      with T2DM in annual glycated hemoglobin testing, foot examination by a physician, 
      urine protein testing, or eye examinations. Among self-care measures, immigrants 
      were less likely to perform foot self-examination at least weekly (OR = 0.70 
      [0.50, 0.98] in 2005; OR = 0.65 [0.47, 0.91] in 2007) or smoke (OR = 0.63 [0.45, 
      0.87] in 2005; OR = 0.44 [0.25, 0.77] in 2007), but there were no differences in 
      self-monitoring of blood glucose or physical inactivity. With respect to health 
      status, immigrants were less likely to have a chronic condition in addition to 
      T2DM (OR = 0.68 [0.54, 0.86] in 2005; OR = 0.59 [0.41, 0.84] in 2007), but there 
      were no differences in self-perceived general or mental health. CONCLUSIONS: 
      Healthcare, self-care, and health status were similar in immigrants and 
      non-immigrants with T2DM in Canada; however, immigrants were less likely to 
      regularly examine their feet. Culturally appropriate footcare education should be 
      considered to prevent lower limb complications.
CI  - Copyright (c) 2012 Elsevier Ireland Ltd. All rights reserved.
FAU - Grant, Robert C
AU  - Grant RC
AD  - Leadership Sinai Centre for Diabetes, Mount Sinai Hospital and the Department of 
      Medicine, University of Toronto, Canada. robert.grant@utoronto.ca
FAU - Retnakaran, Ravi R
AU  - Retnakaran RR
LA  - eng
GR  - Canadian Institutes of Health Research/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20121008
PL  - Ireland
TA  - Diabetes Res Clin Pract
JT  - Diabetes research and clinical practice
JID - 8508335
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Blood Glucose Self-Monitoring
MH  - Canada
MH  - Delivery of Health Care
MH  - Diabetes Mellitus, Type 2/blood/*epidemiology/metabolism
MH  - Emigrants and Immigrants/*statistics & numerical data
MH  - Female
MH  - Glycated Hemoglobin/metabolism
MH  - Health Status
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Self Care
EDAT- 2012/10/13 06:00
MHDA- 2013/05/10 06:00
CRDT- 2012/10/13 06:00
PHST- 2012/04/23 00:00 [received]
PHST- 2012/07/04 00:00 [revised]
PHST- 2012/09/04 00:00 [accepted]
PHST- 2012/10/13 06:00 [entrez]
PHST- 2012/10/13 06:00 [pubmed]
PHST- 2013/05/10 06:00 [medline]
AID - S0168-8227(12)00311-7 [pii]
AID - 10.1016/j.diabres.2012.09.007 [doi]
PST - ppublish
SO  - Diabetes Res Clin Pract. 2012 Nov;98(2):320-8. doi: 
      10.1016/j.diabres.2012.09.007. Epub 2012 Oct 8.