Comparing Quality of Diabetes Care Between Immigrants and Non-Immigrants Within Dimensions of Marginalization: A Population-Based Cohort Study

Abstract

Immigrants in western countries face a higher risk of developing diabetes and tend to receive lower quality of diabetes care. Using population-based healthcare administrative data from Ontario, this study compared quality indicators for diabetes care between immigrants and non-immigrants overall and within dimensions of marginalization. Results show that immigrants were less likely to achieve process and outcome quality measures, even within similar levels of marginalization, highlighting the intersecting impact of immigration and social determinants of health. However, disparities were modest, and overall achievement of quality indicators was low across all groups.

Sarah M Mah

Assistant Professor

I am a health geographer specializing in the use of linked geospatial, survey, and administrative data to examine how neighborhood environments influence health and well-being.