Skip to main content

Main menu

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums

User menu

  • My alerts

Search

  • Advanced search
The College of Family Physicians of Canada
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums
  • My alerts
The College of Family Physicians of Canada

Advanced Search

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • RSS feeds
  • Follow cfp Template on Twitter
  • LinkedIn
  • Instagram
Research ArticleResearch

Provider- and patient-related determinants of diabetes self-management among recent immigrants

Implications for systemic change

Ilene Hyman, Yogendra Shakya, Nathaniel Jembere, Enza Gucciardi and Bilkis Vissandjée
Canadian Family Physician February 2017; 63 (2) e137-e144;
Ilene Hyman
Consultant in Research and Evaluation and Adjunct Professor at the Dalla Lana School of Public Health at the University of Toronto in Ontario.
MPH PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: i.hyman@utoronto.ca
Yogendra Shakya
Senior Research Scientist at Access Alliance Multicultural Health and Community Services in Toronto.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nathaniel Jembere
Data Analyst at the Institute for Clinical Evaluative Sciences in Toronto.
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Enza Gucciardi
Associate Professor in the School of Nutrition at Ryerson University in Toronto.
MHSc PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bilkis Vissandjée
Full Professor in the Faculty of Nursing at the University of Montreal in Quebec.
RN PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1.

    Descriptive statistics of the study population of recent immigrants: N = 130.

    CHARACTERISTICSVALUE
    Mean age, y51.2
    Male sex, %45.0
    Married marital status, %89.2
    Employment, %
      • Employed full time or part time34.0
      • Unemployed, looking for work18.0
      • Unemployed, not looking for work48.0
    Highest level of education, %
      • Less than high school33.3
      • High school or college14.7
      • University or higher52.0
    Financial barriers, %
      • Not enough money to manage diabetes30.8
      • Costs of diabetes management not covered by insurance48.5
    Mean score on the quality of provider-patient interaction scale3.89
    Quality of provider-patient interaction, %
      • 1 (Worst)2.7
      • 219.4
      • 322.5
      • 425.2
      • 5 (Best)30.2
    Overweight or obese, %19.7
    Diabetes comorbidity, %
      • No additional problems34.6
      • 1 problem20.0
      • ≥ 2 problems45.4
    Mean stress score2.5
    Total diabetes self-management practices followed, %
      • 1 practice2.3
      • 2 practices9.2
      • 3 practices23.1
      • 4 practices35.4
      • All practices30.0
    Mean diabetes self-management score3.8
    • View popup
    Table 2.

    Univariate predictors of diabetes self-management

    VARIABLEP VALUE
    Age.0770
    Sex.0826
    Marital status.3464
    Employment.1627
    Highest level of education.0028
    Financial barriers
      • Not enough money to manage diabetes.0493
      • Costs of diabetes management not covered by insurance.3167
    Quality of provider-patient interaction.0026
    Stress (mean).0602
    Obesity.5114
    Comorbidity.1328
    • View popup
    Table 3.

    Initial multivariate model for associations with diabetes self-management

    VARIABLEP VALUE
    Age.0709
    Sex.1153
    Highest level of education.7737
    Employment.8440
    Financial barriers
      • Not enough money to manage diabetes.0096
      • Costs of diabetes management not covered by insurance.3899
    Quality of provider-patient interaction.0004
    Stress.1890
    Comorbidity.8505
    • View popup
    Table 4.

    Final multivariate model for associations with diabetes self-management

    VARIABLEP VALUEODDS RATIO (95% CI)
    Financial barrier
      • Not enough money to manage diabetes.02331.086 (1.032–1.142)
    Quality of provider-patient interaction.00161.161 (1.034–1.307)
PreviousNext
Back to top

In this issue

Canadian Family Physician: 63 (2)
Canadian Family Physician
Vol. 63, Issue 2
1 Feb 2017
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on The College of Family Physicians of Canada.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Provider- and patient-related determinants of diabetes self-management among recent immigrants
(Your Name) has sent you a message from The College of Family Physicians of Canada
(Your Name) thought you would like to see the The College of Family Physicians of Canada web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Provider- and patient-related determinants of diabetes self-management among recent immigrants
Ilene Hyman, Yogendra Shakya, Nathaniel Jembere, Enza Gucciardi, Bilkis Vissandjée
Canadian Family Physician Feb 2017, 63 (2) e137-e144;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Respond to this article
Share
Provider- and patient-related determinants of diabetes self-management among recent immigrants
Ilene Hyman, Yogendra Shakya, Nathaniel Jembere, Enza Gucciardi, Bilkis Vissandjée
Canadian Family Physician Feb 2017, 63 (2) e137-e144;
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • METHODS
    • RESULTS
    • DISCUSSION
    • Acknowledgments
    • Notes
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Primary care reform in Alberta
  • Administrative burden in primary care
  • Burden of administrative responsibilities in primary care
Show more Research

Similar Articles

Subjects

  • Collection française
    • Résumés de recherche

Navigate

  • Home
  • Current Issue
  • Archive
  • Collections - English
  • Collections - Française

For Authors

  • Authors and Reviewers
  • Submit a Manuscript
  • Permissions
  • Terms of Use

General Information

  • About CFP
  • About the CFPC
  • Advertisers
  • Careers & Locums
  • Editorial Advisory Board
  • Subscribers

Journal Services

  • Email Alerts
  • Twitter
  • LinkedIn
  • Instagram
  • RSS Feeds

Copyright © 2025 by The College of Family Physicians of Canada

Powered by HighWire