ArticleBMJ open2018
A cross-sectional analysis of the relationship between diabetes and health access barriers in an urban First Nations population in Canada.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- First Nations, Inuit and Métis Peoples Living in Urban Areas of Canada and Their Access to Healthcare: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Article
- Relationships to land as a determinant of wellness for Indigenous women, two-spirit, trans, and gender diverse people of reproductive age in Toronto, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Ear and hearing care programs for First Nations children: a scoping review.BMC health services research · 2023Article
- Characterizing the cascade of care for hepatitis C virus infection among Status First Nations peoples in Ontario: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Diabetic foot complications among Indigenous peoples in Canada: a scoping review through theFrontiers in endocrinology · 2023Article
- Bridging Gaps in Diabetic Nephropathy Care: A Narrative Review Guided by the Lived Experiences of Patient Partners.Canadian journal of kidney health and disease · 2022Review
- Multi-level Diabetes Prevention and Treatment Interventions for Native People in the USA and Canada: a Scoping Review.Current diabetes reports · 2021Article
- General regression methods for respondent-driven sampling data.Statistical methods in medical research · 2021Article
- Concrete Lessons: Policies and Practices Affecting the Impact of COVID-19 for Urban Indigenous Communities in the United States and Canada.Frontiers in sociology · 2021Article
- Barriers and Mitigating Strategies to Healthcare Access in Indigenous Communities of Canada: A Narrative Review.Healthcare (Basel, Switzerland) · 2020Review
- Unweighted regression models perform better than weighted regression techniques for respondent-driven sampling data: results from a simulation study.BMC medical research methodology · 2019Article
- Availability and Affordability of Essential Medicines: Implications for Global Diabetes Treatment.Current diabetes reports · 2018Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThis study explores the relationship between health access barriers and diabetes in an urban First Nations population in Canada.
designData from a self-identified urban First Nations population were collected using respondent-driven sampling (RDS). As no clear approach for regression modelling of RDS data is available, two logistic regression modelling approaches, including survey-based logistic and generalised linear mixed models, were used to explore the relationship between diabetes and health barriers of interest, including access to healthcare, food, housing and socioeconomic factors.
settingHamilton, Ontario, Canada.
participantsThis cross-sectional study used data collected from the Our Health Counts study, in partnership with the De dwa da dehs nye>s Aboriginal Health Centre, which recruited 554 First Nations adults living in Hamilton using RDS.
resultsAfter adjusting for covariates, multivariable regression techniques showed a statistically significant relationship between a self-reported diagnosis of diabetes and a lack of culturally appropriate care among urban First Nations peoples (OR: 12.70, 95% CI 2.52 to 57.91). There was also a trend towards a relationship between diabetes and not having a doctor available in the area, feeling that healthcare provided was inadequate and a lack of available healthcare services in the area.
conclusionsUrban First Nations peoples who felt the health service they received was not culturally appropriate were more likely to have diabetes, compared with those who did not feel the service they received was culturally inappropriate. Establishing more healthcare services that integrate First Nations cultures and traditions could improve access to care and the course of treatment for urban First Nations peoples living with diabetes.
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Registered trials
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