Skip to main content

Main menu

  • Home
  • Content
    • Current issue
    • Past issues
    • Collections
  • About
    • General information
    • Staff
    • Editorial board
    • Open access
    • Contact
  • CMAJ JOURNALS
    • CMAJ
    • CJS
    • JAMC
    • JPN

User menu

Search

  • Advanced search
CMAJ Open
  • CMAJ JOURNALS
    • CMAJ
    • CJS
    • JAMC
    • JPN
CMAJ Open

Advanced Search

  • Home
  • Content
    • Current issue
    • Past issues
    • Collections
  • About
    • General information
    • Staff
    • Editorial board
    • Open access
    • Contact
  • RSS feeds
Research

Adults with diabetes mellitus in Newfoundland and Labrador: a population-based, cross-sectional analysis

Julia Lukewich, Richard Buote, Shabnam Asghari, Kris Aubrey-Bassler, John Knight and Maria Mathews
December 18, 2020 8 (4) E895-E901; DOI: https://doi.org/10.9778/cmajo.20190233
Julia Lukewich
Faculty of Nursing (Lukewich), Division of Community Health and Humanities (Buote, Knight), Discipline of Family Medicine (Asghari), and Primary Healthcare Research Unit, Faculty of Medicine (Aubrey-Bassler, Knight), Memorial University of Newfoundland; Center for Rural Health Studies (Asghari); Health Analytics and Information Services (Knight), Newfoundland and Labrador Centre for Health Information, St. John’s, NL; Department of Family Medicine (Mathews), Schulich School of Medicine & Dentistry, London, Ont.
RN PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Richard Buote
Faculty of Nursing (Lukewich), Division of Community Health and Humanities (Buote, Knight), Discipline of Family Medicine (Asghari), and Primary Healthcare Research Unit, Faculty of Medicine (Aubrey-Bassler, Knight), Memorial University of Newfoundland; Center for Rural Health Studies (Asghari); Health Analytics and Information Services (Knight), Newfoundland and Labrador Centre for Health Information, St. John’s, NL; Department of Family Medicine (Mathews), Schulich School of Medicine & Dentistry, London, Ont.
MSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Shabnam Asghari
Faculty of Nursing (Lukewich), Division of Community Health and Humanities (Buote, Knight), Discipline of Family Medicine (Asghari), and Primary Healthcare Research Unit, Faculty of Medicine (Aubrey-Bassler, Knight), Memorial University of Newfoundland; Center for Rural Health Studies (Asghari); Health Analytics and Information Services (Knight), Newfoundland and Labrador Centre for Health Information, St. John’s, NL; Department of Family Medicine (Mathews), Schulich School of Medicine & Dentistry, London, Ont.
MD PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kris Aubrey-Bassler
Faculty of Nursing (Lukewich), Division of Community Health and Humanities (Buote, Knight), Discipline of Family Medicine (Asghari), and Primary Healthcare Research Unit, Faculty of Medicine (Aubrey-Bassler, Knight), Memorial University of Newfoundland; Center for Rural Health Studies (Asghari); Health Analytics and Information Services (Knight), Newfoundland and Labrador Centre for Health Information, St. John’s, NL; Department of Family Medicine (Mathews), Schulich School of Medicine & Dentistry, London, Ont.
MSc MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Knight
Faculty of Nursing (Lukewich), Division of Community Health and Humanities (Buote, Knight), Discipline of Family Medicine (Asghari), and Primary Healthcare Research Unit, Faculty of Medicine (Aubrey-Bassler, Knight), Memorial University of Newfoundland; Center for Rural Health Studies (Asghari); Health Analytics and Information Services (Knight), Newfoundland and Labrador Centre for Health Information, St. John’s, NL; Department of Family Medicine (Mathews), Schulich School of Medicine & Dentistry, London, Ont.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Maria Mathews
Faculty of Nursing (Lukewich), Division of Community Health and Humanities (Buote, Knight), Discipline of Family Medicine (Asghari), and Primary Healthcare Research Unit, Faculty of Medicine (Aubrey-Bassler, Knight), Memorial University of Newfoundland; Center for Rural Health Studies (Asghari); Health Analytics and Information Services (Knight), Newfoundland and Labrador Centre for Health Information, St. John’s, NL; Department of Family Medicine (Mathews), Schulich School of Medicine & Dentistry, London, Ont.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Tables
  • Related Content
  • Responses
  • Metrics
  • PDF
Loading

Article Figures & Tables

Tables

    • View popup
    • Download powerpoint
    Table 1:

    Characteristics of patients with diabetes mellitus in Newfoundland and Labrador, fiscal year 2015/16

    CharacteristicAll patientsUrbanRuralStandardized difference† (95% CI)
    No. (%)*
    n = 66 325
    Crude prevalence, % (95% CI)No. (%)*
    n = 28 969
    Crude prevalence, % (95% CI)No. (%)*
    n = 37 356
    Crude prevalence, % (95% CI)
    Age, yr, mean ± SD64.1 ± 13.6NA63.4 ± 14.1NA64.6 ± 13.1NA0.08 (0.068 to 0.098)
    Age group, yr0.112 (0.097 to 0.127)
     20–341791 (2.7)2.10 (2.00 to 2.20)980 (3.4)1.78 (1.67 to 1.89)811 (2.2)2.67 (2.49 to 2.86)
     35–497547 (11.4)7.26 (7.10 to 7.43)3628 (12.5)6.25 (6.05 to 6.46)3919 (10.5)8.54 (8.27 to 8.81)
     50–6422 545 (34.0)17.65 (17.42 to 17.88)9867 (34.1)16.26 (15.94 to 16.58)12 678 (33.9)18.91 (18.58 to 19.24)
     65–7926 267 (39.6)32.59 (32.20 to 32.98)10 864 (37.5)30.80 (30.22 to 31.38)15 403 (41.2)33.98 (33.44 to 34.52)
     ≥ 808175 (12.3)40.03 (39.17 to 40.90)3630 (12.5)37.50 (36.28 to 38.72)4545 (12.2)42.32 (41.09 to 43.55)
    Sex0.03 (0.014 to 0.045)
     Male33 451 (50.4)16.58 (16.40 to 16.76)14 849 (51.3)14.25 (14.02 to 14.47)18 602 (49.8)19.08 (18.80 to 19.35)
     Female32 874 (49.6)15.20 (15.04 to 15.36)14 120 (48.7)12.34 (12.13 to 12.54)18 754 (50.2)18.42 (18.15 to 18.68)
    Case source0.178 (0.162 to 0.193)
     Laboratory only11 118 (16.8)NA3789 (13.1)NA7329 (19.6)NA
     CCDSS only10 621 (16.0)NA4865 (16.8)NA5756 (15.4)NA
     Both44 586 (67.2)NA20 315 (70.1)NA24 271 (65.0)NA
    • Note: CI = confidence interval, CCDSS = Canadian Chronic Disease Surveillance System, NA = not applicable, SD = standard deviation.

    • ↵* Except where indicated otherwise.

    • ↵† Standardized difference refers to urban v. rural.

    • View popup
    • Download powerpoint
    Table 2:

    Rates of completion and on-target results of clinical tests

    Clinical testGroup; no. (%) of patients*Standardized difference (95% CI)
    All patients
    n = 66 325
    Urban
    n = 28 969
    Rural
    n = 37 356
    HbA1c
     Test completed51 007 (76.9)22 085 (76.2)28 922 (77.4)0.028 (0.013 to 0.043)
     Result, %, mean ± SD†7.35 ± 1.497.26 ± 1.507.41 ± 1.490.095 (0.077 to 0.113)
     Result on target†26 157 (51.3)11 877 (53.8)14 280 (49.4)0.088 (0.071 to 0.106)
    Low-density lipoprotein cholesterol
     Test completed45 268 (68.3)19 878 (68.6)25 390 (68.0)0.014 (−0.001 to 0.029)
     Result, mmol/L, mean ± SD†2.41 ± 0.952.36 ± 0.942.46 ± 0.950.107 (0.088 to 0.126)
     Result on target†17 175 (37.9)8119 (40.8)9056 (35.7)0.107 (0.088 to 0.125)
    Urine albumin-to-creatinine ratio
     Test completed22 676 (34.2)10 148 (35.0)12 528 (33.5)0.031 (0.016 to 0.047)
     Result, mg/mmol, median (IQR)†1.7 (0.8 to 5.4)1.6 (0.8 to 5.1)1.7 (0.8 to 5.6)0.020 (−0.006 to 0.046)
     Result on target†12 429 (54.8)5708 (56.2)6721 (53.6)0.052 (0.026 to 0.078)
    • Note: CI = confidence interval, HbA1c = glycated hemoglobin, IQR = interquartile range, SD = standard deviation.

    • ↵* Except where indicated otherwise.

    • ↵† Mean or median result and percentage on target were calculated in relation to number of patients with the particular test completed in the study period. Mean and median values were calculated using individuals’ most recent test results completed in the study period.

    • View popup
    • Download powerpoint
    Table 3:

    Admission to hospital, by category of most responsible diagnosis

    Reason for admissionGroup; no. (%) of patientsStandardized difference (95% CI)
    All patients
    n = 66 325
    Urban
    n = 28 969
    Rural
    n = 37 356
    Most responsible diagnosis (any)*9079 (13.7)3956 (13.7)5123 (13.7)0.002 (−0.014 to 0.017)
    Cardiovascular disease†2299 (3.5)1003 (3.5)1296 (3.5)0.0 (−0.015 to 0.016)
    Diabetes‡555 (0.8)245 (0.8)310 (0.8)0.008 (−0.007 to 0.024)
    Renal disease§16 (< 0.1)2 (< 0.1)¶14 (< 0.1)0.021 (0.005 to 0.036)
    • Note: CI = confidence interval.

    • ↵* Includes all codes from the Canadian version of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10-CA).

    • ↵† Includes ICD-10-CA codes I00–I78 (e.g., ischemic heart disease, hypertensive disease, acute myocardial infarction, heart failure, stroke).

    • ↵‡ Includes ICD-10-CA codes E10–E11 (type I diabetes – type II diabetes).

    • ↵§ Includes ICD-10-CA codes N18–N19 (chronic kidney disease – unspecified kidney failure).

    • ↵¶ The Fisher exact test was used because of the small sample size.

PreviousNext
Back to top

In this issue

CMAJ Open: 8 (4)
Vol. 8, Issue 4
1 Oct 2020
  • Table of Contents
  • Index by author

Article tools

Respond to this article
Print
Download PDF
Article Alerts
To sign up for email alerts or to access your current email alerts, enter your email address below:
Email Article

Thank you for your interest in spreading the word on CMAJ Open.

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.
Adults with diabetes mellitus in Newfoundland and Labrador: a population-based, cross-sectional analysis
(Your Name) has sent you a message from CMAJ Open
(Your Name) thought you would like to see the CMAJ Open web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Adults with diabetes mellitus in Newfoundland and Labrador: a population-based, cross-sectional analysis
Julia Lukewich, Richard Buote, Shabnam Asghari, Kris Aubrey-Bassler, John Knight, Maria Mathews
Oct 2020, 8 (4) E895-E901; DOI: 10.9778/cmajo.20190233

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Adults with diabetes mellitus in Newfoundland and Labrador: a population-based, cross-sectional analysis
Julia Lukewich, Richard Buote, Shabnam Asghari, Kris Aubrey-Bassler, John Knight, Maria Mathews
Oct 2020, 8 (4) E895-E901; DOI: 10.9778/cmajo.20190233
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

Similar Articles

Collections

  • Clinical
    • Endocrinology & Metabolism
      • Diabetes
    • Family Medicine, General Practice, Primary Care
      • Other family medicine
    • Rural Health and Medicine
  • Nonclinical
    • Health Policy
      • Organization of health care

Content

  • Current issue
  • Past issues
  • Collections

About

  • General Information
  • Staff
  • Editorial Board
  • Advisory Panel
  • Contact Us
  • Reprints
  • Copyright and Permissions
CMAJ Group

Copyright 2025, CMA Impact Inc. or its licensors. All rights reserved. ISSN 2291-0026

All editorial matter in CMAJ OPEN represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

To receive any of these resources in an accessible format, please contact us at CMAJ Group, 500-1410 Blair Towers Place, Ottawa ON, K1J 9B9; p: 1-888-855-2555; e: [email protected].

CMA Civility, Accessibility, Privacy

 

 

Powered by HighWire