Immigration Status and Time to Accessing Publicly Funded Flash Glucose Monitoring Systems
Main finding · Hazard of initiating FGMResult — go to the resultHazard ratio 0.95 95% CI 0.93–0.98Authors' conclusion
In this population-based cohort study of older adults with insulin-requiring diabetes, immigrants faced a longer time to access to FGM systems compared with long-term residents, with the greatest disparity observed among people who immigrated to Canada in the past decade. Efforts are needed to address barriers that may hinder timely access to novel medications or devices, which may include health care system navigation, patient-clinician communication, and cultural or knowledge barriers.
Study context
- Population
- Ontario residents ≥66 years, ODB eligible and insulin requiring as of September 15, 2019; followed up until March 31, 2023matched cohort
- Participants
- 109,079 residents
- Exposure
- Immigrants vs long-term residents
- Immigrantsn = 13,257
- Outcome
- Time to receipt of first flash glucose monitoring (FGM) sensor
Methodological detailsretrospective, propensity score matched on age (within 2 years) and sex
- Retrospective
- Propensity score matched on age (within 2 years) and sex
Main finding
Hazard of initiating FGM
Hazard ratio
0.95
95% CI 0.93–0.98
By group
Immigrants
36.7 per 100 person-years
Long-term residents
38.8 per 100 person-years
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | |
|---|---|---|
| Hazard of initiating FGM, recent immigrants (within 10 years)Recent immigrantsvs Long-term residents | 0.87 (0.80–0.94) | |
| Hazard of initiating FGM, long-term immigrants | 0.94 (0.91–0.98) | |
| 0.512Hazard ratio (log scale) |
Original publication
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