scholarly journals Does where you live matter? : physical characteristics of neighbourhoods and type 2 diabetes in Toronto ; a cross sectional survey of ethnoracial groups living in St. James Town and Flemingdon Park

Author(s):  
Anne-Marie Tynan

The purpose of this study is to explore the impact of neighbourhood on type 2 diabetes among a sample of immigrants attending diabetes education programs in Toronto. Flemingdon Park (FP) has higher overall rates of diabetes than does St. James Town (SJ), even though both areas share similar socio-economic and immigrant profiles. A cross-sectional survey administered to participants of Diabetes Education Programs at Flemingdon and Sherbourne Health Centres asked questions about proximity of resources such as grocery stores, walking, biking trails, parks, access to and availability of recreation sites, public transit, social support and self-reported health status. The results provide individual-level information on the impact of neighbourhood and other social determinants on type 2 diabetes among a sample of immigrants. While the results support the notion that 'where you live' does matter, bigger sample size and further study are needed.

2021 ◽  
Author(s):  
Anne-Marie Tynan

The purpose of this study is to explore the impact of neighbourhood on type 2 diabetes among a sample of immigrants attending diabetes education programs in Toronto. Flemingdon Park (FP) has higher overall rates of diabetes than does St. James Town (SJ), even though both areas share similar socio-economic and immigrant profiles. A cross-sectional survey administered to participants of Diabetes Education Programs at Flemingdon and Sherbourne Health Centres asked questions about proximity of resources such as grocery stores, walking, biking trails, parks, access to and availability of recreation sites, public transit, social support and self-reported health status. The results provide individual-level information on the impact of neighbourhood and other social determinants on type 2 diabetes among a sample of immigrants. While the results support the notion that 'where you live' does matter, bigger sample size and further study are needed.


2010 ◽  
Vol 2 (4) ◽  
pp. 303 ◽  
Author(s):  
Ross Lawrenson ◽  
Grace Joshy ◽  
Yoska Eerens ◽  
Wayne Johnstone

INTRODUCTION: Education is accepted as the mainstay of management for people with diabetes. However, there are few population-based studies describing what education has been delivered from the patient’s perspective. AIM: To ascertain the sources of education for patients with newly diagnosed type 2 diabetes; what education was received and what were the patients’ views of group education. Delivery of education to Maori was compared with non-Maori. METHODS: A cross-sectional survey of patients identified from the Waikato Regional Diabetes Service database. Patients identified in one calendar year, having a diagnosis of type 2 diabetes and being aged between 20 and 89 years were included in the survey. Patients were sent a four-page questionnaire. Non-responders were followed up by telephone. RESULTS: 333/667 patients (50%) responded. The principal source of education for Waikato patients was general practice, from the general practitioner and/or the practice nurse. Ninety-three percent of patients reported that they had received some education about diabetes at the time of diagnosis. There was no difference between Maori and non-Maori in the reported levels of diabetes education received, but the patient perceived knowledge score was significantly lower for Maori in all aspects studied. DISCUSSION: The overall impression was that patients were receiving appropriate information about diabetes, but there does appear to be room for improvement in some areas, particularly the importance of blood pressure and lipid control. We believe that further research on the educational needs of Maori and ethnic minorities is needed. KEYWORDS: Diabetes; family practice; education; New Zealand


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2123
Author(s):  
Daniela Pollakova ◽  
Aikaterini Andreadi ◽  
Francesca Pacifici ◽  
David Della-Morte ◽  
Davide Lauro ◽  
...  

A protective effect of vegan diets on health outcomes has been observed in previous studies, but its impact on diabetes is still debated. The aim of this review is to assess the relationship between vegan diets and the risk for type 2 diabetes (T2D) along with its effect on glycemic control and diabetes-related complications. In accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta–Analyses) guidelines, Pubmed and Cochrane library databases were systematically searched for all relevant studies. Seven observational and eight randomized controlled (RCTs) studies were included. The methodological quality of studies was assessed using the National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies and the Cochrane Risk of Bias Tool for RCTs. We found that a vegan diet is associated with lower T2D prevalence or incidence and in T2D patients decreases high glucose values and improves glucose homeostasis, as reported from the majority of included studies. This approach seems to be comparable to other recommended healthful eating models, but as it may have potential adverse effects associated with the long-term exclusion of some nutrients, appropriate nutritional planning and surveillance are recommended, particularly in specific groups of diabetic patients such as frail elderly, adolescents, and pregnant or breastfeeding women.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mayumi Matsunaga ◽  
Yaeko Kataoka ◽  
Yumiko Igarashi ◽  
Toshiko Fukui ◽  
Masumi Imura ◽  
...  

Abstract Background Despite the benefits of breastfeeding for women with Gestational Diabetes Mellitus (GDM) and their infants, breastfeeding is less likely to be performed by this group. This study aimed to examine the current levels of implementation of breastfeeding support to women with GDM in Japan and to clarify barriers to promoting breastfeeding among this population. Methods A 25-item questionnaire was developed by the authors to investigate the current levels of implementation of breastfeeding support for women with GDM provided in hospitals, and to explore barriers for promoting breastfeeding among these women. The questionnaire was sent to all 1046 hospitals facilitating childbirth in Japan. Descriptive statistics were used to analyze the quantitative data, and content analysis was used to analyze qualitative data from the open-ended questions. Results All 296 respondents were included in this study. Regarding breastfeeding support, 95.2% of the respondents provided general information on breastfeeding to GDM women during antenatal midwife consultations. However, the benefits of breastfeeding for preventing type 2 diabetes were addressed by only 48.0%. Likewise, although follow-up services (e.g., telephone support or breastfeeding consultations) were conducted in 88.9% of hospitals, only 50.7% of hospitals informed women that breastfeeding decreases the risk of developing type 2 diabetes after GDM. Regarding barriers, seven categories and 20 subcategories about promoting breastfeeding for women with GDM were extracted and abstracted into the following three themes: Barriers associated with mother and infant, Barriers associated with health professionals, and Organizational barriers. Conclusions In Japan, most hospitals that responded provided general breastfeeding support from the antenatal to postpartum periods. However, the benefits of breastfeeding in terms of preventing the incidence of type 2 diabetes following GDM were insufficiently communicated to women with GDM. Furthermore, there were numerous barriers to promoting breastfeeding among women with GDM.


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