Table 2

Association between ethnicity/immigration status and diabetes incidence (n=134 550)

VariableNo. new cases of diabetes*Person-years of follow-upCrude incidence (no./100 person-years)Age, sex- adjusted
HR (95% CI)*†
Fully adjusted HR (95% CI)*‡
Immigrants, ethnicity§
 South Asian241728 5978.51.71 (1.55 to 1.89)1.72 (1.55 to 1.99)
 Southeast Asian91611 4928.01.58 (1.41 to 1.77)1.65 (1.46 to 1.86)
 Sub-Saharan African and Caribbean89011 7807.61.55 (1.39 to 1.74)1.63 (1.45 to 1.83)
 Latin American70295067.41.49 (1.32 to 1.68)1.58 (1.41 to 1.78)
 East Asian127018 1197.01.34 (1.23 to 1.52)1.53 (1.35 to 1.73)
 West Asian and Arab75692718.21.63 (1.45 to 1.84)1.37 (1.23 to 1.53)
 Eastern European76916 7104.60.92 (0.82 to 1.03)0.92 (0.82 to 1.04)
 Western European46695104.9ReferentReferent
Entire cohort, immigration status
 Immigrants to Canada8186649 8287.11.18 (1.15 to 1.20)1.15 (1.12 to 1.18)
 Canadian-born residents39 722115 0436.1Referent-
  • *New cases of diabetes were determined based on entry into the Ontario Diabetes Database. Cases censored at time when diabetes was ascertained, lost healthcare coverage, died or 31 December 2013.

  • †Adjusted for age, sex, and area income.

  • ‡Among immigrants only, adjusted for age, sex, area income, education, ethnicity, marital status, immigration visa category, and duration. These covariates were not available for the Canadian-born residents.

  • §Ethnic groups were derived based on country of birth, mother tongue, and a validated algorithm that identifies ethnic groups based on surnames for South Asian and Chinese populations only.