Prevalence and factors related to type 2 diabetes among Black individuals in Canada: A systematic review and meta-analysis

IF 3.4 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes & Metabolic Syndrome-Clinical Research & Reviews Pub Date : 2025-07-01 DOI:10.1016/j.dsx.2025.103269

Jude Mary Cénat , Élisabeth Dromer , Idrissa Beogo , Seyed Mohammad Mahdi Moshirian Farahi , Rebecca Matsakawo , Jihane Mkhatri , Rose Darly Dalexis , Hannah Zuta , Patrick R. Labelle

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Abstract

This study examines the prevalence and factors associated with diabetes among Black individuals in Canada, compared to other racial groups. A comprehensive search strategy was executed across ten databases: MEDLINE, APA PsycInfo, CBCA, CINAHL, Scopus, Cochrane CENTRAL, CPI. Q, Embase, Érudit, and Web of Science. A random effects meta-analysis and narrative review were performed. The meta-analysis included 11 studies comprising 83,942 Black individuals, finding a pooled diabetes prevalence of 6.3 %. No significant gender or racial-ethnic group differences were observed. However, when compared directly to other racial group, Black individuals were more likely to have diabetes compared to White (OR = 1.29) and Asian (OR = 1.16) participants. The prevalence was unaffected by moderators such as age, gender or publication year. A narrative review highlighted associations with gender, socioeconomic status, immigration status, and healthcare utilization. Findings highlight a higher diabetes prevalence among Black individuals compared to White and Asian populations and significant research gaps. Key areas for future study include examining the impact of social determinants like racial discrimination, immigration status, and socioeconomic factors on diabetes risk. Additionally, classifying data by ethnicity within Canadian populations and focusing on healthcare quality are essential to developing targeted prevention and intervention strategies for Black communities.

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加拿大黑人2型糖尿病患病率及相关因素：一项系统回顾和荟萃分析

本研究调查了与其他种族相比，加拿大黑人糖尿病的患病率和相关因素。在MEDLINE、APA PsycInfo、CBCA、CINAHL、Scopus、Cochrane CENTRAL、CPI等10个数据库中执行综合检索策略。Q, Embase， Érudit和Web of Science。进行随机效应荟萃分析和叙述性回顾。荟萃分析包括11项研究，包括83,942名黑人，发现糖尿病总患病率为6.3%。没有观察到显著的性别或种族民族差异。然而，当直接与其他种族进行比较时，黑人比白人（OR = 1.29）和亚洲人（OR = 1.16）更容易患糖尿病。患病率不受年龄、性别或出版年份等调节因素的影响。一项叙述性综述强调了与性别、社会经济地位、移民身份和医疗保健利用的关联。研究结果强调，与白人和亚洲人相比，黑人的糖尿病患病率更高，研究差距也很大。未来研究的关键领域包括检查社会决定因素如种族歧视、移民身份和社会经济因素对糖尿病风险的影响。此外，在加拿大人口中按种族分类数据和注重保健质量对于制定针对黑人社区的有针对性的预防和干预战略至关重要。

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来源期刊

Diabetes & Metabolic Syndrome-Clinical Research & Reviews ENDOCRINOLOGY & METABOLISM-

CiteScore

22.90

自引率

2.00%

发文量

248

审稿时长

51 days

期刊介绍： Diabetes and Metabolic Syndrome: Clinical Research and Reviews is the official journal of DiabetesIndia. It aims to provide a global platform for healthcare professionals, diabetes educators, and other stakeholders to submit their research on diabetes care. Types of Publications: Diabetes and Metabolic Syndrome: Clinical Research and Reviews publishes peer-reviewed original articles, reviews, short communications, case reports, letters to the Editor, and expert comments. Reviews and mini-reviews are particularly welcomed for areas within endocrinology undergoing rapid changes.