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Health Status of Older Immigrants to Canada*

Published online by Cambridge University Press:  31 March 2010

Abstract

Using the 2000/2001 Canadian Community Health Survey (CCHS), this paper examines the health status of the older (aged 55+) immigrant population relative to that of non-immigrants in order to identify areas where their health statuses diverge. First, we compare the health status of older immigrants (foreign-born) aged 55 and over in Canada to the Canadian-born in terms of age and gender using multiple measures of health status including self-assessed health. Second, we identify the factors associated with health status using the determinants of health framework. In both cases, the key questions are whether differences in health status exist and whether they are explained primarily by socio-economic, socio-demographic, or lifestyle factors that may point to problems with the Canadian health care system. Findings indicate that there is a relative comparability in the health status of older immigrants, even after controlling for age.

Résumé

En utilisant l'enquête 2000–2001 canadien de santé de la Communauté (CCHS), cet article examine l'état de santé (55+ âgé) de la population immigrée plus àgée relativement à celui des non-immigrés afin d'identifier des secteurs où leurs états de santé divergent. D'abord, nous comparons l'état de santé des immigrés plus âgés 55 âgés (nés à l'étranger) et de l'excédent au Canada au Canadiende de naissance en termes d'âge et genre, en utilisant des mesures multiples d'état de santé comprenant la santé auto-évaluée. En second lieu, nous identifions les facteurs liés à l'état de santé en utilisant les causes déterminantes du cadre de santé. Dans les deux cas, les questions principales sont si les différences dans l'état de santé existent, et si elles sont expliquées principalement par de facteurs socio-économique, socio-demographique styles de vie, qui peuvent être accordés à des problèmes à même le système canadien de santé. Les résultats indiquent qu'il y a une comparabilité relative dans l'état de santé des immigrés plus âgés, même après le contrôle pour l'âge.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2006

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Footnotes

*

Research funded by the Canadian Institutes of Health Research (CIHR), #88682. The author also acknowledges the valuable comments made by the reviewers and editor.

References

Ali, J. (2002). Mental health of Canada's immigrants. Statistics Canada. Supplement to health reports (Catalogue 82-003-SIE) (pp.1–11). Ottawa: Statistics Canada.Google Scholar
Anderson, J., Blue, C., Holbrook, A., & Ng, M. (1993). On chronic illness: Immigrant women in Canada's work force—a feminist perspective. Canadian Journal of Nursing Research, 25(2), 722.Google Scholar
Belsky, J. (1999). The Psychology of Aging. Pacific Grove: Brooks/Cole.Google Scholar
Bentham, G., Hinton, J., Haynes, R., Lovett, A., & Bestwick, C. (1995). Factors affecting non-response to cervical cytology screening in Norfolk, England. Social Science and Medicine, 40(1), 131135.CrossRefGoogle ScholarPubMed
Birch, S., Eyles, J., & Newbold, K.B. (1993). Equitable access to health care: Methodological extensions to the analysis of physician utilization in Canada. Health Economics, 2, 87101.Google Scholar
Birch, S., & Gafni, A. (1999, August 8–11). Achievements and challenges of Medicare in Canada: Are we there yet? Are we on course?. Paper presented at the First Australia and New Zealand Health Research Conference, Manly, NSW, Australia.Google Scholar
Birch, S., Jerrett, M., Law, M., Elliott, S., Eyles, J., Wilson, K. (2003). Heterogeneities in the production of health: Smoking, health status, and place. In Birch, S., Bridges, J.F.P., & Papanikos, G.T. (Eds.), Issues of health economics and health management (pp. 1327). Athens, GA: Athens Institute for Education and Research.Google Scholar
Boyle, M.H., Furlong, W., Feeny, D.H., Torrance, G.W., & Hatcher, J. (1995). Reliability of the Health Utilities Index-Mark III used in the 1991 cycle-6 Canadian General Social Survey Health Questionnaire. Quality of Life Research, 4, 249257.Google Scholar
Risk indicators worksheet R-1. (1998, November 13–14). Canadian Cardiovascular Society Consensus Conference, National Cardiovascular Disease Surveillance System, Montreal.Google Scholar
Chen, J., Wilkens, R., & Ng, E. (1996). Life expectancy of Canada's immigrants from 1986 to 1991. Health Reports, 8(3), 2938.Google Scholar
Citizenship and Immigration Canada. (2001). Facts and figures 2001. Retrieved 12 December 2005 from http://www.cic.gc.ca/english/pub/facts2001/index.html#family.Google Scholar
Davies, A.R., & Ware, J. (1981). Measuring health perceptions in the health insurance experiment. Santa Monica, CA: Rand Corporation.Google Scholar
Deinard, A.S., & Dunnigan, T. (1987). Hmong health care: Reflections on a six-year experience. International Migration Review, 21(3), 857865.Google Scholar
Dunn, J. (1996). Inequalities in health and the housing question. In Moon, G., Gould, M., & Watt, R. (Eds.), Proceedings of the 7th International Symposium in Medical Geography. Portsmouth, UK: University of Portsmouth.Google Scholar
Dunn, J., & Dyck, I. (2000). Social determinants of health in Canada's immigrant population: Results from the National Population Health Survey. Social Science and Medicine, 51, 15731593.Google Scholar
Dyck, I. (1995). Putting chronic illness in “place”: Women immigrants' accounts of their health care. Geoforum, 26(3), 247260.CrossRefGoogle Scholar
Elliott, S.J., & Gillie, J. (1998). Moving experiences: A qualitative analysis of health and migration. Health and Place, 4(4), 327339.CrossRefGoogle Scholar
Epp, J. (1986). Achieving health for all: A framework for health promotion. Ottawa: Health and Welfare Canada.Google ScholarPubMed
Evans, J. (1994). Introduction: Migration and Health. International Migration Review, 21(3), vxiv.Google Scholar
Evans, R., & Stoddart, G. (1990). Producing health, consuming health care. Social Science and Medicine, 31, 13471363.Google Scholar
Furlong, W.J., Feeny, D.H., Torrance, G.W., & Barr, R.D. (2001). The Health Utilities Index (HUI) system for assessing health-related quality of life in clinical studies. Annals of Medicine, 33, 375384.Google Scholar
Gee, E.M., Kobayashi, K.M., & Prus, S.G. (2004). Examining the “healthy immigrant effect” in later life: Findings from the Canadian Community Health Survey. Canadian Journal on Aging, 23, S55S63.Google Scholar
Gemke, R.J., & Bonsel, G.J. (1996). Reliability and validity of a comprehensive health status measure in a heterogeneous population of children admitted to intensive care. Journal of Clinical Epidemiology, 49, 327333.Google Scholar
Globerman, S. (1998). Immigration and health care utilization patterns in Canada (Research on Immigration in the Metropolis, WP #98–08.Google Scholar
Grootendorst, P., Feeny, D., Torrance, G.W., & Furlong, W. (2000). Health Utilities Index Mark 3: Evidence of construct validity for stroke and arthritis in a population health survey. Medical Care, 38(3), 290299.CrossRefGoogle Scholar
Health Canada (1999). Canadian research on immigration and health. Ottawa: Author.Google Scholar
Heron, M.P., Schoeni, R.F., & Morales, L.S. (2002). Health status of older immigrants in the United States (RAND Working Paper Series 02–07, DRU-2862-NIA). Santa Monica, CA: RAND Corporation.Google Scholar
Hoeyymans, N., Feskens, E., Kromhout, D., & van den Bos, G. (1997). Aging and the relationship between functional status and self-rated health in elderly men. Social Science and Medicine, 45(10), 15271536.Google Scholar
Idler, E., Kasl, S., & Lemke, J. (1990). Self-evaluated health and mortality among the elderly in New Haven, Connecticut, Iowa, and Washington Counties, Iowa, 1982–1986. American Journal of Epidemiology, 131, 91103.Google Scholar
Jürges, H. (2004). Self-assessed health, reference levels and mortality (Mannheim Research Institute for the Economics of Aging, Discussion Paper Series 57). Mannheim, Germany: University of Mannheim.Google Scholar
Kaplan, G., & Comacho, T. (1993). Self-evaluated health and mortality: A nine-year follow up of the human population laboratory component. American Journal of Epidemiology, 117, 292305.CrossRefGoogle Scholar
Laroche, M. (2001). Health status and health services utilization of Canada's immigrant and non-immigrant populations. Canadian Public Policy, 26(1), 5173.CrossRefGoogle Scholar
LeClere, F.B., Jensen, L., & Biddlecom, A.E. (1994). Health care utilization, family context, and adaptation among immigrants to the United States. Journal of Health and Social Behavior, 35, 370384.Google Scholar
Lindeboom, M., & van Doorslaer, E. (2004). Cut-point shift and index shift in self-reported health. Journal of Health Economics, 23, 10831099.Google Scholar
Litwack, E., & Longino, C.F. (1987). Migration patterns among the elderly: A developmental perspective. Gerontologist, 27, 266272.Google Scholar
MacKinnon, M., & Howard, L.L. (2000). Affirming immigrant women's health: Building inclusive health policy. Halifax, NS: Maritime Centre for Excellence in Women's Health, Dalhousie University.Google Scholar
Marmot, M.G., & Syme, S.L. (1976). Acculturation and coronary heart disease in Japanese-Americans. American Journal of Epidemiology, 104(3), 225247.CrossRefGoogle ScholarPubMed
McDonald, J.T. (2005). The health behaviors of immigrants and native-born people in Canada. (SEDAP Research Paper No. 144, McMaster University). Hamilton, ON: SEDAP, McMaster University.Google Scholar
McDonald, J.T., & Kennedy, S. (2004). Insights into the “healthy immigrant effect”: Health status and health service use of immigrants to Canada. Social Science and Medicine, 59, 16131627.Google Scholar
Miilunpalo, S., Vuori, I., Ola, P., Pasanen, M., & Urponen, H. (1997). Self-rated health status as a health measure: The predictive value of self-reported health status in the use of physician services and on mortality in the working age population. Journal of Clinical Epidemiology, 50(5), 517528.Google Scholar
Moore, E.G., & Rosenberg, M.W. (1997). Growing old in Canada. Toronto: Statistics Canada/ITP Nelson.Google Scholar
Newbold, K.B. (2006). Self-rated health within the Canadian immigrant population: Risk and the healthy immigrant effect. Social Science and Medicine, 60, 13591370 in press.Google Scholar
Newbold, K.B. (In press). Health care use and the Canadian immigrant population. International Journal of Health Services.Google Scholar
Newbold, K.B., & Danforth, J. (2003). Health status and Canada's immigrant population. Social Science and Medicine, 57, 19811995.CrossRefGoogle ScholarPubMed
Novak, M. (1997). Aging and society: A Canadian perspective. Toronto: International Thomson.Google Scholar
Ontario Ministry of Health (1993). Time for change: Immigrant, refugee and racial minority women and health care needs. Toronto: Queen's Printer.Google Scholar
Pérez, C.E. (2002). Health status and health behavior among immigrants. In Statistics Canada, Supplement to health reports (Catalogue 82-003-SIE). (pp. 1–12). Ottawa: Statistics Canada.Google Scholar
Prus, S., & Lin, Z. (2005). Ethnicity and health: An analysis of physical health differences across twenty-one ethnocultural groups in Canada (SEDAP Research Paper No. 143, McMaster University). Hamilton, ON: SEDAP, McMaster University.Google Scholar
Raja-Jones, H. (1999). Breast screening and ethnic minority women: A literature review. British Journal of Nursing, 8, 12841288.Google Scholar
Saravanabhavan, R.C., & Marshall, C.A. (1994). The older Native American Indian with disabilities: Implications for providers of health care and human services. Journal of Multicultural Counseling and Development, 22, 182194.CrossRefGoogle Scholar
Serow, W.J. (1992). Unanswered questions and new directions in research on elderly migration: Economic and demographic perspectives. Journal of Aging and Social Policy, 3(3/4), 7389.Google Scholar
Statistics Canada (2002). Canadian Community Health Survey, 2001. Ottawa: Author.Google Scholar
Statistics Canada (2004). Proportion of foreign-born population, by census metropolitan area (1991 to 2001 Censuses). Retrieved 11 July 2006 from http://www40.statcan.ca/l01/cst01/demo47a.htm.Google Scholar
Swallen, K.C. (1997). Do health selection effects last? A comparison of morbidity rates for elderly adult immigrants and U.S.-born elderly persons. Journal of Cross-Cultural Gerontology, 12, 317339.Google Scholar
Weerasinghe, S., Mitchell, T., Hamilton, L., & Ragheb, M. (2000). Equitable access to healthcare, health promotion, and disease prevention for recent immigrant women living in Nova Scotia, Canada: Report on Phase 1. Halifax, NS: Maritime Centre for Excellence in Women's Health, Dalhousie University.Google Scholar
Wilson, K., Jerrett, M., & Eyles, J. (2001). Testing relationships among determinants of health, health policy, and self-assessed health status in Quebec. International Journal of Health Services, 31(1), 6789.Google Scholar
Wrigley, N. (1985). Categorical data analysis. London: Longman.Google Scholar