Document Detail

Access to health-care in Canadian immigrants: a longitudinal study of the National Population Health Survey.
MedLine Citation:
PMID:  21054621     Owner:  NLM     Status:  MEDLINE    
Immigrants often lose their health advantage as they start adapting to the ways of the new society. Having access to care when it is needed is one way that individuals can maintain their health. We assessed the healthcare access in Canadian immigrants and the socioeconomic factors associated with access over a 12-year period. We compared two measures of healthcare access (having a regular doctor and reporting an unmet healthcare need in the past 12 months) among immigrants and Canadian-born men and women, aged more than 18 years. We applied a logistic random effects model to evaluate these outcomes separately, in 3081 males and 4187 females from the National Population Health Survey (1994-2006). Adjusting for all covariates, immigrant men and women (white and non-white) had similar odds of having a regular doctor than the Canadian-born individuals (white immigrants: males OR: 1.32, 95% C.I.: 0.89-1.94, females OR: 1.14, 95% C.I.: 0.78-1.66; non-white immigrants: males OR: 1.28, 95% C.I.: 0.73-2.23, females OR: 1.23, 95% C.I.: 0.64-2.36). Interestingly, non-white immigrant women had significantly fewer unmet health needs (OR: 0.32, 95% C.I.: 0.17-0.59). Among immigrants, time since immigration was associated with having access to a regular doctor (OR per year: 1.02, 95% C.I.: 1.00-1.04). Visible minority female immigrants were least likely to report an unmet healthcare need. In general, there is little evidence that immigrants have worse access to health-care than the Canadian-born population.
Maninder Singh Setia; Amelie Quesnel-Vallee; Michal Abrahamowicz; Pierre Tousignant; John Lynch
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-09-09
Journal Detail:
Title:  Health & social care in the community     Volume:  19     ISSN:  1365-2524     ISO Abbreviation:  Health Soc Care Community     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-14     Completed Date:  2011-04-29     Revised Date:  2013-09-10    
Medline Journal Info:
Nlm Unique ID:  9306359     Medline TA:  Health Soc Care Community     Country:  England    
Other Details:
Languages:  eng     Pagination:  70-9     Citation Subset:  IM    
Copyright Information:
© 2010 Blackwell Publishing Ltd.
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada.
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MeSH Terms
Emigrants and Immigrants*
Health Care Surveys
Health Services Accessibility*
Longitudinal Studies
Middle Aged
National Health Programs / organization & administration
Grant Support
77800-1//Canadian Institutes of Health Research; 77800-2//Canadian Institutes of Health Research; MOP 77800//Canadian Institutes of Health Research

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