Chronic health conditions, labour market participation and resource consumption among immigrant and native-born residents of Canada
Tóm tắt
To compare chronic illnesses, economic dependence and health-care use by immigrants and native-born Canadians. A secondary analysis of the Canada Community Health Survey national data (2009–2010) was conducted. Recent and established immigrants were healthier than native-born Canadians. Healthy, established immigrants were more likely than native-born Canadians to be working, and no more likely to use transfer payments. Health-challenged recent immigrants had high employment rates, but low rates of health care. Health-challenged established immigrants and native born were equally likely to be working, depending on transfer payments and using health care. Regardless of nativity or health, education, male gender and linguistic fluency increased the probability of employment. Female gender and advancing age increased the likelihood of dependency. Residents of Canada’s most prosperous regions were the most likely to be employed and the least likely to receive transfer payments. Immigrants with chronic illnesses do not inevitably dilute the economic benefits of immigration or create excessive burden. Timely programs to promote integration can help ensure a favourable balance between economic contribution and social cost. Neglecting the health of new immigrants may eventuate in long-term disability.
Tài liệu tham khảo
Barrett A, Maître B (2013) Immigrant welfare receipt across Europe. Int J Manpower 34(1):8–23
Beiser M, Hou F (2001) Language acquisition, unemployment and depressive disorder among Southeast Asian Refugees: a 10-year study. Soc Sci Med 53:1321–1334
Beiser M, Zilber N, Simich L, Youngmann R, Zohar A, Taa B, Hou F (2011) Regional effects on the mental health of immigrant children: results from the New Canadian Children and Youth Study (NCCYS). Health Place 17:822–829
Buja, A, Fusco M, Furlan P, Bertoncello C, Baldovin T, Casale P, Marcolongo A, Baldo V (2013) Characteristics, processes, management and outcome of accesses to accident and emergency departments by citizenship, Int J Public Health. doi:10.1007/s00038-013-0483-0. Published online 3 July 2013
Canada Immigration and Refugee Protection Act, Article 38 (2) (s.c.2001, c.27)
Canadian Community Health Survey (2011) http://www23.statcan.gc.ca/imdb-bmdi/pub/document/3226_D7_T9_V8-eng.htm. Accessed 15 June 2013
Chiu M, Austin PC, Manuel DG, Tu JV (2012) Cardiovascular risk factor profiles of recent immigrants vs long-term residents of Ontario: a multi-ethnic study. Can J Cardiol 28(1):20–26
Council of Canadians with Disabilities (2009) A voice of our own 27, 1, “Immigration Act Perpetuates Stereotypical Views” (http://ccdonline.ca/en/publications/foice/2009/01. Accessed September 15 2013)
Creatore MI (2010) Age- and sex-related prevalence of diabetes mellitus among immigrants to Ontario, Canada. Can Med Assoc J 182(8):781–789
Dungan P, Fang T, Gunderson M (2012) Macroeconomic impacts of Canadian immigration: results from a Macro-model. CLSRN Working Paper No. 106, Vancouver
Dunn JR, Dyck I (2000) Social determinants of health in Canada’s immigrants in Canada’s immigrant population: results from the National Population Health Survey. Soc Sci Med 51:1573–1593
Gushulak B (2007) Healthier on arrival? Further insight into the ‘healthy immigrant effect’. Can Med Assoc J 176(10):1439–1440
Hanes R (2011) None is still too many: an historical exploration of Canadian immigration legislation as it pertains to people with disabilities. Council of Canadians with disabilities. http://www.ccdonline.ca/en/socialpolicy/access-inclusion/none-still-too-many. (Retrieved 15 Oct 2013)
Henry C (2009) The political science of immigration policies. J Hum Behav Soc Environ 19:690–701
Hilsel J, Jasper AD (2012) Delayed special education placement for learning disabilities among children of immigrants. Soc Forces 91(2):502–503
Hou F, Beiser M (2006) Learning the language of a new Country: a ten-year study of English acquisition by Southeast Asian refugees in Canada. Int Migr 44(1):135–165
Hum D, Simpson W (2004) Economic integration of immigrants to Canada: a short survey. Can J Urban Res 13(1):46–61
Iyioha I (2008) A different picture through the looking-glass: equality, liberalism and the question of fairness in Canadian immigration health policy. Georgetown Immigr Law J 22(4):621–662 ISSN 0891-4370
Kim IH, Carrasco C, Muntaner C, McKenzie K, Noh S (2013) Ethnicity and postmigration health trajectory in new immigrants to Canada. Am J Public Health 103(4):E96–E104
Kliewer EV, Ward D (1988) Convergence of immigrant suicide rates to those in the destination country. Am J Epidemiol 127(3):640–653
Laroche M (2000) Health status and health services utilization of Canada’s immigrant and non-immigrant populations. Can Public Policy 26:51–75
Mohanty SA, Woolhandler S, Himmilstein DU, Pati S, Carrasquillo O, Bor DH (2005) Health care expenditures of immigrants in the United States: a nationally representative analysis. Am J Public Health 95(8):1431–1438
Multi-Ethnic Association for the Integration of Persons with Disabilities Quebec (2001) Disability+immigration, A new planetary reality, document presented at the United Nations World conference against racism, racial discrimination, xenophobia and related intolerance, Durban, Sept 2001
Nagi SZ (1991) Disability concepts revisited: implications for prevention. In: Pope A, Tarlov A (eds) Disability in America: toward a national agenda for prevention. National Academy Press, Washington DC
Newbold KB (2006) Chronic conditions and the healthy immigrant effect: evidence from Canadian immigrants. J Ethnic Migr Stud 32(5):765–784
Ozra-Frank R, Narayan KMV (2010) Overweight and diabetes prevalence among US immigrants. Am J Public Health 100(4):661–668
So L, Quan H (2012) Coming to Canada: the difference in health trajectories between immigrants and native-born residents. Int J Public Health 57:893–904
Soler-Gonzalez J, Serna M-C, Bosch A, Ruiz M-C, Huertas E, Rue M (2008) Sick leave among native and immigrant workers in Spain—a 6-month follow-up study. Scand J Work Environ Health 34(6):438–443
Verbrugge L, Jette A (1994) The disablement process. Soc Sci Med 38:1–14
Wadsworth J (2013) Musn’t grumble: immigration, health and health service use in the UK and Germany. Fiscal Stud 34(1):55–82
Wehbi S, EI-Lahib (2012) Immigration and disability: Ableism in the policies of the Canadian state. Int Soc Work 55(1):95–108 ISSN 0020-8728
Wolbring G (2008) The Politics of Ableism. Development 51:252–258
World Health Organization (WHO) (2002) Towards a common language for functioning, disability and health ICF. WHO, Geneva
Xiang H, Shi J, Wheeler K, Wilkins JR (2010) Disability and employment among U.S. working-age immigrants. Am J Ind Med 53:425–434