Examining the gender, ethnicity, and age dimensions of the healthy immigrant effect: Factors in the development of equitable health policy

Springer Science and Business Media LLC - Tập 11 - Trang 1-6 - 2012
Karen M Kobayashi1, Steven G Prus2
1Department of Sociology, University of Victoria, British Columbia, Canada
2Department of Sociology, arleton University, Ottawa, Canada

Tóm tắt

This study expands on previous research on the healthy immigrant effect (HIE) in Canada by considering the effects of both immigrant and visible minority status on self-rated health for males and females in mid-(45-64) and later life (65+). The findings reveal a strong HIE among new immigrant middle-aged men, particularly non-Whites. For older men of color the reality is strikingly different: they are disadvantaged in health compared to their Canadian-born counterparts, even when a number of demographic, economic, and lifestyle factors are controlled. Health outcomes for immigrant women are in contrast to that of immigrant men. Among middle-aged women, immigrants, regardless of their ethnicity or number of years since immigration, are much more likely to report poor health compared to the Canadian-born. And, for older women, recent non-white immigrants are more likely to report better health compared to Canadian-born women, although this finding is explained by differences in demographic, economic, and lifestyle factors. Overall, the findings demonstrate the importance of considering the intersections of age, gender, and ethnicity for policymakers in assessing the health of immigrants.

Tài liệu tham khảo

Globerman S: Immigration and health care utilization patterns in Canada. RIIM Working Paper Series #98-08. 1998 Gee E, Kobayashi KM, Prus S: Examining the "Healthy Immigrant Effect" in Mid- To Later Life: Findings from the 2001 Canadian Community Health Survey. Canadian Journal on Aging. 2004, 23 (Supplement 1): S61-S69. Dunn JR, Dyck I: Social determinants of health in Canada's immigrant population: Results from the National Population Health Survey. Social Science and Medicine. 2000, 51: 1573-93. 10.1016/S0277-9536(00)00053-8. Newbold KB: Self-rated health within the Canadian immigrant population: risk and the healthy immigrant effect. Social Science and Medicine. 2005, 60 (6): 1359-1370. 10.1016/j.socscimed.2004.06.048. Kennedy S, McDonald T, Biddle N: The Healthy Immigrant Effect and immigrant selection: Evidence from four countries. SEDAP Research Paper #164. 2006 Idler E, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior. 1997, 38: 21-37. 10.2307/2955359. Idler E, Russell L, Davis D: Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up Study. American Journal of Epidemiology. 1992, 152: 874-883. Mossey J, Shapiro E: Self-rated health: A predictor of mortality among the elderly. American Journal of Public Health. 1982, 72: 800-808. 10.2105/AJPH.72.8.800. Smith A, Shelley J, Dennerstein L: Self-rated health: Biological continuum or social discontinuity?. Social Science & Medicine. 1994, 39: 77-83. 10.1016/0277-9536(94)90167-8. van Doorslaer E, Gerdtham U: Does inequality in self assessed health predict inequality in survival by income? Evidence from Swedish data. Social Science & Medicine. 2003, 38: 1621-1629. Mansson N, Rastam L: Self-rated health as a predictor of disability pension and death--A prospective study of middle-aged men. Scandinavian Journal of Public Health. 2001, 29: 151-158. Cott C, Gignac M, Badley E: Determinants of self-rated health for Canadians with chronic disease and disability. Journal of Epidemiology and Community Health. 1999, 53: 731-736. 10.1136/jech.53.11.731. Manderbacka K, Lahelma E, Martikainen P: Examining the continuity of self-rated health. International Journal of Epidemiology. 1998, 27: 208-213. 10.1093/ije/27.2.208. Pinquart M: Correlates of subjective health in older adults: A metaanalysis. Psychology and Aging. 2001, 16: 414-426. Banks J, Marmot M, Oldfield Z, Smith J: Disease and disadvantage in the United States and in England. Journal of the American Medical Association. 2006, 295: 2037-2045. 10.1001/jama.295.17.2037. Laroche M: Health Status and Health Services Utilization of Canada's Immigrant and Non-Immigrant Populations. Canadian Public Policy. 2000, 26 (1): 51-73. 10.2307/3552256. Ali J: Mental Health of Canada's Immigrants. Health Reports. 2002, 13: Statistics Canada, Catalogue 82-003 Kopec JA, Williams JI, To T, Austin PC: Cross-Cultural Comparisons of Health Status in Canada Using the Health Utilities Index. Ethnicity and Health. 2001, 6 (1): 41-50. 10.1080/13557850125061. Saldov M: The Ethnic Elderly: Communication Barriers to Health Care. Canadian Social Work Review. 1991, 8 (2): 269-277. Franks P, Gold M, Fiscella K: Sociodemographics, self rated health, and mortality in the US. Social Science & Medicine. 2003, 56: 2505-2514. 10.1016/S0277-9536(02)00281-2. Schnittker J: When mental health becomes health: Age and the shifting meaning of self-evaluations of general health. Milbank Quarterly. 2005, 83: 397-423. 10.1111/j.1468-0009.2005.00407.x. Simon J, De Boer J, Joung I, Bosma H, Mackenbach J: How is your health in general? A qualitative study on self assessed health. European Journal of Public Health. 2005, 15: 200-208. 10.1093/eurpub/cki102. Perez C: 'Health Status and Health Behaviour Among Immigrants'. Health Reports. 2002, 13 (Supplement):