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"My health has improved because I always have everything I need here...": A qualitative exploration of health improvement and decline among immigrants

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  • Dean, Jennifer Asanin
  • Wilson, Kathi

Abstract

Immigrants in Canada constitute approximately 20% of the total population and will continue to account for a significant portion of the country's population in the future. Accordingly, a growing body of research has focused on examining the disparity in health status between the increasing foreign-born and the Canadian-born populations. The healthy immigrant effect, in particular, acknowledges that immigrants have better health status than their Canadian-born counterparts upon arrival in the country. However, studies have shown that over time the health of immigrants declines to a level on par with the Canadian-born population. There is much speculation as to the reasons for this decline including acculturation (i.e., uptake of unhealthy lifestyles) and a lack of access to health care. Yet, there have been few studies to examine possible reasons for potential declines in health, especially from the perspective of immigrants themselves. This study is one of the first to qualitatively examine perceived changes in health status and reasons for health status change among immigrants. The paper presents the results of 23 in-depth interviews with adults with recent (less than 3 years of residency), mid-term (3-10 years), and long-term (more than 10 years) immigrants living in the Greater Toronto Area. The results reveal that the majority of the participants believed their health had remained stable or even improved over time due to improved living standards and lifestyle behaviours in Canada. Those who perceived their health to have worsened over time attributed the change to the stress associated with migration, and the aging process rather than the adoption of an unhealthy lifestyle. Additionally, while the vast majority of participants reported improved access to resources upon migration, there were mixed reviews in terms of how beneficial these resources were or could be for health. The findings highlight the need for research to incorporate mental health into studies on changing immigrant health status and to focus on those factors contributing to high levels of stress among more recent immigrants.

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  • Dean, Jennifer Asanin & Wilson, Kathi, 2010. ""My health has improved because I always have everything I need here...": A qualitative exploration of health improvement and decline among immigrants," Social Science & Medicine, Elsevier, vol. 70(8), pages 1219-1228, April.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:8:p:1219-1228
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    1. Salant, Talya & Lauderdale, Diane S., 2003. "Measuring culture: a critical review of acculturation and health in Asian immigrant populations," Social Science & Medicine, Elsevier, vol. 57(1), pages 71-90, July.
    2. Heather Antecol & Kelly Bedard, 2006. "Unhealthy assimilation: Why do immigrants converge to American health status levels?," Demography, Springer;Population Association of America (PAA), vol. 43(2), pages 337-360, May.
    3. Dunn, James R. & Dyck, Isabel, 2000. "Social determinants of health in Canada's immigrant population: results from the National Population Health Survey," Social Science & Medicine, Elsevier, vol. 51(11), pages 1573-1593, December.
    4. Deri, Catherine, 2005. "Social networks and health service utilization," Journal of Health Economics, Elsevier, vol. 24(6), pages 1076-1107, November.
    5. McDonald, James Ted & Kennedy, Steven, 2004. "Insights into the 'healthy immigrant effect': health status and health service use of immigrants to Canada," Social Science & Medicine, Elsevier, vol. 59(8), pages 1613-1627, October.
    6. Bruce Newbold, K. & Danforth, Jeff, 2003. "Health status and Canada's immigrant population," Social Science & Medicine, Elsevier, vol. 57(10), pages 1981-1995, November.
    7. Nicholas Biddle & Steven Kennedy & James Ted Mcdonald, 2007. "Health Assimilation Patterns Amongst Australian Immigrants," The Economic Record, The Economic Society of Australia, vol. 83(260), pages 16-30, March.
    8. Steven Kennedy & James Ted McDonald & Nicholas Biddle, 2006. "The Healthy Immigrant Effect and Immigrant Selection: Evidence from Four Countries," Social and Economic Dimensions of an Aging Population Research Papers 164, McMaster University.
    9. Mireille Laroche, 2000. "Health Status and Health Services Utilization of Canada's Immigrant and Non-Immigrant Populations," Canadian Public Policy, University of Toronto Press, vol. 26(1), pages 51-75, March.
    10. Asanin, Jennifer & Wilson, Kathi, 2008. ""I spent nine years looking for a doctor": Exploring access to health care among immigrants in Mississauga, Ontario, Canada," Social Science & Medicine, Elsevier, vol. 66(6), pages 1271-1283, March.
    11. Bruce Newbold, K., 2005. "Self-rated health within the Canadian immigrant population: risk and the healthy immigrant effect," Social Science & Medicine, Elsevier, vol. 60(6), pages 1359-1370, March.
    12. Meadows, Lynn M. & Thurston, Wilfreda E. & Melton, Christina, 2001. "Immigrant women's health," Social Science & Medicine, Elsevier, vol. 52(9), pages 1451-1458, May.
    13. Lasser, K.E. & Himmelstein, D.U. & Woolhandler, S., 2006. "Access to care, health status, and health disparities in the United States and Canada: Results of a Cross-National Population Based Survey," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1300-1307.
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    2. Edge, Sara & Newbold, K. Bruce & McKeary, Marie, 2014. "Exploring socio-cultural factors that mediate, facilitate, & constrain the health and empowerment of refugee youth," Social Science & Medicine, Elsevier, vol. 117(C), pages 34-41.
    3. Tehzeeb Zulfiqar & Lyndall Strazdins & Cathy Banwell, 2021. "How to Fit In? Acculturation and Risk of Overweight and Obesity. Experiences of Australian Immigrant Mothers From South Asia and Their 8- to 11-Year-Old Children," SAGE Open, , vol. 11(3), pages 21582440211, July.
    4. Lum, Irene D. & Swartz, Rebecca H. & Kwan, Matthew Y.W., 2016. "Accessibility and use of primary healthcare for immigrants living in the Niagara Region," Social Science & Medicine, Elsevier, vol. 156(C), pages 73-79.
    5. Lorenzo Tarsitani & Massimo Pasquini & Annalisa Maraone & Maria Paola Zerella & Isabella Berardelli & Roberta Giordani & Gian Marco Polselli & Massimo Biondi, 2013. "Acute psychiatric treatment and the use of physical restraint in first-generation immigrants in Italy: A prospective concurrent study," International Journal of Social Psychiatry, , vol. 59(6), pages 613-618, September.

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