Immigrant health, place effect and regional disparities in Canada
The paper addresses a critically important area in Canadian immigration and health from both a social and a spatial perspective. It employs multilevel and contextual approaches to examine the social determinants of immigrant health as well as the place effects on self-reported health at a regional and neighborhood scale. The data come from the raw microdata file of the 2005–10 Canadian Community Health Survey (a random national health survey) and the publicly available Canadian Marginalization index based on the 2006 Census. Three populations are compared: Canadian-born, overall foreign-born, and Chinese immigrants. The results suggest various degrees of association between self-reported health, individual and lifestyle behavioral characteristics, and neighborhood material deprivation and ethnic concentration in census tracts. These factors contribute differently to the reported health of Chinese immigrants, Canada's largest recent immigrant group. A healthy immigrant effect is partially evident in the overall foreign-born population, but appears to be relatively weak in Chinese immigrants. For all groups, neighborhood deprivation moderately increases the likelihood of reporting poor health. Ethnic concentration negatively affects self-rated health, with the exception of the slight protective effect of Chinese-specific ethnic density in census tracts. The multilevel models reveal significant area inequalities across Census Metropolitan Areas/Census Agglomerations in risk of reporting unhealthy status, with greater magnitude in the foreign-born population. The vast regional variations in health among Chinese immigrants should be interpreted carefully due to the group's heavy concentration in large cities. The study contributes to the literature on ethnicity and health by systematically incorporating neighborhood contextual effects in modeling the social determinants of immigrant health status. It fills a gap in the literature on neighborhoods and health by focusing on ethnically disparate groups rather than on the general population. By revealing regional disparities in health, the paper adds a spatial perspective to the work on immigrant health.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 98 (2013)
Issue (Month): C ()
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Curtis, Sarah & Setia, Maninder S. & Quesnel-Vallee, Amelie, 2009. "Socio-geographic mobility and health status: A longitudinal analysis using the National Population Health Survey of Canada," Social Science & Medicine, Elsevier, vol. 69(12), pages 1845-1853, December.
- Hou, Feng & Picot, Garnett, 2003. "The Rise in Low-income Rates Among Immigrants in Canada," Analytical Studies Branch Research Paper Series 2003198e, Statistics Canada, Analytical Studies Branch.
- 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.
- Peter Kitchen & Allison Williams & James Chowhan, 2012. "Sense of Community Belonging and Health in Canada: A Regional Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 107(1), pages 103-126, May.
- 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, 03.
- McDonald, James Ted & Kennedy, Steven, 2005. "Is migration to Canada associated with unhealthy weight gain? Overweight and obesity among Canada's immigrants," Social Science & Medicine, Elsevier, vol. 61(12), pages 2469-2481, December.
- Daniel Kim & Christopher F Baum & Michael Ganz & S.V. Subramanian & Ichiro Kawachi, 2011.
"The contextual effects of social capital on health: a cross-national instrumental variable analysis,"
Boston College Working Papers in Economics
786, Boston College Department of Economics.
- Kim, Daniel & Baum, Christopher F. & Ganz, Michael L. & Subramanian, S.V. & Kawachi, Ichiro, 2011. "The contextual effects of social capital on health: A cross-national instrumental variable analysis," Social Science & Medicine, Elsevier, vol. 73(12), pages 1689-1697.
- Karlsen, Saffron & Nazroo, James Y. & Stephenson, Rob, 2002. "Ethnicity, environment and health: putting ethnic inequalities in health in their place," Social Science & Medicine, Elsevier, vol. 55(9), pages 1647-1661, November.
- Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1998. "Context, composition and heterogeneity: Using multilevel models in health research," Social Science & Medicine, Elsevier, vol. 46(1), pages 97-117, January.
- A S Fotheringham & D W S Wong, 1991. "The modifiable areal unit problem in multivariate statistical analysis," Environment and Planning A, Pion Ltd, London, vol. 23(7), pages 1025-1044, July.
- Bruce Newbold, K. & Danforth, Jeff, 2003. "Health status and Canada's immigrant population," Social Science & Medicine, Elsevier, vol. 57(10), pages 1981-1995, November.
- Zsembik, Barbara A. & Fennell, Dana, 2005. "Ethnic variation in health and the determinants of health among Latinos," Social Science & Medicine, Elsevier, vol. 61(1), pages 53-63, July.
- A S Fotheringham & D W S Wong, 1991. "The Modifiable Areal Unit Problem in Multivariate Statistical Analysis," Environment and Planning A, SAGE Publishing, vol. 23(7), pages 1025-1044, July.
- Editors, 2003. "Editor's Introduction," American Journal of Economics and Sociology, Wiley Blackwell, vol. 62(2), pages 315-318, 04.
- Zhang, Jinjin & Verhoef, Marja J., 2002. "Illness management strategies among Chinese immigrants living with arthritis," Social Science & Medicine, Elsevier, vol. 55(10), pages 1795-1802, November.
- 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.
- Langford, Ian H. & Bentham, Graham, 1996. "Regional variations in mortality rates in England and Wales: An analysis using multi-level modelling," Social Science & Medicine, Elsevier, vol. 42(6), pages 897-908, March.
- Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
- Matheson, Flora I. & Moineddin, Rahim & Glazier, Richard H., 2008. "The weight of place: A multilevel analysis of gender, neighborhood material deprivation, and body mass index among Canadian adults," Social Science & Medicine, Elsevier, vol. 66(3), pages 675-690, February.
- Editors, 2003. "Editor's Introduction," American Journal of Economics and Sociology, Wiley Blackwell, vol. 62(4), pages 645-648, October.
- Hou, Feng & Myles, John, 2005. "Neighbourhood inequality, neighbourhood affluence and population health," Social Science & Medicine, Elsevier, vol. 60(7), pages 1557-1569, April.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:98:y:2013:i:c:p:8-17. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Shamier, Wendy)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.