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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2009 May 1;100(3):215–220. [Article in French] doi: 10.1007/BF03405544

Poids, santé générale et santé mentale: la situation de divers sous-groupes d’immigrants au Canada

Pascale Bergeron 116, Nathalie Auger 216,316,, Denis Hamel 416
PMCID: PMC6973676  PMID: 19507726

Abstract

Background

Recent immigrants to Canada tend to be healthier than the non-immigrant population. Less is known about the health of different ethnic, cultural, and linguistic subgroups of immigrants in Canada.

Methods

Data were taken from the 2005 Canadian Community Health Survey (Cycle 3.1). We used multiple logistic regression to examine associations for three immigrant characteristics (1-time since immigration, 2-visible minority status, 3-knowledge of an official language) and three health outcomes (1-self-rated general health, 2-self-rated mental health, 3-body mass index (BMI)) for Montreal, Toronto, and Vancouver, accounting for socio-demographic characteristics.

Results

Recent immigrants belonging to a visible minority have a lower likelihood of reporting poor general (OR 0.72, 95% CI 0.54–0.97) and mental (OR 0.64, 95% CI 0.43-0.96) health and BMI2≥25 (OR 0.51, 95% CI 0.43–0.61) relative to non-immigrants. These associations were not present for recent immigrants not belonging to a visible minority. Immigrants who cannot converse in an official language have a higher likelihood of reporting poor general health (OR 1.49, 95% CI 1.06–2.10) relative to non-immigrants. In Toronto and Vancouver (but not Montreal), immigrants were less likely to have an elevated BMI.

Conclusion

This study supports a healthy immigrant effect in Canada. However, the healthy immigrant effect is only present in certain subgroups of immigrants. These findings are important for the planning of health services targeting immigrants.

Key words: Canada, immigration, health status, mental health, body mass index, ethnic groups

Footnotes

Remerciements: Les auteurs tiennent à remercier Robert Choinière pour sa contribution à l’élaboration de cette étude, Philippe Gamache pour son aide concernant les analyses statistiques ainsi que Carolyne Alix pour ses précieux commentaires. PB a reçu l’appui financier du CSSS Bordeaux-Cartierville-St-Laurent pour la réalisation de cette recherche.

Références

  • 1.McDonald JT, Kennedy S. Insights into the healthy immigrant effect: Health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59(8):1613–27. doi: 10.1016/j.socscimed.2004.02.004. [DOI] [PubMed] [Google Scholar]
  • 2.Perez C. Health status and health behaviour among immigrants. Health Reports. 2002;13(Suppl):100. [Google Scholar]
  • 3.Newbold KB. Chronic conditions and the healthy immigrant effect: Evidence from Canadian immigrants. J Ethnic Migration Studies. 2006;32(5):765–84. doi: 10.1080/13691830600704149. [DOI] [Google Scholar]
  • 4.Hyman I. Setting the stage: Reviewing current knowledge on the health of Canadian immigrants — What is the evidence and where are the gaps? Can J Public Health. 2004;95(3):I4–I8. doi: 10.1007/BF03403658. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Dunn JR, Dyck I. Social determinants of health in Canada’s immigrant population: Results from the National Population Health Survey. Soc Sci Med. 2000;51(11):1573–93. doi: 10.1016/S0277-9536(00)00053-8. [DOI] [PubMed] [Google Scholar]
  • 6.Newbold KB, Danforth J. Health status and Canada’s immigrant population. Soc Sci Med. 2003;57(10):1981–95. doi: 10.1016/S0277-9536(03)00064-9. [DOI] [PubMed] [Google Scholar]
  • 7.Ali JS, McDermott S, Gravel RG. Recent research on immigrant health from Statistics Canada’s population surveys. Can J Public Health. 2004;95(3):I9–I13. doi: 10.1007/BF03403659. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Cairney J, Ostbye T. Time since immigration and excess body weight. Can J Public Health. 1999;90(2):120–24. doi: 10.1007/BF03404114. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Hyman I. Joint Centre of Excellence for Research on Immigration and Settlement. 2007. Immigration and Health: Reviewing Evidence of the Healthy Immigrant Effect in Canada. [Google Scholar]
  • 10.DesMeules M, Gold J, Kazanjian A, Manuel D, Payne J, Vissandjée B, et al. New approaches to immigrant health assessment. Can J Public Health. 2004;95(3):I22–I26. doi: 10.1007/BF03403661. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Beiser M. The health of immigrants and refugees in Canada. Can J Public Health. 2005;96(Suppl2):S30–S44. doi: 10.1007/BF03403701. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Tremblay MS, Pérez CE, Ardern CI, Bryan SN, Katzmarzyck PT. Obesity, overweight and ethnicity. Health Reports. 2005;16(4):23–34. [PubMed] [Google Scholar]
  • 13.McDonald JT, Kennedy S. Is migration to Canada associated with unhealthy weight gain? Overweight and obesity among Canada’s immigrants. Soc Sci Med. 2005;61:2469–81. doi: 10.1016/j.socscimed.2005.05.004. [DOI] [PubMed] [Google Scholar]
  • 14.Wu Z, Schimmele CM. Racial/ethnic variation in functional and self-reported health. Am J Public Health. 2005;95(4):710–16. doi: 10.2105/AJPH.2003.027110. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Wu Z, Noh S, Kaspar V, Schimmele CM. Race, ethnicity and depression in Canadian society. J Health Soc Behav. 2003;44(3):426–41. doi: 10.2307/1519788. [DOI] [PubMed] [Google Scholar]
  • 16.Statistique Canada. Aperçu du recensement-Immigration au Canada: un portrait de la population née à l’étranger, recensement 2006. Ottawa, ON: Statistique Canada; 2008. [Google Scholar]
  • 17.Newbold KB. Self-rated health within the Canadian immigrant population: Risk and the healthy immigrant effect. Soc Sci Med. 2005;60(6):1359–70. doi: 10.1016/j.socscimed.2004.06.048. [DOI] [PubMed] [Google Scholar]
  • 18.Statistique Canada. Questionnaire final. Ottawa: Statistique Canada; 2006. Enquête sur la santé dans les collectivités canadiennes cycle 3.1. Fichier de microdonnées à grande diffusion. [Google Scholar]
  • 19.Statistique Canada. Guide de l’utilisateur. Ottawa: Statistique Canada; 2006. Enquête sur la santé dans les collectivités canadiennes cycle 3.1. Fichier de microdonnées à grande diffusion. [Google Scholar]
  • 20.Kleinbaum DG. Logistic Regression. A Self-learning Text. New York, NY: SpringerVerlag; 1997. [Google Scholar]
  • 21.Ross NA, Tremblay S, Khan S, Crouse D, Tremblay M, Berthelot JM. Body mass index in urban Canada: Neighbourhood and metropolitan area effects. Am J Public Health. 2007;97(3):500–8. doi: 10.2105/AJPH.2004.060954. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Smith KL, Matheson FI, Moineddin R, Glazier RH. Gender, income and immigration differences in depression in Canadian urban centres. Can J Public Health. 2007;98(2):149–53. doi: 10.1007/BF03404328. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Kobayashi K, Prus S, Lin Z. Ethnic differences in self-rated and functional health: Does immigrant status matter? Ethnicity and Health. 2008;13(2):129–47. doi: 10.1080/13557850701830299. [DOI] [PubMed] [Google Scholar]
  • 24.Leung B, Luo N, So L, Quan H. Comparing three measures of health status (perceived health with likert-type scale EQ-5D), and number of chronic conditions in Chinese and white Canadians. Medical Care. 2007;45(7):610–16. doi: 10.1097/MLR.0b013e3180331f58. [DOI] [PubMed] [Google Scholar]
  • 25.Tjepkema M. Obésité chez les adultes. Rapports sur la santé. 2006;17(3):9–26. [Google Scholar]
  • 26.Santé Canada. Rapport sur les maladies mentales au Canada. 2002. [Google Scholar]

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