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Immigrating to Canada During Early Childhood Associated with Increased Risk for Mood Disorders

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Abstract

This study explored the impact of age at time of immigration on mental health in Canada. The Canadian Community Health Survey (CCHS) 2011 was analyzed to determine prevalence rates for mood disorders for those who immigrated during early childhood, middle childhood, adolescence, and adulthood. Multivariable logistic regression analysis was carried out on pooled CCHS 2007–2011 data to calculate risk of mood disorders. Those who immigrated during early childhood (before the age of six) had a significantly higher prevalence rate of mood disorders (6.83 %, 95 % CI 6.77–6.89) compared to those who immigrated later in life (4.83–4.88 %, 95 % CI 4.56–4.93). Immigrating during early childhood was also associated with elevated risk of mood disorders (OR 1.40, 95 % CI 1.04–1.88) compared to those who immigrated as adults after adjusting for key factors. Mental health services need to consider the factors associated with early childhood migration and the implications for early intervention programming.

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References

  • Access Alliance. (2013). Where are the Good Jobs? Ten stories of working rough, living poor. Toronto: Access Alliance Multicultural Health and Community Services. Retrieved from http://accessalliance.ca//sites/accessalliance/files/Where_are_the_Good_Jobs.pdf?sid=1738.

  • Aglipay, M., Colman, I., & Chen, Y. (2013). Does the healthy immigrant effect extend to anxiety disorders? Evidence from a nationally representative study. Journal of Immigrant and Minority Health, 15(5), 851–857.

    Article  PubMed  Google Scholar 

  • Ali, J. (2002). Mental Health of Canada’s Immigrants. Health Reports, 13(Suppl.), 1–11.

    Google Scholar 

  • Aycan, Z., & Berry, J. W. (1996). Impact of employment-related experiences on immigrants’ psychological well-being and adaptation to Canada. Canadian Journal of Behavioural Science, 28(3), 240–251.

    Article  Google Scholar 

  • Beiser, M., Hou, F., Hyman, I., & Tousignant, M. (2002). Poverty, family process, and the Mental Health of Immigrant Children in Canada. American Journal of Public Health, 92(2), 220–227.

    Article  PubMed Central  PubMed  Google Scholar 

  • Beiser, M., Taa, B., Fenta-Wube, H., Baheretibeb, Y., Pain, C., & Araya, M. (2012). A comparison of levels and predictors of emotional problems among preadolescent Ethiopians in Addis Ababa, Ethiopia, and Toronto, Canada. Transcultural Psychiatry, 49(5), 651–677.

    Article  PubMed  Google Scholar 

  • Bergeron, P., Auger, N., & Hamel, D. (2009). Weight, general health and mental health: Status of diverse subgroups of immigrants in Canada. Canadian Journal of Public Health, 100(3), 215–220.

    PubMed  Google Scholar 

  • Bonikowska, A., & Hou, F. (2011). Reversal of fortunes or continued success? Cohort differences in education and earnings of childhood immigrants (Catalogue no. 11F0019M, no. 330). Minister of Industry: Ottawa, Canada; 2011. Retrieved from http://www.statcan.gc.ca/pub/11f0019m/11f0019m2011330-eng.pdf.

  • Boyd, M. (1989). Family and personal networks in international migration: Recent developments and new agendas. International Migration Review, 23, 638–670.

    Article  CAS  PubMed  Google Scholar 

  • Centre for Research on Inner City Health. (2012). The mental health and well-being of immigrants in Toronto: A report to the ministry of health and long-term care. St. Michael’s Hospital. Retrieved from http://www.stmichaelshospital.com/knowledgeinstitute/search/download.php?id=501bfef4-6a78-43bb-95dd-41094022469b.

  • Citizens for Public Justice. (2012). Poverty trends scorecard Canada 2012. Retrieved from http://www.cpj.ca/files/docs/poverty-trends-scorecard.pdf.

  • Health Canada. (2010). Migration health: Embracing a determinants of health approach (Catalogue No. H12-36/17-2010). Retrieved from http://www.hc-sc.gc.ca/sr-sr/alt_formats/pdf/pubs/hpr-rpms/bull/2010-health-sante-migr-eng.pdf

  • Hull, D. (1979). Migration, adaptation, and illness: A review. Social Science and Medicine, 13A, 25–36.

    CAS  Google Scholar 

  • Human Resources and Skills Development Canada. (2007). HRSDC calculations based on Statistics Canada. Population by immigrant status and period of immigration, 2006 counts, for Canada and Census metropolitan areas and census agglomeration. http://www12.statcan.ca/english/census06/data/highlights/Immigration/Table.

  • Hyman, I. (2007). Immigration and health: Reviewing evidence of the healthy immigrant effect in Canada. CERIS Working Paper no. 55. The Joint Centre for Excellence in Research on Immigration and Settlement—Toronto. Retrieved from http://ceris.metropolis.net/Virtual%20Library/WKPP%20List/WKPP2007/CWP55.pdf.

  • Islam, F. (2012). Health equity for South Asian communities: Health services & health policy report. Toronto, Canada: Council of Agencies Serving South Asians (CASSA).

  • Jibeen, T., & Khalid, R. (2010). Development and preliminary validation of multidimensional acculturative stress Scale for Pakistani immigrants in Toronto, Canada. International Journal of Intercultural Relations, 34, 233–243.

    Article  Google Scholar 

  • Karoly, L. A. (2010). Working paper: Toward standardization of benefit cost analyses of early childhood interventions. Rand Corporation. Cited in Roberts, G., et al. (2011) op. cit.

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walter, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602.

    Article  PubMed  Google Scholar 

  • Khanlou, N., & Crawford, C. (2006). Post-migratory experiences of newcomer female youth: Self-esteem and identity development. Journal of Immigrant and Minority Health, 8(1), 45–56.

    Article  PubMed  Google Scholar 

  • Kirmayer, L. J., Narasiah, L., Munoz, M., Rashid, M., Ryder, A., et al. (2011). Common mental health problems in immigrants and refugees: General approach in primary care. Canadian Medical Association Journal, 183(12), E959–E967.

    Article  PubMed Central  PubMed  Google Scholar 

  • Koya, D. L., & Egede, L. E. (2007). Association between length of residence and cardiovascular disease risk factors among an ethnically diverse group of United States immigrants. Journal of General Internal Medicine, 22(6), 841–846.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lai, D. W., & Surood, S. (2008). Predictors of depression in Aging South Asian Canadians. Journal of Cross-Cultural Gerontology, 23(1), 57–75.

    Article  PubMed  Google Scholar 

  • Li, P. S. (2003). Deconstructing Canada’s discourse of immigrant integration. Edmonton, AB: Metropolis Project PCERII Working Paper Series, Prairie Centre of Excellence for Research on Immigration and Integration.

  • Lim, S.-L., Yeh, M., Liang, J., Lau, A. S., & McCabe, K. (2008). Acculturation gap, intergenerational conflict, parenting style, and youth distress in immigrant Chinese American families. Marriage & Family Review, 45(1), 84–106.

    Article  Google Scholar 

  • Lou, Y., & Beaujot, R. (2005). What happens to the ‘healthy immigrant effect: The mental health of immigrants to Canada. Discussion paper no. 05-15. London, Ontario: Population Studies Centre, University of Western Ontario.

  • Mahoney, A. M. (2002). Newly arrived West Indian adolescents: A call for a cohesive social welfare response to their adjustment needs. Journal of Immigrant and Refugee Services, 1(2), 33–48.

    Article  Google Scholar 

  • McDonald, J. T., & Kennedy, S. (2004). Insights into the healthy immigrant effect: Health status and health service use of immigrants to Canada. Social Science and Medicine, 59, 1613–1627.

    Article  PubMed  Google Scholar 

  • McKenzie, K. (2009). Improving mental health services for immigrant, refugee, ethno-cultural and racialized groups: Issues and options for service improvement. Ottawa, ON: Mental Health Commission of Canada. Retrieved from http://www.mentalhealthcommission.ca/SiteCollectionDocuments/News/en/IO.pdf.

  • Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary, AB: Author. Mental Health Commission of Canada.

    Google Scholar 

  • Mental Health Commission of Canada. (2013). Making the case for investing in mental health in Canada. Retrieved from http://www.mentalhealthcommission.ca/English/document/5210/making-case-investing-mental-health-canada-backgrounder-key-facts#sthash.XOMvZ13Q.dpuf.

  • Mirsky, J., Kohn, R., Levav, I., Grinshpoon, A., & Ponizovsky, A. M. (2008). Psychological distress and common mental disorders among immigrants: results from the Israeli-based component of the World Mental Health Survey. Journal of Clinical Psychiatry, 69(11), 1715–1720.

    Article  PubMed  Google Scholar 

  • Miszkurka, M., Goulet, L., & Zunzunegui, M. V. (2010). Contributions of immigration to depressive symptoms among pregnant women in Canada. Canadian Journal of Public Health, 101(5), 358–364.

    PubMed  Google Scholar 

  • Ng, E., & Omariba, W. R. (2010). Is there a Healthy Immigrant Effect in Mental Health? Evidences from Population-Based Health Surveys in Canada. In Canadian Issues (Ed.), Summer 2010: Immigrant mental health. Montreal: Association for Canadian Studies.

    Google Scholar 

  • Ochocka, J., & Janzen, R. (2008). Immigrant parenting: A new framework for understanding. Journal of Immigrant and Refugee Studies, 6(1), 85–111.

    Article  Google Scholar 

  • Patterson, B., Kyu, H. H., & Georgiades, K. (2013). Age at immigration to Canada and the occurrence of mood, anxiety, and substance use disorders. Canadian Journal of Psychiatry, 58(4), 210–217.

    Google Scholar 

  • Public Health Agency of Canada. (2013). Triple P—Positive parenting program. Canadian Best Practices Portal. Ottawa, Canada. Retrieved from http://cbpp-pcpe.phac-aspc.gc.ca/interventions/triple-positive-parenting-program/.

  • Rumbaut, R. G. (2004). Age, life stages, and generational cohorts: Decomposing the immigrant first and second generations in the United States. International Migration Review, 38(3), 1160–1205.

    Article  Google Scholar 

  • Samuel, E. (2009). Acculturative stress: South Asian immigrant women’s experiences in Canada’s Atlantic provinces. Journal of Immigrant & Refugee Studies, 7, 6–34.

    Article  Google Scholar 

  • Schoon, I., Sacker, A., & Bartley, M. (2003). Socio-economic adversity and psychosocial adjustment: A developmental-contextual perspective. Social Science and Medicine, 57(6), 1001–1015.

    Article  PubMed  Google Scholar 

  • Stafford, M., Newbold, B. K., & Ross, N. A. (2011). Psychological distress among immigrants and visible minorities in Canada: A contextual analysis. International Journal of Social Psychiatry, 57(4), 428–441.

    Article  PubMed  Google Scholar 

  • Statistics Canada. (2011a). Canadian Community Health Survey (CCHS)—annual component: User guide 2010 and 2009–2010 microdata files. Retrieved from http://www23.statcan.gc.ca/imdb-bmdi/document/3226_D7_T9_V8-eng.htm#a18.

  • Statistics Canada. (2011b). Mood disorders, 2009 (catalogue no. 82-625-X). Ottawa, Canada. Retrieved from http://www.statcan.gc.ca/pub/82-625-x/2010002/article/11265-eng.htm.

  • Statistics Canada. (2012a). Canada Year Book 2011 (catalogue no. 11-402-XWE). Ottawa, Canada. Retrieved from http://www.statcan.gc.ca/pub/11-402-x/2011000/chap/imm/imm-eng.htm.

  • Statistics Canada. (2012b). Census: Population and dwelling counts (catalogue no. 98-310-XWE2011003). Ottawa, Canada. Retrieved from http://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-310-x/98-310-x2011003_1-eng.cfm.

  • Thomas, S., & Wannell, B. (2009). Combining cycles of the Canadian Community Health Survey. Component of Statistics Canada Catalogue no. 82-003-X. Health Reports, 20(1), 1-6.

    Google Scholar 

  • United Way of Greater Toronto. (2004). Poverty by postal code: The geography of neighbourhood poverty 1981–2001. Toronto: UWGT/CCSD, 2004. Retrieved from http://www.unitedwaytoronto.com/document.doc?id=59.

  • Wu, Z., & Schimmele, C. (2005). the healthy migrant effect on depression: Variation over time? Canadian Studies in Population, 32(2), 271–298.

    Google Scholar 

  • Xu, M. A., & McDonald, J. T. (2010). The mental health of immigrants and minorities in Canada: The social and economic effects. In Canadian Issues (Ed.), Summer 2010: Immigrant mental health. Montreal: Association for Canadian Studies.

    Google Scholar 

  • Yang, E. J., Chung, H. K., Kim, W. Y., Bianchi, L., & Song, W. O. (2007). Chronic diseases and dietary changes in relation to Korean Americans’ length of residence in the United States. Journal of the American Dietetic Association, 107(6), 942–950.

    Article  PubMed  Google Scholar 

  • Yeh, C. J. (2003). Age, acculturation, cultural adjustment, and mental health symptoms of Chinese, Korean, and Japanese immigrant youths. Cultural Diversity and Ethnic Minority Psychology, 9(1), 34–48.

    Article  PubMed  Google Scholar 

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Acknowledgments

I would like to thank my doctoral supervisor Dr. Hala Tamim and co-supervisor Dr. Nazilla Khanlou for their support, Dr. Michaela Hynie for sparking the interest, as well as, Dr. Peter Kitchen, Dr. James Chowhan, and Melissa Moyser at the Statistics Canada Research Data Centre for their statistical support and expertise. This work was supported by funding from York University’s La Barge Graduate Scholarship in Multiculturalism and the LaMarsh Centre for Child and Youth Research Award.

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The corresponding author states that there is no conflict of interest.

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Correspondence to Farah Islam.

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Islam, F. Immigrating to Canada During Early Childhood Associated with Increased Risk for Mood Disorders. Community Ment Health J 51, 723–732 (2015). https://doi.org/10.1007/s10597-015-9851-y

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