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Neighbourhood Recent Immigration and Hospitalization in Toronto, Canada

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Abstract

Recent immigrants to Canada tend to initially settle in low-income urban core areas. The relationships among immigration, neighbourhood effects and health are poorly understood. This study explored the risk of hospitalization in high recent-immigration areas in Toronto compared to other Toronto neighbourhoods. The study used 1996 hospitalization and census data. Regression was used to examine the effects of recent immigration on neighbourhood hospitalization rates. Most hospitalization categories showed significantly higher rates of admission as the proportion of recent immigrants increased. Income was also significantly associated with all categories of hospitalization except surgical admissions. Average household income was almost 60% lower ($36,122) in the highest versus the lowest immigration areas ($82,641) suggesting that, at the neighbourhood level, the effects of immigration and income may be difficult to disentangle. These findings have important implications for health care planning, delivery, and policy.

Résumé

Les nouveaux arrivants au Canada ont tendance à s’installer dans les noyaux urbains à faible revenu. Les liens entre l’immigration, l’effet du quartier et la santé sont mal compris. La présente étude porte sur le risque d’hospitalisation dans les quartiers de Toronto à forte proportion d’immigrants récents par comparaison avec d’autres quartiers de Toronto. Nous avons utilisé les chiffres sur les hospitalisations et les données du recensement de 1996. Par régression, nous avons examiné l’effet de l’immigration récente sur les taux d’hospitalisation dans les différents quartiers. Dans la plupart des catégories, les taux d’hospitalisation ont considérablement augmenté à mesure que la proportion des nouveaux immigrants s’est accrue. Mais le revenu présentait aussi une corrélation significative avec toutes les catégories d’hospitalisation, à l’exception des chirurgies. Le revenu moyen des ménages était presque de 60 % moins élevé (à 36 122 $) dans les quartiers à forte densité d’immigrants que dans les quartiers à faible densité d’immigrants (82 641 $), ce qui permet de supposer qu’à l’échelon des quartiers, il pourrait être difficile de démêler les effets de l’immigration de ceux du revenu. Ces constatations ont d’importantes conséquences pour la planification des soins de santé, leur prestation et l’élaboration des politiques en la matière.

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References

  1. Siemiatycki M, Isin E. Immigration, diversity and urban citizenship in Toronto. Can J Regional Sci 1998;20:73–102.

    Google Scholar 

  2. Citizenship and Immigration Canada. Facts and Figures, 2001–Immigration Overview. Ottawa, ON: Policy, Planning and Research, Citizenship and Immigration Canada, 2002.

    Google Scholar 

  3. Chen J, Ng E, Wilkins R. The health of Canada’s immigrants in 1994–95. Health Rep 1996;7:33–45.

    CAS  PubMed  Google Scholar 

  4. Globerman S. Immigration and Health Care Utilization Patterns in Canada. Research on Immigration and Integration in the Metropolis Working Paper Series. Vancouver, BC: Vancouver Centre of Excellence, 1998.

    Google Scholar 

  5. Hyman I, Stewart DE, Cameron JI, Singh M. Physician-related determinants of cervical cancer screening among Chinese and Vietnamese women in Toronto (Poster). Harvey Stancer Research Day, Centre for Addiction and Mental Health, Toronto, 2000.

    Google Scholar 

  6. Wen SW, Goel V, Williams, JI. Utilization of health care services by immigrants and other ethnic/ cultural groups in Ontario. Ethn Health 1996;1:99–109.

    Article  CAS  Google Scholar 

  7. Kirmayer L, Galbaud du Fort G, Young A, Weinfeld M, Lasry, JC. Pathways and Barriers to Mental Health Care in an Urban Multicultural Milieu: An Epidemiological and Ethnographic Study Report No. 6 (Part 1). Toronto, ON: Culture and Mental Health Research Unit, Sir Mortimer B. Davis Jewish General Hospital, 1996.

    Google Scholar 

  8. Laroche M. Health status and health services utilization of Canada’s immigrant and nonimmigrant populations. Can Public Policy 2000;26:51–73.

    Article  CAS  Google Scholar 

  9. Perez, CE. Health status and health behaviour among immigrants. Health Rep 2002;13(Suppl.):1–12.

    Google Scholar 

  10. Ali J. Mental health of Canada’s immigrants. Health Rep 2002;13(Suppl.):1–11.

    Google Scholar 

  11. Kliewer EV, Kazanjian A. Health Status and Medical Services Utilization of Recent Immigrants to Manitoba and British Columbia: A Pilot Study. Vancouver: BC Office of Health Technology Assessment, 2000.

    Google Scholar 

  12. Roberts N, Crockford D. Psychiatric admissions of Asian Canadians to an adolescent inpatient unit. Can J Psychiatry 1997;42:847–51.

    Article  CAS  Google Scholar 

  13. Matuk, LC. Pap smear screening practices in newcomer women. Women’s Health Issues 1996;6:82–88.

    Article  CAS  Google Scholar 

  14. Diez Roux AV, Merkin SS, Arnett D, Chambless L, Massing M, Nieto J, et al. Neighbourhood of residence and incidence of coronary heart disease. N Engl J Med 2001;345:99–106.

    Article  CAS  Google Scholar 

  15. Bosma H, van de Mheen HD, Borsboom GJ, Mackenbach, JP. Neighbourhood socioeconomic status and all-cause mortality. Am J Epidemiol 2001;153:363–71.

    Article  CAS  Google Scholar 

  16. Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: A critical review. J Epidemiol Community Health 2001;55:111–22.

    Article  CAS  Google Scholar 

  17. Shaw M, Gordon D, Dorling D, Mitchell R, Smith, GD. Increasing mortality differentials by residential area level of poverty: Britain 1981–1997. Soc Sci Med 2000;51:151–53.

    Article  CAS  Google Scholar 

  18. Malmstrom M, Sundquist J, Johansson, SE. Neighborhood environment and self-rated health status: A multilevel analysis. Am J Public Health 1999;89:1181–86.

    Article  CAS  Google Scholar 

  19. Carr W, Zeitel L, Weiss K. Variations in asthma hospitalizations and deaths in New York City. Am J Public Health 1992;82:59–65.

    Article  CAS  Google Scholar 

  20. Wells BL, Horm, JW. Targeting the underserved for breast and cervical cancer screening: The utility of ecological analysis using the National Health Interview Survey. Am J Public Health 1998;88:1484–89.

    Article  CAS  Google Scholar 

  21. McKeown, DJ. Indicators and Information Sources for Community Health Planning: A Resource Guide. Toronto, ON: City of Toronto Public Health Department, 1995.

    Google Scholar 

  22. Institute of Medicine. Access to Health Care in America. Washington, DC: National Academy Press, 1993.

    Google Scholar 

  23. Statistics Canada. 1996 Census Dictionary. Ottawa, ON: Minister of Industry, 1996.

    Google Scholar 

  24. Parakulam G, Krishnan V, Odynak D. Health status of Canadian-born and foreign-born residents. Can J Public Health 1992;83(4):311–14.

    CAS  PubMed  Google Scholar 

  25. Bindman AB, Grumbach K, Osmond D, Komaromy M, Vranizan K, Lurie N, et al. Preventable hospitalizations and access to health care. JAMA 1995;274:305–11.

    Article  CAS  Google Scholar 

  26. Canadian Task Force on Mental Health Issues Affecting Immigrants and Refugees. After the Door Has Opened: Mental Health Issues Affecting Immigrants and Refugees. Ottawa, ON: Minister of Supply and Services Canada, 1988.

    Google Scholar 

  27. Blustein J, Hanson K, Shea S. Preventable hospitalizations and socioeconomic status. Health Aff 1998;17:77–89.

    Article  Google Scholar 

  28. Glazier RH, Badley EM, Gilbert JE, Rothman L. The nature of increased hospital use in poor neighbourhoods: Findings from a Canadian inner city. Can J Public Health 2000;91(4):268–73.

    Article  CAS  Google Scholar 

  29. Hou F, Chen J. Neighbourhood low income, income inequality and health in Toronto. Health Reports 2003;14:21–34.

    PubMed  Google Scholar 

  30. Hyman I. Immigration and Health. Health Policy Working Paper Series. Working paper 01-05. Ottawa, ON: Health Canada, September 2001.

    Google Scholar 

Download references

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Correspondence to Richard H. Glazier MD, MPH.

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Glazier, R.H., Creatore, M.I., Cortinois, A.A. et al. Neighbourhood Recent Immigration and Hospitalization in Toronto, Canada. Can J Public Health 95, I30–I34 (2004). https://doi.org/10.1007/BF03403663

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