Skip to main content
SpringerLink
Log in

Le lien entre le lieu de naissance et certaines caractéristiques de santé en Ontario

  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Résumé

Le lien entre le lieu de naissance et certaines caractéristiques de santé chez la population ontarienne a été étudié au moyen des données de l’Enquête sur la santé en Ontario de 1990. Les répondants adultes ont été catégorisés selon leur région, sous-région et pays de naissance. Des analyses de régression logistique et linéaire multiples ont indiqué que les immigrants étaient moins fréquemment obèses que les Canadiens d’origine (rapport de cotes [RC] = 0,75, intervalle de confiance [IC] 0,63–0,90), et que les Asiatiques en particulier étaient moins fréquemment obèses (RC=0,56, IC 0,34–0,91). Les Asiatiques avaient aussi plus souvent un indice de masse corporelle faible (RC=3,40 (2,11–5,50)). Les immigrants rapportaient moins fréquemment un problème de santé que les Canadiens d’origine (RC=0,74; IC 0,62–0,88) mais percevaient leur santé plus négativement. Le lieu de naissance influence certaines caractéristiques de santé de la population ontarienne. Les différences observées doivent être approfondies afin de développer des soins de santé adaptés aux besoins de la population multi-culturelle ontarienne.

Abstract

The relationship between place of birth and some health characteristics of the population of Ontario was investigated using data from the 1990 Ontario Health Survey. Adult respondents were categorized according to their region, sub-region, and country of birth. Multiple logistic and linear regression analyses indicated that immigrants were less frequently obese than were Canadian-born respondents (odds ratio [OR]=0.75, confidence interval [CI] 0.63,0.90), and Asians particularly so (OR=0.56, CI 0.34,0.91). Asians also more often had a low body mass index (OR=3.40, CI 2.11,5.50). Immigrants less frequently reported a health problem (OR=0.74, CI 0.62,0.88) than did respondents born in Canada, but they perceived their health less positively. Place of birth influences some health characteristics of the Ontario population. The differences observed need to be investigated further to develop health services adapted to the needs of the multi-cultural population of Ontario.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Bibliographie

  1. Frank-Stromborg M. Changing demographics in the United States. Implications for health professionals. Cncer 1991;67:1772–78.

    Article  CAS  Google Scholar 

  2. Krupinski J. Changing patterns of migration to Australia and their influence on the health of migrants. Soc Sci Med 1984;18:927–37.

    Article  CAS  Google Scholar 

  3. Bourdillon F, Lombrail P, Antoni M, et al. La santé des populations d’origine étrangère en France. Soc Sci Med 1991;32:1219–27.

    Article  CAS  Google Scholar 

  4. Polednak AP. Racial and Ethnic Differences in Disease. New York, NY: Oxford University Press, 1989.

    Google Scholar 

  5. Marmot MG, Adelstein AM, Bulusu L. Lessons from the study of immigrants mortality. Lancet 1984;1:1455–58.

    Article  CAS  Google Scholar 

  6. Donovan JL. Ethnicity and health: A research review. Soc Sci Med 1984;19:663–70.

    Article  CAS  Google Scholar 

  7. Balarajan R. Ethnic differences in mortality from ischaemic heart disease and cerebrovascular disease in England and Wales. BMJ 1991;302:560–64.

    Article  CAS  Google Scholar 

  8. Nair C, Nargundkar M, Johansen H, Strachan J. Mortalité attribuable aux maladies cardiovasculaires au Canada: première génération d’immigrants et personnes nées au Canada. Health Reports 1990;2:203–28.

    CAS  PubMed  Google Scholar 

  9. Estrada AL, Trevino FM, Ray LA. IV. Health care utilization barriers among Mexican Americans: Evidence from HHANES 1982–84. Am J Public Health 1990;80(suppl):27–31.

    Article  Google Scholar 

  10. Marmot MG, Syme SL. Acculturation and coronary heart disease in Japanese-Americans. Am J Epidemiol 1976;104:225–47.

    Article  CAS  Google Scholar 

  11. Immigration and Citizenship. The Nation: 1991 Census Canada. Ottawa, Canada: Minister of Industry, Science and Technology, 1993, publication 93–316.

    Google Scholar 

  12. Interim Report on Demography and Immigration Levels. The Third Report of the Standing Committee on Labour, Employment and Immigration. Ottawa, Canada: Standing Committee on Labour, Employment and Immigration, 1990.

    Google Scholar 

  13. Ontario Health Survey 1990. User’s Guide Vol. 1: Documentation. Toronto, Canada: Ontario Ministry of Health, 1992.

    Google Scholar 

  14. Ontario Health Survey 1990. User’s Guide Vol. 2: Microdata Manual. Toronto, Canada: Ontario Ministry of Health, 1992.

    Google Scholar 

  15. Promoting Healthy Weights: A Discussion Paper. Ottawa, Canada: Health and Welfare Canada, 1988, publication H39-131/1988E.

  16. Mossey JM, Shapiro E. Self-rated health: A predictor of mortality among the elderly. Am J Public Health 1982;72:800–808.

    Article  CAS  Google Scholar 

  17. Badets J, Chui TWL. Canada’s changing immigrant population. Ottawa, Canada: Statistics Canada, 1994, publication 96-311E.

    Google Scholar 

  18. Susser M, Watson W, Hopper K. Sociology in Medicine. 3d. Ed New York, NY: Oxford University Press, 1985.

    Google Scholar 

  19. Kasl SV. Stress and health. Annu Rev Public Health 1984;5:319–41.

    Article  CAS  Google Scholar 

  20. Mao Y, Morrison H, MacWilliam L, White M, Davies J, Wigle D. Risk factors for hypertension: Results from a cross-sectional survey. J Clin Epidemiol 1988;41:411–15.

    Article  CAS  Google Scholar 

  21. Wright S. Self-ratings of health: The influence of age and smoking status and the role of different explanatory models. Psychol Health 1987;1:379–91.

    Article  Google Scholar 

  22. Schwartz JL, Thompson B. Evolution of Tobacco Control Strategies. Strategies to Control Tobacco Use in the United States: A Blueprint for Public Health Action in the 1990’s. Smoking and Tobacco Control Monograph, No. 1. Rockville, MD: National Cancer Institute, US Department of Health and Human Services, Public Health Service, National Institutes of Health, 1991;35–72.

    Google Scholar 

  23. Nestle M. Nutrition in public health and preventive medicine. In: Last JM, Wallace RB (Eds.), Maxcy-Rosenau-Last Public Health and Preventive Medicine, 13th. Ed Norwalk, Ct: Appleton & Lange, 1992;995–1003.

    Google Scholar 

  24. Willett W. Implications of total energy intake for epidemiologic analyses. In: Willett W (Ed.), Nutritional Epidemiology. New York, NY: Oxford University Press, 1990;245–71.

    Google Scholar 

  25. Bright-See E, Catlin G, Godin G. Assessment of the relative validity of the Ontario Health Survey food frequency questionnaire. J Can Diet Assoc 1994;55:33–38.

    Google Scholar 

  26. Lee ES, Forthofer RN, Lorimor RI. Analysis of complex sample survey data. Problems and strategies. Sociol Methods Res 1986;15:69–100.

    Article  Google Scholar 

  27. Hosmer DW Jr, Lemeshow S. Applied Logistic Regression. New York, NY: John Wiley & Sons, 1989.

    Google Scholar 

  28. Kleinbaum DG, Kupper LL, Muller KE. Applied Regression Analysis and Other Multivariable Methods, 2d. Ed Boston, MA: PWS-Kent Publishing Company, 1988.

    Google Scholar 

  29. Mickey RM, Greenland S. The impact of con-founder selection criteria on effect estimation. Am J Epidemiol 1989;129:125–37.

    Article  CAS  Google Scholar 

  30. Myers RH. Classical and Modern Regression with Applications, 2d. Ed Boston, MA: PWS-Kent, 1990.

    Google Scholar 

  31. Kelsey JL, Thompson WD, Evans AS. Methods of sampling and estimation of sample size. In: Kelsey JL, Thompson WD, Evans AS (Eds.), Methods in Observational Epidemiology. New York, NY: Oxford University Press, 1986;254–84.

    Google Scholar 

  32. Lachin JM. Introduction to sample size determination and power analysis for clinical trials. Controlled Clin Trials 1981;2:93–113.

    Article  CAS  Google Scholar 

  33. Rowland ML. Self-reported weight and height. Am] Clin Nutr 1990;52:1125–33.

    Article  CAS  Google Scholar 

  34. Norgan NG. Body mass index and body energy stores in developing countries. Eur J Clin Nutr 1990;44(suppll):79–84.

    PubMed  Google Scholar 

  35. Choi ESK, McGandy RB, Dallai GE, et al. The prevalence of cardiovascular risk factors among elderly Chinese Americans. Arch Lntern Med 1990;150:413–18.

    Article  CAS  Google Scholar 

  36. Campbell TC, Junshi C. Diet and chronic degenerative diseases: Perspectives from China. Am J Clin Nutr 1994;59(suppl.):1153S–61S.

    Article  CAS  Google Scholar 

  37. Popkin BM. The nutrition transition in low-income countries: An emerging crisis. Nutrition Rev 1994;52:285–98.

    Article  CAS  Google Scholar 

  38. Gray DS. Diagnosis and prevalence of obesity. Med Clin North Am 1989;73:1–13.

    Article  CAS  Google Scholar 

  39. Research Group ATS-RF2-OB43 of the Italian National Research Council. Time trends of some cardiovascular risk factors in Italy. Am J Epidemiol 1987;126:95–103.

    Article  Google Scholar 

  40. Naidu AN, Rao NP. Body mass index: A measure of the nutritional status in Indian populations. Eur J Clin Nutr 1994;48 (suppl3):S131–S140.

    PubMed  Google Scholar 

  41. Soares MJ, Shetty PS. Basal metabolic rates and metabolic economy in chronic undernutrition. Eur J Clin Nutr 1991;45:363–73.

    CAS  PubMed  Google Scholar 

  42. Forbes GB. Body composition: Influence of nutrition, disease, growth, and aging. In: Shils ME, Olson JA, Shike M (Eds.), Modern Nutrition in Health and Diseases, 8th. Ed Philadelphia, PA: Lea and Febiger, 1994;781–801.

    Google Scholar 

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

    CAS  PubMed  Google Scholar 

  44. Hill RF, Fortenberry JD, Stein HF. Culture in clinical medicine. South Med J 1990;83:1071–80.

    Article  CAS  Google Scholar 

  45. Hartog J, Hartog EA. Cultural aspects of health and illness behaviour in hospitals. West J Med 1983;139:910–16.

    CAS  PubMed  PubMed Central  Google Scholar 

  46. King H, Rewers M, WHO Ad Hoc Diabetes Reporting Group. Global estimates for prevalence of diabetes mellitus and impaired glucose tolerance in adults. Diabetes Care 1993;16:157–77.

    Article  CAS  Google Scholar 

  47. Cornoni-Huntley J, LaCroix AZ, Havlik RJ. Race and sex differentials in the impact of hypertension in the United States. The National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. Arch Intern Med 1989;149:780–88.

    Article  CAS  Google Scholar 

  48. Balarajan R, Yuen P, Raleigh VS. Ethnic differences in general practitioner consultations. BMJ 1989;299:958–60.

    Article  CAS  Google Scholar 

  49. Uba L. Cultural barriers to health care for Southeast Asian Refugees. Public Health Rep 1992;107:544–48.

    CAS  PubMed  PubMed Central  Google Scholar 

  50. Kasl SV, Berkman L. Health consequences of the experience of migration. Annu Rev Health 1983;4:69–90.

    Article  CAS  Google Scholar 

  51. Kraut AM. Healers and strangers. Immigrant attitudes toward the physician in America — A relationship in historical perspective. JAMA 1990;263:1807–11.

    Article  CAS  Google Scholar 

  52. Millar WI. Distribution of body weight and height: Comparison of estimates based on self-reported and observed measures. J Epidemiol Community Health 1986;125:122–26.

    Google Scholar 

  53. Krueger DE. Measurement of prevalence of chronic disease by household interviews and clinical evaluations. Am J Public Health 1957;47:953–60.

    Article  CAS  Google Scholar 

  54. Commission on Chronic Illness. Chronic Illness in the United States. Vol. IV. Chronic Illness in a large City: The Baltimore Study. Cambridge, MA: Harvard University Press, 1957.

    Book  Google Scholar 

  55. Interview Responses Compared with Medical Records. Vital Health Stat. 2 (no. 7). Rockville, MD: National Center for Health Statistics, 1965.

    Google Scholar 

  56. Madow WG. Net Differences in Interview Data on Chronic Conditions and Information Derived from Medical Records. Vital Health Stat. 2 (no. 57). Washington, DC: U.S. Government Printing Office, 1973.

    Google Scholar 

  57. Paganini-Hill A, Ross RK. Reliability of recall of drug usage and other health-related information. Am J Epidemiol 1982;116:114–22.

    Article  CAS  Google Scholar 

  58. Colditz GA, Martin P, Stampfer MI, et al. Validation of questionnaire information on risk factors and disease outcomes in a prospective cohort study of women. Am J Epidemiol 1986;123:894–900.

    Article  CAS  Google Scholar 

  59. Horwitz RI, Yu EC. Assessing the reliability of epidemiologic data obtained from medical records. J Chron Dis 1984;37:825–31.

    Article  CAS  Google Scholar 

  60. Statistics Canada. Mortality: Summary List of Causes 1995. Ottawa, Canada: Statistics Canada, 1995, publication 84–902.

    Google Scholar 

  61. Sundquist J. Refugees, labour migrants and psychological distress. A population-based study of 338 Latin-American refugees, 161 South Europeans and 396 Finnish labour migrants, and 996 Swedish age-, sex- and education-matched controls. Soc Psychiatry Psychiatr Epidemiol 1994;29:20–24.

    CAS  PubMed  Google Scholar 

  62. Lin-Fu JS. Population characteristics and health care needs of Asian Pacific Americans. Public Health Rep 1988;103:18–27.

    CAS  PubMed  PubMed Central  Google Scholar 

  63. Lin EHB, Carter WB, Kleinman AM. An exploration of somatization among Asian refugees and immigrants in primary care. Am J Public Health 1995;75:1080–84.

    Article  Google Scholar 

  64. Wang ZJ, Ramcharan S, Love EJ. Cancer mortality of Chinese in Canada. Int J Epidemiol 1989;18:17–21.

    Article  CAS  Google Scholar 

  65. Newman AM, Spengler RF. Cancer mortality among immigrant populations in Ontario, 1969 through 1973. Can Med Assoc J 1984;130:399–405.

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Epidemiology and Population Health, Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, Canada

    Joceline Pomerleau PhD

  2. Department of Epidemiology and Biostatistics, University of Western Ontario, Canada

    Truls Østbye MD, MPH

Authors
  1. Joceline Pomerleau PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Truls Østbye MD, MPH
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joceline Pomerleau PhD.

Additional information

Au cours de ce projet, Joceline Pomerleau était soutenue financièrement par une bourse de formation du Ministère de la Santé de l’Ontario. Elle est présentement soutenue par une bourse post-doctorale du Conseil des Recherches Médicales du Canada.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pomerleau, J., Østbye, T. Le lien entre le lieu de naissance et certaines caractéristiques de santé en Ontario. Can J Public Health 88, 337–345 (1997). https://doi.org/10.1007/BF03403902

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03403902

Search

Navigation