Journal of Public Health Policy

, Volume 34, Issue 2, pp 330–344 | Cite as

Societal context and the production of immigrant status-based health inequalities: A comparative study of the United States and Canada

  • Arjumand Siddiqi
  • India J Ornelas
  • Kelly Quinn
  • Dan Zuberi
  • Quynh C Nguyen
Original Article


Background: We compare disparities in health status between first-generation immigrants and others in the United States (US) and Canada. Methods: We used data from the Joint Canada–US Survey of Health. The regression models adjusted for demographics, socioeconomic status, and health insurance (the US). Results: In both countries, the health advantage belonged to immigrants. Fewer disparities between immigrants and those native-born were seen in Canada versus the US. Canadians of every immigrant/race group fared better than US native-born Whites. Discussion: Fewer disparities in Canada and better overall health of all Canadians suggest that societal context may create differences in access to the resources, environments, and experiences that shape health and health behaviors.


health inequalities immigrant Canada the United States policy 


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Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2013

Authors and Affiliations

  • Arjumand Siddiqi
    • 1
  • India J Ornelas
    • 2
  • Kelly Quinn
    • 3
  • Dan Zuberi
    • 4
  • Quynh C Nguyen
    • 3
  1. 1.Dalla Lana School of Public Health, University of TorontoTorontoCanada
  2. 2.Department of Health ServicesUniversity of WashingtonSeattleUSA
  3. 3.Department of EpidemiologyUniversity of North CarolinaChapel HillUSA
  4. 4.Department of SociologyUniversity of British ColumbiaVancouverCanada

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