Newbold K Bruce, Danforth Jeff
School of Geography and Geology, McMaster University, Hamilton, Ont., Canada L8S 4K1.
Soc Sci Med. 2003 Nov;57(10):1981-95. doi: 10.1016/s0277-9536(03)00064-9.
Given the framework of the 1984 Canada Health Act, the health status of immigrants should be similar to average levels within whole of Canada. Yet, assuming equality of health status between immigrant and non-immigrants, or between immigrant groups is likely an unrealistic and simplistic assumption, given unseen barriers affecting accessibility, the restructuring of the Canadian health care system, and problems with the provision of health care resources to the immigrant population. Using the National Population Health Survey, this paper focuses upon the health status of the immigrant population relative to that of non-immigrants within Canada, with reference to diagnosed conditions, self-assessed health, and the Health Utilities Index Mark 3. Findings indicate that, with the exception of the most recent arrivals, immigrants experience worse health status across most dimensions relative to non-immigrants. Multivariate analysis reveals that age, income adequacy, gender, and home ownership are dimensions upon which health status differs between the two groups.
根据1984年《加拿大健康法》的框架，移民的健康状况应与加拿大全国的平均水平相近。然而，鉴于影响可及性的潜在障碍、加拿大医疗保健系统的重组以及向移民人口提供医疗保健资源方面的问题，假设移民与非移民之间或移民群体之间的健康状况平等可能是一个不现实且过于简单的假设。本文利用全国人口健康调查，参照诊断出的疾病、自我评估的健康状况以及健康效用指数第3版，重点研究了加拿大境内移民人口相对于非移民人口的健康状况。研究结果表明，除了最新抵达的移民外，在大多数方面，移民的健康状况相对于非移民更差。多变量分析显示，年龄、收入充足程度、性别和住房所有权是两组人群健康状况存在差异的维度。
