Social and Epidemiological Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Am J Public Health. 2013 Apr;103(4):e96-104. doi: 10.2105/AJPH.2012.301185. Epub 2013 Feb 14.
In this prospective cohort study, we examined the trajectory of general health during the first 4 years after new immigrants' arrival in Canada. We focused on the change in self-rated health trajectories and their gender and ethnic disparities.
Data were derived from the Longitudinal Survey of Immigrants to Canada and were collected between April 2001 and November 2005 by Statistics Canada. We used weighted samples of 3309 men and 3351 women aged between 20 and 59 years.
At arrival, only 3.5% of new immigrants rated their general health as poor. Significant and steady increases in poor health were revealed during the following 4 years, especially among ethnic minorities and women. Specifically, we found a higher risk of poor health among West Asian and Chinese men and among South Asian and Chinese women than among their European counterparts.
Newly arrived immigrants are extremely healthy, but the health advantage dissipates rapidly during the initial years of settlement in Canada. Women and minority ethnic groups may be more vulnerable to social changes and postmigration settlement.
本前瞻性队列研究旨在探讨新移民抵达加拿大后的头 4 年内其总体健康状况的变化轨迹。我们关注的是自感健康轨迹的变化及其在性别和族裔方面的差异。
数据来自加拿大移民纵向调查，由加拿大统计局于 2001 年 4 月至 2005 年 11 月间收集。我们使用了年龄在 20 至 59 岁之间的 3309 名男性和 3351 名女性的加权样本。
抵达时，只有 3.5%的新移民将其总体健康状况评为较差。在随后的 4 年中，健康状况显著且持续恶化，尤其是在少数族裔和女性中。具体而言，我们发现与欧洲人相比，西亚裔和华裔男性以及南亚裔和华裔女性的健康状况较差的风险更高。
新移民抵达时身体极其健康，但在加拿大定居的最初几年中，健康优势迅速消失。女性和少数族裔群体可能更容易受到社会变化和移民后定居的影响。
