Ryerson University, Toronto, ON, Canada,
Int J Public Health. 2014 Jun;59(3):541-7. doi: 10.1007/s00038-014-0544-z. Epub 2014 Feb 7.
To compare chronic illnesses, economic dependence and health-care use by immigrants and native-born Canadians.
A secondary analysis of the Canada Community Health Survey national data (2009-2010) was conducted.
Recent and established immigrants were healthier than native-born Canadians. Healthy, established immigrants were more likely than native-born Canadians to be working, and no more likely to use transfer payments. Health-challenged recent immigrants had high employment rates, but low rates of health care. Health-challenged established immigrants and native born were equally likely to be working, depending on transfer payments and using health care. Regardless of nativity or health, education, male gender and linguistic fluency increased the probability of employment. Female gender and advancing age increased the likelihood of dependency. Residents of Canada's most prosperous regions were the most likely to be employed and the least likely to receive transfer payments.
Immigrants with chronic illnesses do not inevitably dilute the economic benefits of immigration or create excessive burden. Timely programs to promote integration can help ensure a favourable balance between economic contribution and social cost. Neglecting the health of new immigrants may eventuate in long-term disability.
比较移民与加拿大本地出生者的慢性病、经济依赖性和卫生保健利用情况。
对加拿大社区健康调查全国数据（2009-2010 年）进行二次分析。
近期移民和老移民比加拿大本地出生者更健康。健康的老移民比加拿大本地出生者更有可能工作，而不太可能使用转移支付。有健康问题的近期移民就业率高，但卫生保健利用率低。有健康问题的老移民和本地出生者同样有可能工作，这取决于转移支付和卫生保健的使用情况。无论出生、健康状况如何，教育、男性性别和语言能力都会增加就业的可能性。女性性别和年龄增长会增加依赖性的可能性。加拿大最繁荣地区的居民最有可能就业，最不可能获得转移支付。
患有慢性病的移民不一定会稀释移民的经济利益或造成过度负担。及时的促进融合的方案有助于确保经济贡献和社会成本之间的有利平衡。忽视新移民的健康可能会导致长期残疾。
