Laberge Maude, Leclerc Marc
Department of Operations and Decision Systems, Faculty of Administration, Université Laval, 2325, rue de la Terrasse, Quebec City, Quebec, Canada G1V 0A6.
Faculty of Administration, Université Laval, 2325, rue de la Terrasse, Quebec City, Quebec, Canada G1V 0A6.
SSM Popul Health. 2018 Dec 8;7:100336. doi: 10.1016/j.ssmph.2018.100336. eCollection 2019 Apr.
Estimate the effect of immigration characteristics on the risk of a hospitalization for an ambulatory care sensitive condition (ACSC).
We analyzed data on the Canadian resident adult population aged 18 to 74 years who responded to the 2006 long form Census. The Census data were linked to the Canadian Institute for Health Information (CIHI)'s Discharge Abstract Database (DAD) for fiscal years 2006-2007, 2007-2008, and 2008-2009. We conducted a logistic regression on the binary variable we created for an ACSC admission.
The CIHI definition of ACSC hospitalizations was used to identify potentially avoidable hospitalizations in the DAD. Immigration factors analyzed included years in Canada, ethnic origin, and ability to speak one of the official languages.
There were 3,342,450 respondents aged between 18 and 74. Using the Canadian at birth as our reference population, recent immigrants (up to five years in Canada) had lower odds of an ACSC hospitalization, regardless of their ethnic origins, with the exception of immigrants from Oceania and from other North American countries for whom the effect was not significant. The protective effect was still present in children of immigrants (AOR=0.89). Immigrants from the Caribbean, from Southern, Eastern, and Western Europe, as well as those from East Asia had lower odds across categories of time spent in Canada. The protective effect was stronger in immigrants from East Asia and lower in those of Oceanic and other North American countries.
Our results suggest that the healthy immigrant effect dissipates with time in Canada but remains even in children of immigrants. The protective effect differs depending on the ethnic origin of the immigrant.
评估移民特征对非卧床护理敏感疾病（ACSC）住院风险的影响。
我们分析了2006年人口普查长表中18至74岁加拿大成年居民的数据。这些普查数据与加拿大卫生信息研究所（CIHI）2006 - 2007财年、2007 - 2008财年和2008 - 2009财年的出院摘要数据库（DAD）相关联。我们对为ACSC入院创建的二元变量进行了逻辑回归分析。
使用CIHI对ACSC住院的定义来确定DAD中潜在可避免的住院情况。分析的移民因素包括在加拿大居住的年限、种族出身以及是否会说一种官方语言。
有3342450名年龄在18至74岁之间的受访者。以加拿大本土出生者作为参照人群，近期移民（在加拿大居住不超过五年）无论其种族出身如何，ACSC住院几率较低，但来自大洋洲和其他北美国家的移民除外，对他们而言这种影响不显著。移民子女也存在保护作用（比值比=0.89）。来自加勒比地区、南欧、东欧、西欧以及东亚的移民，在不同在加拿大居住时长类别中住院几率较低。东亚移民的保护作用更强，而大洋洲和其他北美国家移民的保护作用较弱。
我们的研究结果表明，健康移民效应在加拿大会随时间消失，但在移民子女中依然存在。保护作用因移民的种族出身不同而有所差异。
