Department of Sociology, University of British Columbia, 6303 N. W. Marine Drive, Vancouver, V6T 1Z1, Canada.
University of British Columbia, Vancouver, Canada.
J Immigr Minor Health. 2020 Apr;22(2):300-306. doi: 10.1007/s10903-019-00898-2.
Three approaches to addressing factors associated with immigration were applied in a cross-sectional investigation of Asian-White health inequalities in Canada. Ten cycles of the Canadian Community Health Survey (2001-2013) were combined to produce a sample of 8122 Asian women, 365,702 White women, 6830 Asian men and 298,461 White men aged 18 and older. Binary logistic regression modelling was applied to self-reported hypertension, diabetes, fair/poor self-rated health and fair/poor self-rated mental health. Before adjusting for factors associated with immigration, Asian Canadians had relatively low risks of hypertension and diabetes and relatively high risks of fair/poor mental health. After adjustment Asian Canadians had relatively high risks of diabetes, fair/poor health and fair/poor mental health. The inequalities in fair/poor mental health applied primarily to the immigrant population. Risks of fair/poor health and fair/poor mental health were especially high for Asian women born in China and White women born in Italy. Use of stark racial identity categories that ignore country of birth or origin can obscure notable racial-ethnic health inequalities.
在对加拿大亚洲裔和白种人健康不平等现象进行的横断面调查中，采用了三种方法来解决与移民相关的因素。将加拿大社区健康调查的十个周期（2001-2013 年）合并，得出了一个样本，其中包括 8122 名亚洲裔女性、365702 名白种人女性、6830 名亚洲裔男性和 298461 名白种人男性，年龄在 18 岁及以上。采用二元逻辑回归模型分析了自我报告的高血压、糖尿病、健康自评一般/差和心理健康自评一般/差。在没有调整与移民相关的因素之前，加拿大的亚洲人患高血压和糖尿病的风险相对较低，心理健康自评一般/差的风险相对较高。调整后，亚洲人患糖尿病、健康状况一般/差和心理健康自评一般/差的风险较高。心理健康自评一般/差的不平等主要适用于移民群体。出生在中国的亚洲裔女性和出生在意大利的白种人女性的健康和心理健康自评一般/差的风险尤其高。使用忽略出生地或原籍国的明显种族身份类别可能会掩盖显著的种族-族裔健康不平等现象。
