Native-born Canadians Research Articles

Physiotherapy experiences of injured immigrant workers in Quebec: an intersectional perspective.

Immigrant workers are more likely to suffer work-related injuries compared to native-born Canadians. Their physical rehabilitation usually involves physiotherapy. This study sought to better understand the experiences of injured immigrant workers receiving compensation and physiotherapy treatments. We conducted a qualitative study using an interpretive descriptive methodology. Semi-structured interviews were completed with 10 compensated immigrant workers about the physiotherapy services they received. Transcripts were analyzed thematically and with an intersectional lens. Two major themes were identified: 1) complex pathways to physiotherapy, and 2) key pillars of physiotherapy experiences. The first theme demonstrates that a lack of familiarity with the health and compensation systems, delayed access to physiotherapy, and cumulative burdens complicate the care of immigrant workers. The second theme shows that moral/emotional support, pain relief, and the recognition of sociocultural beliefs and fears are key aspects to improving the experiences of care for these workers. This study offers new insights into physiotherapy in the context of a work injury, which may help physiotherapists adapt care to the complex needs of immigrant workers. The intersectional lens used in the analysis offers interesting ways of accounting for the multiple social identities of these workers.

The places we'll go: How have rural residents changed over time?

An increasingly key consideration in Canadian immigration policy is rural settlement patterns. As Canada’s largest census metropolitan areas (CMAs) continue to see increases in overall population, smaller and mid-sized communities face greater challenges in attracting and retaining newcomers as a means of economic and population improvements. As such, it is becoming increasingly important to look at the characteristics of individuals who opt for rural settlement in order to improve the outcomes of future attraction initiatives. While a substantial body of literature looks at the movement of immigrants and native-born Canadians across the country, far fewer look at the characteristics that positively predict rural settlement. This study helps to close the knowledge gap by investigating these characteristics and how they change over a 25-year period, using two identical logistic regression models and a pooled cross-sectional model based on the 1991 and 2016 Canadian Census. Overall, age, lower levels of education and income, as well as non-immigrant and non-visible minority statuses lead to higher propensities for rural living. However, the general trend is a move away from rural settlement in favour of larger cities.

Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada

ObjectiveThis study examined the dental care utilization and self-preserved dental health of Asian immigrants relative to non-immigrants in Canada. Factors associated with oral health-related disparities between Asian immigrants and other Canadians were further examined.MethodsWe analyzed 37,935 Canadian residents aged 12 years and older in the Canadian Community Health Survey 2012–2014 microdata file. Factors (e.g., demographics, socioeconomic status, lifestyles, dental insurance coverage, and year of immigration) associated with disparities in dental health (e.g., self-perceived teeth health, dental symptoms during past one month, and teeth removed due to decay in past one year) and service utilization (e.g., visiting dentist within the last three years, visiting dentist more than once per year) between Asian immigrants and other Canadians were examined using multi-variable logistic regression models.ResultsThe frequency of dental care utilization was significantly lower in Asian immigrants than their non-immigrant counterparts. Asian immigrants had lower self-perceived dental health, were less likely to be aware of recent dental symptoms, and more likely to report tooth extractions due to tooth decay. Low education (OR = 0.42), male gender(OR = 1.51), low household income(OR = 1.60), non-diabetes(OR = 1.87), no dental insurance(OR = 0.24), short immigration length (OR = 1.75) may discourage Asian immigrants from dental care utilization. Additionally, a perceived lack of necessity to dentist-visiting was a crucial factor accounting for the disparities in dental care uptake between Asian immigrants and non-immigrants.ConclusionAsian immigrants showed lower dental care utilization and oral health than native-born Canadians.

Melanin levels in relation to vitamin D among first-generation immigrants from different ethnic groups and origins: A comparative national Canadian cross-sectional study.

Immigrants to Western countries tend to have darker skin than native-born populations. We examined the relationship between skin melanin and serum vitamin D (vitD) [S-25(OH)D] levels and explored whether melanin levels explained S-25(OH)D variations between immigrants and native-born Canadians. This study offers novel findings as no such study has been conducted. We used a national cross-sectional population-based design with data from the Canadian Health Measures Survey (CHMS). Skin melanin levels among first-generation immigrants based on their ethnicity and origin/country of birth were compared with white and native-born populations. We assessed the association between S-25(OH)D and melanin after adjusting for independent variables related to S-25(OH)D, melanin level, and immigration status. Of 11,579 participants, 21.9% were immigrants aged 3-79 years (mean age 39.23 years). Compared with non-immigrants, immigrants had lower S-25(OH)D levels (mean: 51.23 vs. 62.72; 95% CI: 8.37, 14.62; P < 0.001) but higher melanin levels (mean [SE]: 17.08 [0.25] vs. 16.29 [0.29]; 95% CI: -1.29, -0.281; P = 0.004). Melanin did not differ by length of stay in Canada but was weakly positively correlated (r = 0.088, P < 0.001) with S-25(OH)D. Sex (male), age (≥18 years), summer/fall seasons, sunlight exposure, sunscreen non-use, smoking, and alcohol consumption were associated with higher melanin levels, whereas indoor tanning use was not. Skin melanin levels were associated with sociodemographic and behavioral characteristics. Immigrants had higher melanin levels, but melanin did not differ by length of stay in Canada. The weak positive correlation between melanin and S-25(OH)D suggested confounding factors may impact the relationship between melanin levels, S-25(OH)D, and immigration status.

Earnings Gaps between Native-Born Canadians and Immigrants: The Role of Firms in British Columbia, Ontario, and Quebec

A growing literature shows that earnings differentials are explained in part by the fact that workers from different groups sort differently into high-paying and low-paying firms or are paid differently within the same firm. In this article, we explore whether any differences exist in how those two different channels contribute to earnings differentials between immigrants and native-born Canadians in the provinces of British Columbia, Ontario, and Quebec, which account for more than 80 percent of all immigrants in Canada. We find a surprising degree of similarity across the three provinces in the way in which firms contribute to the immigrant–native-born earnings gap.

Vitamin D Status among First-Generation Immigrants from Different Ethnic Groups and Origins: An Observational Study Using the Canadian Health Measures Survey.

One in five Canadians are first-generation immigrants. Evidence suggests the baseline risk for vitamin D (vitD) deficiency is increased among immigrants who move from equatorial to northern countries. We investigated the prevalence and determinants of vitD deficiency/insufficiency among first-generation immigrants compared with native-born Canadians and identified explanatory covariables. We used a cross-sectional design with data from the national Canadian Health Measures Survey (Cycles 3 and 4) (11,579 participants aged 3–79 years). We assessed serum 25-hydroxyvitamin D (S-25(OH)D) levels, sociodemographic and environmental factors, immigration status, length of time in Canada, vitD-rich food intake, ethnicity, and place of birth. Immigrants had lower mean S-25(OH)D than non-immigrants (51.23 vs. 62.72 nmol/L, p < 0.001). Those with younger age at the time of immigration (<18 years) had a high risk for low vitD, and S-25(OH)D levels increased with the length of time they had lived in Canada. The highest deficiency levels were in immigrants born in Morocco, India, and Lebanon compared with native-born Canadians. Ethnicity was the factor most strongly associated with S-25(OH)D. Compared with the white ethnic grouping, the Japanese had the highest level of vitD deficiency, followed by Arabs and Southeast Asians. Ethnic variations, dietary intake, and lifestyle factors are the main predictors of/explanatory factors for vitD status among Canadian immigrants.

Chronic health conditions, healthcare experience and life satisfaction among immigrant and native-born women in Canada

PurposeTo compare chronic health status, utilization of healthcare services and life satisfaction among immigrant women and their Canadian counterparts.Design/methodology/approachA secondary analysis of national data from the Canadian Community Health Survey (CCHS), 2015–2016 was conducted. The survey data included 109,659 cases. Given the research question, only female cases were selected, which resulted in a final sample of 52,560 cases. Data analysis was conducted using multiple methods, including logistic regression and linear regression.FindingsRecent and established immigrant women were healthier than native-born Canadian women. While the Healthy Immigrant Effect (HIE) was evident among immigrant women, some characteristics related to ethnic origin and/or unhealthy dietary habits may deteriorate immigrant women's health in the long term. Immigrant women and non-immigrant women with chronic illnesses were both more likely to increase their use of the healthcare system. Notably, the present study did not find evidence that immigrant women under-utilized Canada's healthcare system. However, the findings showed that chronic health issues were more likely to decrease women's life satisfaction.Originality/valueThis analysis contributes to the understanding of immigrant women's acculturation by comparing types of chronic illnesses, healthcare visits, and life satisfaction between immigrant women and their Canadian counterparts.

From Stability to Polarization: The Transformation of Canadian Public Opinion on Immigration, 1975-2019

ABSTRACT Canadians hold favorable views about immigration, at least compared to many countries. Was it always so? Two survey series, using Environics and Gallup/Canadian Election Studies (CES) data, respectively, show that opinion on immigration was historically rather negative, became more positive from 1995 to 2005, and then stabilized. Native-born Canadians are now almost as positive toward immigration as immigrants themselves. However, recent aggregate stability masks a sharp polarization post-2005. Panel data from 2004 to 2011 shows that respondents who want less immigration are more likely to shift their partisanship to the right. Conversely, there is no evidence that immigration opinion systematically changed to match partisanship. This suggests that the predominant mechanism is sorting, rather than opinion change, at least in the period examined. Finally, is immigration likely to become an increasing source of political conflict in Canada? It depends on how competition at both ends of the political spectrum structures the interests of the major parties.

Improving health literacy – bridging the gap between newcomer populations and quality health care

Health literacy is the ability to obtain and utilize health information in order to advocate for one’s health. It is paramount to a recent immigrant’s successful integration into the Canadian healthcare system and their maintenance of health in the long term. Despite its importance, 60% of native-born Canadians and an even higher proportion of immigrants indicate that they are not health literate. In this article, we focus on the importance of health literacy in an immigrant population and current barriers they may face in accessing health care. We discuss current shortcomings within the healthcare system in terms of improving health literacy for newcomers and explore strategies currently used in the United States and Canada. Based on our review of the literature, it is clear that promoting health literacy is a multi-dimensional challenge which requires the synthesis of many strategies, including clear written and oral communication, use of multimedia tools, cultural sensitivity, participatory teaching, community resources, and availability of diverse care providers who can relate to newcomers linguistically and culturally.

Close Relations Matter: The Association Between Depression and Refugee Status in the Canadian Longitudinal Study on Aging (CLSA).

This study examined the prevalence and social determinants of depression among refugee and non-refugee adults aged 45-85 in the Canadian Longitudinal Study on Aging. Bivariate analyses and multivariable binary logistic regression analyses were conducted. The prevalence of depression was higher in a sample of 272 refugees (22.1%) and 5059 non-refugee immigrants (16.6%), compared to 24,339 native-born Canadians (15.2%). The adjusted odds ratio (aOR) of depression for refugees were not attenuated when controlling factors such as, (1) socioeconomic status, (2) health conditions and behaviours, (3) social isolation and online social networking (aORs range from 1.61 to 1.70, p's < 0.05). However, when social support representing close personal relationships was included, the odds of depression for refugees were reduced to non-significance (aOR = 1.30, 95% CI 0.97-1.74, p = 0.08). Refugees' excess vulnerability to depression is mainly attributable to lower levels of affectionate social support. Targeted interventions in nurturing supportive interpersonal relationships for refugees are warranted.

Can skilled immigration raise innovation? Evidence from Canadian Cities

Abstract We examine the effect of changes in skilled-immigrant population shares in 98 Canadian cities on per capita patents. The Canadian case is of interest because its ‘points system’ is viewed as a model of skilled immigration policy. Our estimates suggest that the impact of increasing the university-educated immigrant share on patenting rates is modest at best and unambiguously smaller than the impact of skilled immigrants in the USA. We find larger effects of Canadian science, engineering, technology or mathematics (STEM)-educated immigrants employed in STEM jobs, but this impact is limited because only one-third of Canadian STEM-educated immigrants are employed in STEM jobs, compared with two-fifths of native-born Canadians and one-half of US immigrants. Our findings suggest that for most countries, skilled immigration is unlikely to be a panacea for sluggish innovation and that the US experience may be exceptional.

A Comparison of Mental Health, Food Insecurity, and Diet Quality Indicators between Foreign-Born Immigrants of Canada and Native-Born Canadians

ABSTRACT Because successful integration post-immigration is critical to Canada’s population health, national data were analyzed to examine mental health, food insecurity (Household Food Security Survey Module), and diet quality (e.g., nutrient intakes) between foreign-born immigrants and native-born Canadians. After controlling for sociodemographic and health covariates, immigrants were more likely to report poor mental health, food insecurity, and poor diet quality (ORs 1.038–1.080); consume less carbohydrates, vitamin B1, and iron (ORs 0.814–0.996); and have higher intakes of fat, fiber, and vitamins B6 and B9 (ORs 1.003–1.420; all p’s<0.05). These results can help to advance policy developments to help mitigate the ‘healthy immigrant effect’.

The Immigrant Mortality Advantage in Canada, 2001 and 2011

This study examines differential mortality between immigrant and native-born populations in Canada with respect to eighteen causes of death categories encompassing chronic and external types of mortality over two census periods, 2001 and 2011. The following interrelated questions are addressed: (1) what is the magnitude of the immigrant mortality advantage relative to native-born Canadians? (2) How does it change over time? (3) Is the migrant advantage uniform across all causes of death? (4) Does the advantage for immigrants prevail across all age groups? (5) Are immigrant men and women equally advantaged across causes of death? These queries are explored with multivariate analysis guided by a conceptual framework that specifies differential mortality as a function of nativity factors, health selection, and acculturation effects. It is shown that nativity status exerts a strong independent effect, and that over time, migrants experienced larger reductions in risk than did native-born Canadians. Further analysis revealed support for both health selection and acculturative explanations. Sex differences are found, with male immigrants enjoying a small but significant relative mortality advantage compared to immigrant females. The paper discusses these findings and closes with suggestions for further study.

Revisiting the healthy immigrant effect with diabetes risk in Canada: why race/ethnicity matters

ABSTRACTObjective: Evidence shows that recent immigrants are healthier than the native-born population, a phenomenon known as the healthy immigrant effect. With increasing duration of stay, this health gap significantly narrows as immigrants’ health deteriorates to either resemble or become worse than the host population. However, little is known about the category of immigrants for whom this decline is most pronounced since the extant research largely considers immigrants as a homogeneous group, thus overlooking important racial/ethnic differences.Design: Using data from the 2014 Canadian Community Health Survey (CCHS), we categorised immigrants by race/ethnicity and duration of stay in Canada and compared them to their native-born white Canadian counterparts on the likelihood of having a chronic health condition, using type 2 diabetes (T2D) as a case.Results: In the base model, recent visible minority (i.e. non-white or non-Caucasian) immigrants and recent white immigrants were less likely than the native-born white Canadian population to have T2D (recent visible minority immigrants OR = 0.46, CI = 0.27–0.79, p = 0.005; recent white immigrants OR = 0.26, CI = 0.11–0.64, p = 0.003). The odds of having T2D were significantly higher for long-term immigrants than the native-born white Canadian population (long-term visible minority immigrants OR = 1.59, CI = 1.27–2.00, p = 0.000; long-term white immigrants OR = 1.74, CI = 1.44–2.10, p = 0.000). In the multivariate model, long-term visible minority immigrants were about 2.3 times more likely than their white Canadian born counterparts to have T2D (CI = 1.86–2.96, p = 0.000). Long-term visible minority immigrants were about 2.1 times more likely than long-term white immigrants to have T2D (CI = 1.49–2.94, p = 0.000)Conclusion: Immigrants’ health deterioration varies significantly across ethnic categories in Canada. Interventions for facilitating the integration of visible minority immigrants may help reduce these health inequities.

Immigration as a social determinant of troubled sleep in Canada: some evidence from the Canadian Community Health Survey–Mental Health

BackgroundThe literature pays very little attention to immigrants' sleep in Canada, although sleep is essential to individual health and well-being. AnalysisDrawing data from the Canadian Community Health Survey–Mental Health, we aim to address this void by comparing troubled sleep among recent immigrants, established immigrants, and the native-born Canadians. ResultsDespite immigrants' declining health over time in Canada, our findings reveal that both recent and established immigrants report fewer cases of troubled sleep than their native-born counterparts. Recent (odds ratio [OR] = 0.70, 95% confidence intervals [CIs] = 0.62-0.79) and established immigrants (OR = 0.86, 95% CIs = 0.79-0.92) were less likely to report troubled sleep than the native-born at the bivariate level, although its significant impact for recent immigrants was completely attenuated when health status was controlled for (OR = 0.88, 95% CIs = 0.76-1.02). Established immigrants were still less likely to report fewer cases of troubled sleep than the native-born even after controlling for all control variables (OR = 0.88, 95% CIs = 0.81-0.96). ConclusionBased on these findings, we discuss that fewer troubled sleep cases reported by immigrants may be explained by their initial health advantage, resilience trajectory, and cultural interpretation of sleep. We also provide several suggestions for future research.

The Earnings of Immigrant and Native-Born Men in Canada: The Role of Social Networks and Social Capital

ABSTRACTUsing data from the Canadian General Social Survey (2008), this study considers the role of social networks in immigrants’ earnings. Despite higher levels of education, immigrants continue to earn less than native-born Canadians. This paper shows that social network characteristics are associated with earnings net of the effects of human capital and visible minority status. Social networks are important for understanding immigrants’ earnings both as a direct cause of employment disadvantages and as a force that exacerbates the disadvantages that immigrants face due to racial discrimination, a lack of proficiency in Canada’s official languages, and/or discrepancies over foreign credentials. While most current data on immigrant networks is limited to specific ethnic groups, cities, and/or occupations, the present study contributes to scholarship by generalizing data to all immigrants in Canada. This study also expands the temporal scope by comparing immigrants who arrived in the 2000s, 1990s, and earlier. Future research and public policy should put greater emphasis on the role of social networks in the economic integration of new immigrants.

Ethno-specific preferences of cigarette smoking and smoking initiation among Canadian immigrants - a multi-level analysis.

BackgroundCigarette smoking is the leading cause of preventable morbidity and mortality worldwide. Over the last decade, increased immigration has significantly shifted Canada’s demographic profile. According to a 2011 National Household Survey, approximately 20.6% of the Canadian population was immigrants, the highest among the G8 countries. It is estimated that by 2031, one-in-three Canadian’s will be an immigrant. This study examined the ethno-specific preference of cigarette smoking and smoking initiation among Canadian immigrants.MethodsThis study used data from the 2013 to 2014 combined cycles of the Canadian Community Health Survey. This was a nationally generalizable, telephone-based survey that included a total of 130,000 respondents, aged 12 years or older. Ethnic differences in the preference of cigarette use among Canadian immigrant groups were determined. A three-level mixed effects logistic regression model was used to estimate the effect of ethnicity on the likelihood of smoking initiation after migration to Canada.ResultsIn our study, 82% of respondents were native-born Canadians (one group), while the rest were immigrants (six groups=18%). Results of the logistic regression analysis revealed statistically significant differences in the number of cigarettes smoked daily (P=0.0001), age of smoking onset (P=0.0001), and smoking initiation (P=0.0001) between Canadian-born and immigrant participants. Immigrant smokers in Canada were significantly more likely to be younger, single, Caucasian, females with high income and post-secondary education (P=0.0001).ConclusionThe results of our study suggest that Caucasian female immigrants in Canada initiated smoking at a younger age and smoked more cigarettes than any other immigrant group or native-born Canadians. This is a particularly interesting finding as Caucasian female immigrants may not be considered a vulnerable or at-risk population. To be effective, tobacco strategies specifically tailored for this overlooked population would require increased awareness, culturally appropriate initiatives, and gender-specific interventions.

Brain Gain or Brain Waste? Horizontal, Vertical, and Full Job-Education Mismatch and Wage Progression among Skilled Immigrant Men in Canada

This study examines the incidence and wage effects of vertical, horizontal, and full job-education mismatch for high skilled immigrant and native-born men over a six-year period, using a Canadian longitudinal dataset. Immigrants (particularly racial minorities immigrants) are more likely to be fully mismatched than white native-born Canadians. Full mismatch lowers initial wages, especially for racial minority immigrants. Full mismatch accelerates immigrants' wage growth slightly over time, but this is not enough to narrow the immigrant wage gap over the six-year survey period. The results highlight the importance of disaggregating the different types of job-education mismatch experienced by immigrants.

Immigrants’ Experiences of Everyday Discrimination in Canada: Unpacking the Contributions of Assimilation, Race, and Early Socialization

We examined perceptions of everyday discrimination among immigrants in Canada and in comparison to native-born Canadians using data from the 2013 Canadian Community Health Survey. We find that recent immigrants report less discrimination than native-born Canadians, ceteris paribus. Recent immigrants also report less discrimination than their fellow immigrants who had been residing in Canada for much longer durations. There were trivial differences in perceptions of everyday discrimination between native-born Canadians and midway and established immigrants, all else being equal. Additional analysis suggests that differences in age at arrival and associated early socialization experiences might explain variations in immigrants’ perceived discrimination.

Measuring labour market success: a comparison between immigrants and native-born Canadians using PIAAC

Canadian society is characterised by a plurality of immigrants and Canadian migration policy and corresponding recognition approaches are strongly geared to economic criteria, qualifications and skills. This paper addresses the question how immigrants who have acquired their highest qualification outside Canada are able to use their foreign qualifications and skills in their current job. The analyses are conducted to verify the assumptions of human capital theory as well as the lack of transferability of human capital across country borders. To answer these questions a labour market success index is developed, which is used as a dependent variable in regression models. The results show that traditional operationalisations of human capital (years of education, years of work experience and skills) have a positive effect on individual labour market success. At the same time, being born abroad and having acquired one’s highest qualification abroad in comparison to Canada, especially in a Non-Western country, has negative effects on the overall labour market success of an individual. Detailed comparisons regarding different indicators of labour market success also prove these comparatively negative effects. The results demonstrate the limited explanatory power of human capital theory and the necessity to complement it with Bourdieu’s concepts of social and cultural capital.