Second-generation Immigrants Research Articles

Measuring adaptation with immigrants’ subjective wellbeing: evidence from European countries7

The socio-economic adaptation of immigrants in Europe is the source of great concern both to experts and policy-makers. The literature on the subject regards the traditional approach to measuring the adaptation of foreigners to the host country, invloving the use of indicators such as full-time employment or income level, as insufficient, and advocates a more diversified and inclusive approach. Our study answers this call by taking into account the subjective wellbeing (SWB) of individuals (life satisfaction scores) while researching the socioeconomic adaptation of immigrants in Europe. The main aim of the study is to empirically assess the socio-economic adaptation of firstgeneration immigrants and persons with immigrant background (i.e. those who have at least one immigrant parent) in European states. To this end, we analyse the determinants of the SWB based on the data from the European Social Survey conducted in 2018 in 29 European countries on the population aged 15+. In our model, we use the religious affiliation and religiosity of individuals as an additional measure of cultural identity. We also take into account control variables such as labour market participation, education, marital status and disability. We apply Ordinary Least Squares regression, a method commonly used in analyses of this type. We find that the first-generation immigrant status does not impact directly on the SWB, i.e. the life satisfaction scores of foreign-born persons are similar to those of the local community. What has a more significant influence is the immigrnats’ religious affiliation: Muslims are the religious group dissatisfied with life to the largest extent. Yet, their life satisfaction increases considerably among the second-generation immigrants, i.e. persons who have at least one foreign-born parent. Therefore, our results confirm that the new generation of Muslims with immigrant background born in European host countries is better adapted to the socioeconomic conditions than their parents’ generation or native Muslims.

Childhood poverty and school readiness: Differences by poverty type and immigration background

ObjectivesPoverty exposes children to adverse conditions that negatively impact development. However, there is limited understanding on how different types of poverty may affect children of various immigration backgrounds differently in outcomes such as school readiness. This study examined these relationships between household and/or neighbourhood poverty, poverty timing, and immigration background with school readiness outcomes at kindergarten. MethodsThis study utilized a retrospective, population-based cohort of administrative records linked with surveys completed by kindergarten teachers for 15 369 children born in British Columbia, Canada. The exposures investigated were neighbourhood poverty (residing in a neighbourhood in the lowest income-quintile) and/or household poverty (receiving a health insurance subsidy due to low household income). Experiencing both neighbourhood and household poverty simultaneously was defined as “combined” household and neighbourhood poverty. The outcome of vulnerability on school readiness domains was assessed at kindergarten (47.8% female; mean age = 6.01 years) using teacher ratings on the Early Development Instrument (EDI). ResultsChildren exposed to combined poverty between age 0 and 2 had greater odds of being vulnerable in two or more domains of school readiness than children not exposed to any poverty during this period (adjusted odds ratio (aOR) = 2.07, 95% CI: [1.74; 2.47], p < 0.001). The effect of combined poverty was larger than household poverty only (aOR = 1.54, 95% CI: [1.31; 1.82], p < 0.001) or neighbourhood poverty only (aOR = 1.49, 95% CI: [1.30; 1.70], p < 0.001). Combined poverty was associated with negative outcomes regardless of timing. Both non-immigrants (aOR = 2.40, 95% CI: [1.92; 3.00], p < 0.001) and second-generation immigrants (aOR = 1.63, 95% CI: [1.22; 2.17], p < 0.001) experiencing combined poverty scored lower on school readiness. ConclusionsChildren who experienced combined poverty had lower levels of school readiness at kindergarten, regardless of timing and immigration background.

Imigranci z Azji Południowo-Wschodniej w polityce zagranicznej Tajwanu

SOUTHEAST ASIAN IMMIGRANTS IN TAIWANESE FOREIGN POLICYThis article, through the analysis of the situation of permanent and labor immigrants in Taiwan, will try to show the different facets of Taiwanese foreign policy aimed at the Southeast Asian region. Announced by President Tsai Ingwen, the so-called New Southward Policy focuses on talent cultivation and industrial, commercial, cultural, educational and tourism exchanges. Its direct consequence is the exponentially increasing number of ASEAN nationals on the island, who come to Taiwan lured by the high standard of living and opportunities for high wages. From the perspective of the Taiwanese government, a special role is played by the second generation of immigrants from Southeast Asia, who are presented in popular discourse as the future of an island plagued by typical problems of developed countries such as low birth rates and gentrification.

Effects of cultural origin on entrepreneurship

This paper investigates the effects of cultural origin on entrepreneurship. Using Swedish registry data on second-generation immigrants and risk appetite measures from the Global Preference Survey (GPS), we investigate whether risk preferences in parents’ home countries affect entrepreneurship. We find that children of immigrants from more risk-loving cultures are more likely to start up a business, although of poorer quality. We also find that entrepreneurs with parents from cultures with higher risk appetite earn a lower personal income. Our analysis demonstrates that culturally transmitted risk appetite has significant effects beyond individual and parental socioeconomic characteristics.

Educational inequality in cause-specific mortality among immigrants and their descendants in Sweden

Abstract Introduction Although immigrants in Western countries often face disadvantages and vulnerabilities such as lower socioeconomic status, they tend to exhibit weaker educational gradients in mortality compared to the native majority populations. However, it is unclear how these gradients vary across specific causes of death and whether they persist among second-generation immigrants. Therefore, this study aims to investigate educational inequalities in cause-specific mortality among first- and second-generation immigrants compared to the native ancestral population in Sweden. Data &amp; Methods Individual-level analysis was conducted on Swedish register data from 2004 to 2016, including men and women aged 25 to 64. Poisson regression was used to examine the association between the highest educational degree attained and mortality due to circulatory diseases, neoplasms, external causes, self-harm, drug and alcohol use. Results The findings indicated that first-generation immigrants exhibited significantly lower educational inequality in all causes of death compared to native ancestral Swedes. In contrast, second-generation immigrants showed similar degrees of educational inequality in all-cause mortality and mortality due to neoplasms when compared to ancestral Swedes. However, they displayed more pronounced educational inequalities in mortality from external causes, self-harm, and drug use. Conclusions The results highlight that while first-generation immigrants experience lower educational inequality in the considered causes of death, second-generation immigrants show pronounced educational inequalities in avoidable causes of death. This study emphasizes the importance of considering heterogeneity in educational disparities in immigrant mortality and calls for policy interventions to address educational inequalities in second-generation immigrants. Key messages • When compared to the native majority population, first-generation immigrants in Sweden demonstrate lower educational inequality in mortality, regardless of the underlying cause. • Conversely, second-generation immigrants display larger educational inequalities, particularly for mortality caused by preventable factors.

Partner Choice and Economic Outcomes among the Children of Immigrants

Several studies have shown that immigrants marrying natives experience better economic outcomes than those marrying other immigrants, but we know less about partner choice and the economic outcomes of the children of immigrants and among those forming cohabiting unions. Utilizing Norwegian register data from all cohabiting and marital unions formed between 2006 and 2018 involving second-generation and childhood immigrants ( N = 49,692 couples, 65% cohabiting), we explored how partner choice relates to employment status, individual income, and household income for up to 14 years after union formation. Overall, children of immigrants with native partners were more frequently employed and earned higher incomes than those who chose partners from migrant-backgrounds. Fixed effects model results confirmed that children of immigrants who partnered endogamously experienced less favorable employment and individual income trajectories compared to those partnering with natives. We discovered similar negative impacts on the likelihood of employment and on the individual incomes of men who partnered exogamously with migrant-background women. However, when ignoring initial selection and shifting focus solely to changes post-union formation, we found that partnering endogamously had a positive effect on household income. In general, we observed the strongest effects among women and those married, and we noticed important differences across global regions of origin.

폭력적 극단주의 예방을 위한 교육프로그램 운영 방안에 관한 연구

Day after day, violent incidents by extremists continue to occur in the global village. Concerns about far-right terrorism or violent far-right extremism are rising in Europe as well as the United States, and these countries are nervous about the spread of far-right extremism or far-right terrorism that is unusually expanding. Recently, violent protests occurred in France because of the police's excessive suppression of second-generation immigrants, and in the Netherlands, a coalition government collapsed over the demand for refugees and migrants. The recent spread of violent far-right extremism in Europe appears to be closely related to the rapid influx of refugees into Europe since 2015.&#x0D; In this situation, in order to prevent the spread of violent extremism, it is persuasive to recognize that it is a social problem rather than the existing state-centered response, and to find a solution through integrated cooperative governance of the government, businesses, schools, and civic groups. In Korea, too, there are many vulnerable groups who are complaining of suffering in the shadow of economic growth and national development. While being discriminated against and alienated from society, they have dissatisfaction with the country, and teenagers who are not adapted to school are directly affected by the online community.&#x0D; Therefore, in this study, the concept of violent extremism is introduced, the factors and paths leading to violent extremism are examined, and measures for prevention are presented. First, we selected the vulnerable class who are most likely to be inclined to violent extremism in Korea and key stakeholders who are in a position to control and manage them. In order to operate a violent extremism prevention education program targeting them, it is important to understand the characteristics of the local community and active participation of various stakeholders, and differentiated and customized education for each vulnerable group is necessary. In addition, periodic evaluation and monitoring, budget and manpower security are important considerations.&#x0D; This study presents a customized education program targeting the vulnerable and key stakeholders. In the prevention education program, the contents of education for the selected vulnerable class and key stakeholders and the criteria for selecting instructors were presented. In addition, in order to continuously operate these programs, it was suggested that a feedback system to evaluate and improve their effectiveness should be established. Despite some limitations, this study is meaningful in that it has presented the most specific implementation plan among the papers in related fields published so far, and additional follow-up research will contribute to the prevention of violent extremism and the safety of the community.

Fertility of immigrants and their descendants in Spain: intergenerational convergence to the native population’s behaviour?

Abstract We study the fertility patterns of first, 1.5, and second-generation immigrants in Spain, analysing a database linking the 2012–15 birth registers to the 2011 census. While first-generation Latin American immigrants have a lower fertility level than the native population, the 1.5 generation arriving between the ages of 9 and 17 years have a higher level. Both the 1.5 generation arriving younger than 9 years and the second generation closely follow the native population’s fertility level. The first and 1.5 generations of Maghrebi immigrants have a much higher fertility level than the native population, and the second generation maintains a slightly higher level. The impact that age, labour market participation, and educational attainment have on the second generation’s level is closer to the Spanish population than among the first generation. Selection and disruption hypotheses help to explain the fertility of Latin American immigrants, while socialization and interrelation of events hypotheses do so for Maghrebi immigrants.

Cultural persistence or change? Gender differences in educational expectations of first and second-generation immigrants in Italy

This paper analyzes whether cultural heritage determines gender differences in educational expectations to go to university of first- and second-generation immigrants in Italy. The analysis relies on the “Integration of Second-Generation Survey” (INTEG2GEN) carried out by the Italian Institute of Statistics (ISTAT) in 2015. INTEG2GEN is a national representative survey of students living in Italy and attending lower and upper secondary school. Our findings suggest that parents’ cultural background plays a non-negligible role for their daughters’ and sons’ expectations. Nevertheless, there is a gender difference in the way they react to it. Males are more sensitive to cultural orientations towards education. Females are more responsive to gender inequality issues and tend to conform to gender roles deemed appropriate according to their cultural tradition. Nevertheless, females seem more open to changes and opportunities they face in the new country.

Combined influence of immigration status and income on cervical cancer screening uptake

The regular performance of Pap tests for cervical cancer screening reduces this disease's incidence and mortality. Income inequalities have been reported for this screening, partly because in some countries women must advance or even pay out-of-pocket costs. Because immigrant status is also associated with low Pap test uptake, we aimed to analyze the combined impact of immigrant status and low income on cervical cancer underscreening. This study, based on the French CONSTANCES cohort, uses data from the cohort questionnaires and linked health insurance fund data about Pap test reimbursement. To measure income inequalities in screening, we calculated a Slope Index of Inequality (SII) by linear regression, taking into account the migration status of participants. The majority of the 70,614 women included in the analysis were not immigrants (80.2%), while 12.9% were second-generation immigrants, and 6.9% first-generation immigrants. The proportion of underscreening increased with immigrant status, from 19.5% among nonimmigrants to 23.6% among the second generation, and 26.5% among the first (P < 0.01). The proportion of underscreening also increased as income level decreased. The income gradient rose significantly from 14% among nonimmigrants to 21% in second-generation immigrants and 19% in the first generation (P < 0.01). Among first-generation migrants, the shorter the duration of residence, the higher the SII. Women who are first- or second-generation immigrants are simultaneously underscreened and subject to a more unfavorable economic gradient than native French women born to native French parents. The accumulation of several negative factors could be particularly unfavorable to screening uptake.

DIFFERENT GENERATIONS, DISTINCT LIFESTYLES, SAME FEELING OF HIRAETH: APOSTCOLONIAL STUDY OF KEN LIU’S “THE PAPER MENAGERIE”

The wave of immigration in recent decades has heralded new versions of colonialism. Thus, attention to the phenomenon of migration has gained a special place in literature. Among diaspora writers, one can mention Ken Liu and his “The Paper Menagerie”. In the course of this paper, at first and with the help of Edward Said’s theory of orientalism, a thorough discussion of the family’s and Americans’ attitudes toward each other and the cultural differences between them will be provided. Then, the character of the mother, as a representative of the first-generation immigrants, and the boy, as a representative of second-generation immigrants, will be under scrutiny based on Homi Bhabha and William Safran’s postcolonial ideas to delineate their path to their diasporic identities. In the final step, in the light of Eric Landowski’s theory of social relations, Jack and his mother’s distinct lifestyles in their host country will be analyzed to deduce that they chose snob and dandy lifestyles, respectively. The present paper will conclude that although different generations of immigrants have distinct lifestyles, they will consciously or unconsciously keep the connection with their homeland. Just like Jack, who undergoes an identity crisis and abandons his paper menagerie, his mother, and his Chinese heritage to assimilate into American culture. He loses both his mother and her magic, only to regain them to some extent at the end of the story, when he realizes that he, too, feels hiraeth. Although, the hiraeth that he felt was latent in his unconscious.

A longitudinal person-centered representation of elementary students' motivation: Do perceptions of parent and teacher achievement goals matter?

This study utilized a longitudinal person-centered approach to investigate how children's achievement goals combine with the goals held for them by their parents and teachers to form unique achievement goal profiles among a sample of 619 elementary school students (Mage = 9.782; 52.5% female; 79.2% first- and second-generation immigrants) from low SES ethnically diverse neighborhoods. Our results revealed four distinct profiles that proved to be identical from one school year to the next: (a) Low on all Goals, (b) High on all Goals, (c) Mastery-Oriented, and (d) Low Mastery Goals. Students' membership in these profiles was moderate to highly stable over time. Moreover, all profiles were marked by a correspondence between student, parent, and teacher goals, suggesting that elementary students may come to develop a global understanding of the various goal-related messages present in their environment. Higher perceived competence in core academic subjects was associated with membership into profiles characterized by high levels of mastery goals. The Mastery-Oriented profile fared best in terms of academic achievement and anxiety, whereas the Low Mastery Goals profile fared the worst. This Low Mastery Goals profile was unique to our study and represented the largest profile, which could be related to the socioeconomic status of our sample. Our findings provide information regarding the nature and stability of achievement goal profiles among elementary school students and offer new insights into how children interpret goal-related messages in their environment.

What is in your résumé? The effects of multiple social categories in résumé screening

PurposeNumerous studies have shown that minority workers are disadvantaged in the labour market due to stereotypes and discrimination. However, published research on résumé screening has overlooked the effects of multiple social categorisations pertaining to candidates' gender, education and origin. This study addresses this gap and examines whether the gender, the level of education and the national origin cues mentioned in the résumé affect the perceived employability of candidates.Design/methodology/approachThis study employs an experimental between-subjects factorial design in that 12 résumés varying in gender, education and national origin were rated by 373 Portuguese working adults.FindingsThe results documented a gender premium as women were favoured in interpersonal and job skills but not in job suitability, and an education premium, since higher educated candidates were preferred despite their gender and origin. No meaningful interactions for gender × education × national origin were observed, which suggests that ingroup favouritism and outgroup discrimination in résumé screening can be averted.Originality/valueThe findings endorse a multidimensional view of perceived employability by investigating candidates' skills and job suitability from the viewpoint of the decision-makers, which extends our understanding of résumé-screening discrimination. This is critical to prevent hiring discrimination at an earlier career stage, which can increase youth employment and enhance the integration in the labour market of local minorities such as women, inexperienced workers and second-generation immigrants.

COVID-19 vaccine decision-making among Black women: A qualitative study

ObjectiveTo understand COVID-19 vaccine decision-making among Black women in the United States. MethodsWe conducted qualitative interviews with 60 Black women (both African American and first- and second-generation immigrants originating from Africa and the Caribbean) living in the Minneapolis/St. Paul Metropolitan Area. ResultsParticipants who were highly motivated to get vaccinated described their trust in science and a desire to protect themselves and those around them; while those who delayed vaccination reported doubts about vaccine safety. Many reported being influenced by targeted misinformation including the pervasive vaccine myths related to reproductive health. Historical trauma from unethical biomedical research and experiences of racism were also motivating factors. There were several concerns raised that were specific to ethnic groups. ConclusionsCurrent public health strategies that are intended to promote COVID vaccination are failing Black communities. Participants highlighted the need for clear and culturally appropriate communication about COVID-19 and the vaccines that is aligned with their communities’ values and addresses misinformation. The critical insights we have gained by listening to these communities should be used to develop novel vaccination policy approaches.

Does globalization suppress social trust?

Globalization has been on the increase during the past 50 years, and there are now signs of a backlash. Part of the reason may be the widely held belief that globalization is harmful, not least for the cultural fabric. Is that the case? We investigate whether globalization has suppressed social trust, arguably one of the most beneficial characteristics of people in a society. By using a sample of first- and second-generation immigrants in 33 primarily European countries, we apply the epidemiological method to rule out reverse causality; and by using the KOF Index of Globalization, we study effects of economic, social and political globalization separately. We find that especially social globalization, and to some extent economic globalization, are positively related to social trust, with a small effect size, while political globalization is largely unrelated to it. Overall, this indicates that globalization does not pose a danger for social trust – at least not for people with a migration background. If anything, people seem to become slightly more trusting with more globalization.

Migration-related inequalities in loneliness across age groups: a cross-national comparative study in Europe

This study aims to contribute to the growing interest in the consequences of migration for loneliness by investigating the role of generational status across various age groups in countries with differing integration policies and attitudes towards immigrants. Using data from rounds 5, 6 and 7 of the European Social Survey, I conducted logistic multilevel models on a sample of 121,835 respondents aged 18 years and older, residing in 26 countries. Loneliness was assessed based on a single-item item question from the Center for Epidemiologic Studies of Depression scale. The findings suggest that individuals with a migration background are more likely to experience loneliness than those without. Within this group, I found that first-generation immigrants who arrived after the age of 18 are more vulnerable to loneliness than those who arrived earlier, although the latter still reported more loneliness than second-generation immigrants. Furthermore, migration-related inequalities in loneliness were greater among the youngest age group (18–34 years) and in countries with a more positive public stance towards immigrants. In sum, this study highlights the persistent challenges that migration poses for loneliness across generations and age groups, and emphasizes the need to extend research in this area beyond older adults. Moreover, it suggests that promoting a welcoming culture towards immigrants may have unintended consequences for loneliness gaps, but further research is needed to explain this observation.

Assessing Mental Health Vulnerability Among First- and Second-Generation Immigrants During the Trump Administration

Under the Trump administration, many immigrants struggled with exclusionary policies that created a climate of fear and uncertainty. Our aim was to investigate which immigrants may be more vulnerable for experiencing policy stress and discrimination during this time period. Employing a cross-sectional design, we recruited U.S. immigrants ( N = 490) to complete an online survey assessing experiences of policy-related stress and discrimination. Multiple regression results showed significant models for both outcome variables, with several vulnerabilities emerging. For policy stress, immigrants who were younger, non-white, and who lived in a household with a lower annual income were more vulnerable. Participants who were second-generation immigrants, younger, male, and non-white reported higher perceived discrimination. Findings suggest that the stress associated with policies and experiences of discrimination varied within the immigrant community, and implications for practice and policy work are discussed.

Expressed emotion and wellbeing in South Asian heritage families living in the UK

The primary aim of this paper was to understand expressed emotion (EE) and its relationship to wellbeing in South Asians (SAs) living in the UK. A total of 529 participants of South Asian heritage were recruited from the UK and completed an online survey consisting of the family questionnaire, the level of expressed emotion scale (LEE), warmth measure, the hospital anxiety and depression scale. Components of EE and wellbeing were investigated using network analysis. Overall, the participants were classified as low EE for criticism, but high for emotional overinvolvement. They scored relatively high on the warmth scale. LEE scores were in the middle range. The network analysis revealed unique associations between EE subscales and symptoms of depression and anxiety, and highlighted positive aspects of EE. The network analysis also highlighted differences in EE between parents and partner. The findings provide an overview of the interactions and influence of EE variables within this population. Future research should focus on the differences between SA ethnicities and religions; differentiating between intrusive and non-intrusive involvement may help further explain part of the variance between variables; exploring first and second-generation immigrants would help discover the impact of acculturation and intergenerational trauma on EE.

Savings behavior among immigrants and their U.S.-born children: A test of the culture-transplant model

The economic impact of immigration involves the movement of more than just labor and capital. Under the culture-transplant model, immigrants carry from their birth countries distinctive values and behaviors that they transmit to their descendants in their new countries. This study tests the model by examining the savings disposition of immigrants and their U.S.-born children. It finds a robust link between individuals’ savings and the national savings rates of their ancestral countries. In a midrange estimate, a 1 percentage-point increase in ancestral-country savings rates is associated with a 1 percent increase in retirement savings among second-generation immigrants. These results suggest that savings behavior has a cultural basis that persists in the generation after migration.

COVID-19 Vaccine Uptake in Immigrant, Refugee, and Nonimmigrant Children and Adolescents in Ontario, Canada

COVID-19 vaccinations are recommended for minors. Surveys indicate lower vaccine acceptance by some immigrant and refugee groups. To identify characteristics in immigrant, refugee, and nonimmigrant minors associated with vaccination. This retrospective cohort study used linked, population-based demographic and health care data from Ontario, Canada, including all children aged 4 to 17 years registered for universal health insurance on January 1, 2021, across 2 distinct campaigns: for adolescents (ages 12-17 years), starting May 23, 2021, and for children (ages 5-11 years), starting November 25, 2021, through April 24, 2022. Data were analyzed from May 9 to August 2, 2022. Immigrant or refugee status and immigration characteristics (recency, category, region of origin, and generation). Outcomes of interest were crude rates of COVID-19 vaccination (defined as ≥1 vaccination for children and ≥2 vaccinations for adolescents) and adjusted odds ratios (aORs) with 95% CIs for vaccination, adjusted for clinical, sociodemographic, and health system factors. The total cohort included 2.2 million children and adolescents, with 1 098 749 children (mean [SD] age, 7.06 [2.00] years; 563 388 [51.3%] males) and 1 142 429 adolescents (mean [SD] age, 14.00 [1.99] years; 586 617 [51.3%] males). Among children, 53 090 (4.8%) were first-generation and 256 886 (23.4%) were second-generation immigrants or refugees; among adolescents, 104 975 (9.2%) were first-generation and 221 981 (19.4%) were second-generation immigrants or refugees, most being economic or family-class immigrants. Immigrants, particularly refugees, were more likely to live in neighborhoods with highest material deprivation (first-generation immigrants: 18.6% of children and 20.2% of adolescents; first-generation refugees: 46.4% of children and 46.3% of adolescents; nonimmigrants: 18.5% of children and 17.2% of adolescents) and COVID-19 risk (first-generation immigrants; 20.0% of children and 20.5% of adolescents; first-generation refugees: 9.4% of children and 12.6% of adolescents; nonimmigrants: 6.9% of children and 6.8% of adolescents). Vaccination rates (53.1% in children and 79.2% in adolescents) were negatively associated with material deprivation. In both age groups, odds for vaccination were higher in immigrants (children: aOR, 1.30; 95% CI, 1.27-1.33; adolescents: aOR, 1.10; 95% CI, 1.08-1.12) but lower in refugees (children: aOR, 0.34; 95% CI, 0.33-0.36; adolescents: aOR, 0.88; 95% CI, 0.84-0.91) compared with nonimmigrants. In immigrant- and refugee-only models stratified by generation, region of origin was associated with uptake, compared with the overall rate, with the lowest odds observed in immigrants and refugees from Eastern Europe (children: aOR, 0.40; 95% CI, 0.35-0.46; adolescents: aOR, 0.41; 95% CI, 0.38-0.43) and Central Africa (children: aOR, 0.24; 95% CI, 0.16-0.35; adolescents: aOR, 0.51,CI: 0.45-0.59) and the highest odds observed in immigrants and refugees from Southeast Asia (children: aOR, 2.68; 95% CI, 2.47-2.92; adolescents aOR, 4.42; 95% CI, 4.10-4.77). Adjusted odds of vaccination among immigrants and refugees from regions with lowest vaccine coverage were similar across generations. In this cohort study using a population-based sample in Canada, nonrefugee immigrants had higher vaccine coverage than nonimmigrants. Substantial heterogeneity by region of origin and lower vaccination coverage in refugees persisted across generations. These findings suggest that vaccine campaigns need precision public health approaches targeting specific barriers in identified, undervaccinated subgroups.