Neighbourhood recent immigration and hospitalization in Toronto, Canada
- PMID: 15191130
- PMCID: PMC6975793
- DOI: 10.1007/BF03403663
Neighbourhood recent immigration and hospitalization in Toronto, Canada
Abstract
Recent immigrants to Canada tend to initially settle in low-income urban core areas. The relationships among immigration, neighbourhood effects and health are poorly understood. This study explored the risk of hospitalization in high recent-immigration areas in Toronto compared to other Toronto neighbourhoods. The study used 1996 hospitalization and census data. Regression was used to examine the effects of recent immigration on neighbourhood hospitalization rates. Most hospitalization categories showed significantly higher rates of admission as the proportion of recent immigrants increased. Income was also significantly associated with all categories of hospitalization except surgical admissions. Average household income was almost 60% lower (dollar 36,122) in the highest versus the lowest immigration areas (dollar 82,641) suggesting that, at the neighbourhood level, the effects of immigration and income may be difficult to disentangle. These findings have important implications for health care planning, delivery, and policy.
Les nouveaux arrivants au Canada ont tendance à s’installer dans les noyaux urbains à faible revenu. Les liens entre l’immigration, l’effet du quartier et la santé sont mal compris. La présente étude porte sur le risque d’hospitalisation dans les quartiers de Toronto à forte proportion d’immigrants récents par comparaison avec d’autres quartiers de Toronto. Nous avons utilisé les chiffres sur les hospitalisations et les données du recensement de 1996. Par régression, nous avons examiné l’effet de l’immigration récente sur les taux d’hospitalisation dans les différents quartiers. Dans la plupart des catégories, les taux d’hospitalisation ont considérablement augmenté à mesure que la proportion des nouveaux immigrants s’est accrue. Mais le revenu présentait aussi une corrélation significative avec toutes les catégories d’hospitalisation, à l’exception des chirurgies. Le revenu moyen des ménages était presque de 60 % moins élevé (à 36 122 $) dans les quartiers à forte densité d’immigrants que dans les quartiers à faible densité d’immigrants (82 641 $), ce qui permet de supposer qu’à l’échelon des quartiers, il pourrait être difficile de démêler les effets de l’immigration de ceux du revenu. Ces constatations ont d’importantes conséquences pour la planification des soins de santé, leur prestation et l’élaboration des politiques en la matière.
Similar articles
-
Neighbourhood immigration, health care utilization and outcomes in patients with diabetes living in the Montreal metropolitan area (Canada): a population health perspective.BMC Health Serv Res. 2015 Apr 9;15:146. doi: 10.1186/s12913-015-0824-1. BMC Health Serv Res. 2015. PMID: 25888912 Free PMC article.
-
Gender, income and immigration differences in depression in Canadian urban centres.Can J Public Health. 2007 Mar-Apr;98(2):149-53. doi: 10.1007/BF03404328. Can J Public Health. 2007. PMID: 17441541 Free PMC article.
-
Neighbourhood immigrant concentration and hospitalization: a multilevel analysis of cardiovascular-related admissions in Ontario using linked data.Can J Public Health. 2014 Sep 17;105(6):e404-11. doi: 10.17269/cjph.105.4616. Can J Public Health. 2014. PMID: 25560885 Free PMC article.
-
Birth outcomes by neighbourhood income and recent immigration in Toronto.Health Rep. 2007 Nov;18(4):21-30. Health Rep. 2007. PMID: 18074994
-
Income disparities in life expectancy in the City of Toronto and Region of Peel, Ontario.Chronic Dis Inj Can. 2012 Sep;32(4):208-15. Chronic Dis Inj Can. 2012. PMID: 23046803
Cited by
-
Neighbourhood immigration, health care utilization and outcomes in patients with diabetes living in the Montreal metropolitan area (Canada): a population health perspective.BMC Health Serv Res. 2015 Apr 9;15:146. doi: 10.1186/s12913-015-0824-1. BMC Health Serv Res. 2015. PMID: 25888912 Free PMC article.
-
Social integration and mental health - a decomposition approach to mental health inequalities between the foreign-born and native-born in Sweden.Int J Equity Health. 2019 Apr 3;18(1):48. doi: 10.1186/s12939-019-0950-1. Int J Equity Health. 2019. PMID: 30944004 Free PMC article.
-
A six-year descriptive analysis of hospitalisations for ambulatory care sensitive conditions among people born in refugee-source countries.Popul Health Metr. 2007 Oct 3;5:9. doi: 10.1186/1478-7954-5-9. Popul Health Metr. 2007. PMID: 17910776 Free PMC article.
-
Access to health-care in Canadian immigrants: a longitudinal study of the National Population Health Survey.Health Soc Care Community. 2011 Jan;19(1):70-9. doi: 10.1111/j.1365-2524.2010.00950.x. Epub 2010 Sep 9. Health Soc Care Community. 2011. PMID: 21054621 Free PMC article.
-
Access to primary health care for immigrants: results of a patient survey conducted in 137 primary care practices in Ontario, Canada.BMC Fam Pract. 2012 Dec 28;13:128. doi: 10.1186/1471-2296-13-128. BMC Fam Pract. 2012. PMID: 23272805 Free PMC article.
References
-
- Siemiatycki M, Isin E. Immigration, diversity and urban citizenship in Toronto. Can J Regional Sci. 1998;20:73–102.
-
- CitizenshipImmigration Canada. Facts and Figures, 2001–Immigration Overview. Ottawa, ON: Policy, Planning and Research, Citizenship and Immigration Canada; 2002.
-
- Chen J, Ng E, Wilkins R. The health of Canada’s immigrants in 1994–95. Health Rep. 1996;7:33–45. - PubMed
-
- Globerman S. Immigration and Health Care Utilization Patterns in Canada. Vancouver, BC: Vancouver Centre of Excellence; 1998.
-
- Hyman I, Stewart DE, Cameron JI, Singh M. Physician-related determinants of cervical cancer screening among Chinese and Vietnamese women in Toronto (Poster) Toronto: Harvey Stancer Research Day, Centre for Addiction and Mental Health; 2000.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources