The mental health of immigrants and refugees: Canadian evidence from a nationally linked database.
Identifieur interne : 000138 ( Main/Exploration ); précédent : 000137; suivant : 000139The mental health of immigrants and refugees: Canadian evidence from a nationally linked database.
Auteurs : Edward Ng [Canada] ; Haozhen Zhang [Canada]Source :
- Health reports [ 1209-1367 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Autorapport (MeSH), Bases de données factuelles (MeSH), Canada (MeSH), Enfant (MeSH), Enquêtes de santé (MeSH), Ethnies (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (psychologie), Jeune adulte (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Odds ratio (MeSH), Pandémies (MeSH), Pneumopathie virale (psychologie), Réfugiés (psychologie), Santé mentale (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Émigrants et immigrants (psychologie), Émigration et immigration (MeSH), État de santé (MeSH).
- MESH :
- psychologie : Infections à coronavirus, Pneumopathie virale, Réfugiés, Émigrants et immigrants.
- Adolescent, Adulte, Adulte d'âge moyen, Autorapport, Bases de données factuelles, Canada, Enfant, Enquêtes de santé, Ethnies, Femelle, Humains, Jeune adulte, Modèles logistiques, Mâle, Odds ratio, Pandémies, Santé mentale, Sujet âgé, Sujet âgé de 80 ans ou plus, Émigration et immigration, État de santé.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Canada (MeSH), Child (MeSH), Coronavirus Infections (psychology), Databases, Factual (MeSH), Emigrants and Immigrants (psychology), Emigration and Immigration (MeSH), Ethnic Groups (MeSH), Female (MeSH), Health Status (MeSH), Health Surveys (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Mental Health (MeSH), Middle Aged (MeSH), Odds Ratio (MeSH), Pandemics (MeSH), Pneumonia, Viral (psychology), Refugees (psychology), Self Report (MeSH), Young Adult (MeSH).
- MESH :
- geographic : Canada.
- psychology : Coronavirus Infections, Emigrants and Immigrants, Pneumonia, Viral, Refugees.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Databases, Factual, Emigration and Immigration, Ethnic Groups, Female, Health Status, Health Surveys, Humans, Logistic Models, Male, Mental Health, Middle Aged, Odds Ratio, Pandemics, Self Report, Young Adult.
Abstract
BACKGROUND
Few studies of the healthy immigrant effect (HIE) have examined the mental health outcomes of Canadian-born individuals on a national scale compared with immigrants by admission category. This study fills this gap by examining the self-reported mental health (SRMH) of immigrants by admission category and other immigration dimensions (e.g., source world region and duration since landing) and making comparisons with Canadian-born respondents to a population-based survey.
DATA AND METHODS
Based on four cycles (2011 to 2014) of the Canadian Community Health Survey (CCHS) linked to the Longitudinal Immigration Database (IMDB), odds ratios of high (i.e., excellent or very good) SRMH among Canadian-born respondents and IMDB-linked immigrants are compared using logistic regression. Among the IMDB immigrant population, high SRMH was also examined according to the above-mentioned immigration dimensions. Adjusted results were hierarchically controlled for age, sex, social and economic factors, and sense of belonging.
RESULTS
Age-sex adjusted results show that immigrants, especially refugees, are less likely than the Canadian-born population to report high mental health levels, but these differences disappeared after full adjustment. The odds of immigrants having high SRMH differed more by source world region and duration since landing. For example, fully adjusted results show support for the HIE, with recent immigrants (interviewed within 10 years of landing) more likely to report high SRMH than either the Canadian-born population or established immigrants. Greater odds of high SRMH among recent immigrants also holds across admission classes and for selected world regions.
DISCUSSION
This study provides new evidence on differences in mental health between Canadian-born individuals and immigrants by various characteristics. Results support a deterioration of the HIE in SRMH and identify factors significantly associated with SRMH. This study can also serve as a baseline for further studies on the impact of COVID-19 on immigrants' mental health by immigrant category.
DOI: 10.25318/82-003-x202000800001-eng
PubMed: 32816413
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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wicri:level="2"><nlm:affiliation>Health Analysis Division, Statistics Canada, Ottawa, Ontario.</nlm:affiliation><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Health Analysis Division, Statistics Canada, Ottawa</wicri:cityArea></affiliation></author><author><name sortKey="Zhang, Haozhen" sort="Zhang, Haozhen" uniqKey="Zhang H" first="Haozhen" last="Zhang">Haozhen Zhang</name><affiliation wicri:level="2"><nlm:affiliation>Research and Evaluation Branch, Immigration, Refugees and Citizenship Canada, Ottawa, Ontario.</nlm:affiliation><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Research and Evaluation Branch, Immigration, Refugees and Citizenship Canada, Ottawa</wicri:cityArea></affiliation></author></analytic><series><title level="j">Health reports</title><idno type="eISSN">1209-1367</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Canada (MeSH)</term><term>Child (MeSH)</term><term>Coronavirus Infections (psychology)</term><term>Databases, Factual (MeSH)</term><term>Emigrants and Immigrants (psychology)</term><term>Emigration and Immigration (MeSH)</term><term>Ethnic Groups (MeSH)</term><term>Female (MeSH)</term><term>Health Status (MeSH)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Mental Health (MeSH)</term><term>Middle Aged (MeSH)</term><term>Odds Ratio (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (psychology)</term><term>Refugees (psychology)</term><term>Self Report (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Autorapport (MeSH)</term><term>Bases de données factuelles (MeSH)</term><term>Canada (MeSH)</term><term>Enfant (MeSH)</term><term>Enquêtes de santé (MeSH)</term><term>Ethnies (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (psychologie)</term><term>Jeune adulte (MeSH)</term><term>Modèles logistiques (MeSH)</term><term>Mâle (MeSH)</term><term>Odds ratio (MeSH)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (psychologie)</term><term>Réfugiés (psychologie)</term><term>Santé mentale (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Émigrants et immigrants (psychologie)</term><term>Émigration et immigration (MeSH)</term><term>État de santé (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term><term>Réfugiés</term><term>Émigrants et immigrants</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Coronavirus Infections</term><term>Emigrants and Immigrants</term><term>Pneumonia, Viral</term><term>Refugees</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Databases, Factual</term><term>Emigration and Immigration</term><term>Ethnic Groups</term><term>Female</term><term>Health Status</term><term>Health Surveys</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Mental Health</term><term>Middle Aged</term><term>Odds Ratio</term><term>Pandemics</term><term>Self Report</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autorapport</term><term>Bases de données factuelles</term><term>Canada</term><term>Enfant</term><term>Enquêtes de santé</term><term>Ethnies</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Odds ratio</term><term>Pandémies</term><term>Santé mentale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Émigration et immigration</term><term>État de santé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Few studies of the healthy immigrant effect (HIE) have examined the mental health outcomes of Canadian-born individuals on a national scale compared with immigrants by admission category. This study fills this gap by examining the self-reported mental health (SRMH) of immigrants by admission category and other immigration dimensions (e.g., source world region and duration since landing) and making comparisons with Canadian-born respondents to a population-based survey.</p></div><div type="abstract" xml:lang="en"><p><b>DATA AND METHODS</b></p><p>Based on four cycles (2011 to 2014) of the Canadian Community Health Survey (CCHS) linked to the Longitudinal Immigration Database (IMDB), odds ratios of high (i.e., excellent or very good) SRMH among Canadian-born respondents and IMDB-linked immigrants are compared using logistic regression. Among the IMDB immigrant population, high SRMH was also examined according to the above-mentioned immigration dimensions. Adjusted results were hierarchically controlled for age, sex, social and economic factors, and sense of belonging.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Age-sex adjusted results show that immigrants, especially refugees, are less likely than the Canadian-born population to report high mental health levels, but these differences disappeared after full adjustment. The odds of immigrants having high SRMH differed more by source world region and duration since landing. For example, fully adjusted results show support for the HIE, with recent immigrants (interviewed within 10 years of landing) more likely to report high SRMH than either the Canadian-born population or established immigrants. Greater odds of high SRMH among recent immigrants also holds across admission classes and for selected world regions.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>This study provides new evidence on differences in mental health between Canadian-born individuals and immigrants by various characteristics. Results support a deterioration of the HIE in SRMH and identify factors significantly associated with SRMH. This study can also serve as a baseline for further studies on the impact of COVID-19 on immigrants' mental health by immigrant category.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32816413</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>02</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1209-1367</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>08</Month><Day>19</Day></PubDate></JournalIssue><Title>Health reports</Title><ISOAbbreviation>Health Rep</ISOAbbreviation></Journal><ArticleTitle>The mental health of immigrants and refugees: Canadian evidence from a nationally linked database.</ArticleTitle><Pagination><MedlinePgn>3-12</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.25318/82-003-x202000800001-eng</ELocationID><Abstract><AbstractText Label="BACKGROUND">Few studies of the healthy immigrant effect (HIE) have examined the mental health outcomes of Canadian-born individuals on a national scale compared with immigrants by admission category. This study fills this gap by examining the self-reported mental health (SRMH) of immigrants by admission category and other immigration dimensions (e.g., source world region and duration since landing) and making comparisons with Canadian-born respondents to a population-based survey.</AbstractText><AbstractText Label="DATA AND METHODS">Based on four cycles (2011 to 2014) of the Canadian Community Health Survey (CCHS) linked to the Longitudinal Immigration Database (IMDB), odds ratios of high (i.e., excellent or very good) SRMH among Canadian-born respondents and IMDB-linked immigrants are compared using logistic regression. Among the IMDB immigrant population, high SRMH was also examined according to the above-mentioned immigration dimensions. Adjusted results were hierarchically controlled for age, sex, social and economic factors, and sense of belonging.</AbstractText><AbstractText Label="RESULTS">Age-sex adjusted results show that immigrants, especially refugees, are less likely than the Canadian-born population to report high mental health levels, but these differences disappeared after full adjustment. The odds of immigrants having high SRMH differed more by source world region and duration since landing. For example, fully adjusted results show support for the HIE, with recent immigrants (interviewed within 10 years of landing) more likely to report high SRMH than either the Canadian-born population or established immigrants. Greater odds of high SRMH among recent immigrants also holds across admission classes and for selected world regions.</AbstractText><AbstractText Label="DISCUSSION">This study provides new evidence on differences in mental health between Canadian-born individuals and immigrants by various characteristics. Results support a deterioration of the HIE in SRMH and identify factors significantly associated with SRMH. This study can also serve as a baseline for further studies on the impact of COVID-19 on immigrants' mental health by immigrant category.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ng</LastName><ForeName>Edward</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Health Analysis Division, Statistics Canada, Ottawa, Ontario.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Haozhen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Research and Evaluation Branch, Immigration, Refugees and Citizenship Canada, Ottawa, Ontario.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>Health 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