@article {Setia:2011:0966-0410:70,
title = "Access to healthcare in Canadian immigrants: a longitudinal study of the National Population Health Survey",
journal = "Health & Social Care in the Community",
parent_itemid = "infobike://bsc/hscc",
publishercode ="bp",
year = "2011",
volume = "19",
number = "1",
publication date ="2011-01-01T00:00:00",
pages = "70-79",
itemtype = "ARTICLE",
issn = "0966-0410",
eissn = "1365-2524",
url = "https://www.ingentaconnect.com/content/bsc/hscc/2011/00000019/00000001/art00009",
doi = "doi:10.1111/j.1365-2524.2010.00950.x",
keyword = "visible minorities, epidemiological approaches, access to health‐care",
author = "Setia, Maninder Singh and QuesnelVallee, Amelie and Abrahamowicz, Michal and Tousignant, Pierre and Lynch, John",
abstract = "Immigrants often lose their health advantage as they start adapting to the ways of the new society. Having access to care when it is needed is one way that individuals can maintain their health. We assessed the healthcare access in Canadian immigrants and the socioeconomic factors associated
with access over a 12year period. We compared two measures of healthcare access (having a regular doctor and reporting an unmet healthcare need in the past 12months) among immigrants and Canadianborn men and women, aged more than 18years. We applied a logistic random
effects model to evaluate these outcomes separately, in 3081 males and 4187 females from the National Population Health Survey (19942006). Adjusting for all covariates, immigrant men and women (white and nonwhite) had similar odds of having a regular doctor than the Canadianborn
individuals (white immigrants: males OR: 1.32, 95% C.I.: 0.891.94, females OR: 1.14, 95% C.I.: 0.781.66; nonwhite immigrants: males OR: 1.28, 95% C.I.: 0.732.23, females OR: 1.23, 95% C.I.: 0.642.36). Interestingly, nonwhite immigrant women had significantly
fewer unmet health needs (OR: 0.32, 95% C.I.: 0.170.59). Among immigrants, time since immigration was associated with having access to a regular doctor (OR per year: 1.02, 95% C.I.: 1.001.04). Visible minority female immigrants were least likely to report an unmet healthcare
need. In general, there is little evidence that immigrants have worse access to healthcare than the Canadianborn population.",
}