Health Care Utilization, Family Context, and Adaptation Among Immigrants to the United States

LeClere, Felicia; Jensen, Leif; Biddlecom, Ann E.

doi:10.2307/2137215

Cited by 310 publications

(251 citation statements)

References 49 publications

(52 reference statements)

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“…The longer the period of residence, the more immigrants' usage resembles that of ethnic Danes. A similar tendency has been found in previous studies (Leclere et al 1994;McDonald and Kennedy 2004). The explanation could be that the longer you have resided in a country the better is your knowledge of the welfare system and the better you are at communicating with public servants.…”

Section: Discussionsupporting

confidence: 86%

Older immigrants’ use of public home care and residential care

Hansen¹

2013

Eur J Ageing

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The purpose of this paper is to analyse the extent to which length of residence in the country and country of origin are of importance to older immigrants' use of long-term care services compared to native older people. The analyses were conducted on a population of over 65s living in the Municipality of Copenhagen on 1st Jan 2007. Information was drawn from the administrative registers of the Municipality of Copenhagen on the population's use in 2007 of home care and of residential care in a nursing home. These data were combined by Statistics Denmark with demographic data, socio-economic data and data on the use of health services. It was found that older immigrants are less likely than ethnic Danes to use municipal long-term care services when other predisposing, enabling and need factors are controlled for. The difference is greatest between ethnic Danes and immigrants from nonwestern countries who have only lived in Denmark for a few years. The difference decreases the longer the immigrant has lived in the country. The findings may be explained, at least in part, by poorer language skills and poorer knowledge of the Danish welfare system among older immigrants and the fact that they are more likely to be cared for by relatives than ethnic Danes are. However, in the course of time language skills improve and knowledge of the system increases and life style with respect to care may approach that of older Danes.

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Section: Discussionsupporting

confidence: 86%

Older immigrants’ use of public home care and residential care

Hansen¹

2013

Eur J Ageing

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“…3,20 This is not likely to be explained by lack of access to health resources, as might be the case under US Medicaid, 21,22 since OHIP provides universal prenatal and general health care coverage. Rather, the "healthy immigrant" gradient may partly explain this phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Results of the Recent Immigrant Pregnancy and Perinatal Long-term Evaluation Study (RIPPLES)

Ray¹,

Vermeulen²,

Schull³

et al. 2007

Canadian Medical Association Journal

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Background:People who immigrate to Western nations may experience fewer chronic health problems than original residents of those countries, which raises concerns about long-term environmental or lifestyle factors in those countries. We tested whether the "healthy immigrant effect" extends to the risk of placental dysfunction during the short interval of pregnancy. Methods:We conducted a population-based retrospective cohort study of data for 796 105 women who had a first documented obstetric delivery in Ontario between 1995 and 2005. Recency of immigration was determined for each woman as the time from her enrolment in universal health insurance to her date of delivery, classified as less than 3 months, 3-5 months, 6-11 months, 12-23 months, 24-35 months, 36-47 months, 48-59 months and 5 years or more (the referent). The primary composite outcome was maternal placental syndrome (defined as a diagnosis of pre-eclampsia or eclampsia, placental abruption or placental infarction). Results:The mean age of the women was 28.8 years. Maternal placental syndrome occurred in 45 216 women (5.7%). The risk of this outcome was lowest among the women who had immigrated less than 3 months before delivery (3.8%) and highest among those living in Ontario at least 5 years (6.0%), for a crude odds ratio (OR) of 0.62 (95% confidence interval [CI] 0.54-0.71). After adjustment for maternal age, income status, pre-existing hypertension, diabetes mellitus, multiple gestation and receipt of prenatal ultrasonography, the risk of maternal placental syndrome was correlated with the number of months since immigration in a gradient manner (OR, 95% CI): less than 3 months (0.53, 0.47-0.61), 3-5 months (0.68, 0.61-0.76), 6-11 months (0.67, 0.63-0.71), 12-23 months (0.69, 0.66-0.73), 24-35 months (0.75, 0.70-0.79), 36-47 months (0.75, 0.70-0.80) and 48-59 months (0.82, 0.77-0.87).Interpretation: There was a progressively lower risk of maternal placental syndromes associated with recency of immigration. The "healthy immigrant effect" may extend to common placental disorders, diminishes with the duration of residency and underscores the importance of nongenetic determinants of maternal health accrued over a brief period. CMAJ 2007;176(10) Abstract

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“…We suggest two possible explanations. First, recent immigrants are more likely to experience difficulties negotiating the healthcare system in Canada upon arrival because of language barriers, cultural differences and a lack of information about or familiarity with the administrative processes inherent in accessing care (Leclere et al 1994). Access to specialist care may present additional difficulties and therefore have a greater impact on patients' lives.…”

Section: Discussionmentioning

confidence: 99%

Waiting for a Specialist Consultation for a New Condition in Ontario: Impacts on Patients' Lives

Harrington

Wilson²,

Rosenberg

2014

hcpol

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As leading barriers to specialist care, wait times are at the forefront of the Canadian healthcare policy agenda. However, knowledge is limited about how wait times affect patients' lives. We utilized the 2010 Canadian Community Health Survey to examine the experience of patients requiring a consultation with a medical specialist for a new condition. Multivariate logistic regression predicted the likelihood that a respondent self-reported his or her life was affected. Subsequent cross-tabulations determined the ways in which life was affected. Females, middle-aged respondents, new immigrants and those with low income and poor health status were more likely to report their life was affected. Worry, stress and anxiety were the most frequently reported impacts, followed by pain, stress on family/friends, deterioration of health and loss of work. Our research demonstrates a need to address the impacts of wait times on health and well-being, with a focus on particular subpopulation groups.

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Health Care Utilization, Family Context, and Adaptation Among Immigrants to the United States

Cited by 310 publications

References 49 publications

Older immigrants’ use of public home care and residential care

Older immigrants’ use of public home care and residential care

Results of the Recent Immigrant Pregnancy and Perinatal Long-term Evaluation Study (RIPPLES)

Waiting for a Specialist Consultation for a New Condition in Ontario: Impacts on Patients' Lives

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