JSM 2004 - Toronto

Abstract #301347

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Activity Number: 277
Type: Contributed
Date/Time: Tuesday, August 10, 2004 : 2:00 PM to 3:50 PM
Sponsor: Social Statistics Section
Abstract - #301347
Title: Immigrant-Nonimmigrant Differences in Canadian Healthcare Utilization
Author(s): Evelyn Park*+ and Monica Boyd
Companies: Statistics Canada and Statistics Canada
Address: Main Bldg., Room 1710, Ottawa, ON, K1A 0T6, Canada
Keywords: immigrants ; health care utilization ; enabling factors ; health factors ; health survey
Abstract:

We study immigrant-nonimmigrant differences in three types of health care utilization: medical (physicians and nurses); dentists; and other health care practitioners. Using 118,000 respondents from the Canadian Community Health Survey (CCHS 2000/01), our model includes age, nativity including duration in Canada, and enabling and health-related factors. We estimate the odds of accessing each type of health care services, and the frequency of consultations for health service users, using logistic regression, general linear models, and bootstrapping techniques. Consistent with the "healthy immigrant effect" and a nationally funded medical system, immigrants are similar to the Canadian-born in their utilization of medical services and in frequency of use. However, they are less likely to use dental services, which are not nationally funded, and they use other types of care less frequently at the beginning of their stay and more frequently after twenty years residency. Enabling and health-related factors affect health care utilization, but their inclusion only marginally alters immigrant-to-Canadian-born utilization of health care services.

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