ArticleCanadian journal of public health = Revue canadienne de sante publique2014
Neighbourhood immigrant concentration and hospitalization: a multilevel analysis of cardiovascular-related admissions in Ontario using linked data.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Association between the regional variation in premature mortality and immigration in Ontario, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Mortality-Air Pollution Associations in Low-Exposure Environments (MAPLE): Phase 1.Research report (Health Effects Institute) · 2019Article
- Low concentrations of fine particle air pollution and mortality in the Canadian Community Health Survey cohort.Environmental health : a global access science source · 2019Article
- Neighbourhood immigration, health care utilization and outcomes in patients with diabetes living in the Montreal metropolitan area (Canada): a population health perspective.BMC health services research · 2015Article
- A border versus non-border comparison of food environment, poverty, and ethnic composition in Texas urban settings.Frontiers in public health · 2015Article
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Authors and funding
4 authors.
Funding
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Abstract
objectiveTo assess the influence of neighbourhood immigrant concentration on cardiovascular-disease-related hospitalizations in Canada (CVDH), while adjusting for individual-level immigrant status and socio-economic indicators at individual and neighbourhood levels.
methodsData were from the 2006 Canadian Census linked to the hospital Discharge Abstract Data (DAD) for the province of Ontario. Adults (n=1,459,950) aged ≥18 years at baseline and grouped by place of birth (Canada, China, South Asia, Europe, and other) were followed between Census Day May 16, 2006 and March 31, 2008. Information on CVDH was obtained from the DAD, while that on immigration and socio-economic indicators was obtained from the Census. The analysis used multilevel logistic regression.
resultsUnadjusted results showed that CVDH was significantly lower among people living in neighbourhoods with medium and high immigrant concentration. Neighbourhood immigrant concentration tended to have no independent effect on CVDH after adjustment for individual-level immigrant status. Immigrants were less likely to experience CVDH irrespective of their country of birth. However, cross-level interaction showed that neighbourhood immigrant concentration provided additional protection to individual-level immigrant status against CVDH for most female immigrant groups, but only for South Asian males.
conclusionThis study resulted from the first-ever linkage of census data to hospitalization data in Canada. It is also the first Canadian study to report on neighbourhood variation and the effect of immigrant concentration on CVDH. The study shows that understanding immigrant health requires both individual and neighbourhood approaches, and a consideration of country of origin.
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