Observational studyCanadian journal of public health = Revue canadienne de sante publique2018
Linguistic mortality gradients in Quebec and the role of migrant composition.
Observational study in Canadian journal of public health = Revue canadienne de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Impact of patient-family physician language concordance on healthcare utilisation and mortality: a retrospective cohort study of home care recipients in Ontario, Canada.BMJ public health · 2024Article
- Ascertaining the Francophone population in Ontario: validating the language variable in health data.BMC medical research methodology · 2024Article
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4 authors.
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Abstract
objectiveAnglophones and Allophones in Quebec (Canada) have lower mortality than Francophones, despite being linguistic minorities. This study assesses whether (1) language is a risk factor for mortality after accounting for migrant composition and (2) interprovincial migrants differ in mortality with respect to Quebec-born individuals.
methodsWe analyzed death records between 2004 and 2008 from Quebec (all-cause and main causes) and population data from the 2006 census to estimate age-adjusted mortality rates according to language and migrant status. Risk ratios by language and migrant status, adjusted for age, sex, and socioeconomic status, were estimated using Poisson generalized estimating equations.
resultsFrancophone Quebec-borns had the highest mortality. Among Quebec-borns, Anglophones [RR= 0.85, 95% CI (0.79-0.91)] and Allophones [RR = 0.16, 95 %CI (0.12-0.22)] had lower mortality relative to Francophones. Interprovincial migrants had lower mortality (Anglophones [RR = 0.58, 95% CI (0.53-0.63)], Francophones [RR = 0.55, 95% CI (0.50-0.60)]) relative to Francophone Quebec-borns (Allophones were excluded due to small sample size). Among immigrants, mortality was lower for Francophones [RR = 0.62, 95% CI (0.57-0.67] and Allophones [RR = 0.35, 95% CI (0.31-0.38], but not Anglophones [RR = 0.92, 95% CI (0.84-1.01)], relative to Francophone Quebec-borns.
conclusionIn Quebec, linguistic disparities in mortality remained after accounting for migrant status, and both Francophone and Anglophone interprovincial migrants in Quebec had lower mortality than Quebec-born Francophones. Public health initiatives to reduce linguistic disparities in health should account for migrant status.
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