All-cause acute care hospitalization rates of immigrants and the Canadian-born population: A linkage study.

IF 2.7 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Reports Pub Date : 2021-09-15 DOI:10.25318/82-003-x202100900001-eng

Edward Ng, Jacklyn Quinlan, George Giovinazzo, Anne Grundy, Claudia Rank, Maria Syoufi, David Ponka, Rochelle Garner

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引用次数: 5

Abstract

Background: As Canadian immigration levels increase, knowledge concerning immigrant health becomes increasingly important for health system policy and planning. This study compares the rate of all-cause hospitalization among immigrants with that of their Canadian-born counterparts.

Data and methods: Using records from the Discharge Abstract Database (2004/2005 to 2016/2017) and the Ontario Mental Health Reporting System (2006/2007 to 2017/2018) linked to the 2016 Longitudinal Immigration Database, this study compared the age-standardized hospitalization rates (ASHRs) among immigrants with those of the Canadian-born population; the latter were obtained from a linkage based on the 2011 National Household Survey. Comparisons were made at the International Classification of Diseases chapter level by immigrant landing year, admission category and world region of birth. Quebec data were not available.

Results: Overall, ASHRs among immigrants were lower than for the Canadian-born population. Immigrants in the economic class had the lowest ASHR, followed by those in the family class and among refugees. After pregnancy was excluded, leading hospitalization causes were similar for immigrants and the Canadian-born population, where top causes included digestive system and circulatory diseases, injuries, and cancer. In male and female immigrants, the ASHRs were lowest among those from East Asia. By landing year, males arriving earlier had the highest ASHR compared with the most recent arrivals. When pregnancy was excluded and while the differential in ASHRs among females by landing year remained, the magnitude was smaller.

Interpretation: These results corroborate those from previous studies suggesting a healthy immigrant effect, but also reveal heterogeneity in ASHRs within the immigrant population. They provide a baseline for comparison of health status between populations, which enables further monitoring and informs health-system policy and planning.

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移民和加拿大出生人口的全因急性护理住院率:一项关联研究。

背景:随着加拿大移民水平的增加，有关移民健康的知识对卫生系统政策和规划变得越来越重要。这项研究比较了移民和加拿大出生的移民的全因住院率。数据和方法:本研究使用与2016年纵向移民数据库相关的出院摘要数据库(2004/2005年至2016/2017年)和安大略省心理健康报告系统(2006/2007年至2017/2018年)的记录，比较移民与加拿大出生人口的年龄标准化住院率(ASHRs);后者是根据2011年全国住户调查得出的。在《国际疾病分类》章节水平上按移民登陆年份、入境类别和世界出生地区进行比较。没有魁北克的数据。结果:总体而言，移民的ashr低于加拿大出生的人口。经济阶层的移民的ASHR最低，其次是家庭阶层和难民。在排除怀孕后，移民和加拿大出生人口的主要住院原因相似，主要原因包括消化系统和循环系统疾病、伤害和癌症。在男性和女性移民中，东亚移民的ashr最低。从登陆年份来看，较早到达的雄性与最近到达的雄性相比，ASHR最高。当排除妊娠，而女性之间的ashr的差异着陆年份仍然存在时，幅度较小。解释:这些结果证实了先前关于健康移民效应的研究，但也揭示了移民人群中ashr的异质性。它们为人群之间的健康状况比较提供了基线，从而能够进一步监测并为卫生系统政策和规划提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

4.00%

发文量

期刊介绍： Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.