Effects of length of stay and language proficiency on health care experiences among Immigrants in Canada and the United States

Lebrun, Lydie A.

doi:10.1016/j.socscimed.2011.11.031

Cited by 227Migration, Health and TraumaMigration, Identity, and HealthInterpreting and Communication in Healthcare

Effects of length of stay and language proficiency on health care experiences among Immigrants in Canada and the United States

Lebrun, Lydie A.·2012·Social Science & Medicine

DOI 10.1016/j.socscimed.2011.11.031

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Abstract

This study sought to examine the influence of length of stay and language proficiency on immigrants' access to and utilization of care in Canada and the United States (U.S,). Data came from the 2007-2008 Canadian Community Health Survey and the National Health Interview Survey. Analyses were limited to foreign-born, non-elderly adults in each country (n = 12,870 in Canada and n = 7440 in the U.S.). Health care indicators included having a usual source of care; annual consultation with a health professional, dentist, and eye doctor; flu shot in the past year; and Pap test in the past 3 years. Logistic regression models were employed to estimate the relative odds of access or use of care, adjusting for need, demographic factors, socioeconomic status, and insurance coverage. In general, rates of health care access and utilization were higher in Canada than the U.S. among all immigrant groups. In both countries, adjusted analyses indicated that immigrants with shorter length of stay (less than 10 years) and limited language proficiency generally had lower rates of access/use compared with those with longer length of stay (10 years or more) and proficiency in each country's official language(s), respectively. There was one exception to this pattern in the U.S.: immigrants with limited English had higher odds of having a recent Pap test relative to English-proficient immigrants. The persistence of disparities in health care experiences based on length of stay and language proficiency in Canada suggests that universal health insurance coverage may not be sufficient for ensuring access to and utilization of primary and preventive care for this population.

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Language proficiency is linked to access to, and knowledge of, health and social services.
“Language proficiency is also linked to access to, and knowledge of, health and social services [45].”
From A qualitative study of Filipina immigrants’ stress, distress and coping: the impact of their multiple, transnational roles as women (2017) · cites this paper as [45]

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Psychological Acculturation: A Concept Analysis With Implications for Nursing Practice
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Gender and Mental Health
Rosenfield, S., & Mouzon, D. M. (2012) · Handbooks of sociology and social research · doi:10.1007/978-94-007-4276-5_14 · Cited by 553 · see citing works
Labeling and Stigma
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Healthcare access for refugee women with limited literacy: layers of disadvantage
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Barriers and Facilitators to Breast and Cervical Cancer Screening Among Immigrants in the United States
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Explaining Immigrant Health Service Utilization
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COVID-19 Pandemic: Exacerbating Racial/Ethnic Disparities in Long-Term Services and Supports
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How do immigrants use primary health care services? A register-based study in Norway
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Migrant’s access to preventive health services in five EU countries
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Mental Illness and the Criminal Justice System
Hiday, V. A., & Burns, P. J. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511984945.029 · Cited by 77 · see citing works
Disparities in Vaccinations and Cancer Screening Among U.S.- and Foreign-Born Arab and European American Non-Hispanic White Women
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Impact of acculturation on oral health among immigrants and ethnic minorities: A systematic review
Dahlan, R., Badri, P., Saltaji, H., & Amin, M. S. (2019) · PLoS ONE · doi:10.1371/journal.pone.0212891 · Cited by 71 · see citing works
Risk Factors for Social Isolation in Older Korean Americans
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A qualitative study of Filipina immigrants’ stress, distress and coping: the impact of their multiple, transnational roles as women
Straiton, M. L., Ledesma, H. M. L., & Donnelly, T. T. (2017) · BMC Women's Health · doi:10.1186/s12905-017-0429-4 · Cited by 67 · see citing works
“Language proficiency is also linked to access to, and knowledge of, health and social services [45].”
Background
Ways of overcoming linguistic barriers in healthcare intercultural communication
Baraldi, C., & Luppi, L. (2015) · Language and Intercultural Communication · doi:10.1080/14708477.2015.1058391 · Cited by 64 · see citing works
Disparities in Health Insurance Coverage and Access to Care by English Language Proficiency in the USA, 2006–2016
Lu, T., & Myerson, R. M. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05609-z · Cited by 62 · see citing works
Depression in middle and older adulthood: the role of immigration, nutrition, and other determinants of health in the Canadian longitudinal study on aging
Davison, K., Lung, Y., Lin, S., Tong, H., Kobayashi, K. M., & Fuller‐Thomson, E. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2309-y · Cited by 52 · see citing works
Utilization of healthcare by immigrants in Canada: a cross-sectional analysis of the Canadian Community Health Survey
Ravichandiran, N., Mathews, M., & Ryan, B. L. (2022) · BMC Family Practice · doi:10.1186/s12875-022-01682-2 · Cited by 50 · see citing works
The Effects of Transnational Parenting on the Subjective Health and Well-Being of Ghanaian Migrants in the Netherlands
Dito, B. B., Mazzucato, V., & Schans, D. (2016) · Population Space and Place · doi:10.1002/psp.2006 · Cited by 49 · see citing works
Barriers to HIV Testing in Black Immigrants to the U.S.
Ojikutu, B. O., Nnaji, C., Sithole-Berk, J., Bogart, L. M., & Gona, P. N. (2014) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2014.0141 · Cited by 46 · see citing works
Immigrants‘ use of health care in their country of origin: the role of social integration, discrimination and the parallel use of health care systems
Kemppainen, L. M., Kemppainen, T. T., Skogberg, N., Kuusio, H., & Koponen, P. (2017) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12499 · Cited by 46 · see citing works
Improving access and provision of pre-travel healthcare for travellers visiting friends and relatives: a review of the evidence†
Heywood, A. E., & Zwar, N. A. (2018) · Journal of Travel Medicine · doi:10.1093/jtm/tay010 · Cited by 45 · see citing works
Oral health disparities: Racial, language and nativity effects
Han, C. (2019) · SSM - Population Health · doi:10.1016/j.ssmph.2019.100436 · Cited by 44 · see citing works
Access and utilization of healthcare services in Massachusetts, United States: a qualitative study of the perspectives and experiences of Brazilian-born immigrant women
Lindsay, A. C., de Oliveira, M. G., Wallington, S. F., Greaney, M. L., Machado, M. M. T., Pagliuca, L. M. F., & Arruda, C. A. M. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1723-9 · Cited by 42 · see citing works
Too long to wait: South Asian migrants’ experiences of accessing health care in Australia
Adhikari, M., Kaphle, S., Dhakal, Y., Duwadi, S., Subedi, R., Shakya, S., Tamang, S., & Khadka, M. (2021) · BMC Public Health · doi:10.1186/s12889-021-12132-6 · Cited by 40 · see citing works
Disparities in Preventive Health Behaviors Among Non-Hispanic White Men
Dallo, F. J., & Kindratt, T. B. (2014) · American Journal of Men s Health · doi:10.1177/1557988314532285 · Cited by 39 · see citing works
Language barriers and health status of elderly migrants: Micro-evidence from China
Lu, S.-F., Chen, S.-X., & Wang, P.-G. (2019) · China economic review · doi:10.1016/j.chieco.2018.10.011 · Cited by 40 · see citing works
A Handbook for the Study of Mental Health
(2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289 · Cited by 38 · see citing works
Evaluating chronic pain interventions in recent refugees and immigrant populations: A systematic review
Altun, A., Brown, H. L., Sturgiss, E. A., & Russell, G. M. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.08.021 · Cited by 35 · see citing works
Preferred spoken language mediates differences in neuraxial labor analgesia utilization among racial and ethnic groups
Caballero, J. A., Butwick, A. J., Carvalho, B., & Riley, E. T. (2013) · International Journal of Obstetric Anesthesia · doi:10.1016/j.ijoa.2013.09.001 · Cited by 35 · see citing works
Does acculturation narrow the health literacy gap between immigrants and non-immigrants—An explorative study
Mantwill, S., & Schulz, P. J. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.10.021 · Cited by 34 · see citing works
Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups
Erdsiek, F., Waury, D., & Brzoska, P. (2017) · BMC Oral Health · doi:10.1186/s12903-017-0377-2 · Cited by 33 · see citing works
Utilization of preventive care among migrants and non-migrants in Germany: results from the representative cross-sectional study ‘German health interview and examination survey for adults (DEGS1)’
Starker, A., Hövener, C., & Rommel, A. (2021) · Archives of Public Health · doi:10.1186/s13690-021-00609-0 · Cited by 31 · see citing works
Effect of Acculturation on Variations in Having a Usual Source of Care Among Asian Americans and Non-Hispanic Whites in California
Chang, E., Chan, K. S., & Han, H. (2014) · American Journal of Public Health · doi:10.2105/ajph.2014.301950 · Cited by 29 · see citing works
Transnational parenting and the well-being of Angolan migrant parents in Europe
MAZZUCATO, V., DITO, B. B., GRASSI, M., & VIVET, J. (2017) · Global Networks · doi:10.1111/glob.12132 · Cited by 28 · see citing works
“Better well-being is associated with the presence of social support from within and outside one’s community (Griffin and Soskolne 2003; Jasinskaja-Lahti et al. 2006; Oppedal et al. 2004) and with a longer duration of stay (Dias et al. 2008; Lebrun 2008).”
Background
Ethnic Identity, Acculturation, and 12-Month Psychiatric Service Utilization Among Black and Hispanic Adults in the U.S.
Burnett‐Zeigler, I., Lee, Y., & Bohnert, K. M. (2017) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-017-9557-8 · Cited by 28 · see citing works
The Health Care Safety Net and the Affordable Care Act: Implications for Hispanic Immigrants
Liebert, S., & Ameringer, C. F. (2013) · Public Administration Review · doi:10.1111/puar.12147 · Cited by 28 · see citing works
Immigrants' perceptions of quality of life in three second‐ or third‐tier Canadian cities
Williams, A., Kitchen, P., Randall, J., Muhajarine, N., Newbold, K. B., Gallina, M., & Wilson, K. (2015) · Canadian Geographies / Géographies canadiennes · doi:10.1111/cag.12221 · Cited by 26 · see citing works
Factors that Influence Autism Knowledge in Hispanic Cultures: a Pilot Study
Colbert, A. M., Webber, J., & Graham, R. (2016) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-016-0213-4 · Cited by 28 · see citing works
Health Services Access Inequalities Between Native and Immigrant in a Southern European Region
Rodríguez-Álvarez, E., Lanborena, N., & Borrell, L. N. (2018) · International Journal of Health Services · doi:10.1177/0020731418809858 · Cited by 25 · see citing works
Acculturation in preventive health for immigrants: A systematic review on influenza vaccination programs in a socio-ecological framework.
Yong, A. G., Lemyre, L., Farrell, S., & Young, M. Y. (2016) · Canadian Psychology/Psychologie canadienne · doi:10.1037/cap0000075 · Cited by 25 · see citing works
Inequities in immigrants’ access to health care services: disentangling potential barriers
Devillanova, C., & Frattini, T. (2016) · International Journal of Manpower · doi:10.1108/ijm-08-2015-0114 · Cited by 24 · see citing works
Studying Stress in the Twenty-First-Century: An Update of Stress Concepts and Research
Wheaton, B., & Montazer, S. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.013 · Cited by 24 · see citing works
Accessibility and use of primary healthcare for immigrants living in the Niagara Region
Lum, I., Swartz, R. H., & KWAN, M. Y. W. (2016) · Social Science & Medicine · doi:10.1016/j.socscimed.2016.03.024 · Cited by 25 · see citing works
Access to Health-Related Information, Health Services, and Welfare Services among South and Southeast Asian Immigrants in Japan: A Qualitative Study
Matsuoka, S., Kharel, M., Koto‐Shimada, K., Hashimoto, M., Kiyohara, H., Iwamoto, A., Nishihara, M., & Fujita, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912234 · Cited by 24 · see citing works
Harms of Workplace Inspections for Im/Migrant Sex Workers in In-Call Establishments: Enhanced Barriers to Health Access in a Canadian Setting
McBride, B., Shannon, K., Duff, P., Mo, M., Braschel, M. C., & Goldenberg, S. M. (2019) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-019-00859-9 · Cited by 23 · see citing works
Register study of migrants’ hospitalization in Norway: world region origin, reason for migration, and length of stay
Elstad, J. I. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1561-9 · Cited by 21 · see citing works
Language Proficiency and Subjective Well-being: Evidence from Immigrants in Australia
Lee, J., Niu, A., & Yang, H.-S. (2021) · Journal of Happiness Studies · doi:10.1007/s10902-021-00474-2 · Cited by 20 · see citing works
Health risks among long-term immigrants in Norway with poor Norwegian language proficiency
Kjøllesdal, M. K. R., Gerwing, J., & Indseth, T. (2022) · Scandinavian Journal of Public Health · doi:10.1177/14034948221085399 · Cited by 19 · see citing works
Dialect culture and the utilization of public health service by rural migrants: Insights from China
Zhao, Q., Xu, S., Aziz, N., He, J., & Wang, Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.985343 · Cited by 19 · see citing works
Presenting characteristics and processing times for culturally and linguistically diverse (CALD) patients with chest pain in an emergency department: Time, Ethnicity, and Delay (TED) Study II
Wechkunanukul, K. H., Grantham, H. J. M., Teubner, D. J., Hyun, K. K., & Clark, R. A. (2016) · International Journal of Cardiology · doi:10.1016/j.ijcard.2016.06.244 · Cited by 19 · see citing works
Transnational fathers: New theoretical and conceptual challenges
Parke, R. D., & Cookston, J. T. (2020) · Journal of Family Theory & Review · doi:10.1111/jftr.12392 · Cited by 19 · see citing works
The Dual Continua Model: The Foundation of the Sociology of Mental Health and Mental Illness
Keyes, C. L. M. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.007 · Cited by 21 · see citing works
Factors affecting the use of anti-malaria preventive measures among Taiwan immigrants returning to malaria-endemic regions
Hung, W.-S., Hu, S. C., Hsu, Y.-C., Chen, K.-L., Chen, K.-H., Yu, M., & Chen, K. (2013) · Travel Medicine and Infectious Disease · doi:10.1016/j.tmaid.2013.07.001 · Cited by 18 · see citing works
English skills and early labour market integration: Evidence from humanitarian migrants in Australia
Cheng, Z., Wang, B. Z., Jiang, Z., Taksa, L., & Tani, M. (2021) · International Migration · doi:10.1111/imig.12889 · Cited by 18 · see citing works
Usability of technological tools to overcome language barriers in health care: a scoping review protocol
Kreienbrinck, A., Hanft-Robert, S., & Mösko, M. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-079814 · Cited by 18 · see citing works
Health outcomes, health inequality and Mandarin proficiency in urban China
Wang, H., Cheng, Z., & Smyth, R. (2019) · China Economic Review · doi:10.1016/j.chieco.2019.101305 · Cited by 18 · see citing works
Identifying Sources of Health Care Underutilization Among California’s Immigrants
Chi, J. T., & Handcock, M. S. (2014) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-014-0028-0 · Cited by 18 · see citing works
Legal Status and Health Care: Mexican-Origin Children in California, 2001–2014
Oropesa, R. S., Landale, N. S., & Hillemeier, M. M. (2016) · Population Research and Policy Review · doi:10.1007/s11113-016-9400-6 · Cited by 17 · see citing works
Immigrant status and having a regular medical doctor among Canadian adults
Degelman, M. L., & Herman, K. M. (2016) · Canadian Journal of Public Health · doi:10.17269/cjph.107.5205 · Cited by 16 · see citing works
Socioeconomic Stratification and Mental Disorder
Eaton, W. W., & Muntaner, C. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.016 · Cited by 18 · see citing works
Asymmetry in an uneven place: migrants’ lifestyles, social capital, and self-rated health status in James Town, Accra
Tutu, R. A., Boateng, J. K., Busingye, J. D., & Ameyaw, E. E. (2016) · GeoJournal · doi:10.1007/s10708-016-9723-1 · Cited by 15 · see citing works
Understanding the Connection between Social Support and Mental Health
Brown, R. L., & Ciciurkaite, G. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.014 · Cited by 15 · see citing works
Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review
Jashni, Y. K., Emari, F., Morris, M., & Allison, P. J. (2023) · BMC Oral Health · doi:10.1186/s12903-023-02906-2 · Cited by 18 · see citing works
Growing inequities by immigration group among older adults: population-based analysis of access to primary care and return to in-person visits during the COVID-19 pandemic in British Columbia, Canada
Sierra-Heredia, C., Tayyar, E., Bozorgi, Y., Thakore, P., Hagos, S., Carrillo, R., Machado, S., Peterson, S., Goldenberg, S. M., Wiedmeyer, M.-L., et al. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02530-1 · Cited by 14 · see citing works
Trajectories of sickness absence, disability pension and unemployment in young immigrants with common mental disorders
Thiene, D. D., Mittendorfer‐Rutz, E., Rahman, S. G., Wang, M., Alexanderson, K. A. E., Tiihonen, J., Torre, G. L., & Helgesson, M. (2019) · European Journal of Public Health · doi:10.1093/eurpub/ckz046 · Cited by 14 · see citing works
Potentially exploring homelessness among refugees: a systematic review and meta-analysis
Samari, D., & Groot, S. (2021) · Journal of Social Distress and the Homeless · doi:10.1080/10530789.2021.1995935 · Cited by 14 · see citing works
Factors Associated With Having a Usual Source of Care in an Ethnically Diverse Sample of Asian American Adults
Chang, E., Chan, K. S., & Han, H. (2014) · Medical Care · doi:10.1097/mlr.0000000000000187 · Cited by 14 · see citing works
Access to Primary Health Care by New and Established Immigrants in Canada
Higginbottom, G. A., & Safipour, J. (2015) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 13 · see citing works
Comparison of End-of-Life Care Between Recent Immigrants and Long-standing Residents in Ontario, Canada
Quach, B. I., Qureshi, D., Talarico, R., Hsu, A. T., & Tanuseputro, P. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.32397 · Cited by 13 · see citing works
A Comparison of Immigrant and Canadian-Born Patients Seeking Fertility Treatment
Zelkowitz, P., King, L., Whitley, R., Tulandi, T., Ells, C., Feeley, N., Gold, I., Rosberger, Z., Chan, P. T. K., Bond, S., et al. (2014) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-014-0037-4 · Cited by 13 · see citing works
Sociological contributions to race and health: Diversifying the ontological and methodological agenda
Nelson, H. O., & Spencer, K. L. (2021) · Sociology of Health & Illness · doi:10.1111/1467-9566.13362 · Cited by 12 · see citing works
Regular Dental Care Utilization: The Case of Immigrants in Ontario, Canada
Sano, Y., & Antabe, R. (2021) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-021-01265-w · Cited by 12 · see citing works
Experiences of Migrant People Living with HIV in a Multidisciplinary HIV Care Setting with Rapid B/F/TAF Initiation and Cost-Covered Treatment: The ‘ASAP’ Study
Arora, A. K., Engler, K., Lessard, D., Kronfli, N., Rodriguez-Cruz, A., Huerta, E., Lemire, B., Routy, J., Wittmer, R., Cox, J., et al. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12091497 · Cited by 12 · see citing works
Health insurance status of cross-border migrant children and the associated factors: a study in a Thai-Myanmar border area
Chamchan, C., & Apipornchaisakul, K. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08681-0 · Cited by 11 · see citing works
Variations in Access to Care After the Affordable Care Act Among Different Immigrant Groups
Sharif, M. Z., Samari, G., & Alcalá, H. E. (2019) · Journal of Community Health · doi:10.1007/s10900-019-00708-8 · Cited by 11 · see citing works
Primary healthcare usage and use of medications among immigrant children according to age of arrival to Norway: a population-based study
Fadnes, L. T., & Díaz, E. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014641 · Cited by 11 · see citing works
Pills in paradise: Exploring international lifestyle and retirement migrants’ perceptions of the pharmaceutical sector on Cozumel Island, Mexico
Hoffman, L., Crooks, V. A., & Snyder, J. (2017) · Health & Place · doi:10.1016/j.healthplace.2017.08.004 · Cited by 11 · see citing works
Associations between immigrant status and pharmacological treatments for diabetes in U.S. adults.
Hsueh, L., Vrany, E. A., Patel, J. S., Hollingshead, N. A., Hirsh, A. T., de Groot, M., & Stewart, J. C. (2017) · Health Psychology · doi:10.1037/hea0000552 · Cited by 11 · see citing works
Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea
Yi, J., & Lee, I.-S. (2018) · Research in Community and Public Health Nursing · doi:10.12799/jkachn.2018.29.1.41 · Cited by 11 · see citing works
Immigration factors and potentially avoidable hospitalizations in Canada
Laberge, M., & Leclerc, M. (2018) · SSM - Population Health · doi:10.1016/j.ssmph.2018.100336 · Cited by 12 · see citing works
Associations Between Immigration-Related User Factors and eHealth Activities for Self-Care: Case of First-Generation Immigrants From Pakistan in the Oslo Area, Norway
Tatara, N., Hammer, H. L., Mirković, J., Kjøllesdal, M. K. R., & Andreassen, H. (2019) · JMIR Public Health and Surveillance · doi:10.2196/11998 · Cited by 11 · see citing works
A longitudinal study of immigrant mothers' destination-language proficiency and their children's psychological well-being: Evidence and mechanisms from a study in South Korea
Park, H., Park, G., & Kim, J. (2023) · Social Science & Medicine · doi:10.1016/j.socscimed.2023.116300 · Cited by 11 · see citing works
Social isolation and loneliness in non-communicable chronic diseases: Impact of COVID-19 pandemic, population aging and technological progress
Guglielmi, V., Colangeli, L., Parrotta, M. E., Ciammariconi, A., Milani, I., D’Adamo, M., Sbraccia, P., & Capoccia, D. (2025) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2025.104015 · Cited by 8 · see citing works
Promoting kindergarten readiness using early intervention art therapy with Latinx farmworker children
Lith, T. V., Quintero, A., Johns, S., & Grzywacz, J. G. (2020) · The Arts in Psychotherapy · doi:10.1016/j.aip.2020.101753 · Cited by 10 · see citing works
Language Barriers Among the Foreign-Born in Canada: Agreement of Self-Reported Measures and Persistence Over Time
Okrainec, K., Booth, G. L., Hollands, S., & Bell, C. M. (2015) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-015-0279-9 · Cited by 10 · see citing works
Language Disparity Predicts Poor Patient-Reported Outcome and Follow-Up in Microsurgical Breast Reconstruction
Wang, F., Rothchild, E., Lu, Y.-H., & Ricci, J. A. (2023) · Journal of Reconstructive Microsurgery · doi:10.1055/a-2040-1750 · Cited by 9 · see citing works
Limited English Proficiency Is Not Associated With Poor Postoperative Outcomes or Follow-Up Rates in Patients Undergoing Breast Reduction Mammoplasty – A Single Institution Retrospective Cohort Study
Fei, W., Jinesh, S., Nicolas, G., Yi, J. K., Ni, J., & Ricci, J. A. (2024) · Journal of Surgical Research · doi:10.1016/j.jss.2024.01.041 · Cited by 9 · see citing works
Labeling and Stigma
Link, B. G., & Phelan, J. C. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316471289.024 · Cited by 9 · see citing works
Acculturation and Unmet Health Needs Among Refugees in Omaha, Nebraska
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Authors: Lebrun, L. A.
Affiliations: Johns Hopkins University (US)
Corresponding author: Lebrun, Lydie A.
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 2012-04
Volume: 74
Issue: 7
Pages: 1062-1072
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/j.socscimed.2011.11.031
OpenAlex: W1989544346
Cited by: 227
References: 109
Citations by year: 2026: 9 · 2025: 22 · 2024: 15 · 2023: 9 · 2022: 15 · 2021: 21 · 2020: 8 · 2019: 14 · 2018: 12 · 2017: 46 · 2016: 24 · 2015: 11 · 2014: 13 · 2013: 4 · 2012: 3
FWCI: 11.26
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Funders: Canadian Institutes of Health Research
Topics: Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Social Sciences › Sociology and Political Science › Migration, Identity, and Health
Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
Keywords: immigrants, length of hospital stay, language proficiency, health care access, health care utilization, usual source of care, preventive medicine, Pap smear, influenza vaccination, limited English proficiency, health disparities, Canada, United States, universal health insurance coverage
MeSH terms: Acculturation, Canada, Health Services, Health Services Accessibility, Humans, Length of Stay, Primary Health Care, United States, Logistic Models, Multilingualism, Emigrants and Immigrants, Healthcare Disparities

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Effects of length of stay and language proficiency on health care experiences among Immigrants in Canada and the United States

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