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

The DOI matches its Crossref record; 106 of the 109 references it cites were found in a registry or an index.

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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Crossref · 10.1016/j.socscimed.2011.11.031

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  1. Kasper, 1998, Part III: what can we realistically expect from surveys? Constraints of data and methods, Health Services Research, 33, 715

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Metadata

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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