All-cause and cause-specific hospitalization rates among temporary and permanent residents living in Canada: A linkage study.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-03-18 DOI:10.17269/s41997-025-00996-9

Jenney Meng Han Wang, Edward Ng, Dafna Kohen, Rachel Viau, Claudia Rank, Anne Grundy

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引用次数: 0

Abstract

Objective: Increased understanding of migrant health outcomes is important for health policy and planning and to support continuity of care for Canadian newcomers. The objective of this study is to expand on previous migrant health research by examining age-standardized hospitalization rates (ASHR) among temporary residents (TRs) and permanent residents (PRs) living in Canada from 2014 to 2018.

Methods: Hospitalization outcomes were obtained by linking administrative health databases to the Longitudinal Immigration Database. TRs and PRs were characterized by covariates including age, sex, migration category, and immigration status transition. All-cause and select cause-specific ASHRs were calculated, including hospitalizations for cancer, injury, and mental and health conditions.

Results: All-cause ASHRs were lower among TRs than among PRs, with variations observed within specific migration categories. Among TRs, the ASHR was highest for temporary foreign workers. Workers had the highest ASHR for cancer and injury, while asylum claimants had the highest ASHR for mental health conditions. Among PRs, ASHRs were highest for refugees overall and for all specific causes examined. People who transitioned from TR to PR status had higher ASHRs overall compared to those who did not.

Conclusion: Observed ASHR differences between TRs and PRs, and among those with immigration status transitions and within specific migration categories, may be related to selection criteria by migrant stream, differential access to healthcare resources, preventive health behaviours, and different exposures influencing health needs. Additional research on characteristics associated with migrant health can inform post-arrival health planning and continuity of care.

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居住在加拿大的临时居民和永久居民的全因和特定原因住院率：一项联系研究。

目的：增进对移民健康结果的了解对于卫生政策和规划以及支持对加拿大新移民的连续性护理非常重要。本研究的目的是通过检查2014年至2018年居住在加拿大的临时居民（TRs）和永久居民（pr）的年龄标准化住院率（ASHR），扩展先前的移民健康研究。方法：通过将行政卫生数据库与纵向移民数据库连接，获得住院结果。TRs和pr的协变量包括年龄、性别、移民类别和移民身份转变。计算全因和部分特定原因的ashr，包括因癌症、损伤、精神和健康状况住院的情况。结果：全因ashr在tr中低于pr，在特定的迁移类别中观察到差异。在tr中，临时外国工人的ASHR最高。工人在癌症和受伤方面的ASHR最高，而庇护申请人在精神健康状况方面的ASHR最高。总的来说，难民和所有审查过的具体原因的ASHRs最高。从永久居留者转变为永久居留者的ashr总体上高于没有转变的人。结论：观察到的tr和pr之间、移民身份转换者之间和特定移民类别之间的ASHR差异可能与移民流选择标准、获得医疗资源的差异、预防健康行为和影响健康需求的不同暴露有关。对移徙者健康相关特征的进一步研究可以为抵达后的健康规划和护理的连续性提供信息。

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

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.