Abstract
We conducted cross-country comparisons of Canada and the U.S., and assessed the extent to which access to care varies by nativity status overall, as well as in conjunction with race/ethnicity and socioeconomic status. Data came from the Joint Canada-U.S. Survey of Health (n=6, 620 non-elderly adults). Access measures included having a regular medical doctor, consultation with a health professional in the past year, dentist visit in the past year, Pap test in the past three years, and any unmet health care needs in the past year. Logistic regression was employed to estimate the relative odds of access to care, adjusting for potential confounders. Disparities in access to care based on nativity status overall, as well as nativity-by-race joint effects, were found in both countries. There was also a dose-response effect of education on access to care among the native-born but not among the foreign-born; there were few nativity-by-income joint effects.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1075-1100 |
| Number of pages | 26 |
| Journal | Journal of Health Care for the Poor and Underserved |
| Volume | 22 |
| Issue number | 3 |
| State | Published - Aug 2011 |
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Keywords
- Canada
- Immigrants
- Race/ethnicity
- Socioeconomic status
- United states
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Nativity status and access to care in Canada and the U.S. Factoring in the roles of race/ethnicity and socioeconomic status. / Lebrun, Lydie A.; Shi, Leiyu.
In: Journal of Health Care for the Poor and Underserved, Vol. 22, No. 3, 08.2011, p. 1075-1100.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Nativity status and access to care in Canada and the U.S.
T2 - Factoring in the roles of race/ethnicity and socioeconomic status
AU - Lebrun, Lydie A.
AU - Shi, Leiyu
PY - 2011/8
Y1 - 2011/8
N2 - We conducted cross-country comparisons of Canada and the U.S., and assessed the extent to which access to care varies by nativity status overall, as well as in conjunction with race/ethnicity and socioeconomic status. Data came from the Joint Canada-U.S. Survey of Health (n=6, 620 non-elderly adults). Access measures included having a regular medical doctor, consultation with a health professional in the past year, dentist visit in the past year, Pap test in the past three years, and any unmet health care needs in the past year. Logistic regression was employed to estimate the relative odds of access to care, adjusting for potential confounders. Disparities in access to care based on nativity status overall, as well as nativity-by-race joint effects, were found in both countries. There was also a dose-response effect of education on access to care among the native-born but not among the foreign-born; there were few nativity-by-income joint effects.
AB - We conducted cross-country comparisons of Canada and the U.S., and assessed the extent to which access to care varies by nativity status overall, as well as in conjunction with race/ethnicity and socioeconomic status. Data came from the Joint Canada-U.S. Survey of Health (n=6, 620 non-elderly adults). Access measures included having a regular medical doctor, consultation with a health professional in the past year, dentist visit in the past year, Pap test in the past three years, and any unmet health care needs in the past year. Logistic regression was employed to estimate the relative odds of access to care, adjusting for potential confounders. Disparities in access to care based on nativity status overall, as well as nativity-by-race joint effects, were found in both countries. There was also a dose-response effect of education on access to care among the native-born but not among the foreign-born; there were few nativity-by-income joint effects.
KW - Canada
KW - Immigrants
KW - Race/ethnicity
KW - Socioeconomic status
KW - United states
UR - http://www.scopus.com/inward/record.url?scp=80051860144&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80051860144&partnerID=8YFLogxK
M3 - Article
C2 - 21841297
AN - SCOPUS:80051860144
VL - 22
SP - 1075
EP - 1100
JO - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
SN - 1049-2089
IS - 3
ER -