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Comparing Racial and Immigrant Health Status and Health Care Access in Later Life in Canada and the United States

Author

Listed:
  • Steven G. Prus
  • Rania Tfaily
  • Zhiqiu Lin

Abstract

Little comparative research exists on health experiences and conditions of minority groups in Canada and the United States, despite both countries having a racially diverse population with a signifi cant proportion of immigrants. This article explores race and immigrant disparities in health and health care access across the two countries. The study focus was on middle and old age given the change and increasing diversity in health and health care policy, such as Medicare. Logistic regression analysis of data from the 2002–2003 Joint Canada/United States Survey of Health shows that the joint effect of race and nativity on health outcomes – health differences between native and foreign-born Whites and non- Whites – is largely insignifi cant in Canada but considerable in the U.S. Non-White native and foreign-born Americans within both 45-to-64 and 65-and-over age groups experience signifi cant disadvantage in health status and access to care, irrespective of health insurance coverage, demographic, socio-economic, and lifestyle factors.

Suggested Citation

  • Steven G. Prus & Rania Tfaily & Zhiqiu Lin, 2010. "Comparing Racial and Immigrant Health Status and Health Care Access in Later Life in Canada and the United States," Social and Economic Dimensions of an Aging Population Research Papers 280, McMaster University.
    • Handle: RePEc:mcm:sedapp:280
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    File URL: http://socserv.mcmaster.ca/sedap/p/sedap280.pdf
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    Citations

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    Cited by:

    1. Hankyung Jun & Emma Aguila, 2021. "Private Insurance and Mental Health among Older Adults with Multiple Chronic Conditions: A Longitudinal Analysis by Race and Ethnicity," IJERPH, MDPI, vol. 18(5), pages 1-15, March.
    2. Prus, Steven G., 2011. "Comparing social determinants of self-rated health across the United States and Canada," Social Science & Medicine, Elsevier, vol. 73(1), pages 50-59, July.
    3. Zajacova, Anna & Siddiqi, Arjumand, 2022. "A comparison of health and socioeconomic gradients in health between the United States and Canada," Social Science & Medicine, Elsevier, vol. 306(C).

    More about this item

    Keywords

    health; obesity; health care; race; immigrant; Canada; United States;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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