Determinants of the variations in self-reported health status among recent and more established immigrants in Canada

• Health status of immigrants declines with years of residency in Canada.
• More established immigrants have better access to health care.
• Unhealthy life styles contribute significantly to poor health status.
• New immigrants have poor social determinants of health.

Studies have shown that immigrants are normally in better health on arrival compared to their Canadian-born counterparts. However, the health conditions of new immigrants deteriorate after a few years of their arrival in Canada. This phenomenon is popularly termed the “healthy immigrant effect” (HIE) in the immigrant health literature. Although different hypotheses have been proposed to understand HIE, the causes are subject to ongoing discussion. Unlike previous studies, this study explored the possible causes behind the variations in the health status of recent and more established immigrants comparing 2001 and 2010 Canadian Community Health Surveys (CCHS). Four different hypotheses – namely lifestyle change, barriers to health care services, poor social determinants of health, and work related stress – were tested to understand variations in health status. The study concludes that there is a statistically significant difference in the socioeconomic characteristics and health outcomes of immigrants having less than and more than 10 years of residency in Canada. Logistic regression models show that the health conditions of immigrants are associated with age, sex, ethnic origin, smoking habit, Body Mass Index (BMI), total household income, number of consultations made with a family doctor per year and work related stress.