Disclosure of Conflict of Interest

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Esther Newton
5 years ago
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1 Disclosure of Conflict of Interest Disclosure of Relationship Company/Organization(s) If you think this might be perceived as biasing your presentation or a conflict of interest, identify how you will address this in your presentation. I have ownership interest or other financial interest in the company (i.e. stocks, stock options or other ownership interest, excluding diversified mutual funds) N/A N/A I am a member of an Advisory Board or similar committee N/A N/A I am a member of a Speaker s Bureau N/A N/A I am involved in research grants and funding from industry N/A N/A I am currently participating in or have participated in a clinical trial within the past two years N/A N/A I have received honorarium, consulting fees, salary, royalty, grant in aid or other monetary support received from or expected from the company N/A N/A I have ownership in a patent for a product referred to in the presentation or marketed by the company N/A N/A I am involved in the design of clinical studies concerning the use of products manufactured by the company N/A N/A My spouse or close family member(s) have commercial affiliation(s) N/A N/A

2 Immigrant status and having a regular doctor among Canadian adults Michelle L. Degelman, Katya M. Herman, PhD Faculty of Kinesiology & Health Studies, University of Regina

3 Background 67% of Canada s population growth up to 2011 due to immigration. Projected to increase to 80% by (Statistics Canada, Catalogue no X , 2011) Immigrants comprised 21% of Canada s population in Canada s largest immigrant source Asia Canada s largest immigrant groups South Asians, Chinese, African Am. (Statistics Canada, Catalogue no X , 2011)

Background cont d Healthy immigrant effect American Immigrants Higher

al, Sci World J, 2013) Obesity Overweight Smoking Canadian Immigrants

health, overweight and obesity, and alcoholic drinking.

4 Background cont d Healthy immigrant effect American Immigrants Higher life expectancy Lower disability rates Lower mortality rates (Singh et al, Sci World J, 2013) Obesity Overweight Smoking Canadian Immigrants Positive associations between years of residency and poor self-reported health, overweight and obesity, and alcoholic drinking. (Subedi et al, Soc Sci Med, 2014) Poor access to health services (Dastjerdi et al, Int J Equity, 2012)

5 Background cont d Doctor First point of contact for health care. Having a doctor More physician and specialist visits. Important Early prevention and treatment of diseases. (Statistics Canada, Catalogue no X, 2014) 85% of Canadians 12 y reported having a regular doctor in Females (88%) Males (81%) (Statistics Canada, Catalogue no X, 2014)

6 Background cont d Immigrants less likely to have doctor vs. native-born population. (Lasser et al, Am J Public Health, 2006; Lebrun et al, Health Serv Res, 2010) Only new immigrants. (McDonald et al, Soc Sci Med, 2004) Need for further studies

7 Objective To examine the association between immigrant status and having a regular doctor among Canadian adults.

8 Methods Canadian Community Health Survey 73,958 participants aged Independent variable: Immigrant status New immigrant (0-9 years) Established immigrant (10+ years) Non-immigrant Outcome: Having a regular doctor Association between immigrant status and having a regular doctor among Canadian adults

9 Methods cont d Stratified by gender Adjusted for age, BMI, race/ethnicity, education, province of residence, physical activity, chronic condition presence, self-perceived health, official language knowledge, number of children in household

10 Results

11 Sample Characteristics

12 Having a Regular Doctor By * 88.2 Immigrant Status Category 91.2* * * % Males Females Non-Immigrants Established Immigrants New Immigrants

13 Logistic regression: Odds of having a regular doctor among Canadian adults

14 Summary Women more likely to have a regular doctor vs. men across all immigrant status categories. New immigrants 60% less likely to have a regular doctor vs. non-immigrants. Established immigrants 40% more likely to have a regular doctor vs. non-immigrants.

15 Strengths Large dataset representative of the Canadian population. Rich dataset allowing control of multiple relevant confounders and assessment of gender differences.

16 Limitations Cross-sectional data Broad categories of immigrant status variable (0-9 years vs. 10+ years) Self-reported data

17 Conclusion Immigrant status is associated with having a regular doctor among Canadian adults.

18 Acknowledgements CIHR Frederick Banting and Charles Best Canada Graduate Scholarship

19 Thank you! Questions?

Acculturation Measures in HHS Data Collections

Acculturation Measures in HHS Data Collections Rashida Dorsey, PhD, MPH Director, Division of Data Policy Senior Advisor on Minority Health and Health Disparities Office of the Assistant Secretary for