Research Article

Self-Reported Health of Working-Age Refugees, Immigrants, and the Canadian-Born

Table 3

Adjusted odd ratios (aOR) of good physical health among refugees, immigrants, and individuals born in Canada by visible minority status and other characteristics (n = 17,082).

Canadian-born (n = 11,266) OR (95% CI) valueRefugees (n = 753) OR (95% CI) valueImmigrants (n = 5063) OR (95% CI) value

Demographics
 Visible minority status
  Not a visible minority (ref.)1.001.001.000.15
  Visible minority0.75 (0.54, 1.03)0.080.89 (0.15, 5.18)0.901.30 (0.91, 1.87)

Sex
 Male (ref.)1.001.001.00
 Female1.02 (0.88, 1.18)0.761.49 (0.75, 2.96)0.260.70 (0.56, 0.88)0.002

Age
 45–64 years (ref.)1.001.001.00
 15–24 years2.52 (2.14, 2.95)<0.0011.89 (0.84, 4.26)0.131.68 (1.28, 2.20)<0.001

Socioeconomic status
 Education
  High school diploma or less (ref.)1.001.001.00
  More than a high school diploma1.44 (1.24, 1.68)<0.0010.48 (0.23, 1.00)0.051.57 (1.23, 1.99)<0.001

Total household income from the past year
 $49,999 and below (ref.)1.001.001.00
 $50,000 and $99,9991.54 (1.27,1.87)<0.0010.65 (0.31, 1.39)0.271.56 (1.18, 2.08)0.002
 $100,000 or more2.08 (1.69, 2.56)<0.0011.22 (0.42, 3.55)0.721.91 (1.39, 2.63)<0.001
 Missing/refused/do not know1.75 (1.39, 2.19)<0.0014.47 (1.15, 17.41)0.031.60 (1.14, 2.25)0.006

Marital status
 Single/widowed/divorced/separated (ref.)1.001.001.00
 Married/common-law0.92 (0.78, 1.09)0.322.30 (1.07, 4.93)0.030.94 (0.73, 1.22)0.65

Presence of a confidant
 No confidant (ref.)1.001.001.00
 1 or more confidants (s)1.13 (0.77, 1.66)0.530.58 (0.12, 2.74)0.491.61 (1.01, 2.58)0.05

Social trust
 Hesitant to trust people (ref.)1.001.001.00
 Believes most people can be trusted1.55 (1.33, 1.81)<0.0011.81 (0.89, 3.69)0.101.82 (1.45, 2.29)<0.001

Involvement with social groups/organizations/associations in the past 12 months
None (ref.)1.001.001.00
1 or more1.41 (1.21, 1.64)<0.0011.79 (0.94, 3.42)0.081.17 (0.93, 1.47)0.19

Experience of discrimination of any form for any reason in Canada in the past 5 years
 Yes (ref.)1.001.001.00
 No1.82 (1.56, 2.12)<0.0012.03 (1.05, 3.92)0.042.00 (1.60, 2.50)<0.001

Language most often spoken at home
 Other languages (ref.)1.001.001.00
 English or French0.61 (0.41, 0.90)0.012.83 (1.26, 6.33)0.010.85 (0.65, 1.11)0.23

% of friends contacted in the past month with the same mother tongue
 Less than half (ref.)1.001.001.00
 Half or more1.70 (1.25, 2.31)0.0010.59 (0.28, 1.28)0.180.98 (0.75, 1.28)0.88

% of friends contacted in the past month that were of a visibly different ethnicity
 Half or more (ref.)1.001.001.00
 Less than half1.12 (0.89, 1.39)0.340.56 (0.27, 1.19)0.130.68 (0.52, 0.88)0.004

Sense of belonging to Canada
 Very weak/somewhat weak/somewhat strong/no opinion (ref.)1.001.001.00
 Very strong1.15 (0.99, 1.33)0.070.93 (0.46, 2.03)0.920.58 (0.46, 0.75)<0.001

Self-reported mental health
 Fair/poor (ref.)1.001.001.00
 Good/very good/excellent8.28 (6.87, 9.98)<0.001163.2 (50.0, 533.2)<0.00113.4 (9.8, 18.3)<0.001
Number of years since arrival in Canada1.00 (0.96, 1.03)0.800.99 (0.98, 1.00)0.016
Place of birth of respondent (for those born outside of Canada)
 Europe (ref.)1.001.00
 America1.42 (0.20, 9.98)0.730.90 (0.60, 1.34)0.60
 Africa0.59 (0.08, 4.38)0.610.88 (0.54, 1.42)0.60
 Asia1.54 (0.24, 9.98)0.650.71 (0.47, 1.09)0.12
 Oceania0.55 (0.19, 1.60)0.27
 Homer and Lemeshow test0.580.420.25
 Nagelkerke R square0.20.430.21

NR= Not able to report due to small cell sizes.