Examining the relationship between neighbourhood deprivation and mental health service use of immigrants in Ontario, Canada: a cross-sectional study

BMJ Open
Anna DurbinRichard H Glazier

Abstract

While newcomers are often disproportionately concentrated in disadvantaged areas, little attention is given to the effects of immigrants' postimmigration context on their mental health and care use. Intersectionality theory suggests that understanding the full impact of disadvantage requires considering the effects of interacting factors. This study assessed the inter-relationship between recent immigration status, living in deprived areas and service use for non-psychotic mental health disorders. Matched population-based cross-sectional study. Ontario, Canada, where healthcare use data for 1999-2012 were linked to immigration data and area-based material deprivation scores. Immigrants in urban Ontario, and their age-matched and sex-matched long-term residents (a group of Canadian-born or long-term immigrants, n=501,417 pairs). For immigrants and matched long-term residents, contact with primary care, psychiatric care and hospital care (emergency department visits or inpatient admissions) for non-psychotic mental health disorders was followed for 5 years and examined using conditional logistic regression models. Intersectionality was investigated by including a material deprivation quintile by immigrant status (immigrant vs lon...Continue Reading

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Sep 13, 2013·The Journal of Behavioral Health Services & Research·Anna DurbinRaisa Deber
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Oct 28, 2021·Annals of Surgical Oncology·Jennifer SiuAntoine Eskander

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