Health Outcomes of Immigrants in Nursing Homes: A Population-Based Retrospective Cohort Study in Ontario, Canada.

Journal of the American Medical Directors Association
Ahwon JeongPeter Tanuseputro

Abstract

Older adults account for a significant portion of Canadian immigrants, yet characteristics and health outcomes of older immigrants in nursing homes have not been studied. We aimed to describe the prevalence of immigrants living in nursing homes, their characteristics, and their hospitalization and mortality rates compared to long-term residents in the first year of entry to nursing homes. Population-based, retrospective cohort study using linked health administrative databases. We assessed all incident admissions into publicly funded nursing homes in Ontario between April 2013 and March 2016. Immigrants were defined as those who arrived in Canada after 1985; long-term residents are those who arrived before 1985 or are Canadian-born. The primary outcome was all-cause hospitalization and mortality rates within 1 year of nursing home entry. Nested Cox proportional hazards models were estimated to explore the associations of facility, demographic, and clinical characteristics to the primary outcomes. Immigrants comprised 4.4% of residents in Ontario's nursing homes, compared to 13.9% in the general population. The majority were from East and Southeast Asia (52.2%), and more than half (53.9%) had no competency in either official lan...Continue Reading

References

May 15, 2003·JAMA : the Journal of the American Medical Association·June R LunneyJack M Guralnik
Sep 23, 2003·Social Science & Medicine·K Bruce Newbold, Jeff Danforth
Dec 16, 2003·Ethnicity & Health·Kristiina Heikkilä, Sirkka-Liisa Ekman
Apr 16, 2005·Journal of Health Services Research & Policy·Bruce Newbold
Jul 21, 2006·The New England Journal of Medicine·Glenn Flores
Nov 14, 2007·Journal of the American Medical Directors Association·Carrie A LevinStephen Crystal
Apr 5, 2008·Patient Education and Counseling·Gary L Kreps, Lisa Sparks
Jun 11, 2011·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Aïda Solé-AuróEileen M Crimmins
Jul 14, 2011·JAMA : the Journal of the American Medical Association·Yue LiDana B Mukamel
Aug 22, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Darwin F YeungJack V Tu
Sep 11, 2014·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Mieke Beth ThomeerJacqueline L Angel
Oct 21, 2016·Journal of the American Geriatrics Society·Matthew H McLaughlinSherry Pomerantz
Sep 3, 2013·European Journal of Ageing·Eigil Boll Hansen
Oct 4, 2017·JAMA : the Journal of the American Medical Association·Christopher J YarnellRobert A Fowler
May 4, 2018·Journal of the American Society of Nephrology : JASN·Jeffrey PerlRon Wald

❮ Previous
Next ❯

Citations

Jun 17, 2020·Journal of the American Medical Directors Association·Philip D Sloane, Sheryl Zimmerman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
B E Kristiansen
Proceedings of the Royal Society of Medicine
F J Kinsella
The Eugenics Review
J Campbell
© 2022 Meta ULC. All rights reserved