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Immigration and cultural policies: a bone of contention between the Province of Quebec and the Canadian federal government.

"This article addresses the way in which the Province of Quebec has obtained increasing power in the area of immigration.... Data from interviews with key members of [the Ministry of Immigration] and from selected documents are drawn on to illustrate Quebec's cultural politics. The Quebec position on the question of immigration as it has evolved in the context of immigration policies defined by the federal government in Ottawa is examined.... In particular, the present article considers how attempts to construct a cultural identity and a nation-state in Quebec have had important consequences for immigration policy and for attitudes and policies concerning Quebec's cultural minorities. The emergence of the notion of 'cultural communities' as a result of the constitutional rivalry and the on-going struggle for legitimacy between Quebec and Ottawa is also explored."

Americas↗

The linkage between immigration and internal migration in large metropolitan areas in the United States.

"This paper investigates the relationship between the internal migration of native-born workers and flows of immigrants to the United States using the 1980 and 1990 U.S. Census Bureau microsamples.... Based on the estimation of three sets of regression models for five overlapping samples of the largest metropolitan areas in the United States and five mutually exclusive segments of the labor force, this analysis shows that the finding of a significant linkage between internal migration and immigration depends critically on the empirical experiment used. In direct opposition to previous published research, we conclude that net migration of the native born for metropolitan areas is either positively related or unrelated to immigration. Our models show that the net migration loss of unskilled native workers from metropolitan areas is probably a function of those cities' population size rather than immigrant flow to them. We conclude that the net migration loss of native-born workers from large metropolitan areas is more likely the result of industrial restructuring than of competition with immigrants."

Americas↗

Aspects of occupational mobility and attainment among immigrants in Australia.

The occupational distributions of the native-born and foreign-born in the Australian labor market differ greatly. The disparity between the occupational distributions is greatest among the middle age-bracket, and among immigrants from Eastern Europe and the Mediterranean region. Analysis of occupational attainment using unit record data from the 1981 Census shows that as duration of residence in Australia lengthens, the occupational distribution of the overseas-born converges toward that of the Australian-born. Moreover, birthplace groups differ in the degree of upward mobility associated with length of residence in Australia: immigrants from non-English-speaking countries tend to make greater occupational advances than their counterpart from English-speaking countries. This suggests a higher degree of international transferability of human capital skills among immigrants from English-speaking countries. The analysis also highlights the concentration of immigrants from non-English speaking countries in low-ranked occupations, and the relatively minor influence of education on the occupational attainment of immigrants from these birth place regions.

Adult↗

Secondary earner strategies and family poverty: immigrant-native differentials, 1960-1980.

"This article studies immigrant-native differentials in the ability of secondary earners (family earners other than the family head) to lift families out of poverty. Using both descriptive and multivariate techniques to analyze the 1960, 1970 and 1980 U.S. Census Public Use Samples, it compares immigrant and native families among four key race groups: white, black, Hispanic and Asian. It is shown that the ameliorative impact of secondary earners is greater for immigrant than native families; that this generalization holds for whites, blacks and Hispanics but not Asians; and that the immigrant advantage in ameliorative effects vis-a-vis natives declined noticeably over the 1960-1980 period for all but Asian families. The implications of these results for the overall trend in poverty among immigrants is discussed."

Black or African American↗

The earnings of Asian male immigrants in the Canadian labor market.

"The earnings of Asian-born immigrants in the Canadian labor market declined relative to the earnings of native-born workers between 1981 and 1986. Analysis of the labor market performance of immigrants from four regions of Asia--Southern Asia, South East Asia, Eastern Asia and Western Asia--shows that Asian immigrants are a heterogeneous group. However, changes in the birthplace composition of Asian immigrants cannot explain the fall in the relative earnings of the Asian aggregate. Attention is drawn to the switch in the distribution of immigrants across the admission classes as a possible explanation of this phenomenon."

Americas↗

[International immigration, a political fact].

"This article retraces the sources of immigration towards Canada and the United States during the post-war period, and paints a picture of the immigration practiced in Western Europe. Dealing with international immigration also means touching on the immigration practices of the receiving countries: their border policies (selection), as well as their policies in the interior (integration)." The political influence of immigration on both the relations between nations and the political situation in receiving countries is examined. (summary in ENG, SPA)

Americas↗

From Ellis Island to LAX: immigrant prospects in the American city.

"This article seeks to bring the ¿urban' back into immigration research. Each immigrant receiving area has its own particular group of newcomers, and the economic and political structures of the immigrant receiving areas are also distinctive. Those structures are not all determining, as immigrant trajectories are shaped by the interaction between distinctive urban institutions and the specific characteristics of the relevant ethnic groups. But in the last analysis, the urban context makes a difference, as this study shows by examining the leading [U.S.] immigrant destinations--New York and Los Angeles."

Americas↗

Labor immigration and capital flows: long-term Australian, Canadian and United States experience.

"Evidence on labor immigration and capital inflows to three high labor-immigration economies (Australia, Canada, the United States) is examined over periods ranging from 1820-1870 through to 1991. Data show a close association between capital flows and immigration, although causality implications are ambiguous. For the United States, the relation between factor flows is more complex than for the other countries, but flows to the United States have influenced those to smaller economies. All three nations have been subjected to common immigrant push factors through to 1930-1950 but, since World War II, linkages between factor flows have altered. Post-World War II U.S. immigration restrictions have become more important as a global determinant of labor flows, with factor flow policymaking becoming increasingly internationally interdependent."

Americas↗

Increase in African immigrants and refugees with tuberculosis--Seattle-King County, Washington, 1998-2001.

The proportion of tuberculosis (TB) cases among foreign-born persons in the United States has increased steadily, accounting for half of reported cases in 2001 for which country-of-origin information was available. During 1998-2001, the annual number of TB cases among African immigrants and refugees in Seattle and all of King County increased approximately threefold to that during 1993-1997. This report summarizes the investigation of cases during 1998-2001 and outlines the public health interventions implemented to prevent TB in this population. The findings indicate that in Seattle-King County, persons at risk for TB who have arrived recently in the United States were primarily from the African-Horn countries of Eritrea, Ethiopia, and Somalia. Primary health-care providers and civil surgeons (i.e., physicians appointed by the Immigration and Naturalization Service to screen for medical conditions as required for changes of immigration status) should be aware of the high TB rate among African immigrants, especially within the first 5 years after immigration, and be alert for severe extrapulmonary forms of TB.

Adolescent↗

Onchocerciasis among Ethiopian immigrants in Israel.

BACKGROUND: Onchocerciasis results from infestation by the nematode Onchocerca volvulus, and is characterized clinically by troublesome itching, skin lesions and eye manifestations. Since 1992, approximately 9,000 immigrants have arrived in Israel from the Kuwara province of northwest Ethiopia where the prevalence of onchocerciasis is particularly high. OBJECTIVES: To determine whether onchocerciasis is the cause of cutaneous and ocular symptoms among recent immigrants from the Kuwara province in Ethiopia. METHODS: We examined 1,200 recent immigrants from the Kuwara province residing at the Mevasseret Zion immigration center outside Jerusalem. Among them, patients with cutaneous signs suggestive of onchocerciasis underwent a skin-snip biopsy and a thorough eye examination. RESULTS: In the detailed skin examination performed in 83 patients, the most common skin finding was chronic papular onchodermatitis, found in more than 46 patients (55%); depigmentation and atrophy was found in 13 (15%) and 12 (14%), respectively. In 40 patients (48%), living microfilaria were detected in their skin snips. Of the 65 patients who underwent a through eye examination, 45 patients (66%) had ocular complaints. Corneal abnormalities were found in 55 of the 130 eyes (42%), active anterior segment intraocular inflammation and live microfilariae were found in 4 eyes (3%) and lens changes in 16 eyes (1%). Eleven eyes (9%) showed retinal or choroidal changes. CONCLUSIONS: Skin and eye manifestations associated with onchocerciasis are prevalent among symptomatic Ethiopians who immigrated to Israel from the Kuwara province.

Adolescent↗

Cigarette smoking among Southeast Asian immigrants--Washington state, 1989.

Since 1975, approximately one million Southeast Asians have immigrated to the United States. In general, the efforts of local public health agencies to meet the needs of these immigrants have focused on identifying and treating acute and chronic diseases rather than identifying and modifying health-risk behaviors (e.g., smoking) among these immigrants. However, efforts to determine the prevalence of smoking suggest that smoking rates are high, especially among men of Southeast Asian origin. During 1989, to characterize cigarette smoking among Southeast Asian immigrants, the Seattle-King County (Washington) Health Department surveyed newly arriving Southeast Asian immigrants who intended to reside in the county regarding their health problems and health-risk behaviors. This report summarizes survey findings regarding their smoking habits.

Adolescent↗

Recent research on immigrant health from statistics Canada's population surveys.

This paper reviews recent research using Statistics Canada data to compare immigrant health with that of the Canadian-born. A number of Statistics Canada studies have been used for such comparisons, including the National Population Health Survey and the Canadian Community Health Survey. Across the range of indicators studied, compared to the Canadian-born, immigrants are generally in as good or better health, have similar or better health behaviours, and similar or less frequent health service use (the "healthy immigrant effect"). These indications appear to be strongest among recent and non-European immigrants. These studies have established baseline patterns and identified that important distinctions exist among immigrant subgroups. Future research on more detailed subgroups that uses longitudinal data and cross-culturally validated instruments is needed.

Alcoholism↗

[Norwegian and immigrant patients at a health care center. Are there real differences?].

Routine data from a Primary Health Care Centre in Oslo have been analysed to find differences between Norwegian and immigrant patients. We compared frequencies of diagnoses, as well as pattern and outcome of contacts (laboratory-tests, referrals and follow-up appointments). The two patient groups showed different age and gender distribution. There were fewer children, more elderly and more women among the Norwegians than among the immigrants. This explains the differences in the pattern of contact, and its outcome. Differences in the distribution of diagnoses also depended on group related factors other than the unequal age and gender distribution. The higher frequency of non-specific conditions among immigrants and mental diseases among Norwegians were due to group-specific factors alone. The first of these differences is interpreted as a sign of poor communication between the doctor and the immigrant patients. More seldom than expected, the differences were related to other factors than age and gender distribution. It is therefore important to focus also on similarities when comparing native and immigrant patients.

Adult↗

Germ-cell testicular cancer in offspring of Finnish immigrants to Sweden.

Variation in testicular cancer incidence can be used to assist in identification of risks. Finland has a significantly lower germ-cell testicular cancer risk than Sweden. Finns who immigrate to Sweden maintain their lower risk irrespective of age at immigration. We investigated difference in risk between Finland and Sweden by examining germ-cell testicular cancer incidence in males born in Sweden to Finnish immigrant parents. Swedish general population registers were used to identify 11,662 males born in Sweden where both Finnish parents immigrated to Sweden from Finland from 1969 or afterward. All of these offspring were at least 15 years old by final follow-up in 2001. Some six offspring (all diagnosed between ages 20 and 24 years) had a diagnosis of germ-cell testicular cancer. Comparison with the Swedish population rate produced standardized incidence ratios [SIR (95% confidence interval)] of 0.85 (0.31-1.84) for all the men and 1.75 (0.64-3.81) for the 20- to 24-year age group. SIRs calculated using the Finnish population rates produced an overall SIR (95% confidence interval) of 1.11 (0.41-2.41) and 2.95 (1.08-6.42) for the 20- to 24-year age group. Although the substantially reduced risk of testicular cancer previously observed in Finnish immigrant to Sweden was not found, this study had insufficient statistical power to conclude that environmental exposures explain the difference in germ-cell testicular cancer risk between Finland and Sweden.

Adolescent↗

Delivery and immigration: the experience of a Greek Hospital.

INTRODUCTION: In this retrospective study we investigate the differences regarding the mode of delivery between Greek and immigrant women. MATERIAL AND METHODS: We collected data from the Birth Registry of the hospital delivery room for the period from March 1, 2000 to February 29, 2004. We assigned the women into two groups according to their nationality: Greeks and immigrants. We studied the following parameters: age, nationality, parity of women, mode of delivery instrumental delivery (ID), vaginal birth (VD), cesarean section (CS), the indications of CS, and gender and weight of the newborn; 3,071 women met the inclusion criteria. RESULTS: The average immigrant's age was 2.9 years lower than in the Greek group; 35.2% of the women were Greeks and 64.7% were immigrants. A significant difference was found in the percentage of multipara and the indications for CS--especially prolonged labor (significantly higher in the immigrants), and preeclampsia (significantly higher in the Greeks). There were no significant differences between the two groups referring to the rate of CS, ID or VD, the gender of the newborn, and the birth weight. DISCUSSION/CONCLUSION: We did not find any significant differences between the two groups regarding the rate of caesarean delivery. In exploring health-related differences between population groups, it is important to determine how race/ethnicity contributes to these differences. A statistically significant association between race or ethnicity and an undesirable health outcome does not by itself establish causality. Health outcomes usually have multiple causes that can be either direct or indirect and are often interrelated and interactive. Race/ethnicity and social class influence health through complex pathways.

Adult↗

Patterns of tuberculosis risk over time among recent immigrants to Ontario, Canada.

SETTING: Canada receives more than 200000 immigrants annually. Immigrants account for 92% of tuberculosis (TB) cases in Toronto, Ontario. Epidemiological profiling of recent immigrants is needed to provide more effective TB programs. DESIGN: A population-based, retrospective cohort study of recent immigrants to Ontario, 1990-1997. We generated adjusted rates, risk ratios (RRs), hazard rates since arrival, and a complementary log-log model to describe TB risk, compare the survival distributions between different sexes, age groups and world regions of birth, and determine predictors of disease. RESULTS: TB in recent immigrants was 23 times (95%CI 20.9-25.5) higher than in Canadian-born, non-aboriginal people. Those aged 16-30 and >65 years experienced the highest rates. Sub-Saharan Africa had the highest rates for both sexes (RR 95.5, 95%CI 84.3-108.2), followed by India and Asia. Hazard rates decreased after arrival, but remained elevated. The highest risk was associated with arrival in 1990 and living in Canada <1 year. CONCLUSION: Risk for TB varied by region of birth, age at landing and time since arrival. Sex was not significant. Persons from sub-Saharan Africa and age >65 years were the highest risk groups. Risk decreased significantly in the first 1-2 years after arrival, after which it plateaued.

Adolescent↗

Initial acculturation and HIV risk among new Hispanic immigrants.

PURPOSE: Research on the initial stage of acculturation of new immigrants is crucial for identifying AIDS prevention policies and priorities for this vulnerable population. METHODS: This study employed an exploratory approach and qualitative data collection methods to identify and describe social and behavioral factors influencing risk for HIV infection among recent Hispanic immigrants (<3 years in the United States). Immigrants from Guatemala, El Salvador, Honduras, the Dominican Republic and Mexico were interviewed in urban, suburban and semirural settings in the New York Metropolitan Area. Data were collected through ethnographic fieldwork, in-depth interviews (N=51), focus groups (N=11; total number of participants=86) and individual interviews with health and social service providers (N=26). RESULTS: Initial stages of acculturation for immigrants reflect both retention and change in attitudes and behaviors involving their mental health, gender role norms, social and sexual behavior, and alcohol and other drug use. Current living environments may introduce conditions affecting HIV risk and prevention, while sustained connections to countries of origin may support retention of attitudes and behaviors with positive and negative risk implications. CONCLUSIONS: Specific epidemiological, environmental, economic, social and psychosocial factors are identified that provide the context for risk and prevention. The challenges and opportunities faced by these new communities must be distinguished from those of more acculturated immigrant populations if culturally appropriate interventions are to be developed.

Acculturation↗

Tuberculosis surveillance among new immigrants in Montreal.

SETTING: Foreign-born persons account for over 60% of Canadian tuberculosis (TB) incidence; immigrants with TB-related lung scarring ('inactive TB') are at particularly high risk, and represent an important target for preventive efforts. OBJECTIVE: To document the performance of the immigrant surveillance programme for inactive TB in Montreal. DESIGN: All immigrants arriving with inactive TB are referred by the public health department to the Montreal Chest Institute. We prospectively recorded clinical and radiographic data for those evaluated in 1999 and 2000. We examined physicians' adherence to Canadian guidelines. We also evaluated concordance of chest radiographic interpretation. RESULTS: Of 1444 immigrants notified, 792 (55%) were sent referral letters. Most of the others lacked valid addresses. Of the 654 (45%) who were examined, 322 (22%) were diagnosed with untreated latent TB, 215 (15%) were recommended therapy, and 156 (11%) completed it. Of 388 potential candidates for treatment of latent TB, 274 (71%) underwent tuberculin tests. Treatment decisions followed guidelines for 87% of patients with full testing. Agreement between clinicians and chest radiologists as to TB-related radiographic abnormalities was frequent (K 0.63). Six 'high volume' clinicians performed better than others with respect to management and radiographic interpretation. CONCLUSION: Centralised post-immigration surveillance requires more accurate referrals, and more consistent provider performance.

Adult↗