Medicine and Health Commons^™

The Impact Of Ethnicity And Immigration On Prostate Cancer Mortality In Canada, Noah Stern

Electronic Thesis and Dissertation Repository

Despite the prevalence of prostate cancer its pathogenesis remains unclear. Marked differences in mortality rates have been observed between countries, however, it is unclear whether the source of the observed differences is driven by underlying genetics, geographic, or social factors. This thesis investigated the impact of ethnicity and immigration on prostate cancer mortality in Canada using the Canadian Census Health and Environment Cohort. South Asian and East Asian men were seen to be at decreased risk of prostate cancer mortality, while no increased risk was observed in black men. These results affirm studies showing lower risks in Asian men; however, …

Oral Health, Dental Insurance Coverage, And Preventive Dental Care Utilization: The Case Of Immigrants In Canada, Yujiro Sano

Electronic Thesis and Dissertation Repository

Oral health is essential for social, economic, and psychological well-being. Yet, we know very little about oral health among adult immigrants in Canada. Framing oral health as determined by a wide range of social, economic, cultural, and political conditions, three integrated articles in this dissertation aim to understand how some adult immigrants potentially experience disadvantages in accessing optimal oral health, dental insurance coverage, and preventive dental care utilization, due to their vulnerable positions in Canada.

Using the Canadian Community Health Survey (CCHS), the first article examines whether the ‘healthy immigrant effect’ extends to self-rated oral health in Ontario, Canada. Findings …

Accessing Healthcare In Ontario: Influences On Utilization Among Asian Immigrant Women, Gwynne Ng

Electronic Thesis and Dissertation Repository

Previous research on immigrant integration has tended to focus on economic and social integration. As such, the factors shaping health integration are less understood. At the same time, health researchers suggest that immigrants in Canada may underutilize certain health services. For instance, studies have documented the low participation rates of cervical cancer screening among Asian immigrant women in Canada (Xiong, Murphy, Matthews, Gadag, & Wang, 2010; McDonald & Kennedy, 2007; Woltman & Newbold, 2007). This study sheds light on immigrant integration by exploring the experiences of Asian immigrant women with cervical cancer screening and Canadian healthcare services more broadly. Through …

Risk Factors For Diabetes Mellitus: A Comparative Analysis Of Subpopulation Differences In A Large Canadian Sample, Michael James Taylor

Electronic Thesis and Dissertation Repository

Objectives: Certain Canadian subpopulations observe numerous modifiable and non-modifiable risk factors for diabetes. This study compares immigrants and Aboriginals (First Nations, Inuit, and Métis) with Canada-born individuals at higher risks for diabetes, and deciphers the determinant differences between them.

Methods: Pooled Canadian Community Health Survey data (2001-2010) were used. Time trends for diabetes within each subsample were calculated using individual survey year prevalence rates; diabetes diagnoses were self-reported (N=33,565). Various risk factors were also examined using logistic regression.

Results: Diabetes prevalence rates significantly increased from 2001 to 2010 for each subpopulation, as well as the total sample: Canada-Born individuals (3.9% …

"Proving Yourself" In The Canadian Medical Profession: Gender And The Experiences Of Foreign-Trained Doctors In Medical Practices, Vanessa Noelle Dolishny

Electronic Thesis and Dissertation Repository

In recent years the medical profession has become feminized. Additionally, there has been an increased representation of foreign-trained professionals in the Canadian medical profession; many of which are women. Thus, there is a significant number of female medical practitioners who are foreign-born and foreign-trained. This demographic faces many barriers, which are often characterized as a “double disadvantage”. This paper investigates the experiences of foreign-trained medical professionals once they have gained access to the profession and whether the feminization of medicine has impacted the experiences of these individuals. Immigrant status was found to be highly significant to one’s experiences in the …