Week 3_2 Immigrant & Indigenous Health Flashcards

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1
Q

Immigrants in Canadian population

A

-immigrants share of canadian population has been steadily increasing in canada since 1950s
-currently about 20%

-at turn of 1900, most immigrants were from usa and west europe
-since 1960s the profile has changed, leaning more toward asia and central and south america

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2
Q

healthy immigrant effect

A

within SES and age groups, new immigrants are more healthy than
native-born people
-partly cause governments put barriers to those who are not healthy enough from coming to
Canada

-cant be a burden to healthcare system
-also self selection: it is physically and economically hard to migrate

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3
Q

Healthy Immigrant Effect – Causes
- Selective nature of migration! Can occur at two levels. What are
they?

A

1 Individual - Migrants are a self-selected segment of the origin
population and might differ from non-migrants in the origin country
terms of both health and social characteristics
* Negative selection can occur too once arrived – Salmon Bias

2 Government – Receiving countries impose a layer of positive health
and social selection throug

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4
Q

Individual Level Changes

A
  • Negative acculturation effect -
    the adoption of unhealthy
    host country cultural norms, risky behaviors, and diets – may
    be the culprit for similarity over time
  • Discrimination due to nativism–
    ethnocentric responses or
    prejudices of native-born people towards immigrants
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5
Q

Historical Trauma (Brave Heart et al. 2011)

A
  • Cumulative emotional and psychological wounding, over the lifespan and across generations, emanating
    from massive group traumatic experiences
  • Differs from posttraumatic stress disorder, which does
    not fully capture the influence and attributes of
    collective trauma
  • Extends the sociobiological pathways (weathering theory) from intra- to intergenerational patterns
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6
Q

Racial Data in Medicine and Health
* Advocates

A
  • Help us understand patterns of health
  • Equip policymakers with promising sites for intervention to
    promote equity
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7
Q

Racial Data in Medicine and Health
* Critics

A
  • Use of race as a proxy for ancestry
  • Could lead to a reification of biological or inherent differences
  • Could lead to an individualist understanding of health difference
    (by not considering structures or “weathering”)
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8
Q

Indigenous Data Sovereignty

A
  • Right of Indigenous peoples to govern the collection,
    ownership, and application of data about Indigenous
    communities, peoples, lands, and resources.
  • Unreliable, inaccurate, irrelevant, and fraught by a longstanding mistrust of data and data systems by Indigenous
    peoples.

Critique of data collection:
* Prioritize needs and interests of nation-states,
minimal Indigenous engagement

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