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Black-White health inequalities in Canada Veenstra, Gerry; Patterson, Andrew Cormac
Abstract
Little is known about Black-White health inequalities in Canada or the applicability of competing explanations for them. To address this gap, we used nine cycles of the Canadian Community Health Survey to analyze multiple health outcomes in a sample of 3,127 Black women, 309,720 White women, 2,529 Black men and 250,511 White men. Adjusting for age, marital status, urban/rural residence and immigrant status, Black women and men were more likely than their White counterparts to report diabetes and hypertension, Black women were less likely than White women to report cancer and fair/poor mental health and Black men were less likely than White men to report heart disease. These health inequalities persisted after controlling for education, household income, smoking, physical activity and body-mass index. We conclude that high rates of diabetes and hypertension among Black Canadians may stem from experiences of racism in everyday life, low rates of heart disease and cancer among Black Canadians may reflect survival bias and low rates of fair/poor mental health among Black Canadian women represent a mental health paradox similar to the one that exists for African Americans in the United States.
Item Metadata
Title |
Black-White health inequalities in Canada
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Creator | |
Publisher |
Springer
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Date Issued |
2016-02
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Description |
Little is known about Black-White health inequalities in Canada or the applicability of competing explanations for them. To address this gap, we used nine cycles of the Canadian Community Health Survey to analyze multiple health outcomes in a sample of 3,127 Black women, 309,720 White women, 2,529 Black men and 250,511 White men. Adjusting for age, marital status, urban/rural residence and immigrant status, Black women and men were more likely than their White counterparts to report diabetes and hypertension, Black women were less likely than White women to report cancer and fair/poor mental health and Black men were less likely than White men to report heart disease. These health inequalities persisted after controlling for education, household income, smoking, physical activity and body-mass index. We conclude that high rates of diabetes and hypertension among Black Canadians may stem from experiences of racism in everyday life, low rates of heart disease and cancer among Black Canadians may reflect survival bias and low rates of fair/poor mental health among Black Canadian women represent a mental health paradox similar to the one that exists for African Americans in the United States.
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Subject | |
Geographic Location | |
Genre | |
Type | |
Language |
eng
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Date Available |
2018-05-10
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Provider |
Vancouver : University of British Columbia Library
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Rights |
Attribution-NonCommercial-NoDerivatives 4.0 International
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DOI |
10.14288/1.0366241
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URI | |
Affiliation | |
Citation |
Veenstra, Gerry and Andrew C. Patterson. (2016). Black-White health inequalities in Canada. Journal of Immigrant & Minority Health 18, 1, 51-57.
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Publisher DOI |
10.1007/s10903-014-0140-6
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Peer Review Status |
Reviewed
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Scholarly Level |
Faculty; Postdoctoral
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Rights URI | |
Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International