The health of immigrants and refugees in Canada
The health of immigrants and refugees in Canada
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DOI：
10.1007/bf03403701
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发表时间：
2005-03-01
影响因子：
4.3
通讯作者：
Beiser, M
中科院分区：
文献类型：
--
作者：
Beiser, M
加拿大每年接纳20多万移民。国家政策强调严格的选择，以确保加拿大接受健康的移民。然而，很少有政策是针对确保他们保持健康。这种忽视是错误的：保持新移民的健康是公正、人道的，符合国家自身利益。通过识别个人脆弱性、单独行动或与易感性相互作用以产生健康风险的突出的重新安置压力源，以及减少风险和促进福祉的个人和社会资源，健康研究可以启发政策和实践。然而，过去100年来主导移民健康研究的范式--分别是“生病的”和“健康的移民”--已经不够了。问题的一部分是，社会政治争议影响了有关移民健康的问题，以及他们的调查方式。本文首先回顾了指出患病移民和健康移民范式的缺点的研究，认为一个既考虑到易感性因素又考虑到社会环境因素的相互作用模型，为现存的研究结果提供了最好的解释框架，也是未来研究的最佳指南。最后，文章认为，研究，政策和提供服务之间建立更强的联系，不仅有助于使重新安置一个更人道的过程，它将有助于确保加拿大受益于人力资本，其最新的定居者带来了他们。
Canada admits between more than 200,000 immigrants every year. National policy emphasizes rigorous selection to ensure that Canada admits healthy immigrants. However, remarkably little policy is directed to ensuring that they stay healthy. This neglect is wrong-headed: keeping new settlers healthy is just, humane, and consistent with national self-interest.By identifying personal vulnerabilities, salient resettlement stressors that act alone or interact with predisposition in order to create health risk, and the personal and social resources that reduce risk and promote well-being, health research can enlighten policy and practice. However, the paradigms that have dominated immigrant health research over the past 100 years - the "sick" and "healthy immigrant," respectively - have been inadequate. Part of the problem is that socio-political controversy has influenced the questions asked about immigrant health, and the manner of their investigation.Beginning with a review of studies that point out the shortcomings of the sick immigrant and healthy immigrant paradigms, this article argues that an interaction model that takes into account both predisposition and socio-environmental factors, provides the best explanatory framework for extant findings, and the best guide for future research. Finally, the article argues that forging stronger links between research, policy and the delivery of services will not only help make resettlement a more humane process, it will help ensure that Canada benefits from the human capital that its newest settlers bring with them.