1. Health and Social Integration of Newcomer Youth: Results from a National Longitudinal Study John P. Anchan, Esther Blum, Bong-Hwan Kim, Joyce Cabigting Fernandes & Lori Wilkinson Prairie Metropolis Node Meeting, September 29, 2009 Winnipeg

2. Project Overview Longitudinal study of close to 4,900 immigrant and refugee children living in six Canadian citiesLongitudinal study of close to 4,900 immigrant and refugee children living in six Canadian cities Wave One national sample includes children aged 4-6 & 11-13 from 17 different ethnocultural communities in Canadian 6 citiesWave One national sample includes children aged 4-6 & 11-13 from 17 different ethnocultural communities in Canadian 6 cities Wave Two follow-up, children now aged 6-10 and 13-17 yearsWave Two follow-up, children now aged 6-10 and 13-17 years Children born outside of Canada, arrived within last 10 years; OR children born of parents who arrived within the last 10 yearsChildren born outside of Canada, arrived within last 10 years; OR children born of parents who arrived within the last 10 years A broad range of factors investigated including child growth and development plus those specific to the migration and resettlement processA broad range of factors investigated including child growth and development plus those specific to the migration and resettlement process

3. Sampling Framework Immigration Status VisibilityLike Ethnic Community in Canada EstablishedNot Established ImmigrantsVisibleHong Kong Chinese Mainland Chinese Filipino Indian (Punjabi) Jamaican Haitian Non-VisibleIranian RefugeesVisibleVietnameseEthiopian Somali Sri Lankan Tamil Afghan Non-Visible Lebanese El Salvadoran, Columbian, Nicaraguan, Guatemalan Serbian Kurdish Note: ethnocultural communities in red text were interviewed in Winnipeg

4. Selected Indicators of Social Integration for Newcomer Families Integration is a multifaceted, long-term process for all newcomers and includes several aspects related to acceptance by the host society and settlement conditions Social supports : does my family have help from others when needed? Homeownership : an indication of economic integration and attachment Living conditions since last move : has moving to Canada been a benefit or a detriment to my family’s livelihood?

5. Social Supports by Ethnocultural Group, Calgary, Edmonton and Winnipeg

6. Homeownership by Ethnocultural Group, Prairies Just over two-thirds (68.4%) of Canadians own their home (Statistics Canada, 2008).

7. Assessment of Living Conditions in Canada by Ethnocultural Group

8. Physical Health The “Healthy Immigrant Effect” suggests that newcomer youth are significantly more healthy than Canadian-born youth due to government and self-selection processes After about 10 years, the health practices and behaviours of newcomers begins to mimic that of the native-born Second-generation youth have poorer health and exhibit more risk behaviours than immigrant youth Rates of obesity, asthma, and diabetes are significantly higher among Canadian-born youth Newcomer youth are significantly more likely to have no significant health problems as children and adolescents Statistics Canada, 2006, 2007; Mullins Harris, 1999; Yu et al., 2003

9. General Health of Child, Prairie Groups Poor

10. General Health by Immigrant Category, Prairies Only

11. Health Risk Behaviors 9% of 11-13 year olds knew of a friend who drank alcohol without their parents’ knowledge 11% of 11-13 year olds regularly smoke cigarettes None of the children we studied in Wave 1 reported illegal drug use, though some participants in Vancouver, Toronto and Montreal admitted to illegal drug use 1.4% of youth aged 11-13 in our study reported they were active members of gangs A very small number of youth indicated they gambled for money

12. Physical Activity (compared to others of same sex and age) Prairie Groups P<0.01

13. Participation in Organized Sports (11-13 year olds only) P<0.05

14. Mental Health Over 80% of mental health issues arise in adolescence. If left untreated, they can manifest as severe illness as adults Among Canadian-born youth, anxiety disorders are most predominant, ranging from 2.1-22.2% incidence rates among youth as young a age 5 years Mental health of newcomer youth has been a topic of sustained interest Refugee youth have higher rates of PTSD Refugee youth have slightly higher rates of other illnesses Immigrant youth have good mental health though some may struggle with the transition to a new country Flannery-Schroeder, 2004; Costello et al., 2004, 2005; Leitch, 2007

15. Self-assessment of Current Life Stress P<0.05

16. Prosocial Behaviour by Integration Stage P<0.05 Mean score on prosocial behaviours index

17. Hyperactivity-Inattention by Stage of Integration P<0.05 Mean score on hyperactivity-inattention index

18. Tentative Conclusions Overall, newcomer youth are adjusting to life in Canada Housing & neighborhood conditions: good for some, fair for others Physical Health : excellent & active Mental Health : excellent, with few behavioural problems Wave 2 interviews are complete; longitudinal analysis to commence in fall Your ideas for specific analyses and exploration are most welcome-there are over 1300 data points needing analysis!

19. Selection of Forthcoming Papers Predicting Emotional Disorder/Anxiety and Physical Aggression among Hong Kong Chinese, Mainland Chinese, and Filipino Immigrant Children in Canada. Immigrant Families and Access to Primary Health Care for their Children Examining the impact of ethnic discrimination and social exclusion on visible minority immigrant children’s psychosocial development. Cultural Affiliation and Identification Patterns among Newcomer Immigrant Children in Canada School & Parental Influences on the Academic Achievements of Filipino, Hong Kong & Mainland Chinese Youth Neighbourhood Influences on the health of Canada’s Immigrant and Refugee Youth: A Vancouver Study A Snapshot of the Health & Well-being of Newcomer Children and their Families- to appear on PMC website soon! Mental health Physical health Discrimination Identity & Cultural Preservation Health & Neighbourhood Educational Achievements

20. Acknowledgements This presentation is a product of the New Canadian Children and Youth Study (Morton Beiser, Nominated Principal Applicant; Robert Armstrong, Linda Ogilvie, Jacqueline Oxman-Martinez, Joanna Anneke Rummens, Principal Applicants), a national longitudinal survey of the health and well being of more than 4,000 newcomer immigrant and refugee children living in Montreal, Toronto, Winnipeg, Edmonton, Calgary and Vancouver. The NCCYS is a collaboration between a large team of more than 25 investigators, two national coordinators, other research staff, community advisors, and trainees affiliated with four Canadian Metropolis Centres of Excellence for research on immigration and settlement, and community organizations representing sixteen different immigrant/refugee populations across Canada. The Winnipeg Research Team wishes to acknowledge the assistance of Alison Kalischuk, Swati Mandal University of Manitoba Sara Deane, University of Winnipeg and the cooperation of newcomer families, the assistance of our Local Advisory Committee and 7 Community Consultation Groups

21. Funding Sources Prairie Site: PCERII, AHFMR, CIHR, Canadian Heritage, Health Canada, Citizenship and Immigration Canada, Manitoba Labour and Immigration, Winnipeg Foundation, and Alberta Learning. National: Canadian Institutes for Health Research Site Specific Funding: Federal departments of Canadian Heritage, Citizenship and Immigration Canada, Health Canada, Justice Canada; Alberta Heritage Foundation for Medical Research, Alberta Learning, B.C. Ministry of Social Development and Economic Security, B.C. Ministry of Multiculturalism and Immigration, Conseil Quebecois de la Recherche Sociale, OASIS (CIC); and the Montreal, Prairies, and Toronto Metropolis Centres of Excellence for Research on Immigration and Integration. Universities In-Kind Support : Universities: Alberta, British Columbia, Calgary, Manitoba, McGill, Montreal, Toronto, Winnipeg, Metropolis Centres of Excellence: Toronto, Montreal, Prairies, Vancouver, Statistics Canada, Citizenship and Immigration Canada.