Skip to main content
Log in

Perceived Health Status of Francophones and Anglophones in an Officially Bilingual Canadian Province

  • Quantitative Research
  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

Objective: It has been reported that being part of a minority group may be negatively associated with self-perceived health. The objective of this analysis was to determine whether there are differences in perceived health between the Francophone minority and Anglophone majority in New Brunswick, the only officially bilingual province in Canada.

Methods: Data from the first four primary cycles of the Canadian Community Health Survey (2001 to 2007) were obtained for 17,729 New Brunswick residents. Odds of reporting good health among Francophones and Anglophones were compared using multivariate logistic regressions accounting for age, health-related behaviours, socio-demographic variables, and medical conditions.

Results: In the final models, Francophone men and women were less likely than Anglophones to report their health as being good, although these differences were not statistically significant (Odds ratio, 95% confidence interval: 0.88, 0.61–1.26; 0.71, 0.49-1.04, in men and women, respectively).

Conclusion: This study suggests that being part of the linguistic minority in New Brunswick is not associated with statistically significant differences in self-perceived health.

Résumé

Objectif: Faire partie d’un groupe minoritaire peut être lié à une moins bonne santé perçue. L’objectif de cette analyse est de déterminer s’il existe des différences au niveau de la santé perçue entre la minorité francophone et la majorité anglophone du Nouveau-Brunswick, la seule province officiellement bilingue au Canada.

Méthodes: Les données des quatre premiers cycles de l’Enquête sur la santé dans les collectivités canadiennes (2001 à 2007) ont été obtenues pour 17 729 résidents du Nouveau-Brunswick. Les chances de rapporter une bonne santé chez les francophones et les anglophones ont été comparées en utilisant des rapports de côtes prenant en considération les variables âge, comportements liés à la santé, facteurs sociodémographiques, et conditions médicales.

Résultats: Dans les modèles finaux, les hommes et femmes francophones étaient moins enclins que les anglophones à rapporter une bonne santé, mais ces différences n’étaient pas statistiquement significatives (rapport de côtes, intervalle de confiance à 95 %: 0,88, 0,61–1,26; 0,71, 0,49–1,04, chez les hommes et les femmes, respectivement).

Conclusion: Cette étude suggère que le statut de francophone en situation minoritaire au Nouveau-Brunswick n’est pas lié à une différence statistiquement significative de la santé perçue.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Commission on Social Determinants of Health. Final Report: Closing the gap in a generation: Health equity through action on the social determinants of health. Geneva, Switzerland: World Health Organization, 2008.

    Google Scholar 

  2. Marmot M. Social determinants of health inequalities. Lancet 2005;365(9464):1099–104.

    Article  Google Scholar 

  3. Tarlov, AR. Public policy frameworks for improving population health. Ann N Y Acad Sci 1999;896:281–93.

    Article  CAS  Google Scholar 

  4. Kawachi I. Social capital and community effects on population and individual health. Ann N Y Acad Sci 1999;896:120–30.

    Article  CAS  Google Scholar 

  5. Willams DR, Collins C. US socioeconomic and racial differences in health: Patterns and explanations. Annu Rev Sociol 1995;21:349–86.

    Article  Google Scholar 

  6. Davey Smith G, Neaton JD, Wentworth D, Stamler R, Stamler J. Mortality differences between black and white men in the USA: Contribution of income and other risk factors among men screened for the MRFIT. MRFIT Research Group. Multiple Risk Factor Intervention Trial. Lancet 1998;351(9107):934–39.

    Article  Google Scholar 

  7. Australian Bureau of Statistics/Australian Institute of Health and Welfare. The Health and Welfare of Australian’s Aboriginal and Torres Strait Islander Peoples. Commonwealth of Australia: The Australian Government, 2008.

    Google Scholar 

  8. Kobayashi KM, Prus S, Lin Z. Ethnic differences in self-rated and functional health: Does immigrant status matter? Ethn Health 2008;13(2):129–47.

    Article  Google Scholar 

  9. Kopec JA, Williams JI, To T, Austin, PC. Cross-cultural comparisons of health status in Canada using the Health Utilities Index. Ethn Health 2001;6(1):41–50.

    Article  CAS  Google Scholar 

  10. Bouchard L, Gaboury I, Chomienne M-H, Gilbert A, Dubois L. La santé en situation linguistique minoritaire. Healthcare Policy 2009;4(4):33–40.

    Google Scholar 

  11. Bouchard L, Gilbert A, Landry R, Deveau K. Social capital, health, and Francophone minorities. Can J Public Health 2006;97(Suppl 2):S16–S20.

    Google Scholar 

  12. Institut Franco-Ontarien/Programme de recherche, d’éducation et de développement en santé publique. Deuxième rapport sur la santé des francophones de l’Ontario. Ontario: Office of Francophone Affairs, 2005.

    Google Scholar 

  13. Desjardins L. La santé des francophones du Nouveau-Brunswick. Les Éditions de la Francophonie. 2003;258.

    Google Scholar 

  14. Robichaud J-B. La santé des francophones. Objectif 2000, Vol. 1. Moncton, Nouveau-Brunswick: Éditions Acadie, 1985;189.

    Google Scholar 

  15. Thomas S, Wannell B. Combining cycles of the Canadian Community Health Survey. Health Report (Statistics Canada, Catalogue 82-003-X) 2009;20(1):53–58.

    Google Scholar 

  16. Bouchard L, Gaboury I, Dubois L, Gilbert A, Chomienne MH, Beauregard N, Berthelot, JM. Disparités de santé et francophonie minoritaire. 96e Conférence annuelle de l’Association canadienne de santé publique, Ottawa, 2005.

    Google Scholar 

  17. Idler EL, Benyamini Y. Self-rated health and mortality: A review of twentyseven community studies. J Health Soc Behav 1997;38(1):21–37.

    Article  CAS  Google Scholar 

  18. Rao JNK, Wu CFJ, Yue K. Some recent work on resampling methods for complex surveys. Survey Methodology (Statistics Canada, Catalogue 12-001) 1992;18(2):209–17.

    Google Scholar 

  19. Shetterly SM, Baxter J, Mason LD, Hamman, RF. Self-rated health among Hispanic vs. non-Hispanic white adults: The San Luis Valley Health and Aging Study. Am J Public Health 1996;86(12):1798–801.

    Article  CAS  PubMed  Google Scholar 

  20. Spencer SM, Schulz R, Rooks RN, Albert SM, Thorpe RJ Jr, Brenes GA, et al. Racial differences in self-rated health at similar levels of physical functioning: An examination of health pessimism in the health, aging, and body composition study. J Gerontol B Psychol Sci Soc Sci 2009;64(1):87–94.

    Article  Google Scholar 

  21. Bailis DS, Segall A, Chipperfield, JG. Two views of self-rated general health status. Soc Sci Med 2003;56(2):203–17.

    Article  Google Scholar 

  22. Quesnel-Vallée A. Self-rated health: Caught in the crossfire of the quest for “true” health. Int J Epidemiol 2007;36(6):1161–64.

    Article  Google Scholar 

  23. Commission on the Future of Healthcare in Canada. Building on values: The Future of Health Care in Canada, Final Report. Ottawa, ON: Health Canada, 2002.

    Google Scholar 

  24. Bowen S. Language Barriers in Access to Health Care/Barrières linguistiques dans l’accès aux soins de santé. Minister of Public Works and Government Services, Health Canada, 2001.

    Google Scholar 

  25. Schofield A, Bourgeois D. Socially responsible medical education: Innovations and challenges in a minority setting. Med Educ 2010;44(3):263–71.

    Article  Google Scholar 

  26. Nyqvist F, Finnäs F, Jakobsson G, Koskinen S. The effect of social capital on health: The case of two language groups in Finland. Health Place 2008;14(2):347–60.

    Article  Google Scholar 

  27. Komar M, Nagymajtényi L, Nyari T, Paulik E. The determinants of self-rated health among ethnic minorities in Hungary. Ethn Health 2006;11(2):121–32.

    Article  Google Scholar 

  28. Marmot M. Status Syndrome. London, UK: Bloomsbury Publishing, 2004;288.

    Google Scholar 

  29. Wilkinson, RG. Health, hierarchy and social anxiety. Ann N Y Acad Sci 1999;896:48–63.

    Article  CAS  Google Scholar 

  30. St-Pierre M, Béland Y. Mode Effects in the Canadian Community Health Survey: A Comparison of CAPI and CATI. Proceedings of the Annual Meeting of the American Statistical Association, Survey Research Methods Section, American Statistical Association, 2004.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mathieu Bélanger PhD.

Additional information

Acknowledgement of support: The analyses were performed in the context of research programs funded by the Canadian Institutes of Health Research (Bouchard et al. Les déterminants de la santé des minorités francophones une analyse secondaire de l’ESCC) and the Consortium national de formation en santé, volet Université de Moncton (Bourque et al.).

Conflict of Interest: None to declare.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bélanger, M., Bouchard, L., Gaboury, I. et al. Perceived Health Status of Francophones and Anglophones in an Officially Bilingual Canadian Province. Can J Public Health 102, 122–126 (2011). https://doi.org/10.1007/BF03404160

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03404160

Key Words

Mots Clés

Navigation