Immigration status and work disability duration in British Columbia
Do disability outcomes (claim duration and return to work status, as determinants of health and well being) for a workers' compensation claim differ by workers' length of time in Canada (immigration status), within the first year of the claim for workers within the same occupation and industry groups with the same type of injury or illness, adjusted for potential confounding, mediating, or moderating variables (e.g. age, sex, mother tongue, Canadian language ability, marital and family status, immigration category, education, skill level, country of birth, and socioeconomic status)?In this study, we will explore differences among the following groups of workers:
1. Recent immigrants
2. Established immigrants
3. Canadian born
1. Overall, immigrants will experience poorer disability outcomes leading to worst health outcomes compared to their Canadian-born counterparts in the same occupation and industry groups with the same types of injuries, over the study period. Poorer disability outcomes for immigrant workers could reflect a wide range of issues from the immigrants lack of knowledge about the workers' compensation system to their language barriers and could result in the deterioration of physical and mental health status of immigrants and their families.
2. Compared to established immigrants, recent immigrants will experience poorer disability outcomes. Poorer disability outcomes for recent immigrants might result in decline in their overall health and well being. This is consistent with past research that has shown that recent immigrants experience a considerable decline in health in the first four years after arrival in Canada (Fuller-Thomson et al., 2011).