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Edward Ng, Claudia Sanmartin, Jack V. Tu and Doug G. Manuel

Variations in hospitalization rates across first generation immigrants and their descendants are investigated in the context of Canada. The authors examine immigrant generations of United Kingdom, Chinese and other Asian origins with respect to all-cause and circulatory disease related hospitalization rates. Compared with third-generation and beyond descendants (that is, native-born Canadians), age-adjusted odds of all-cause hospitalization among first-generation recent immigrants in Canada for less than 10 years were significantly lower than for longer-term immigrants in Canada for more than ten years, and for second-generation descendants. Controls for group variations in socioeconomic status attenuated these differentials but the lower circulatory disease hospitalization risk among first- and second-generation immigrants of Chinese origin persisted, while among those of South Asian descent, only the first generation showed a lowered risk but not the second generation.