The Size of an Ethno-Cultural Community as a Social Determinant of Health for Chinese Seniors

Shirley Chau*, Daniel W. L. Lai

*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

20 Citations (Scopus)


The present study investigated the link between the sizes of the Chinese community to the health of Chinese seniors in Canada. A secondary data analysis of survey data from a representative sample of 2,272 Chinese older adults aged 55 and over was conducted. Hierarchical regression analyses were performed to assess the effects of the size of Chinese communities in Chinese seniors’ health. Chinese seniors residing in the community with a small Chinese population reported better physical and mental health than the Chinese seniors residing in communities with a larger Chinese population. The findings were contrary to expectations that health of Chinese seniors should be higher in cities with large Chinese communities. These findings raise new questions for future investigations into the dynamics and impact of ethnic community size, and the importance of studying intragroup differences within ethno-cultural groups to better understand health disparities in ethnic groups.
Original languageEnglish
Pages (from-to)1090–1098
Number of pages9
JournalJournal of Immigrant and Minority Health
Issue number6
Early online date5 Aug 2010
Publication statusPublished - Dec 2011

User-Defined Keywords

  • Immigrants
  • Seniors
  • Ethnic community size
  • Health
  • Chinese


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