Using data from the 1995 General Social Survey (N= 2,639), this study examines two competing repartnering choices made by Canadians after first union disruption: marriage or cohabitation. About 42% of women and 54% of men form a second union 5 years after union disruption, with cohabitation being the most prevalent choice. The timing of second union formation is more rapid among former cohabitors than among the divorced. Widowhood is an acute barrier to repartnering. Gender is the most crucial determinant in the repartnering process; men have a higher rate of second union formation than women. The hazard rate of second union formation also varies by age at union disruption, duration of the first union, prior fertility (for men only), education, employment, and religion.

Objectives: To compare whether unmet health needs differ between immigrants and nonimmigrants, and examine whether help-seeking characteristics account for any unmet needs disparities. Methods:The data are from the Canadian Community Health Survey Cycle 1.1, conducted by Statistics Canada in 2000-2001. The study sample includes 16,046 immigrants and 102,173 non-immigrants aged 18 and older from across Canada. The study employs logistic regression models to examine whether help-seeking behaviours explain unmet needs differences.Results: Logistic regression analysis indicates that immigrants have a 12% (95% CI: 6-18) lower all-cause unmet needs risk (odds ratio) than non-immigrants after controlling for differences in help-seeking characteristics. The unmet needs risk among long-term immigrants (15 years of residence and more), however, is similar to non-immigrants after considering these characteristics. We found differences between immigrants and nonimmigrants in reasons for unmet needs, with more immigrants believing that the care would be inadequate, not knowing where to access health care, and having foreign language problems. Conclusions:The Canadian health care system delivers sufficient health care to immigrants, even though the poverty rate and proportion of visible minorities are comparatively higher within this subpopulation. Nonetheless, these results indicate that some immigrant-specific health care access barriers may exist.MeSH terms: Health services needs; access to health care; immigration La traduction du résumé se trouve à la fin de l'article.

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The relationship between age and late-life depression is complex, and it depends on how the dependent variable is measured. Late-life depression develops through a different set of risk factors than it does in earlier stages of the life course. The "fourth age" appears to be a period of psychiatric morbidity.

Growing international evidence supports the epidemiological paradox that immigrants have better overall health than non-immigrants, including lower levels of depression. But whether length of residence in the host population modifies this effect on depression is not well understood. We examine a large, heterogeneous sample of Canadians to investigate three possible trajectories of depression within the immigrant population. We present hypotheses testing if the depression rate among immigrants improves, deteriorates, or undergoes nonlinear change over time. Our results confirm the so-called “healthy migrant effect” and show that visible minority immigrants are especially healthy. However, soon after arrival in Canada, depression among immigrants increases for several decades. Policy implications of the findings are discussed.