Demographic characteristics and needs of families at an urban, low-income, multicultural paediatric clinic.

OBJECTIVES To describe the demographic characteristics and identify the needs of a population attending an urban, low-income area, multicultural paediatric clinic. METHODS Surveys were distributed to caregivers of children zero to 16 years of age (n=299). RESULTS Of the children attending appointments, 55% were female and 51% were five years of age or younger. Of the caregivers, 29.5% were born outside of Canada and 25% reported that their primary spoken language was not English. Sixty-six per cent of families had been living in Edmonton for more than three years, with two-thirds of respondents living in Edmonton's second-lowest average household income region. Seventy-six per cent of respondents lived in households with four or more persons. CONCLUSIONS Challenges facing individuals attending an urban, low-income area, paediatric clinic include language barriers, lower household income and larger family size. Immigrants living outside of major Canadian cities are under-represented and may have different needs compared with their counterparts in 'gateway' cities. More studies are needed to determine their needs, and will ultimately lead to the provision of culturally competent care.

[1]  E. M. Euser,et al.  Elevated Child Maltreatment Rates in Immigrant Families and the Role of Socioeconomic Differences , 2011, Child maltreatment.

[2]  Lu Wang,et al.  Modeling Spatial Accessibility of Immigrants to Culturally Diverse Family Physicians , 2011, The Professional geographer : the journal of the Association of American Geographers.

[3]  K. Wilson,et al.  "I spent nine years looking for a doctor": exploring access to health care among immigrants in Mississauga, Ontario, Canada. , 2008, Social science & medicine.

[4]  R. Glazier,et al.  Relationship between social inequalities and ambulatory care-sensitive hospitalizations persists for up to 9 years among children born in a major Canadian urban center. , 2007, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[5]  M. Crockett New faces from faraway places: Immigrant child health in Canada. , 2005, Paediatrics & child health.

[6]  A. Kazanjian,et al.  New approaches to immigrant health assessment. , 2004, Canadian journal of public health = Revue canadienne de sante publique.

[7]  J. R. Dunn,et al.  Social determinants of health in Canada's immigrant population: results from the National Population Health Survey. , 2000, Social science & medicine.

[8]  N. Fowler Providing primary health care to immigrants and refugees: the North Hamilton experience. , 1998, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[9]  C. Mustard,et al.  Continuity of pediatric ambulatory care in a universally insured population. , 1996, Pediatrics.

[10]  M. Rosenberg,et al.  Modelling Migration Flows of Immigrant Groups in Canada , 1995, Environment & planning A.