Conceptualization, Measurement, and Association of Underemployment to Mental Health Inequities between Immigrant and Canadian-born Labour Force Participants

Abstract

This thesis aims to increase understanding of the association of underemployment (unemployment or overqualification) to mental health inequities between immigrant and Canadian-born labour force participants. The first paper provides a theoretical framework to guide design, analyses and interpretation of findings for this thesis, and future research on social determinants of mental health inequities. The second paper uses the Canadian Community Health Survey (CCHS) Cycle 1.2 to assess the construct validity of self-rated mental health (SRMH) for the overall population, and sub-groups by immigrant status and sex. Positive associations between SRMH and a comprehensive array of mental morbidity measures were large and consistent, but a sizeable percentage of respondents with mental morbidity did not rate their mental health as fair/poor. SRMH is useful for assessing social determinants of inequities in general mental health, but not specific mental health morbidities. The third paper uses CCHS Cycle 2.1 (2003) to examine the association of underemployment to fair/poor self-rated mental health (SRMH) in: 1. labour force participants (18-64yrs) in Canada, and 2. between a. immigrants vs. Canadian-born labour force participants, and b. recent immigrant (Ph.D