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Canada’s visible minority population is increasing rapidly, yet despite the demographic significance of this population, there is a surprising dearth of nationally representative health data on visible minorities. This is a major challenge to undertaking research on the health of this group, particularly in the context of investigating racial/ethnic disparities and health disadvantages that are rooted in racialization. The purpose of this paper is to summarize: mortality and morbidity patterns for visible minorities; determinants of visible minority health; health status and determinants of the health of visible minority older adults (VMOA); and promising data sources that may be used to examine visible minority health in future research.

A scoping review of 99 studies or publications published between 1978 and 2014 (abstracts of 72 and full articles of 27) was conducted to summarize data and research findings on visible minority health to answer four specific questions: what is known about the morbidity and mortality patterns of visible minorities relative to white Canadians? What is known about the determinants of visible minority health? What is known about the health status of VMOA, a growing segment of Canada’s aging population, and how does this compare with white older adults? And finally, what data sources have been used to study visible minority health?

There is indeed a major gap in health data and research on visible minorities in Canada. Further, many studies failed to distinguish between immigrants and Canadian-born visible minorities, thus conflating effects of racial status with those of immigrant status on health. The VMOA population is even more invisible in health data and research. The most promising data set appears to be the Canadian Community Health Survey (CCHS).

This paper makes an important contribution by providing a comprehensive overview of the nature, extent, and range of data and research available on the health of visible minorities in Canada. The authors make two key recommendations: first, over-sampling visible minorities in standard health surveys such as the CCHS, or conducting targeted health surveys of visible minorities. Surveys should collect information on key socio-demographic characteristics such as nativity, ethnic origin, socioeconomic status, and age-at-arrival for immigrants. Second, researchers should consider an intersectionality approach that takes into account the multiple factors that may affect a visible minority person’s health, including the role of discrimination based on racial status, immigrant characteristics for foreign-born visible minorities, age and the role of ageism for older adults, socioeconomic status, gender (for visible minority women), and geographic place or residence in their analyses.

The purpose of this paper is to identify the salient barriers in the uptake and effective utilization of health promotion interventions among ethnocultural minority older adults (EMOA).

The paper opted for a literature review of 25 sources (peer-reviewed articles as well as documents from the grey literature). The search was primarily conducted in a database developed during a scoping review on the health and health care access and utilization of EMOA. Emphasis was placed on older ethnocultural minorities in Canada; however examples from the UK (which has a comparable health care system) and the USA and Australia (which have large, ethnically diverse populations) were also selected. The Candidacy framework was used as an analytical lens in the review.

Findings indicate that health promotion needs to be understood as comprehensive care, involving not only the provision of health care services, but also knowledge dissemination and the facilitation of access to these services. Limited health literacy, low levels of self-efficacy and autonomy, and diverse life course experiences, particularly in the case of immigrant older adults, give rise to issues around the identification of need and system navigation. Cultural beliefs on health and illness, particularly around diet and exercise, and a lack of trust in formal systems of health care, are barriers to the uptake of interventions. Similarly, service permeability is low when cultural competency is lacking.

The recommendations include the need for collaborative engagement with stakeholders, including family, peers, community partners and health practitioners, and the development of concise, culturally, and linguistically appropriate tools of health promotion that are targeted toward the intersecting needs of individuals in this diverse population of older adults.

Given the increasingly diverse nature of the older adult population in Canada over the past four decades, this paper makes an important contribution toward understanding the social, cultural, structural, biographical, and geographical factors that may optimize the effective dissemination and uptake of health promotion interventions among EMOA.