{"id":23325,"date":"2026-02-27T11:00:00","date_gmt":"2026-02-27T16:00:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=news_release&#038;p=23325"},"modified":"2026-05-07T15:21:01","modified_gmt":"2026-05-07T19:21:01","slug":"newcomer-children-show-lower-rates-of-emergency-department-use-for-non-urgent-conditions-study-finds","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/newcomer-children-show-lower-rates-of-emergency-department-use-for-non-urgent-conditions-study-finds\/","title":{"rendered":"Newcomer children show lower rates of emergency department use for non\u2011urgent conditions, study finds\u00a0"},"content":{"rendered":"<p><b><span data-contrast=\"auto\">Toronto, ON, February 27, 2026<\/span><\/b><span data-contrast=\"auto\">\u00a0\u2014\u00a0Refugee and immigrant children are less likely to visit the emergency department (ED) for minor illnesses (e.g., respiratory infections) compared to children born in Ontario, according to a new study from\u00a0<\/span><b><span data-contrast=\"auto\">ICES<\/span><\/b><span data-contrast=\"auto\">\u00a0and\u00a0<\/span><b><span data-contrast=\"auto\">The Hospital for Sick Children (SickKids)<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The study followed 458,597 children (113,098 refugee and immigrant children for the first four years after arrival to Canada and 345,499 Ontarian-born within the same period). The researchers found that refugee and immigrant children had more primary care visits for minor illnesses and fewer non-urgent ED visits for similar conditions than their Ontario-born peers. One\u00a0possible explanation\u00a0for fewer ED visits for minor illnesses among resettled refugee\u00a0families in particular, may\u00a0be related to the healthcare-navigation support that these families receive during early settlement. However, after two years of arrival, primary care visits for minor conditions decreased while non-urgent ED visits increased among all resettled refugee children, which the authors suggest may be related to reduced resettlement financial support and the challenge these families may face accessing primary care during regular work hours.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThis study contributes to the growing research that disproves the belief that newcomers misuse healthcare services,\u201d says Dr. Susitha Wanigaratne, Senior Research Associate at the Edwin S.H. Leong Centre for Healthy Children and SickKids, a fellow at ICES, and an adjunct lecturer at the Dalla Lana School of Public Health. \u201cIn addition, some studies from comparable, high-income countries suggest that inclusive health care for migrants not only improves health outcomes but also reduces costs.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Key findings<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Refugee and immigrant children who had at least one minor illness visit were\u00a0<\/span><b><span data-contrast=\"auto\">less likely to visit the ED for non-urgent health problems in the first two years of arrival<\/span><\/b><span data-contrast=\"auto\">\u00a0and\u00a0<\/span><b><span data-contrast=\"auto\">more likely to have primary care visits for similar problems<\/span><\/b><span data-contrast=\"auto\">\u00a0than children born in Ontario.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:720,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276,&quot;335559991&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">While resettled refugees were more likely to be affiliated with a community health centre than other immigrant groups, this did not help explain their more\u00a0appropriate use\u00a0of the healthcare system.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:720,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276,&quot;335559991&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u00b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u00b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Ontario-born children who would typically be more familiar with the healthcare system were\u00a0<\/span><b><span data-contrast=\"auto\">the most likely to visit the ED for non-urgent health problems\u00a0<\/span><\/b><span data-contrast=\"auto\">and the least likely to have primary care visits for similar problems.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:720,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276,&quot;335559991&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">\u201cIn Canada, government<\/span><span data-contrast=\"auto\">\u2011<\/span><span data-contrast=\"auto\">assisted and privately sponsored refugees have access to settlement workers and sponsors during their first year in the country,\u201d says Dr. Astrid Guttmann, Co-Director of the Edwin S.H. Leong Centre for Healthy Children, and a senior scientist at ICES and SickKids. \u201cWhile all refugee children had lower numbers of ED visits for minor problems, the effect was stronger in resettled refugee children, suggesting settlement services have a positive effect on healthcare navigation.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">One limitation of the study is that it did not account for factors, including parental employment and education level, that may influence a caregiver\u2019s decision to use the ED for non<\/span><span data-contrast=\"auto\">\u2011<\/span><span data-contrast=\"auto\">urgent conditions.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The study \u201cEmergency department visits for minor illnesses among recent refugee and immigrant children\u201d\u00a0is in the February issue of\u00a0<\/span><i><span data-contrast=\"auto\">JAMA Network Open<\/span><\/i><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">ICES<\/span><\/b><span data-contrast=\"auto\">\u202fis an independent, not-for-profit research and analytics institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. ICES leads\u00a0cutting-edge\u00a0studies and analyses evaluating healthcare policy, delivery, and population outcomes. Our knowledge is highly regarded in Canada and abroad and is widely used by government, hospitals, planners, and practitioners to make decisions about healthcare delivery and to develop policy. For the latest ICES news, follow us on BlueSky and LinkedIn: @ICESOntario\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">The Hospital for Sick Children (SickKids)\u00a0<\/span><\/b><span data-contrast=\"auto\">is recognized as one of the world\u2019s foremost paediatric health-care institutions and is Canada\u2019s leading centre dedicated to advancing children\u2019s health through the integration of patient care,\u00a0research\u00a0and education. Founded in 1875 and affiliated with the University of Toronto, SickKids is one of Canada\u2019s most research-intensive hospitals and has generated discoveries that have helped children globally. Its mission is to provide the best in complex and specialized\u00a0family-centred care; pioneer scientific and clinical advancements; share\u00a0expertise; foster an academic environment that nurtures health-care professionals; and champion an accessible,\u00a0comprehensive\u00a0and sustainable child health system. SickKids is proud of its vision for Healthier Children. A Better World. Please visit sickkids.ca.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">FOR FURTHER INFORMATION PLEASE CONTACT:\u00a0<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\"><br \/>\n<\/span><span data-contrast=\"auto\">Charlotte Lam\u202f\u00a0<\/span><br \/>\n<span data-contrast=\"auto\">Communications Associate\u00a0<\/span><br \/>\n<span data-contrast=\"auto\">ICES\u202f\u202f\u00a0<\/span><br \/>\n<a href=\"mailto:media@ices.on.ca\"><span data-contrast=\"none\">media@ices.on.ca<\/span><\/a><span data-contrast=\"auto\">\u202f\u202f\u00a0<\/span><br \/>\n<span data-contrast=\"auto\">437-317-8804\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Sarah Warr<\/span><br \/>\n<span data-contrast=\"auto\">Team Lead, External Communications &amp; Public Affairs<\/span><br \/>\n<span data-contrast=\"auto\">SickKids<\/span><br \/>\n<a href=\"mailto:media.line@sickkids.ca\"><span data-contrast=\"none\">media.line@sickkids.ca<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Refugee and immigrant children are less likely to visit the emergency department for minor illnesses compared to children born in Ontario.<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,62,19,28],"class_list":["post-23325","news_release","type-news_release","status-publish","hentry","topic-acute-and-emergency-services","topic-health-services-research","topic-marginalized-populations","topic-primary-care"],"acf":{"infographic":[23593],"journal_article":[23324],"research_report":"","atlas":"","research_program":[6740],"site":[6733],"ices_scientist":[1372,1250,16891,1238],"announce_or_event":"","video":"","iitn_type":"Article","iitn_title":"Refugee and immigrant children less likely to go to hospital emergency for minor ailments: study","iitn_short_title":"","iitn_source_link_url":"https:\/\/ottawacitizen.com\/news\/refugee-and-immigrant-children-less-likely-to-go-to-hospital-emergency-for-minor-ailments-study","iitn_source_link_text":"Ottawa Citizen","sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Newcomer children show lower rates of emergency department use for non\u2011urgent conditions, study finds\u00a0<\/title>\n<meta name=\"description\" content=\"Refugee and immigrant children are less likely to visit the emergency department for minor illnesses compared to children born in Ontario.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/news-releases\/newcomer-children-show-lower-rates-of-emergency-department-use-for-non-urgent-conditions-study-finds\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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