We demonstrate that responses to questions that are conceptually similar between the two surveys (the MEPS and the CCHS) are also similar to those found in the JCUSH, which was administered in both countries at the same time.
The means for provider visits, dental visits, and mammograms are very similar between the JCUSH and the MEPS and between the JCUSH and the CCHS.
Indeed, a study by O'Neill and O'Neill (2007) that used data from the CCHS, the MEPS, and the JCUSH found that screening rates for breast cancer, Pap smears, and prostate examinations were significantly higher in the United States than those in Canada.
A few previous studies have used the JCUSH to peripherally address the issue of immigrants' health care experiences; however, they have typically included foreign birth as a control variable in their analytical models, rather than as the main independent variable of interest, and have not made direct comparisons between immigrants living in Canada versus those living in the United States (Lasser, Himmelstein, and Woolhandler 2006; Blackwell, Martinez, and Gentleman 2008; Blackwell et al.
To build on the existing literature, data from the cross-national JCUSH dataset were used to conduct comparisons and assess the effect of foreign birth on access to primary and preventive care in Canada and the United States.