Life Satisfaction in Canada and the Immigrant Experience

High-income countries like Canada have the highest self-reported levels of life satisfaction in the world, although little is known regarding the experiences of racialized people and immigrants to these countries. This study investigates the factors that influence subjective well-being among a large national cohort study of 8,063 adults from the Canadian Alliance of Healthy Hearts and Minds cohort study recruited between 2014 and 2018, including a subset of 2,142 immigrants. Measures of demographic, socioeconomic, health, healthcare access, and self-reported ethnicity, from which racialized status was derived, were investigated in relation to self-reported life satisfaction as measured by the validated Cantril ladder score. Among 8,063 adults average age of 58 years, approximately half were women, 18.6% were racialized, and 26.6% were immigrants. Racialized immigrants had significantly lower life satisfaction compared to non-racialized immigrants and Canadian-born persons, whether racialized or not. Multivariable analysis showed that factors associated with higher life satisfaction included older age, male sex, having trusted neighbours, and having a language-concordant family doctor. Factors associated with lower life satisfaction included being racialized, having a higher social disadvantage, poorer cardiovascular health, and being unable to afford prescription medications. Amongst immigrants, those racialized were more likely to report experiencing discrimination based on skin colour and reported lower life satisfaction. Although high income countries like Canada have amongst the highest life satisfaction scores in the world, racialized people, especially immigrants, have lower life satisfaction compared to non-racialized people. Key MessagesO_LIThis study examines associations of demographic, socioeconomic, health, healthcare access that influence self-reported life satisfaction among adults in Canada, particularly among racialized individuals and immigrants. C_LIO_LIUsing data from the Canadian Alliance of Healthy Hearts and Minds cohort study, we found racialized immigrants report significantly lower life satisfaction compared to non-racialized immigrants and Canadian-born individuals. C_LIO_LIDespite Canadas high average life satisfaction, the data suggests there is still a need for equity-focused and culturally tailored healthcare to improve well-being among structurally marginalized groups. C_LI