Vyas MV, Yu AYX, Chu A, et al. - For all adults, an improved overall quality of primary preventive care can be achieved. Future research should assess the effect of observed equal or better care in females than males, regardless of immigration status, on cardiovascular disease incidence.

• A population‐based administrative database‐derived cohort study to assess if immigration status altered the link between gender and the quality of primary cardiovascular disease prevention in Ontario, Canada.

• Participants were community‐dwelling adults (aged ≥40 years) without prior cardiovascular disease living in Ontario on January 1, 2011.

• In this study including 5.3 million adults (19% immigrants), female immigrants were more likely than males to receive screening for hyperlipidemia (absolute prevalence difference APD, 10.8%) and diabetes (APD, 11.5%) and to be treated with medications for hypertension (APD, 3.5%), diabetes (APD, 2.1%) and hyperlipidemia (APD, 1.8%).

• Among long‐term residents, similar findings were obtained except poorer medication use for diabetes (APD, −2.8%) and hyperlipidemia (APD, −3.5%) in women vs men.