Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 4 Issue 12

Visible Minority Women and their Access to Primary Healthcare in Canada: A Scoping Review

Mitali Chaudhary1* and Bharati Sethi2

1Resident Physician, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
2Associate Professor, Department of Political Studies, Trent University, Oshawa, Ontario, Canada

*Corresponding Author: Mitali Chaudhary, Resident Physician, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada.

Received: October 03, 2022; Published: November 28, 2022

Abstract

This scoping review was conducted to summarize findings regarding the experiences of visible minority women with the Canadian primary healthcare system to identify the challenges they face in accessing care. Articles searched from databases and grey literature were selected if they (i) were peer-reviewed, (ii) were published between 1990 and 2019, (iii) discussed the experiences of visible minority women with primary healthcare, and (iv) studied Canadian populations. The information extracted was tagged and sorted into themes based on Bronfenbenner’s ecological systems theory which separates society into layers for analysis. Barriers to healthcare for visible minority women were found to arise from interpersonal, community, and systemic levels. The findings demonstrate that a lack of social support and insufficient culturally sensitive care, among other factors, prevent visible minority women from accessing health resources. We provide recommendations for where improvements might be made to deliver truly equitable healthcare to this population.

Keywords: Visible Minority; Barriers; Primary Healthcare; Canada

References

  1. Statistics Canada. “Canadian Demographics at a Glance”. Statistics Canada. 91 (2016).
  2. Ng E., et al. “Dynamics of immigrants’ health in Canada: evidence from the National Population Health Survey”. Catalogue no. 82-618-MWE2005002. (2005).
  3. Ahmed S., et al. “Barriers to Access of Primary Healthcare by Immigrant Populations in Canada : A Literature Review”. Journal of Immigrant and Minority Health6 (2016): 1522-1540.
  4. Shommu NS., et al. “What is the scope of improving immigrant and ethnic minority healthcare using community navigators : A systematic scoping review”. International Journal for Equity Health (2016).
  5. Castañeda H., et al. “Immigration as a social determinant of health” (2015).
  6. “What is the impact of the COVID-19 pandemic on immigrants and their children?”, OECD Policy Responses to Coronavirus (COVID-19), OECD Publishing, Paris (2020).
  7. Statistics Canada. “Impacts on Immigrants and People Designated as Visible Minorities” (2020).
  8. Pottie K., et al. “Language proficiency, gender and self-reported health”. Canadian Journal of Public Health6 (2008): 505-510.
  9. Ng E. “The healthy immigrant effect and mortality rates”. Health Reports4 (2011).
  10. Betancourt JR., et al. “Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care”. Public Health Report (2003): 118.
  11. Vissandjee B., et al. “Integrating Ethnicity and Migration As Determinants of Canadian Women’s Health”. BMC Womens Health 4 (2004): S32.
  12. Mohanty C. “Under Western eyes: Feminist scholarship and colonial discourses”. Feminist Review1 (1988): 61-88.
  13. Arksey H and O'Malley L. “Scoping studies: towards a methodological framework”. International Journal of Social Research Methodology1 (2005): 19-32.
  14. Government of Canada. Canada’s Health Care System.
  15. Westhues A., et al. “Developing theory from complexity: Reflections on a collaborative mixed method participatory action research study”. Qualitative Health Research5 (2008): 701-717.
  16. Rémi Rampin., et al. “Taguette (Version 0.9)”. Zenodo (2019).
  17. Ryan J and Paquette D. “Bronfenbrenner’s ecological systems theory”. Geography 9 (2001): 2012.
  18. Närhi K and Matthies AL. “The ecosocial approach in social work as a framework for structural social work”. International Social Work4 (2018): 490-502.
  19. Woodgate RL., et al. “A qualitative study on African immigrant and refugee families’ experiences of accessing primary health care services in Manitoba, Canada: It's not easy!” International Journal for Equity in Health1 (2017): 1-13.
  20. Lum ID., et al. “Accessibility and use of primary healthcare for immigrants living in the Niagara Region”. Social Science and Medicine 156 (2016): 73-79.
  21. Merry LA., et al. “Services Post-birth Refugee Claimant Women and Barriers to Health and Social”. Revue Canadienne de Santé Physique4 (2016): 286-290.
  22. Subedi RP and Rosenberg MW. “Determinants of the variations in self-reported health status among recent and more established immigrants in Canada”. Social Science and Medicine 115 (2014): 103-110.
  23. Dastjerdi M. “The case of Iranian immigrants in the greater Toronto area: A qualitative study”. International Journal for Equity in Health 1 (2012): 1-8.
  24. O’Mahony JM and Donnelly TT. “The influence of culture on immigrant women’s mental health care experiences from the perspectives of health care providers”. Issues in Mental Health Nursing 5 (2007): 453-471.
  25. Neufeld A., et al. “Immigrant Women: Making Connections to Community Resources for Support in Family Caregiving”. Qualitative Health Research6 (2002): 751-768.
  26. Barrett R. “Self‐mortification and the stigma of leprosy in northern India”. Medical Anthropology Quarterly 2 (2005): 216-230.
  27. Phelan JC., et al. “Stigma and prejudice: One animal or two?” Social Science and Medicine 67 (2008): 358-367.
  28. “Gender-Based Analysis Plus: What is GBA+?”. Status of Women Canada (2018).
  29. Vissandjee B., et al. “Integrating Ethnicity and Migration As Determinants of Canadian Women’s Health”. BMC Womens Health 4 (2004): S32.
  30. Wang L and Kwak M. “Immigration, barriers to healthcare and transnational ties : A case study of South Korean immigrants in Toronto, Canada”. Social Science and Medicine 133 (2015): 340-348.
  31. Weerasinghe S and Mitchell T. “Connection between the meaning of health and interaction with health professionals: Caring for immigrant women”. Health Care Women International4 (2007): 309-328.
  32. Stewart MJ., et al. “Immigrant women family caregivers in Canada: Implications for policies and programmes in health and social sectors”. Health and Social Care in the Community 4 (2006): 329-340.
  33. Ng C and Newbold KB. “Health care providers’ perspectives on the provision of prenatal care to immigrants”. Culture, Health and Sexuality 5 (2011): 561-574.
  34. Ahmed S., et al. “Barriers to Access of Primary Healthcare by Immigrant Populations in Canada : A Literature Review”. Journal of Immigrant and Minority Health 6 (2016): 1522-1540.
  35. Carrasco C., et al. “Accessing Primary Care in Canada: Giving Voice to the Perceptions and Experiences of Racialized Immigrants”. Ethn Plur Stud Conf. (2009): 2-22.
  36. Vahabi M., et al. “Breast cancer screening disparities among urban immigrants: a population-based study in Ontario, Canada”. BMC Public Health1 (2015).
  37. Coast E., et al. “Maternity care services and culture: a systematic global mapping of interventions”. PLoS One9 (2014): e108130.
  38. Spitzer D. “In visible bodies: minority women, nurses, time, and the new economy of care”. Medical Anthropology Quarterly 4 (2004): 490-508.
  39. Koukoui S. “Female Genital Cutting/Mutilation: a Challenge for Patients and Clinicians”. Journal of Obstetrics and Gynaecology Canada 12 (2017): 1185-1187.
  40. Chen WL. “Understanding the cultural context of Chinese mothers’ perceptions of breastfeeding and infant health in Canada”. Journal of Clinical Nursing 7-8 (2010): 1021-1029.
  41. Qureshi A and Collazos F. “The intercultural and interracial therapeutic relationship: Challenges and recommendations”. International Review of Psychiatry1 (2011): 10-19.
  42. Ahmed S. “Moving spaces: Black feminism and post-colonial theory”. Theory, Culture and Society1 (1996): 139-146.
  43. Reitmanova S., et al. “Immigrants can be deadly”: Critical discourse analysis of racialization of immigrant health in the Canadian press and public health policies”. Canadian Journal of Communication3 (2015).
  44. Canada Health Act. Government of Canada (2020).
  45. Wong-Padoongpatt G., et al. “Decreases in implicit self-esteem explain the racial impact of microaggressions among Asian Americans”. Journal of Counseling Psychology5 (2017): 574.
  46. Meadows LM., et al. “Immigrant women’s health”. Social Science and Medicine 9 (2001): 1451-1458.
  47. Andrews CS. “Modesty and healthcare for women: understanding cultural sensitivities”. Community Oncology3 (2006): 443-446.
  48. Wiles J and Rosenberg MW. “Gentle caring experience’: Seeking alternative health care in Canada”. Health and Place3 (2001): 209-224.
  49. Flores G. “The impact of medical interpreter services on the quality of health care: a systematic review”. Medical Care Research and Review3 (2005): 255-299.
  50. Cruess SR., et al. “Linking the teaching of professionalism to the social contract: A call for cultural humility”. Medical Teacher5 (2010): 357-359.

Citation

Citation: Mitali Chaudhary and Bharati Sethi. “Visible Minority Women and their Access to Primary Healthcare in Canada: A Scoping Review". Acta Scientific Women's Health 4.12 (2022): 59-69.

Copyright

Copyright: © 2022 Mitali Chaudhary and Bharati Sethi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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