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Vertical HIV transmission preventive interventions continue to be suboptimal in Canada: Evidence from the canadian perinatal HIV surveillance program (CPHSP)

May 14, 2018

Background: Vertical HIV transmission has declined in Canada, but missed opportunities for prevention continue to occur. We sought to determine the adequacy, and changes over time in adequacy, of uptake of maternal and neonatal antiretroviral therapy for the prevention of vertical HIV transmission, and to determine the vertical transmission rate over time and according to…
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The Who, What, Why and When of Gynaecological Referrals for Refugee Women

April 2, 2018

Refugees have health needs relating to unstable living situations and poor access to care. We examined the nature of health problems requiring gynaecological referrals for refugee women in Toronto. A retrospective cohort design was used to examine gynaecologic referrals of women at a refugee clinic between December, 2011 and June, 2016. The primary outcome measure…
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Understanding the Experiences of East African Immigrant Women With Gestational Diabetes Mellitus.

January 29, 2018

Objectives: East African (EA) women are a subpopulation who are at very high risk for gestational diabetes (GDM) and poor obstetric outcomes, but little is known about the care experiences of this understudied group. The objective of this study was to document the impact of a diagnosis of GDM and the perceptions of diabetes care…
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Prevalence and determinants of food insecurity in migrant Sub-Saharan African and Caribbean households in Ottawa, Canada

September 2, 2017

Purpose– Food insecurity (FI) is an important social determinant of health and is linked with higher health care costs. There is a high prevalence of FI among recent migrant households in Canada. The purpose of this paper is to evaluate the prevalence of FI in Sub-Saharan African and Caribbean migrants in Ottawa, and to explore…
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Downward occupational mobility of baccalaureate-prepared, internationally educated nurses to licensed practical nurses

August 8, 2017

Aim: This study explored the experience of baccalaureate-prepared, internationally educated nurses who work as licensed practical nurses in Canada. Background/Introduction: Internationally educated nurses experience several barriers to workforce integration on arrival in destination countries. Given these barriers, evidence suggests that internationally educated nurses sometimes experience downward occupational mobility and deskilling in destination countries. Some baccalaureate-prepared,…
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Parenting and Mental Health Promotion Practices of African Immigrants in Alberta

July 1, 2017

Parenting practices are known predictors of child health and social outcomes. Yet very little is known about the parenting practices of African immigrants in Canada and their impact on child health and wellbeing, including mental health. This dearth of knowledge exists despite widespread understanding that black and African immigrant children experience some of the poorest…
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Examining the impact of migrant status on ethnic differences in mental health service use preceding a first diagnosis of schizophrenia

July 1, 2017

Purpose: Some ethnic groups have more negative contacts with health services for first-episode psychosis, likely arising from a complex interaction between ethnicity, socio-economic factors, and immigration status. Using population-based health administrative data, we sought to examine the effects of ethnic group and migrant status on patterns of health service use preceding a first diagnosis of…
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Obstetric fistula and sociocultural practices in Hausa community of Northern Nigeria

July 1, 2017

Background: Obstetric Fistula is a childbirth injury that disproportionately affects women in sub-Saharan Africa. Although poverty plays an important role in perpetuating obstetric fistula, sociocultural practices has a significant influence on susceptibility to the condition. Aim: This paper aims to explore narratives in the literature on obstetric fistula in the context of Hausa ethno-lingual community…
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Parenting Practices of African Immigrants in Destination Countries: A Qualitative Research Synthesis

April 29, 2017

Problem: While studies have discussed the parenting practices and challenges of African immigrants, no paper has synthesized the results of these qualitative studies. We conducted a qualitative synthesis of the literature to summarize and interpret knowledge of African immigrants' parenting practices and challenges in destination countries to identify future directions for research, policy, and practice.…
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The role of ethnicity in pathways to emergency psychiatric services for clients with psychosis

March 24, 2017

Background: This study investigates the role of ethnicity in pathways to emergency mental health care in Toronto for clients with psychosis, while taking into account neighborhood factors. Previous literature has focused on Afro-Caribbean clients, reporting an increased risk of accessing mental health care through negative pathways. Methods: A retrospective chart review for clients from 6…
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