Barriers

Structural violence and the uncertainty of viral undetectability for African, Caribbean and Black people living with HIV in Canada: an institutional ethnography.

July 1, 2023

Biomedical advances in healthcare and antiretroviral treatment or therapy (ART) have transformed HIV/AIDS from a death sentence to a manageable chronic disease. Studies demonstrate that people living with HIV who adhere to antiretroviral therapy can achieve viral suppression or undetectability, which is fundamental for optimizing health outcomes, decreasing HIV-related mortality and morbidity, and preventing HIV…
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Sickle cell disease and the need for blood: Barriers to donation for African, Caribbean, and Black young adults in Canada.

July 1, 2023

Background: Many blood operators around the world face the challenge of increasing the number of donors of African ancestry to meet the transfusion needs of people living with sickle cell disease. This article reports results of the barriers to blood donation for young adults (aged 19-35) in Canada who identify as African, Caribbean, or Black.…
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Organizational and Practitioner Challenges to Black Youth Accessing Mental Health Care in Canada: Problems and Solutions

July 1, 2023

This article aims to elucidate the barriers to mental health care for Black youth by providing the perspectives of youth, caregivers, and service providers. Given the significance of service provision, analysis is focused on accessing the mental health care system at the organizational and practitioner levels. The present study explored the barriers and facilitators to…
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Factors affecting emergency department use among pediatric immigrants and refugees: A qualitative narrative review

July 1, 2023

Purpose : To identify factors affecting emergency department (ED) use by immigrant and refugee children under the age of 18 years in North America and Europe, where similar primary, secondary, and tertiary healthcare structures exist. Methods : A narrative review methodology was used to complete a search of three databases including CINAHL, MEDLINE, and SCOPUS.…
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Racial disparities in COVID-19 vaccination in Canada: results from the cross-sectional Canadian Community Health Survey.

July 1, 2023

Background: Racial and ethnic disparities in COVID-19 vaccination coverage have been observed in Canada and in other countries. We aimed to compare vaccination coverage for at least 1 dose of a COVID-19 vaccine between First Nations people living off reserve and Métis, Black, Arab, Chinese, South Asian and White people. Methods: We used data collected…
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“It’s not a system that’s built for me”: Black youths’ unbelonging in Ontario schools

July 1, 2023

Through exploration of Black Caribbean youths' feelings of unbelonging and exclusion in Ontario schools, this paper argues that how Whiteness is systemically engrained in the education system negatively affects the learning experiences of Black youth due to predetermined measures of belonging. The present article draws on data from 32 qualitative interviews and four focus groups…
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Migration and health study: a socio-ecological analysis of sexual health among migrants in Manitoba, Canada.

July 1, 2023

Background: To develop effective public health policies, programs, and services tailored to the unique sexual health needs of migrant populations, it is essential to understand the myriad socio-ecological factors that influence their sexual health. This qualitative community-based participatory study aimed to explore factors influencing migrants’ sexual health at different socio-ecological levels in a Canadian setting.…
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Between agency and systemic barriers: Pathways to medicine and health sciences among Black students with immigrant parents from the Caribbean or Sub-Saharan Africa in Quebec, Canada

May 31, 2023

This qualitative study, based on life stories, documents the pathways to medicine and health sciences of Black students with immigrant parents from the Caribbean or Sub-Saharan Africa in Quebec, Canada. The aim of this study is to investigate the factors that shape their educational pathways using Doray’s framework. Even among students from families with substantial…
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How the COVID-19 Pandemic Influenced HIV Care: Are We Prepared Enough for Future Pandemics? An Assessment of Factors Influencing Access, Utilization, Affordability, and Motivation to Engage with HIV Services amongst African, Caribbean, and Black Women

May 29, 2023

The COVID-19 pandemic resulted in disruption in healthcare delivery for people living with human immunodeficiency virus (HIV). African, Caribbean, and Black women living with HIV (ACB WLWH) in British Columbia (BC) faced barriers to engage with HIV care services prior to the COVID-19 pandemic that were intensified by the transition to virtual care during the…
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The Impact of Language on the Mental Health of Black Quebecers

February 6, 2023

Quebec’s English-speaking Black community finds itself at the intersection of racial and linguistic discrimination, which presents challenges to mental wellness. The present study aims to add necessary detail to the conversations surrounding racism and mental health in Canada while including language as a determinant of health and intersecting element affecting the wellbeing of English-speaking Black…
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