Equity

Advancing equity, diversity, inclusivity, and accessibility in primary care: The development of an integrated educational experience model

July 24, 2024

This article presents the development of the Equity, Diversity, Inclusivity, and Accessibility (EDIA) Cross-Cutting Theme Project within the Team Primary Care (TPC) initiative, aimed at addressing systemic inequities through innovative educational strategies. Grounded in the social accountability of health professions framework, this project aims to equip primary care teams with the knowledge, skills, and attitudes…
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Changes in breakfast and water consumption among adolescents in Canada: examining the impact of COVID-19 in worsening inequity.

July 1, 2024

Background: To assess whether changes in breakfast and water consumption during the first full school year after the emergence of the COVID-19 pandemic varied based on sex/gender, race/ethnicity, and socioeconomic status among Canadian adolescents. Methods: Prospective annual survey data collected pre- (October 2019-March 2020) and post-COVID-19 onset (November 2020-June 2021) the Cannabis, Obesity, Mental health,…
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The socio-technical organization of equity, diversity, and inclusion (EDI) in child welfare

July 1, 2024

In this article we use institutional ethnography to investigate the intersection between provincially mandated digital technologies intended to streamline decision-making, improve communication, and create efficiencies and the development and implementation of strategies to institutionalize Equity, Diversity, and Inclusion (or EDI) in child welfare contexts. These two moves collide in the Child Welfare Redesign – a…
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Anti-Black discrimination in primary health care: a qualitative study exploring internalized racism in a Canadian context

July 1, 2024

Objectives: A growing body of evidence points to persistent health inequities within racialized minority communities, and the effects of racial discrimination on health outcomes and health care experiences. While much work has considered how anti-Black racism operates at the interpersonal and institutional levels, limited attention has focused on internalized racism and its consequences for health…
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Anti-Black racism in Canadian health care: a qualitative study of diverse perceptions of racism and racial discrimination among Black adults in Montreal, Quebec

July 1, 2024

Background: Racism has been shown to impact the health of Black persons through its influence on health care, including its expression through implicit biases in provider training, attitudes, and behaviours. Less is known about the experiences of racism in contexts outside of the USA, and how race and racism interact with other social locations and…
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Caring in the Context of Systems: Service Provider Perspectives on the Mental Health Needs of Newcomer Young Men

July 1, 2024

In this study, we applied an intersectional framework to explore service providers’ perspectives on the mental health needs of newcomer young men. We conducted focus groups and interviews with 26 service providers in Edmonton, Calgary, and Vancouver, Canada. Findings show that service providers made sense of young men’s mental health needs and service access in…
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Integrating intersectionality into child health research: Key considerations

June 28, 2024

Child health inequities persist in Canada, particularly among sovereignty-deserving First Nations, Métis and Inuit groups and equity-deserving communities. We argue for a fundamental shift in research to remedy these inequities, via an intersectional lens that highlights how social identities and systems of power contribute to disparities. Specifically, we suggest (a) integrating intersectionality, from research conceptualization…
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‘Sometimes white doctors are not very friendly or inclusive’: a Critical Race Theory analysis of racism within and beyond sexual health settings

June 10, 2024

Many Two-Spirit, gay, bisexual, transgender, and other queer Black,Indigenous, people of colour in Canada encounter racism when testing for sexually transmitted and blood-borne infections. Our objective in this study was to understand how racism shapes test-ing experiences for these communities in Ontario, Canada. Four peer researchers conducted recruitment and data collection in consultation with a…
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Feminization of equity deserving work in the third sector

March 28, 2024

Non-profit work plays a vital role in connecting policy and community, as well as providing essential services in Canada. However, evidence suggests that despite being often engaged in equity seeking work, many non-profit organizations remain sites of inequity and marginalization among service provider staff. In this qualitative study, researchers conducted interviews with representatives from 60…
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Understanding intersectional inequality in access to primary care providers using multilevel analysis of individual heterogeneity and discriminatory accuracy.

January 19, 2024

Background: Despite the Canadian healthcare system’s commitment to equity, evidence for disparate access to primary care (PC) providers exists across individual social identities/positions. Intersectionality allows us to reflect the realities of how social power shapes healthcare experiences at an individual’s interdependent and intersecting social identities/positions. The objectives of this study were to determine: (1) the…
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