Health Promotion & Chronic Illness Prevention in Canada. Gastaldo, D., PhD & Godoy-Paiz, S., H.BSc

Transcription

1 Health Promotion & Chronic Illness Prevention in Canada Gastaldo, D., PhD & Godoy-Paiz, S., H.BSc

2 Methodology Ovid Medline was used to locate primary data between The search strategy and review process located 12 articles. The keywords used were: Health Promotion Chronic Disease Prevention Immigrant/Migrant Women Canada/Ontario

3 Study Characteristics The majority of the articles are qualitative (9) The authors focused their studies on: South Asian Women (India) Asian Women (China, Korea, Vietnam) Multiple ethnicities within the same study Study Location Number of Articles Ontario 7 Vancouver 3 Alberta 2

4 Findings The healthy immigrant effect is the conceptual basis for most of the research conducted Healthy immigrant effect: Immigrants are in relatively better health on arrival to Canada compared to native-born Canadians and converges with years in Canada to native-born levels Robust evidence suggests that the healthy immigrant effect impacts the incidence of chronic conditions for both men and women

5 Findings (2) Three major themes emerged from the articles analyzed: The Social Determinants of Health Access and Utilization of Health Care Possibilities and Limitations for Health Promotion and Health Literacy

6 Social Determinants of Health Patriarchy and gender roles impact women s ability for self-care Migratory status influences women s social position Working conditions can be detrimental for chronic disease management Migration disrupts some healthy cultural practices

7 Access and Utilization of Health Care Income and job insecurity impact access and utilization of health services Women are subject to the dominant discourse of self-responsibility which may lead to selfblame and silence health concerns Many consultations are limited by time constraints and biomedical indicators English fluency interferes with access and utilization

8 Possibilities and limitations for health promotion and health literacy Standardized health initiatives assume individuals have control over their life circumstances and behaviours Universal interventions have limited relevance to particular groups Policy, programs, and practice should acknowledge the intersection of race, gender, and class

9 Possibilities and limitations for health promotion and health literacy (2) Many women prefer to obtain information as a collective, favouring information exchange vs. one-way transfer There is agreement about: The need to develop ethno-culturally relevant resources to enable health promotion The benefit of engaging future users in the production of effective health promotion materials and programs

10 Limitations We were not able to separate specific information about IRW in the majority of the studies because ethnicities and sex information were grouped together Many immigrant groups have not been included in health promotion research Ex. Latin Americans, Caribbeans, Africans, Europeans The current evidence-based orientation of the healthcare system disadvantages groups not represented in studies

11 References Ahmad, F., Cameron, J. I., & Stewart, D. E. (2005). A tailored intervention to promote breast cancer screening among South Asian immigrant women. Social Science & Medicine, 60(3), Ahmad, F., Shik, A., Vanza, R., Cheung, A., George, U., & Stewart, D. E. (2004). Popular health promotion strategies among Chinese and East Indian immigrant women. Women & health, 40(1), Anderson, J. M., Blue, C., Holbrook, A., & Ng, M. (1992). On chronic illness: immigrant women in Canada's work force--a feminist perspective. The Canadian journal of nursing research, 25(2),7-22. Cha, C. (2013). Health Concept and Health Promotion Process Among Korean Migrant Women. Health care for women international, 34(8), Choudhry, U. K. (1998). Health promotion among immigrant women from India living in Canada. Journal of Nursing Scholarship, 30(3), Choudhry, U. K., Jandu, S., Mahal, J., Singh, R., Sohi Pabla, H., & Mutta, B. (2002). Health promotion and participatory action research with South Asian women. Journal of Nursing Scholarship, 34(1), Donnelly, T. T., & McKellin, W. (2007). Keeping healthy! Whose responsibility is it anyway? Vietnamese Canadian women and their healthcare providers perspectives. Nursing inquiry, 14(1), Howlett, R. I., Larsh, S., Dobi, L., & Mai, V. (2009). Promoting cancer screening among Ontario Chinese women. Can J Public Health, 100(4),

12 References (2) King, K. M., LeBlanc, P., Sanguins, J., & Mather, C. (2006). Gender-based challenges faced by older Sikh women as immigrants: recognizing and acting on the risk of coronary artery disease. CJNR (Canadian Journal of Nursing Research), 38(1), Matuk, L. C. (1995). Health status of newcomers. Canadian journal of public health, 87(1), McDonald, J.T., & Kennedy, S. (2004). Insights into the healthy immigrant effect : health status and health service use of immigrants to Canada. Social Science and Medicine, 59, Nimmon, L. E. (2006). Within the eyes of the people: using a photonovel as a consciousness-raising health literacy tool with ESL-speaking immigrant women. Canadian journal of public health, 98(4), Perez, D. F., Nie, J. X., Ardern, C. I., Radhu, N., & Ritvo, P. (2013). Impact of participant incentives and direct and snowball sampling on survey response rate in an ethnically diverse community: results from a pilot study of physical activity and the built environment. Journal of Immigrant and Minority Health, 15(1),