加拿大多伦多2019冠状病毒病大流行期间移民和难民获得卫生和社会服务的经历

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES Journal of Health Services Research & Policy Pub Date : 2023-01-01 DOI:10.1177/13558196221109148
Doris Leung, Charlotte Lee, Angel He Wang, Sepali Guruge
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引用次数: 3

摘要

目标:2020年,世界卫生组织报告称,由于个人和结构性障碍的共同作用,移民最容易感染COVID。本研究探讨了加拿大多伦多第一波COVID-19期间移民和难民如何获得卫生和社会服务。方法:本研究分析了2020年5月至9月在多伦多进行的一项定性研究的二手数据,该研究涉及对来自21个不同国家的72名移民和难民的半结构化访谈。二级数据分析采用批判现实主义。结果:绝大多数参与者在2019冠状病毒病暴发期间经历了恐惧和焦虑,但通过自力更生和社区支持的结合,他们最终接受了大流行的现实。有些人甚至认为,疫情造成的生活方式改变是一种积极的经历。结论:自力更生可能会阻碍寻求帮助并增加COVID-19的威胁。对于最脆弱的移民来说,这尤其令人担忧,因为他们的保健服务多次中断,物质资源和社会支持有限,而且可能仍在应对在新国家定居的挑战。
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Immigrants' and refugees' experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada.

Objective: In 2020, the World Health Organization reported that immigrants were the most vulnerable to contracting COVID, due to a confluence of personal and structural barriers. This study explored how immigrants and refugees experienced access to health and social services during the first wave of COVID-19 in Toronto, Canada.

Methods: This study analyzed secondary data from a qualitative study that was conducted between May and September 2020 in Toronto that involved semi-structured interviews with 72 immigrants and refugees from 21 different countries. The secondary data analysis was informed by critical realism.

Results: The vast majority of participants experienced fear and anxiety during the COVID-19 outbreak but through a combination of self-reliance and community support came to terms with the realities of the pandemic. Some even found the lifestyle changes engendered by the pandemic a positive experience.

Conclusions: Self-reliance may hinder help-seeking and augment the threat of COVID-19. This is particularly a concern for the most vulnerable immigrants, who experience multiple disruptions in their health care, have limited material resources and social supports, and perhaps are still dealing with the challenges of settling in the new country.

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来源期刊
CiteScore
4.40
自引率
4.20%
发文量
39
期刊介绍: Journal of Health Services Research & Policy provides a unique opportunity to explore the ideas, policies and decisions shaping health services throughout the world. Edited and peer-reviewed by experts in the field and with a high academic standard and multidisciplinary approach, readers will gain a greater understanding of the current issues in healthcare policy and research. The journal"s strong international editorial advisory board also ensures that readers obtain a truly global and insightful perspective.
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