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1.
J Cross Cult Gerontol ; 36(3): 321-345, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34476641

RESUMO

The purpose of the current research was to compare pre- and post-retirement financial and economic resources of two groups of Jewish Israelis, Russian-speaking immigrants from the Former Soviet Union (FSU) and Hebrew-speaking veteran Israelis. The strategy of data-processing was based on SHARE Wave 6 (Survey of Health, Ageing and Retirement in Europe) and included two levels of analysis: a) household general economic indices and b) individual economic variables for two age subsamples ('51-66' and '67 + '). The research-based model of well-being enabled comparison of economic profiles of the studied groups. The results of logistic regression and discriminant analysis of twenty SHARE 6.0 monetary variables displayed economic and financial inequality of retirement resources between veteran Israeli residents and Russian-speaking immigrants. Lower values of main residence, owned vehicles, and private pensions, together with higher values of mortgage burden, rent expenses, and inter-family support were significant distinguishing features of FSU immigrants. Analysis of the household indices demonstrated that the group of older FSU immigrants was most vulnerable due to their lowest values of household net worth and total income. According to the results of inter- and intra-gender comparisons of incomes between the groups of '67 + ' representatives, Russian-speaking women were identified as having the fewest resources. The retirement resources of Russian-speaking Israelis were clearly inferior to those of Hebrew-speaking veteran Israelis of the same age.Future research of retirement resources of Israelis may include non-financial components of human capital and additional socio-demographic factors.


Assuntos
Envelhecimento/psicologia , Emigrantes e Imigrantes/psicologia , Judeus , Aposentadoria , Idoso , Envelhecimento/etnologia , Feminino , Humanos , Israel , Idioma , Masculino , Pessoa de Meia-Idade , Federação Russa , Fatores Socioeconômicos , U.R.S.S.
2.
Int J Equity Health ; 20(1): 192, 2021 08 28.
Artigo em Inglês | MEDLINE | ID: mdl-34454508

RESUMO

BACKGROUND: Research indicates the adverse impacts of perceived discrimination on health, and discrimination inflamed by the COVID-19 pandemic, a type of social exclusion, could affect the well-being of the Chinese diaspora. We analyzed the relationship and pathways of perceived discrimination's effect on health among the Chinese diaspora in the context of the pandemic to contribute to the literature on discrimination in this population under the global public health crisis. METHODS: We analyzed data from 705 individuals of Chinese descent residing in countries outside of China who participated in a cross-sectional online survey between April 22 and May 9, 2020. This study utilized a structural equation model (SEM) to evaluate both direct and indirect effects of perceived discrimination on self-rated health (SRH) and to assess the mediating roles of psychological distress (namely, anxiety and depression) and social support from family and friends. RESULTS: This online sample comprised predominantly young adults and those of relatively high socioeconomic status. This study confirmed the total and direct effect of recently perceived discrimination on SRH and found the indirect effect was mainly mediated by depression. Mediating roles of anxiety and social support on the discrimination-health relationship were found insignificant in this SEM. CONCLUSIONS: Our findings suggest discrimination negatively affected the well-being of the Chinese diaspora, and depression acted as a major mediator between the discrimination-health relationship. Therefore, interventions for reducing discrimination to preserve the well-being of the Chinese diaspora are necessary. Prompt intervention to address depression may partially relieve the disease burden caused by the surge of discrimination.


Assuntos
COVID-19 , Autoavaliação Diagnóstica , Emigrantes e Imigrantes , Pandemias , Racismo , Adolescente , Adulto , Ansiedade/epidemiologia , COVID-19/epidemiologia , China/etnologia , Estudos Transversais , Depressão/epidemiologia , Emigrantes e Imigrantes/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Racismo/psicologia , Apoio Social , Inquéritos e Questionários , Adulto Jovem
3.
Am Psychol ; 76(4): 582-595, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34410736

RESUMO

In this paper, we articulate a conceptual model for the process of ethnic identity development and integration among Asian American children and youth that offers potential explanations for their marginalization as they negotiate multiple facets of their identities and locate themselves in local and national contexts. The conceptual model is based on an integration of theory and empirical research on the intertwined processes of ethnic identity development and socialization of children and youth in Asian American families and is anchored in the developmental domain of identity formation and integration. We present the conceptual model as three overlapping circles to represent salient features of physical and social contexts, prevalent metanarratives that have been empirically established as salient meaning-making frames pertinent to the lived experience of Asian Americans in the United States, and the dynamic individual-context interplay and mutual adjustment that is part of developmental process. We then build on the work of scholars who have advanced the theoretical and empirical literature on the Asian American experience in the United States, to illustrate how the three components (features of context, master narratives, and developmental processes) intersect in the overlapping spaces of the model to foreground the dialectic processes whereby identity is constructed as contextualized in place. The primary contribution of the model is to facilitate generating research questions that can unravel the complexities of how specific ethnic backgrounds (e.g., immigration and settlement histories), developmental status, individual position on societal racial/ethnic hierarchy, and prevalent societal metanarratives contextualize the development of an Asian American ethnic-racial identity. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Americanos Asiáticos/psicologia , Marginalização Social/psicologia , Socialização , Emigrantes e Imigrantes/psicologia , Humanos , Meio Social , Estados Unidos
4.
Am Psychol ; 76(4): 673-688, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34410742

RESUMO

Model minority stereotypes of Asian Americans as high educational and occupational achievers are perpetuated by conceptual and methodological issues in career development research that aggregate across Asian ethnicities and oversample high achievers. These issues render those marginalized, such as working-class immigrants with limited English proficiency, as well as their children, as invisible within research, practice, and policy. A new theoretical framework, entitled the Asian American Intergenerational Model of Psychology of Working (AAIM), questions the mainstream career development assumptions of linearity, stability, and upward mobility that reveal inherent classism. Building on the Psychology of Working Theory (Duffy et al., 2016); the AAIM broadens the scope and definition of work beyond career, and acknowledges the significance of structural and cultural forces on people's work and life. An expanded qualitative analysis of interviews with 17 low-income, working-class, Chinese immigrant parents (Tu et al., 2019) provides an empirical illustration of the intergenerational and coethnic dynamics of vocational experiences central to the AAIM. The working-class immigrants relied on coethnic networks to secure employment within a narrow range of options, many straddling helplessly between arduous manual labor and family demands. Though they had immigrated primarily to provide a better future for their children, many parents struggled to participate meaningfully in their children's development. These findings highlight the need to expand Asian American psychology of working to incorporate systems and social justice perspectives. Research, practice, and policy implications of AAIM advocate for maximal inclusivity and offer directions to address invisibility of the most marginalized and disenfranchised Asian American workers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Logro , Americanos Asiáticos/psicologia , Emprego/psicologia , Adolescente , Adulto , Criança , Emigrantes e Imigrantes/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Grupos Minoritários/psicologia , Classe Social , Justiça Social , Marginalização Social , Estereotipagem , Adulto Jovem
5.
Int J Public Health ; 66: 647380, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34354557

RESUMO

Objectives: Group-level characteristics in shared contexts such as schools may affect adolescent psychological health. This study examined if the immigrant density in the classroom was associated with the level of self-reported psychological complaints among students with an immigration background. Methods: Cross-sectional data were derived from 2,619 lower secondary school students (aged 13-15) in the 2017/18 wave of the Swedish Health Behaviour in School-aged Children (HBSC) survey. Using multilevel analysis estimating two-level random intercept linear regression models, classroom immigrant density was considered as a potential predictor of immigrant students' psychological complaints. Results: Students with an immigration background reported significantly fewer psychological complaints, on average, than students without such a background, even when adjusting for other sociodemographic characteristics. A cross-level interaction indicated that both first- and second-generation immigrant students experienced fewer psychological complaints in immigrant-dense classes compared to when the proportion of immigrant students was lower. Conclusion: Students with an immigration background fare better psychologically in classes with a higher proportion of immigrant students. Such compositional effects could be alleviated by strengthening all schools' capacities to provide a more inclusive classroom climate.


Assuntos
Emigrantes e Imigrantes , Saúde Mental , Densidade Demográfica , Instituições Acadêmicas , Estudantes , Adolescente , Estudos Transversais , Emigrantes e Imigrantes/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Emigração e Imigração/estatística & dados numéricos , Humanos , Saúde Mental/estatística & dados numéricos , Instituições Acadêmicas/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Suécia
6.
Sch Psychol ; 36(5): 348-357, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34435837

RESUMO

COVID-19 has exacerbated the challenges that newcomer refugee and immigrant families face. While many of the supports that schools typically offer were disrupted by the pandemic, school-based assistance remains critical in this challenging context. In addition to education-related challenges, many newcomer families have been disproportionately impacted across financial, employment, and health contexts. The present study highlights the perspectives of newcomer families to understand their experiences, stressors, and ability to cope during the pandemic, as well as how their school communities can offer support to mitigate the potential for increased disparities. Qualitative interviews were conducted with 14 parents (Mage = 38.68) and 13 students (Mage = 14.31) engaged in a school-based intervention for newcomer students. Among students, 71.4% were identified as male, and the majority of caregivers were mothers (85.7%). Newcomer families reported significant challenges due to COVID-19, including difficult social-emotional adjustment, financial challenges, and significant academic difficulties. Themes also emerged related to sources of support and coping. Implications for how schools can further support newcomer families given these challenges and strengths are considered. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
COVID-19 , Emigrantes e Imigrantes/psicologia , Família/psicologia , Refugiados/psicologia , Estudantes/psicologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pais/psicologia , Pesquisa Qualitativa , Instituições Acadêmicas
8.
J Soc Psychol ; 161(4): 435-451, 2021 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-34251994

RESUMO

The research presented here examined the relationship between the onset of the COVID-19 pandemic, social group identity, intergroup contact, and prejudice. Utilizing a common ingroup identity approach, two datasets, which were composed of data from university students collected via online questionnaires before and after the onset of COVID-19, were combined (N = 511). Participants identified as either one of two subordinate student identities: domestic (i.e. U.S. citizen or permanent resident) or international (i.e. non-U.S. citizen or foreign resident), then reported on the strength of their subordinate and superordinate identity (university identity). Participants also reported on their contact experiences with outgroup members, outgroup stereotypes, and completed a novel intergroup bias task. Results indicated that after the onset of the pandemic, participants more strongly identified with the superordinate group, which predicted greater perceived intergroup contact and lower intergroup bias. Theoretical implications and future directions are discussed.


Assuntos
COVID-19/psicologia , Relações Interpessoais , Preconceito/psicologia , Identificação Social , Estudantes/psicologia , Adulto , Emigrantes e Imigrantes/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , Humanos , Masculino , Pandemias , Preconceito/estatística & dados numéricos , SARS-CoV-2 , Inquéritos e Questionários , Adulto Jovem
9.
J Cross Cult Gerontol ; 36(2): 217-228, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34106391

RESUMO

We interviewed older Hmong refugees in the U.S. to understand how they experience and define depression. Methods. Data were collected in California (N = 20). The study sample included Hmong immigrants aged 55 and over. The qualitative method allowed for an in-depth understanding of events that occurred throughout the participants' life course and how these events impacted depression in later life. Results. The participants' conceptualization of depression was defined with reference to their lived experiences. Three main conceptualizations emerged: behavioral descriptions of depression, mental or emotional descriptions, and physical descriptions of depression. The use of personal examples to describe depression was common. Our findings suggest that this sample's understanding of depression may not be fully captured by conventional measurement and thus more work is needed to develop a measure of depression that aligns with these respondents' descriptions.


Assuntos
Americanos Asiáticos/psicologia , Depressão/etnologia , Emigrantes e Imigrantes/psicologia , Refugiados/psicologia , Idoso , Idoso de 80 Anos ou mais , California/epidemiologia , Depressão/diagnóstico , Depressão/psicologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
10.
Maturitas ; 150: 49-60, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34112552

RESUMO

This systematic review summarises the available evidence about how migrant women perceive and manage their menopausal and postmenopausal health and their experiences with healthcare services; and healthcare providers' views about delivering menopause-related healthcare to migrant women. Medline, PsychInfo, Embase and Cinahl were searched for peer-reviewed papers published in English. Thirty-one papers were identified reporting on 25 studies. Twenty-three studies reported on investigations examining migrant women's perceptions about menopause, their self-care strategies and their experiences with menopause-related healthcare. Only two papers reported on healthcare providers' views about providing menopause-related healthcare to migrant women. Most studies with migrant women found that their experiences of menopause and self-care strategies were culturally informed; that migrant women are unlikely to seek out menopause-related healthcare or to initiate conversations about menopause with their healthcare providers; and that most of those who seek menopause-related healthcare are disappointed with the care they receive. Studies assessing menopause-related knowledge found that many migrant women have limited knowledge about menopause and postmenopausal health, and that family and friends are their most common sources of information about menopause. Although healthcare providers were aware that migrant women use traditional remedies to manage their menopausal health and are likely to source menopause-related information from within their communities, they were reluctant to actively promote menopause-related health information due to consultation time constraints and lack of confidence in culturally competent communication. More research with healthcare providers is needed to improve understanding about barriers and facilitators to provide comprehensive menopause-related care to migrant women.


Assuntos
Atenção à Saúde/normas , Emigrantes e Imigrantes/psicologia , Pessoal de Saúde/normas , Menopausa , Feminino , Humanos
11.
Rev Esp Salud Publica ; 952021 Jun 03.
Artigo em Espanhol | MEDLINE | ID: mdl-34078851

RESUMO

OBJECTIVE: Homelessness, which is a severe social problem across Europe and on the rise over the past decade, is closely linked to organic and mental health problems. In front of the lack of diagnostic analysis studies in the Spanish territory, this research aimed to determine the sociodemographic characteristics of a sample of individuals experiencing homelessness (IEH), to determine the prevalence of diagnoses of substance use disorders, dual pathology and other mental disorders and to analyze the existence of diagnostic differences between IEH born in the country and immigrant IEH. METHODS: A transversal and observational study was carried out, based on the analysis of mental health diagnostics of the medical histories of a sample of 1,072 IEH (453 locals and 619 immigrants) assisted between 2008 and 2017 in mental health services in Girona, northeastern Spain. For the statistical analysis, Student's t test was used to compare means and the chi-squared test was used for the analysis of qualitative variables. A binary logistic regression analysis was carried out to establish the predictor variables for the diagnosis of drug addiction and dual pathology. RESULTS: IEH showed high rates of mental disorders, especially psychoactive substances (82.6% of diagnosed people). 43.9% of IEH showed alcohol dependence as the reason for their diagnosis, followed by cocaine addiction and opiates. Foreign born IEH had more diagnoses for alcohol dependence and less for opiates or dual pathology than spanish born IEH. IEH born in Spain showed a higher vulnerability and received more mental health diagnoses than immigrant IEH. CONCLUSIONS: Even though immigrant PESS show more diagnoses for alcohol dependence, PESS born in Spain show a higher vulnerability and receive more mental health diagnoses than immigrant PESS. The process of migrating seems to establish a difference in the kind of mental disorders and addictions the PESS collective is prone to.


Assuntos
Recessão Econômica , Emigrantes e Imigrantes/psicologia , Pessoas em Situação de Rua/psicologia , Transtornos Mentais/diagnóstico , Adulto , Emigrantes e Imigrantes/estatística & dados numéricos , Emigração e Imigração/estatística & dados numéricos , Feminino , Pessoas em Situação de Rua/estatística & dados numéricos , Humanos , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Espanha/epidemiologia
12.
Fam Syst Health ; 39(1): 163-164, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34014738

RESUMO

In this brief article, the author states that beyond her family context, she has come to rec ognize the privilege and responsibility she has as a provider and an educator to promote inclusivity. When she meets a new patient or a new learner, particu larly those from different linguistic backgrounds than her own, she acknowledges that it may be hard for her to say their name, placing the burden to practice and be open to correction on herself. Some might argue names are trivial-what does it matter if someone pronounces your name cor rectly?-but we know it's not. Our names are one way we become visible or invisible to those around us. When we ask someone if we can call them something other than their name, we are communi cating (oftentimes, inadvertently) that their name is not worth the effort, that there is something wrong with it, something wrong with them. We have a responsibility to engage in culturally and lin guistically congruent practices and an obliga tion to model what it means to treat our learners and patients with dignity, starting with saying their names. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Emigrantes e Imigrantes/psicologia , Nomes , Barreiras de Comunicação , Humanos
13.
J Psychosom Res ; 146: 110504, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33965676

RESUMO

OBJECTIVES: The aim of this study is to provide information on changes in mental health among disadvantaged immigrants from Sub-Saharan Africa in the Greater Paris area and their level of information about Covid-19. METHODS: Prior to the Covid-19 epidemic, the Makasi community-based cohort followed 850 immigrants from sub-Saharan Africa in the Greater Paris area. Between the 1st of April and the 7th of June 2020, all participants scheduled for a follow-up survey were systematically included into an additional COVID-19-related wave of data collection (N = 100). We compared participants' type of housing, level of food insecurity, work and mental health (PHQ9) before and during the first COVID-19-related lockdown, using paired-Mc Nemar chi-2 tests. We next described their level of information on Covid-19 and policy measures, broken down by sex. RESULTS: Among the 100 participants, 68% had no legal residence permit. Food insecurity was more often reported during lockdown than before (62% vs 52%). 9% of participants had a score indicative of severe depression (PHQ9) before lockdown and 17% afterwards (p = 0.17). Only 51% knew about the possibility of asymptomatic transmission of the COVID-19 virus. CONCLUSIONS: This study brings original information on a hard-to-reach population group. Our results suggest that the lockdown had a detrimental impact on various economic and mental health aspects among disadvantaged migrants residing in the Greater Paris area.


Assuntos
COVID-19/prevenção & controle , Informação de Saúde ao Consumidor/estatística & dados numéricos , Emigrantes e Imigrantes/psicologia , Transtornos Mentais/epidemiologia , Populações Vulneráveis/psicologia , Adulto , África ao Sul do Saara/etnologia , COVID-19/epidemiologia , Estudos de Coortes , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , Humanos , Masculino , Paris/epidemiologia , Quarentena/psicologia , Inquéritos e Questionários , Populações Vulneráveis/estatística & dados numéricos , Adulto Jovem
14.
J Couns Psychol ; 68(3): 271-285, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34043374

RESUMO

While counseling psychologists made substantial proposals to advance qualitative research since the special issue on related methods was published 15-years ago (Haverkamp, Morrow, & Ponterotto, 2005), the field continues to demonstrate an overreliance on quantitative methods. Though important for producing knowledge we can depend on, excessive use of these methods poses a barrier for counseling psychologists to address the needs of the communities that are at the core of our discipline's values-those who are marginalized and underserved in society. In alignment with our values of social justice, advocacy, and empowerment, we propose counseling psychologists adopt a methodology within a critical paradigm to better address issues of inequality and inequity when working with underrepresented communities, such as digital storytelling. Rooted in a movement to increase access to art for marginalized communities in the 1970s and 1980s, digital storytelling is an arts-based research methodology that captures first-person narrated accounts of peoples' lives through the use of stories, photos, and videos, and empowers communities to be a part of research to create social change. We provide recommendations for using digital storytelling in counseling psychology research as outlined through 5 phases, including Phase I) digital storytelling's critical paradigm, Phase II) project development, Phase III) implementation, Phase IV) data analysis, and Phase V) dissemination. While doing so, we draw on examples from 2 digital storytelling projects we are familiar with, Immigrant Stories and OrigiNatives, providing a framework for a digital frontier in counseling psychology research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Aconselhamento , Narração , Psicologia , Projetos de Pesquisa , Emigrantes e Imigrantes/psicologia , Humanos , Pesquisa Qualitativa , Justiça Social
16.
J Cross Cult Gerontol ; 36(2): 201-213, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33830425

RESUMO

This qualitative study explores the meanings of frailty held by Chinese New Zealanders and Chinese health care professionals with the aim of identifying commonalities as well as potential differences. Two guided focus groups with Mandarin and Cantonese speaking older adults (n = 10), one individual interview with a English speaking older Chinese, and one focus group with Chinese New Zealand health care professionals (n = 7) were held to obtain views on frailty in older adults, followed by transcribing and a thematic qualitative analysis. Three main themes emerged: (1) Frailty is marked by ill-health, multiple chronic and unstable medical comorbidities, and is a linked with polypharmacy; (2) Frailty can involve physical weakness, decline in physical function such as reduced mobility or poor balance, and declining cognitive function; and (3) Frailty is associated with psychological and social health including depression, reduced motivation, social isolation, and loss of confidence. The perspectives of frailty that emerged are congruent with a multi-dimensional concept of frailty that has been described in both Chinese and non-Chinese medical research literature.


Assuntos
Grupo com Ancestrais do Continente Asiático/psicologia , Emigrantes e Imigrantes/psicologia , Idoso Fragilizado/psicologia , Fragilidade , Pessoal de Saúde/psicologia , Idoso , Idoso de 80 Anos ou mais , China , Comorbidade , Feminino , Grupos Focais , Humanos , Masculino , Nova Zelândia , Pesquisa Qualitativa
17.
J Cross Cult Gerontol ; 36(2): 169-186, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33909217

RESUMO

Numerous studies have examined the experience of growing old in a transnational context among Indians. However, in most of these studies, the older adults had immigrated as senior citizens to be with their adult children. Indians who have grown old in transnational settings have not been examined in detail in the gerontological scholarship. Adopting a cross-cultural lens, the present study focusses on perceptions of ageing among older Indians who have grown old in the city of Saskatoon. The study demonstrates how these older Indians refute the Successful Ageing model and accept their physical weaknesses in their course of ageing. Additionally, the study also examines how caregiving arrangements and intergenerational relationships are shaped among these older Indians and their adult children, in a transnational city, such as Saskatoon. Finally, the study highlights how later life gender roles are constructed in a transnational backdrop.


Assuntos
Envelhecimento/psicologia , Cuidadores/psicologia , Emigrantes e Imigrantes/psicologia , Relação entre Gerações/etnologia , Internacionalidade , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/etnologia , Canadá/epidemiologia , Feminino , Envelhecimento Saudável , Humanos , Índia/etnologia , Masculino , Percepção , Pesquisa Qualitativa
19.
Int J Equity Health ; 20(1): 108, 2021 04 26.
Artigo em Inglês | MEDLINE | ID: mdl-33902594

RESUMO

BACKGROUND: We assessed the prevalence and trends in racial discrimination among African Canadian adolescents in British Columbia. The association between racial discrimination and self-rated health, access to mental health services, substance use, suicidal thoughts and attempts, experience of extreme stress, among others were examined within the 2018 dataset. METHODS: Secondary analysis used the data collected from African Canadian adolescents (n = 2448) as part of the British Columbia Adolescent Health Surveys (2003-2018). We examined whether racial discrimination increased, decreased, or remained stable over time. We evaluated experiences of racial discrimination for all adolescents, and then disaggregated analyses for boys, girls, immigrant, and Canadian-born African adolescents. We used Rao-Scott's adjusted chi-square to test differences in racial discrimination and adjusted logistic regressions to test trends across survey years, widening or narrowing gaps in racial discrimination, as well as the link to health outcomes. RESULTS: Racial discrimination was significantly different across the survey years (Adjusted F = 4.60, p < .01), with the highest percentage of adolescents reporting past year racial discrimination in 2018 (29.9%) and the lowest percentage in 2013 (21.3%). Girls and immigrant African Canadian adolescents were more likely to have experienced racial discrimination. However, girls and Canadian-born adolescents had the highest odds of reporting racial discrimination in 2018 compared to 2003, AOR = 1.85, and 1.58, respectively. The findings reveal significant differences in the experiences of racial discrimination for boys and girls, as well as for immigrant and Canadian-born African adolescents. Significant differences were noted in the link between racial discrimination and self-rated health and engaging in behaviours that might expose them to health risks. The worst negative health outcomes were found for boys and immigrant African Canadian adolescents. CONCLUSION: The study suggests that more than 1 in 4 African Canadian adolescents in British Columbia report racial discrimination, which is an increasing trend in recent years. Those who reported racial discrimination also had the worst adverse health outcomes. There is a need for more public health action to reduce racism, create awareness about the negative health impacts, and provide better support for African Canadian adolescents.


Assuntos
Comportamento do Adolescente/etnologia , Grupo com Ancestrais do Continente Africano/psicologia , Emigrantes e Imigrantes/psicologia , Racismo/tendências , Adolescente , Grupo com Ancestrais do Continente Africano/etnologia , Colúmbia Britânica , Estudos Transversais , Feminino , Comportamentos Relacionados com a Saúde/etnologia , Acesso aos Serviços de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Prevalência , Autorrelato
20.
BMC Health Serv Res ; 21(1): 291, 2021 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-33789650

RESUMO

BACKGROUND: This study aims to explore the experiences, beliefs, feelings, and challenges faced by Pakistani migrant doctors working in the United Kingdom in times of the COVID-19 pandemic. The qualitative study aims to explore the lived experiences, beliefs, feelings, and challenges faced by Pakistani migrant physicians working in the United Kingdom during the COVID-19 pandemic. METHODS: An exploratory phenomenological approach was used to collate data on experiences expressed during the COVID-19 pandemic. Purposive and snowball sampling was used to target participants, which were doctors of Pakistani origin involved in the direct care and management of COVID-19 patients in different NHS hospitals of the United Kingdom. Semi-structured, in-depth telephonic interviews were conducted with study participants in May 2020. Data analysis was done parallel with data collection by using an inductive qualitative approach. RESULTS: We recruited ten frontline physicians. Four theme categories emerged from the data analysis: 1) Working across borders and cultures, 2) Role of beliefs for coping with stress and fear, 3) Passion and profession, and 4) Scaffolding the Pakistani health system. Overall, the results show that the participants received limited professional support, in terms of counseling and psychological rehabilitation. Instead, they had to use self-management strategies to cope with the situation. CONCLUSION: The intensive work exhausted participants physically and emotionally. They were holding a lot of grief and hurt inside, but still, healthcare professionals showed the spirit of professional dedication to overcome difficulties. Although currently coping with their emotional problems, comprehensive professional support should be made available to cater to the wellbeing of frontline physicians.


Assuntos
COVID-19 , Emigrantes e Imigrantes , Médicos/psicologia , Emigrantes e Imigrantes/psicologia , Humanos , Entrevistas como Assunto , Paquistão , Pandemias , Equipamento de Proteção Individual , Pesquisa Qualitativa , SARS-CoV-2 , Reino Unido
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