IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p14608-d965652.html
   My bibliography  Save this article

Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada

Author

Listed:
  • Andrea Rishworth

    (Department of Geography, Geomatics and Environment, Faculty Geography, University of Toronto Mississauga, Mississauga, ON L5L 1C6, Canada)

  • Tiffany Cao

    (Department of Geography, Geomatics and Environment, Faculty Geography, University of Toronto Mississauga, Mississauga, ON L5L 1C6, Canada)

  • Ashika Niraula

    (CERC in Migration and Integration, Toronto Metropolitan University, Toronto, ON M5B 2K3, Canada)

  • Kathi Wilson

    (Department of Geography, Geomatics and Environment, Faculty Geography, University of Toronto Mississauga, Mississauga, ON L5L 1C6, Canada)

Abstract

Although immigrants are disproportionately impacted by growing chronic inflammatory disease (CIDs) rates, yet suffer barriers to access health care, little attention has been given to their primary healthcare or specialist healthcare access as it relates to complex, chronic diseases in Canada, a country with universal health care. This study aims to investigate CID health care use and barriers to care among first- and second-generation immigrant South Asian children and parents in the Greater Toronto Area, Ontario. Drawing on analysis of 24 in depth interviews with children and parents (14 children, 10 parents), the results reveal that although CIDs disproportionately affects South Asian immigrants, they encounter health system, geographic, interpersonal, and knowledge barriers to access requisite care. These barriers exist despite participants having a GP, and are compounded further by limited familial systems, culturally insensitive care, and structural inequities that in some instances make parents choose between health access or other basic needs. Although all participants recognized the importance of specialized care, only 11 participants regularly accessed specialized care, creating new schisms in CID management. The findings suggest that a multisectoral approach that address individual and structural level socio-structural drivers of health inequities are needed to create more equitable healthcare access.

Suggested Citation

  • Andrea Rishworth & Tiffany Cao & Ashika Niraula & Kathi Wilson, 2022. "Health Care Use and Barriers to Care for Chronic Inflammatory Diseases (CID) among First and Second Generation South Asian Immigrant Children and Parents in Ontario Canada," IJERPH, MDPI, vol. 19(21), pages 1-19, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14608-:d:965652
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/14608/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/21/14608/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Francesc Ramos-Roure & Maria Feijoo-Cid & Josep Maria Manresa-Dominguez & Jordi Segura-Bernal & Rosa García-Sierra & Maria Isabel Fernández-Cano & Pere Toran-Monserrat, 2021. "Intercultural Communication between Long-Stay Immigrants and Catalan Primary Care Nurses: A Qualitative Approach to Rebalancing Power," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    2. Solina Richter & Helen Vallianatos & Jacqueline Green & Chioma Obuekwe, 2020. "Intersection of Migration and Access to Health Care: Experiences and Perceptions of Female Economic Migrants in Canada," IJERPH, MDPI, vol. 17(10), pages 1-11, May.
    3. Bukola Salami & Alleson Mason & Jordana Salma & Sophie Yohani & Maryam Amin & Philomena Okeke-Ihejirika & Tehseen Ladha, 2020. "Access to Healthcare for Immigrant Children in Canada," IJERPH, MDPI, vol. 17(9), pages 1-12, May.
    4. Siddiqi, Arjumand & Shahidi, Faraz Vahid & Ramraj, Chantel & Williams, David R., 2017. "Associations between race, discrimination and risk for chronic disease in a population-based sample from Canada," Social Science & Medicine, Elsevier, vol. 194(C), pages 135-141.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Satrio Nindyo Istiko & Jo Durham & Lana Elliott, 2022. "(Not That) Essential: A Scoping Review of Migrant Workers’ Access to Health Services and Social Protection during the COVID-19 Pandemic in Australia, Canada, and New Zealand," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    2. Diego Henríquez & Alfonso Urzúa & Wilson López-López, 2023. "Social Support as a Mediator of the Relationship between Identity Fusion and Psychological Well-Being in South—South Migrant Populations," Journal of International Migration and Integration, Springer, vol. 24(3), pages 1113-1135, September.
    3. Thabiso Moeti & Tholang Mokhele & Gina Weir-Smith & Simangele Dlamini & Solomon Tesfamicheal, 2023. "Factors Affecting Access to Public Healthcare Facilities in the City of Tshwane, South Africa," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
    4. Rana Dahlan & Babak Bohlouli & Humam Saltaji & Ida Kornerup & Bukola Salami & Maryam Amin, 2022. "Immigrant Parents’ Perceived Social Support and Their Children’s Oral Health Behaviors and Caries Experience," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    5. Niraula, Ashika & Ratti, Nicole & Colley, Michele & Rosenberg, Mark & Ghassemi, Effat & Wilson, Kathi, 2023. "Negotiating precarity: Recent immigrants’ perceptions of waiting for public healthcare in Ontario, Canada," Health Policy, Elsevier, vol. 133(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14608-:d:965652. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.