IDEAS home Printed from https://ideas.repec.org/a/spr/joimai/v23y2022i3d10.1007_s12134-021-00892-4.html
   My bibliography  Save this article

Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care

Author

Listed:
  • Cécile Rousseau

    (McGill University)

  • Joanna Anneke Rummens

    (Ryerson University)

  • Rochelle L. Frounfelker

    (McGill University)

  • Monica Ruiz Casares Yebenes

    (McGill University)

  • Janet Cleveland

    (CIUSSS Centre-Ouest de L’Ile-de-Montréal)

Abstract

Health care personnel attitudes toward refugee claimant entitlement to health care are influenced by multilevel factors including institutional and societal culture. Although individual attitudes may be modified through training, macro- and meso-issues require system-level interventions. This paper analyzes the role of individual-, institutional-, and city-level factors in shaping attitudes toward refugee claimants’ access to health care among Canadian health care personnel. A total of 4207 health care personnel in 16 institutions located in Montreal and Toronto completed an online survey on attitudes regarding health care access for refugee claimants. We used multilevel logistic regression analysis to identify individual-, institutional-, and city-level predictors of endorsing access to care. Participants who had prior contact with refugee claimants had greater odds of endorsing access to care than those who did not (OR 1.13; 95% CI 1.05, 1.21). Attitudes varied with occupation: social workers had the highest probability of endorsing equal access to health care (.83; 95% CI .77, .89) followed by physicians (.77; 95% CI .71, .82). An estimated 7.97% of the individual variation in endorsement of equal access to health care was attributable to differences between institutions, but this association was no longer statistically significant after adjusting for city residence. Results indicate that the contexts in which health care professionals live and work are important when understanding opinions on access to health care for vulnerable populations. They suggest that institutional interventions promoting a collective mission to care for vulnerable populations may improve access to health care for precarious status migrants.

Suggested Citation

  • Cécile Rousseau & Joanna Anneke Rummens & Rochelle L. Frounfelker & Monica Ruiz Casares Yebenes & Janet Cleveland, 2022. "Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care," Journal of International Migration and Integration, Springer, vol. 23(3), pages 1341-1356, September.
    • Handle: RePEc:spr:joimai:v:23:y:2022:i:3:d:10.1007_s12134-021-00892-4
    DOI: 10.1007/s12134-021-00892-4
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s12134-021-00892-4
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s12134-021-00892-4?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Vanthuyne, Karine & Meloni, Francesca & Ruiz-Casares, Monica & Rousseau, Cécile & Ricard-Guay, Alexandra, 2013. "Health workers' perceptions of access to care for children and pregnant women with precarious immigration status: Health as a right or a privilege?," Social Science & Medicine, Elsevier, vol. 93(C), pages 78-85.
    2. Diez-Roux, A.V., 1998. "Bringing context back into epidemiology: Variables and fallacies in multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 88(2), pages 216-222.
    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. Bolte, Gabriele, 2018. "Epidemiologische Methoden und Erkenntnisse als eine Grundlage für Stadtplanung und gesundheitsfördernde Stadtentwicklung," Forschungsberichte der ARL: Aufsätze, in: Baumgart, Sabine & Köckler, Heike & Ritzinger, Anne & Rüdiger, Andrea (ed.), Planung für gesundheitsfördernde Städte, volume 8, pages 118-134, ARL – Akademie für Raumentwicklung in der Leibniz-Gemeinschaft.
    2. Spielman, Seth E. & Yoo, Eun-hye, 2009. "The spatial dimensions of neighborhood effects," Social Science & Medicine, Elsevier, vol. 68(6), pages 1098-1105, March.
    3. Dusan Paredes Araya & Tomothy M Komarek, 2013. "Spatial Income Inequality in Chile and the Rol of Spatial Labor Sorting," Documentos de Trabajo en Economia y Ciencia Regional 46, Universidad Catolica del Norte, Chile, Department of Economics, revised Apr 2013.
    4. Seth E Spielman & Eun-Hye Yoo & Crystal Linkletter, 2013. "Neighborhood Contexts, Health, and Behavior: Understanding the Role of Scale and Residential Sorting," Environment and Planning B, , vol. 40(3), pages 489-506, June.
    5. Zanetta Gant & Larry Gant & Ruiguang Song & Leigh Willis & Anna Satcher Johnson, 2014. "A Census Tract–Level Examination of Social Determinants of Health among Black/African American Men with Diagnosed HIV Infection, 2005–2009—17 US Areas," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-7, September.
    6. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    7. Myers, Douglas J. & Kriebel, David & Karasek, Robert & Punnett, Laura & Wegman, David H., 2007. "The social distribution of risk at work: Acute injuries and physical assaults among healthcare workers working in a long-term care facility," Social Science & Medicine, Elsevier, vol. 64(4), pages 794-806, February.
    8. infocede, 2001. "Desnutrición infantil en Colombia: inequidades y determinantes," Documentos CEDE 20100, Universidad de los Andes, Facultad de Economía, CEDE.
    9. Martin Gaechter & Peter Schwazer & Engelbert Theurl, 2012. "Stronger Sex but Earlier Death: A Multi-level Socioeconomic Analysis of Gender Differences in Mortality in Austria," DANUBE: Law and Economics Review, European Association Comenius - EACO, issue 1, pages 1-23, March.
    10. De Clercq, B. & Vyncke, V. & Hublet, A. & Elgar, F.J. & Ravens-Sieberer, U. & Currie, C. & Hooghe, M. & Ieven, A. & Maes, L., 2012. "Social capital and social inequality in adolescents’ health in 601 Flemish communities: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 74(2), pages 202-210.
    11. Kuang-Tsu Yang & Chun-Hao Yin & Yao-Min Hung & Shih-Ju Huang & Ching-Chih Lee & Tsu-Jen Kuo, 2020. "Continuity of Care Is Associated with Medical Costs and Inpatient Days in Children with Cerebral Palsy," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    12. Steffen Andreas Schüle & Gabriele Bolte, 2015. "Interactive and Independent Associations between the Socioeconomic and Objective Built Environment on the Neighbourhood Level and Individual Health: A Systematic Review of Multilevel Studies," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-31, April.
    13. Win Wah & Arul Earnest & Charumathi Sabanayagam & Ching-Yu Cheng & Marcus Eng Hock Ong & Tien Y Wong & Ecosse L Lamoureux, 2015. "Composite Measures of Individual and Area-Level Socio-Economic Status Are Associated with Visual Impairment in Singapore," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-12, November.
    14. Joanne Nicole Luke & Alister Thorpe & Carlina Black & Lisa Thorpe & David Thomas & Sandra Eades & Kevin Rowley, 2021. "Collaborative Social-Epidemiology: A Co-analysis of the Cultural and Structural Determinants of Health for Aboriginal Youth in Victorian Schools," IJERPH, MDPI, vol. 18(16), pages 1-22, August.
    15. repec:asg:wpaper:1020 is not listed on IDEAS
    16. Ziembroski, Jessica S. & Hauck, Erica L., 2004. "The Cumulative Effect Of Rural And Regional Residence Upon The Health Of Older Adults," Working Papers 18919, Oregon State University, Rural Poverty Research Center (RPRC).
    17. Sean Lucan & Nandita Mitra, 2012. "Perceptions of the food environment are associated with fast-food (not fruit-and-vegetable) consumption: findings from multi-level models," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(3), pages 599-608, June.
    18. Martin Gächter & Engelbert Theurl, 2010. "Socioeconomic Environment and Mortality: A two-level Decomposition by Sex and Cause of Death," Working Papers 2010-18, Faculty of Economics and Statistics, Universität Innsbruck.
    19. Shivani A. Patel & Susan G. Sherman & Subarna K. Khatry & Steven C. LeClerq & Joanne Katz & James M. Tielsch & Parul Christian, 2016. "An Index of Community-Level Socioeconomic Composition for Global Health Research," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(2), pages 639-658, November.
    20. Wilkinson, Richard G. & Pickett, Kate E., 2007. "The problems of relative deprivation: Why some societies do better than others," Social Science & Medicine, Elsevier, vol. 65(9), pages 1965-1978, November.
    21. Joseph G L Lee & Thomas Wimark & Kasim S Ortiz & Kerry B Sewell, 2018. "Health-related regional and neighborhood correlates of sexual minority concentration: A systematic review," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-17, June.

    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:spr:joimai:v:23:y:2022:i:3:d:10.1007_s12134-021-00892-4. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.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.