The Impact of Policy on Somali Refugee Women in Canada

This paper explores the ways in which government policy and public discourse have operated to enhance and maintain the liminal status of Somali women refugees in Canada, and the ways in which Somali Canadian women have resisted these efforts in order to create meaning and a place for themselves and their families in North America. The policies and practices that obliged many Somali women to wait three to five years to apply for permanent residency status, Eurocentric definitions of the family that constrain family unification strategies, and economic marginalization due to lack of recognition of foreign credentials have had cumulative adverse effects on the health and well-being of Somali women in Canada.L’article se penche, d’une part, sur la manière dont les politiques gouvernementales et le discours public ont contribué à rehausser et à maintenir le statut liminaire des réfugiées somaliennes au Canada et, d’autre part, sur la façon dont les Canadiennes d’origine somalienne s’y sont opposées afin de créer un sens et une place pour elles et leur famille en Amérique du Nord. Plusieurs facteurs ont eu des effets néfastes sur la santé et le bien-être des Somaliennes au Canada : les politiques et les pratiques qui les obligent à attendre de trois à cinq ans pour demander un statut de résidence permanente, les définitions eurocentriques de la famille qui restreignent les stratégies d’unification familiale de même que la marginalisation économique découlant du peu de reconnaissance de la certification étrangère

Panic and Panaceas: Hormone Replacement Therapy and the Menopausal Syndrome

Hormone replacement therapy (HRT) has been touted as the panacea for women's menopausal complaints. This paper examines HRT and the construction of the menopausal syndrome, and the response of Somali, Chinese and Chilean Canadian women to this model of menopause.Le traitement hormonal substitutif (THS) a ete vendu comme la panacee des plaintes des femmes menopausees. Cet article etudie le THS et la construction du syndrome de menopause et la reponse qu'ont les Somaliennes, les Chinoises, les Chiliennes et les Canadiennes a ce modele de menopause

Globalization and the health of Canadians: ‘Having a job is the most important thing’

Background Globalization describes processes of greater integration of the world economy through increased flows goods, services, capital and people. Globalization has undergone significant transformation since the 1970s, entrenching neoliberal economics as the dominant model of global market integration. Although this transformation has generated some health gains, since the 1990s it has also increased health disparities. Methods As part of a larger project examining how contemporary globalization was affecting the health of Canadians, we undertook semi-structured interviews with 147 families living in low-income neighbourhoods in Canada’s three largest cities (Montreal, Toronto and Vancouver). Many of the families were recent immigrants, which was another focus of the study. Drawing on research syntheses undertaken by the Globalization Knowledge Network of the World Health Organization’s Commission on Social Determinants of Health, we examined respondents’ experiences of three globalization-related pathways known to influence health: labour markets (and the rise of precarious employment), housing markets (speculative investments and affordability) and social protection measures (changes in scope and redistributive aspects of social spending and taxation). Interviews took place between April 2009 and November 2011. Results Families experienced an erosion of labour markets (employment) attributed to outsourcing, discrimination in employment experienced by new immigrants, increased precarious employment, and high levels of stress and poor mental health; costly and poor quality housing, especially for new immigrants; and, despite evidence of declining social protection spending, appreciation for state-provided benefits, notably for new immigrants arriving as refugees. Job insecurity was the greatest worry for respondents and their families. Questions concerning the impact of these experiences on health and living standards produced mixed results, with a majority expressing greater difficulty ‘making ends meet,’ some experiencing deterioration in health and yet many also reporting improved living standards. We speculate on reasons for these counter-intuitive results. Conclusions Current trends in the three globalization-related pathways in Canada are likely to worsen the health of families similar to those who participated in our study

Sexual and reproductive health issues facing Southeast Asian beer promoters: a qualitative pilot study

<p>Abstract</p> <p>Background</p> <p>In Southeast Asia, hundreds of thousands of young rural women migrate from their villages to the larger cities in search of work. Many find employment with beer companies or in the clubs where beer is sold, promoting the sale of beer. Previous research suggests these young migrants are in a highly vulnerable position. This paper will describe the findings of an October 2009 meeting to develop a research agenda on the sexual and reproductive health of beer promoters and a subsequent pilot study of focus groups with beer promoters to review this agenda.</p> <p>Methods</p> <p>Participants of the research meeting representing beer promoters, academics, non-governmental organizations (NGOs), government and the beer industry from Cambodia, Thailand, Laos, and Vietnam collaborated in the development of three key research themes. The themes were verified in focus group discussions with beer promoters organized by local research partners in all four countries. The focus group participants were asked what they felt were the key sexual and reproductive health issues facing them in a non-directive and unstructured manner, and then asked to comment more specifically on the research priorities developed at the meeting. The focus groups were recorded digitally, transcribed, and translated into English. The data were analyzed by coding for common themes and then developing matrices to compare themes between groups.</p> <p>Results</p> <p>The participants of the meeting identified three key research themes: occupational health (including harassment and violence, working conditions, and fair pay), gender and social norms (focusing on the impact of power relations between the genders on women's health), and reproductive health (knowledge and access to reproductive health care services). The participants in the focus groups in all four countries agreed that these were key priorities for them, though the emphasis on the most important issues varied between groups of women. Sexual harassment in the workplace and challenges in accessing reproductive health care services because of the barriers of cost, shyness, and stigmatizing attitudes of health care providers were common problems for many of the women.</p> <p>Conclusions</p> <p>There is a need for regional research and programming for beer promotion women in Southeast Asia focusing on the three research themes of occupational health, gender norms and reproductive health. Such research and programs could provide important benefits for many beer promotion women who currently face significant risks to their sexual and reproductive health.</p

Cultural influences on palliative family caregiving: service recommendations specific to the Vietnamese in Canada

10.1186/s13104-015-1252-3BMC Research Notes8128

Integration, Clarification, Substantiation: Sex, Gender, Ethnicity and Migration as Social Determinants of Women’s Health

The aim of this paper was to examine, via a scoping review, how the literature focusing on immigrant women’s health, based on selected criteria, has been able to capture not only sex and gender differences but also the other socially grounded determinants of health. Using selected health databases as well as a diversity of keywords, a final sample of 59 was obtained after a number of steps to increase validity and credibility of the process were taken. Since “women” was one of the main keywords, all of the studies included women either by themselves (n=20/59) or along with men (n=39/59). In 34 (57.6%) of the papers reviewed, gender was defined above and beyond “sex” (i.e. some discussion was provided regarding the social context of the study population prior to the presentation of the goal of the study). Ethnicity was merely mentioned without being expanded upon and at times being substituted with race in 26 (44%) of the papers reviewed. Migration was defined in 22 (37.2%) of the papers and was predominantly operationalized by length of stay in the country. While the concepts at hand represent important units of analysis within women’s health research, most studies neglected to either capture gender specificities beyond sex as a biological variable, or to define migration experiences beyond ethnic identity. Anchored within women’s health scholarship seeking for conceptual clarity and accuracy, this paper pleads for an improved consideration of the multiple and interactive social and biological determinants of health, as well as structural conditions at the basis of structural inequities; If the production of socially grounded women’s health research depends upon accurate, fully integrated and applied conceptualizations of relevant dimensions, how can this be facilitated by policy-makers, health research funding bodies, the researchers themselves and ultimately by health care practitioners

Kenyan Nurses Involvement in National Policy Development Processes

The aim of this study was to critically examine how nurses have been involved in national policy processes in the Kenyan health sector. The paper reports qualitative results from a larger mixed method study. National nonnursing decision-makers and nurse leaders, and provincial managers as well as frontline nurse managers from two Kenyan districts were purposefully selected for interviews. Interviews dealt with nurses&apos; involvement in national policy processes, factors hindering nurses&apos; engagement in policy processes, and ways to enhance nurses&apos; involvement in policy processes. Critical theory and feminist perspectives guided the study process. Content analysis of data was conducted. Findings revealed that nurses&apos; involvement in policy processes in Kenya was limited. Only a few nurse leaders were involved in national policy committees as a result of their positions in the sector. Critical analysis of the findings revealed that hierarchies and structural factors as well as nursing professional issues were the primary barriers constraining nurses&apos; involvement in policy processes. Thus, there is need to address these factors both by nurses themselves and by nonnursing decision makers, in order to enhance nurses engagement in policy making and further the contribution to quality of services to the communities

Mental turmoil, suicide risk, illness perception, and temperament, and their impact on quality of life in chronic daily headache

To evaluate the relationship among quality of life, temperament, illness perception, and mental turmoil in patients affected by chronic daily headache with concomitant medication overuse headache. Participants were 116 consecutive adult outpatients admitted to the Department of General Medicine of the Sant’Andrea Hospital in Rome, between January 2007 and December 2007 with a diagnosis of chronic daily headache (illness duration >5 years). Patients were administered the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-autoquestionnaire version (TEMPS-A), the Beck Hopelessness Scale (BHS), the Hamilton Rating Scale for Depression (HAM-D), the Mini-International Neuropsychiatric Interview (MINI), the Revised Illness Perception Questionnaire (IPQ), the Suicide Score Scale (SSS), and the Quality of Life Index (QL-Index). Twenty-eight percent of the patients evidenced moderate to severe depression, and 35% evidenced severe hopelessness. Analyses also indicated that quality of life, temperament, illness perception, and psychological turmoil are associated. However, a hierarchical multivariate regression analysis with quality of life as dependent variable indicated that only a model with mental turmoil variables may fit data; further, only the MINI suicidal intent resulted associated with quality of life (standardized regression coefficient = −0.55; t = −3.06; P < 0.01). Suicide risk may play a central role in affecting the quality of life of patients with chronic headache. The investigation of the interplay of factors that precipitate suicide risk should include assessment of chronic headache and its effects on wellbeing