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Article
Publication date: 31 December 2010

Swarna Weerasinghe and Matthew Numer

This article presents a study of the social, emotional and physical health lifestyle behaviours of a socially marginalised segment of Canada's population: retired, widowed…

1553

Abstract

This article presents a study of the social, emotional and physical health lifestyle behaviours of a socially marginalised segment of Canada's population: retired, widowed, immigrant mothers from a South Asian country. Using a narrative research process, we explore how present physical, emotional and social health leisure activities are influenced by behaviours from their childhood, with emphasis on migration to Canada, retirement and widowing as lifestyle behavioural change points. Our sample of immigrant women were living in Halifax, Nova Scotia, Canada during the time of the study. The study employed narrative inquiry, which is often used in migration studies. Our qualitative data analyses uncovered themes that linked present social health activities and early life behaviours and the influence on them of cultural constraints or stimulants. Three forms of sociocultural influences, gender segregation, patriarchal protection and early preparation for marriage, shaped adolescence and adult life as less physically active but more emotionally and socially healthy. Later life events, migration, retirement and widowing, enabled women to gain freedom to renegotiate and reconstruct late‐life styles to be more physically and socially active through ethno‐cultural social networks they had built after migration. The concluding discussion makes recommendations for health and social programme planning to draw attention to cultural realms that could help these women become physically active after migration without compromising traditional social behaviours.

Details

International Journal of Migration, Health and Social Care, vol. 6 no. 4
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 23 March 2012

Swarna Weerasinghe

In this article visible minority immigrant women's encounters and perceptions in accessing healthcare in Canada are explored. The aim is to understand the role play of the…

1303

Abstract

Purpose

In this article visible minority immigrant women's encounters and perceptions in accessing healthcare in Canada are explored. The aim is to understand the role play of the vulnerability statuses, gender, visibility, immigration and their intersectionality as factors contributing to (in)equitiesin healthcare accessibility.

Design/methodology/approach

Qualitative data were collected from a sample of 32 adult immigrant women, living in Halifax, Nova Scotia, Canada, using five focus group meetings. The participants have migrated from five regions of the world; South‐Eastern Asia, Middle‐Eastern Asia, the African continent, Latin/South America and non‐English speaking countries in Eastern Europe. Data were analysed using an inductive coding using the cultural health capital framework.

Findings

The findings reveal that audio and visual personal attributes such as skin colour, accent and excess body weight that are beyond Canadian norms lead to unfavourable interpersonal dynamics. Fundamental causes of diseases and clinical discourses are embedded in ethno‐cultural realties of gender, ethno‐racial identity, English communication styles and immigration related economic downturns.

Research limitations/implications

Individual level recommendations include self efficacy and empowerment. Policies and program level recommendations include enhancement of multicultural realms of healthcare to promote equity in healthcare accessibility.

Originality/value

Utilization of cultural health capital framework to illustrate inequities in healthcare accessibility, for visible and audible minority immigrant women, living in a country with universal healthcare coverage, brings a novel conceptual approach. New policy implications stemmed from the original research findings. Canadian cultural health capital framework that was developed in this article can be applied to illustrate other minorities' healthcare accessibility.

Details

Ethnicity and Inequalities in Health and Social Care, vol. 5 no. 1
Type: Research Article
ISSN: 1757-0980

Keywords

Article
Publication date: 1 March 2005

Julia Wong, Shirley Wong, Swarna Weerasinghe, Lydia Makrides and Thelma Coward‐Ince

To describe the process of building partnerships between a health professional group (university‐based researchers and organizations from within and outside the health sector) and…

1101

Abstract

Purpose

To describe the process of building partnerships between a health professional group (university‐based researchers and organizations from within and outside the health sector) and the black communities, highlight the accomplishments and identify problems in the process.

Design/methodology/approach

The description of the process of building partnerships with four black communities in Nova Scotia is organized in the following sections: the impetus for launching a Diabetes Primary Prevention for the Black Communities Project, its preparation, implementation, and evaluation. The accomplishments and the problems associated with the Project are analysed.

Findings

Recruitment of participants for the focus groups was challenging. Response rate to survey questionnaire was moderate. Presentation of the Project results by one of the black Project assistants to the participant communities was well received. The Project was quite successful in encouraging community involvement by engaging community groups in several small‐scale activities. Three issues related to project implementation were identified: recruitment of focus groups, participant disappointment, and survey return rates. Strategies incorporating the principles of involving a target audience, providing a service, empowering people and respecting cultural diversity with the aim to ensure successful partnership building with the black communities were proposed.

Originality/value

This paper describes the process of forging partnership with the black communities. The results of the Project could serve as a paradigm for developing culturally sensitive and responsive strategies to lessen the burden of type 2 diabetes in other racial minority communities.

Details

Clinical Governance: An International Journal, vol. 10 no. 1
Type: Research Article
ISSN: 1477-7274

Keywords

Article
Publication date: 1 September 2002

Shirley Wong, Julia Wong, Lydia Makrides and Swarna Weerasinghe

Type 2 diabetes mellitus has emerged as a major public health problem in Canada. Although the prevalence of Type 2 diabetes among black people is higher than that of white people…

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Abstract

Type 2 diabetes mellitus has emerged as a major public health problem in Canada. Although the prevalence of Type 2 diabetes among black people is higher than that of white people in Canada, there is no diabetes prevention programme specifically designed to address the behavioural and sociocultural influences on the development of the disease in the black communities. This paper discusses a proposed conceptual framework for the development and evaluation of a diabetes prevention programme that is culturally relevant and responsive to the black communities in Canada. The research literature and results of a recent pilot study that assessed the programming needs of four black communities provide the basis upon which the proposed framework is developed.

Details

Leadership in Health Services, vol. 15 no. 3
Type: Research Article
ISSN: 1366-0756

Keywords

Content available
Article
Publication date: 13 March 2017

136

Abstract

Details

Equality, Diversity and Inclusion: An International Journal, vol. 36 no. 2
Type: Research Article
ISSN: 2040-7149

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