Khanlou Nazilla, Mustafa Nida, Vazquez Luz Maria, Haque Nasim, Yoshida Karen
Faculty of Health, York University, Toronto, ON Canada.
Critical Care Services Ontario, Toronto, ON Canada.
Int J Ment Health Addict. 2015;13(6):659-674. doi: 10.1007/s11469-015-9584-8. Epub 2015 Sep 1.
This narrative review examines research on the experiences of immigrant fathers raising children with developmental disabilities, and considers the findings within the Canadian context. Applying Green, Johnson & Adams' (, 5(3), 101-117, 2006) methodology, a step-by-step process was followed to conduct the review. Four databases (PsychINFO, PubMed, CINAHL and Sociological Abstracts) were used for the search. A total of 39 articles were found to be relevant after applying the inclusion/exclusion criteria. Also 20 articles from published reference lists and peer-reviewed journal articles, located through Google Scholar, complimented the initial search. Along with House's (1981) four dimensions of social support, an intersectional approach underpinned the analysis of findings. Four themes were identified which included: economic challenges, social influences, cultural influences, and the changing gender roles of fathers. Stressors and barriers to accessing health services in the post-migration setting were examined. Based on the review's findings, the paper recommends 1) addressing income inequality, 2) improving access to health care, social and developmental services, 3) improving cultural-sensitivity of health care, social and developmental services, and 4) increasing participation of fathers. Overall, a more systemic understanding of immigrant fathers' experiences is called for, taking into account their multiple social locations.
本叙述性综述考察了关于移民父亲养育发育障碍子女经历的研究,并在加拿大背景下考量了研究结果。采用格林、约翰逊和亚当斯(《社会科学与医学》,2006年,第63卷,第5期,第101 - 117页)的方法,按步骤进行综述。使用了四个数据库(心理学文摘数据库、医学期刊数据库、护理学与健康领域数据库和社会学文摘数据库)进行检索。应用纳入/排除标准后,共发现39篇相关文章。另外,通过谷歌学术搜索从已发表的参考文献列表和同行评审期刊文章中找到的20篇文章补充了初步检索结果。除了豪斯(1981年)提出的社会支持的四个维度外,一种交叉性方法为研究结果的分析提供了支撑。确定了四个主题,包括:经济挑战、社会影响、文化影响以及父亲性别角色的变化。研究了移民后环境中获得医疗服务的压力源和障碍。基于综述结果,本文建议:1)解决收入不平等问题;2)改善获得医疗、社会和发展服务的机会;3)提高医疗、社会和发展服务的文化敏感性;4)增加父亲的参与度。总体而言,需要对移民父亲的经历有更系统的理解,同时考虑到他们的多重社会处境。