Nwoke Chinenye Nmanma, Leung Brenda M Y
Faculty of Health Sciences, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4, Canada.
J Racial Ethn Health Disparities. 2021 Dec;8(6):1447-1455. doi: 10.1007/s40615-020-00907-3. Epub 2020 Nov 3.
Examining the historical antecedents of racialized immigrant women are important precursors to understanding the challenges they face in access to quality and timely healthcare in Canada. Changes to immigration policies, structural and systemic racial discrimination perpetuate the feminization of migration in Canada, create structural barriers in labour market integration, increase social exclusion and ultimately create unequal access to healthcare services. Despite their high levels of education, racialized immigrant women in Canada are over-represented in low-paid, low-skill precarious jobs. They also face powerful structural barriers to decent professional employment due to the lack of acceptance of foreign educational and licencing credentials. Ultimately, these challenges negatively impact how they interact with healthcare services. Utilizing an intersectional and socio-ecology framework, this review aims to highlight the historical antecedents of racialized immigrant women in access to healthcare services in Canada and examine the challenges racialized immigrant women face in access to healthcare services in Canada. Findings from this review can be used to open dialogues on possible changes to immigration and social policies in Canada, including changes to labour market practices, and initiatives to address structural and systemic barriers, to enable racialized immigrant women overcome the challenges they face in accessing quality healthcare services in a timely manner.
审视种族化移民女性的历史渊源,对于理解她们在加拿大获得优质及时医疗保健方面所面临的挑战至关重要。移民政策的变化、结构性和系统性种族歧视使加拿大的移民女性化现象长期存在,在劳动力市场融合方面造成结构性障碍,加剧社会排斥,最终导致获得医疗服务的机会不平等。尽管加拿大的种族化移民女性受教育程度较高,但她们在低薪、低技能的不稳定工作中占比过高。由于外国教育和执照资格不被认可,她们在获得体面的专业工作方面也面临强大的结构性障碍。最终,这些挑战对她们与医疗服务的互动产生负面影响。本综述利用交叉性和社会生态框架,旨在突出加拿大种族化移民女性在获得医疗服务方面的历史渊源,并审视她们在加拿大获得医疗服务时面临的挑战。本综述的结果可用于开启关于加拿大移民和社会政策可能变革的对话,包括劳动力市场做法的变革,以及应对结构性和系统性障碍的举措,以使种族化移民女性能够及时克服她们在获得优质医疗服务方面所面临的挑战。