Dixon Sandra
Faculty of Education, University of Lethbridge, Lethbridge, AB, Canada.
Front Sociol. 2019 Jul 23;4:51. doi: 10.3389/fsoc.2019.00051. eCollection 2019.
While the field of health psychology has progressed over the years, much work still needs to be done when considering immigrants' health care and well-being. Particularly, for African-Caribbean immigrants, the intersectionality of their cultural identities in the health care system require much attention moving forward. Therefore, this article is particularly relevant for Canada's multicultural society; it describes cultural identity reconstruction within health psychology as a common issue for diverse groups, particularly African-Caribbean immigrant women. The article speaks to the holistic worldview that is required in a paradigm shift which engages a pluralistic society that is Canada. The author presents a key cultural identity model and assessment tool that should be integrated into the health care system to ensure culturally-sensitive and inclusive care for immigrants, especially women. As is argued in the article, contemporary research, advocacy, and social movements speak to invoking alternative ways to complement the prevailing downstream approach to health psychology. In a growing multicultural society that should strive on honoring and respecting the pluralistic cultural worldviews of all people in the health care system, many immigrant women struggle to cope with the social determinants of health post-migration. Their concerns are often pushed to the margins of health care services, with several individuals relying on their faith for coping strategies. This article concludes with culturally-informed and socially-just recommendations for health care professionals working with immigrant populations, particularly African Caribbean immigrant women.
尽管健康心理学领域多年来取得了进展，但在考虑移民的医疗保健和福祉时，仍有许多工作要做。特别是对于非洲加勒比移民来说，他们在医疗保健系统中文化身份的交叉性在未来需要得到更多关注。因此，本文对加拿大的多元文化社会尤为相关；它将健康心理学中的文化身份重建描述为不同群体，特别是非洲加勒比移民女性的一个共同问题。本文探讨了在涉及加拿大这样一个多元社会的范式转变中所需的整体世界观。作者提出了一个关键的文化身份模型和评估工具，应将其纳入医疗保健系统，以确保为移民，尤其是女性提供具有文化敏感性和包容性的护理。正如本文所论证的，当代研究、倡导和社会运动表明需要采用替代方法来补充健康心理学中流行的下游方法。在一个日益多元文化的社会中，应该努力尊重和尊重医疗保健系统中所有人的多元文化世界观，许多移民女性在移民后面临着应对健康的社会决定因素的困难。她们的担忧往往被推到医疗保健服务的边缘，一些人依靠自己的信仰来寻求应对策略。本文最后为与移民群体，特别是非洲加勒比移民女性打交道的医疗保健专业人员提出了基于文化且具有社会正义性的建议。
