School of Nursing, 26680The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Daphne Cockwell School of Nursing, Toronto Metropolitan University, Canada.
J Health Serv Res Policy. 2023 Jan;28(1):34-41. doi: 10.1177/13558196221109148. Epub 2022 Aug 15.
In 2020, the World Health Organization reported that immigrants were the most vulnerable to contracting COVID, due to a confluence of personal and structural barriers. This study explored how immigrants and refugees experienced access to health and social services during the first wave of COVID-19 in Toronto, Canada.
This study analyzed secondary data from a qualitative study that was conducted between May and September 2020 in Toronto that involved semi-structured interviews with 72 immigrants and refugees from 21 different countries. The secondary data analysis was informed by critical realism.
The vast majority of participants experienced fear and anxiety during the COVID-19 outbreak but through a combination of self-reliance and community support came to terms with the realities of the pandemic. Some even found the lifestyle changes engendered by the pandemic a positive experience.
Self-reliance may hinder help-seeking and augment the threat of COVID-19. This is particularly a concern for the most vulnerable immigrants, who experience multiple disruptions in their health care, have limited material resources and social supports, and perhaps are still dealing with the challenges of settling in the new country.
2020 年，世界卫生组织报告称，移民由于个人和结构性障碍的综合作用，是最容易感染 COVID 的人群。本研究探讨了在加拿大多伦多 COVID-19 第一波期间，移民和难民如何获得医疗和社会服务。
本研究分析了 2020 年 5 月至 9 月在多伦多进行的一项定性研究的二次数据，该研究涉及对来自 21 个不同国家的 72 名移民和难民进行半结构化访谈。二次数据分析以批判现实主义为依据。
绝大多数参与者在 COVID-19 爆发期间感到恐惧和焦虑，但通过自力更生和社区支持，他们逐渐接受了大流行的现实。一些人甚至发现大流行带来的生活方式改变是一种积极的体验。
自力更生可能会阻碍寻求帮助，并增加 COVID-19 的威胁。这对于最脆弱的移民来说尤其令人担忧，他们的医疗保健受到多次干扰，物质资源和社会支持有限，并且可能仍在应对在新国家定居的挑战。
