Ahmad Farah, Culley Lauren, Baldeo Navindra, Haque Khandker Ahmedul, Suleman Alykhan
School of Health Policy & Management, York University, Toronto, Canada.
Social Services Network, Toronto, Canada.
J Immigr Minor Health. 2025 Feb;27(1):10-23. doi: 10.1007/s10903-024-01647-w. Epub 2024 Nov 22.
Although there is recent growing attention on mental health and mental well-being across the globe, supports in this area of healthcare can be a challenge for immigrant and racialized groups with experiences of hardship across several domains. This study aimed to gather perspectives from immigrants and racialized community members on strategies central to support their mental health and well-being, with the aim of addressing research to practice gaps. The study was co-designed in collaboration with a Community Action Table in Markham, Ontario, a setting with 93% of residents self-identifying as visible minorities. Using a community-focused mixed methods Concept Mapping approach, 68 residents, service providers, and policymakers were engaged through three phases of brainstorming, sorting and rating, and interpretation. Their brainstorming led to 68 statements which they sorted into groups and rated for importance and feasibility to act in next six months. Further analysis led to a 9-cluster concept map comprising of Family Wellness, Awareness & Education, Cultural Sensitivity, Social Service Access, Community Building, Socioeconomic, Food Security, Healthcare Access, and Housing Stability. These clusters are important in advancing knowledge on ways to support and prioritize mental health and well-being of immigrants and racialized communities. Overall, participants viewed mental health and well-being as being closely tied to their living and working conditions while also focusing on family wellness and intergenerational dynamics. Novel insights from this project are important for the planning of mental health and well-being supports for immigrant groups in Canada and can help improve foci across sectors through service implementation.
尽管近来全球对心理健康和幸福的关注度不断提高，但对于在多个领域经历过艰难困苦的移民和种族化群体而言，这一医疗保健领域的支持可能是一项挑战。本研究旨在收集移民和种族化社区成员对于支持其心理健康和幸福的核心策略的看法，以弥合研究与实践之间的差距。该研究是与安大略省万锦市的一个社区行动小组合作共同设计的，该市93%的居民自我认定为少数族裔。采用以社区为重点的混合方法概念图方法，通过头脑风暴、分类评级和解读三个阶段，让68名居民、服务提供者和政策制定者参与其中。他们的头脑风暴产生了68条陈述，他们将这些陈述进行分组，并对在未来六个月内采取行动的重要性和可行性进行评级。进一步分析得出了一个由九个集群组成的概念图，包括家庭幸福、意识与教育、文化敏感性、社会服务获取、社区建设、社会经济、食品安全、医疗保健获取和住房稳定。这些集群对于推进有关支持移民和种族化社区心理健康和幸福的方法及优先事项的知识具有重要意义。总体而言，参与者认为心理健康和幸福与他们的生活和工作条件密切相关，同时也关注家庭幸福和代际动态。该项目的新见解对于加拿大移民群体心理健康和幸福支持的规划很重要，并且可以通过服务实施帮助改善各部门的重点工作。
