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Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada

OBJECTIVE: 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...

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Autores principales: Leung, Doris, Lee, Charlotte, Wang, Angel He, Guruge, Sepali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382571/
https://www.ncbi.nlm.nih.gov/pubmed/35971256
http://dx.doi.org/10.1177/13558196221109148
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author Leung, Doris
Lee, Charlotte
Wang, Angel He
Guruge, Sepali
author_facet Leung, Doris
Lee, Charlotte
Wang, Angel He
Guruge, Sepali
author_sort Leung, Doris
collection PubMed
description OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
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spelling pubmed-93825712022-08-18 Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada Leung, Doris Lee, Charlotte Wang, Angel He Guruge, Sepali J Health Serv Res Policy Original Research OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. SAGE Publications 2022-08-15 2023-01 /pmc/articles/PMC9382571/ /pubmed/35971256 http://dx.doi.org/10.1177/13558196221109148 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Leung, Doris
Lee, Charlotte
Wang, Angel He
Guruge, Sepali
Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada
title Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada
title_full Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada
title_fullStr Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada
title_full_unstemmed Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada
title_short Immigrants’ and refugees’ experiences of access to health and social services during the COVID-19 pandemic in Toronto, Canada
title_sort immigrants’ and refugees’ experiences of access to health and social services during the covid-19 pandemic in toronto, canada
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382571/
https://www.ncbi.nlm.nih.gov/pubmed/35971256
http://dx.doi.org/10.1177/13558196221109148
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