scholarly journals Erratum - Eviction as a Social Determinant of Sexual Health Outcomes

2019 ◽  
Vol 46 (9) ◽  
pp. e92
Keyword(s):  
Sexual Health ◽  
Health Outcomes ◽  
Social Determinant

scholarly journals Eviction as a Social Determinant of Sexual Health Outcomes

2019 ◽  
Vol 46 (1) ◽  
pp. 69-71 ◽  
Author(s):  
Jacky M. Jennings ◽  
Kathryn M. Leifheit
Keyword(s):  
Sexual Health ◽  
Health Outcomes ◽  
Social Determinant

scholarly journals Access to Healthcare for Immigrant Children in Canada

2020 ◽  
Vol 17 (9) ◽  
pp. 3320
Author(s):  
Bukola Salami ◽  
Alleson Mason ◽  
Jordana Salma ◽  
Sophie Yohani ◽  
Maryam Amin ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Service Providers ◽  
Social Determinant ◽  
Immigrant Children ◽  
Access To Healthcare ◽  
Cultural Barriers ◽  
Immigrant Parents ◽  
Financial Barriers ◽  
University Of Alberta ◽  
The University

Immigrants experience poorer health outcomes than nonimmigrants in Canada for several reasons. A central contributing factor to poor health outcomes for immigrants is access to healthcare. Previous research on access to healthcare for immigrants has largely focused on the experience of immigrant adults. The purpose of this study was to investigate how immigrants access health services for their children in Alberta, Canada. Our study involved a descriptive qualitative design. Upon receiving ethics approval from the University of Alberta Research Ethics Board, we invited immigrant parents to participate in this study. We interviewed 50 immigrant parents, including 17 fathers and 33 mothers. Interviews were audio recorded, transcribed, and analyzed according to the themes that emerged. Findings reveal that systemic barriers contributed to challenges in accessing healthcare for immigrant children. Participants identified several of these barriers—namely, system barriers, language and cultural barriers, relationship with health professionals, and financial barriers. These barriers can be addressed by policymakers and service providers by strengthening the diversity of the workforce, addressing income as a social determinant of health, and improving access to language interpretation services.

scholarly journals Legal needs of patients attending an urban family practice in Hamilton, Ontario, Canada: an observational study of a legal health clinic

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Gina Agarwal ◽  
Melissa Pirrie ◽  
Dan Edwards ◽  
Bethany Delleman ◽  
Sharon Crowe ◽  
...  
Keyword(s):  
Observational Study ◽  
Health Outcomes ◽  
Family Practice ◽  
Healthcare Setting ◽  
Social Determinant ◽  
Care Physician ◽  
Health Clinic ◽  
Legal Services ◽  
Future Health ◽  
Urban Family

Abstract Background Individuals living in poverty often visit their primary care physician for health problems resulting from unmet legal needs. Providing legal services for those in need may therefore improve health outcomes. Poverty is a social determinant of health. Impoverished areas tend to have poor health outcomes, with higher rates of mental illness, chronic disease, and comorbidity. This study reports on a medical-legal collaboration delivered in a healthcare setting between health professionals and lawyers as a novel way to approach the inaccessibility of legal services for those in need. Methods In this observational study, patients aged 18 or older were either approached or referred to complete a screening tool to identify areas of concern. Patients deemed to have a legal problem were offered an appointment at the Legal Health Clinic, where lawyers provided legal advice, referrals, and services for patients of the physicians. Fisher’s exact test was used to compare populations. Binary logistic regression was used to determine the factors predicting booking an appointment with the clinic. Results Eighty-four percent (n = 648) of the 770 patients screened had unmet legal needs and could benefit from the intervention, with an average of 3.44 (SD = 3.42) legal needs per patient screened. Patients with legal needs had significantly higher odds of attending the Legal Health Clinic if they were an ethnicity that was not white (OR = 2.48; 95% CI 1.14–5.39), did not have Canadian citizenship (OR = 4.40; 95% CI 1.48–13.07), had housing insecurity (OR = 3.33; 95% CI 1.53–7.24), and had difficulty performing their usual activities (OR = 2.83; 95% CI 1.08–7.43). As a result of the clinic consultations, 58.0% (n = 40) were referred to either Legal Aid Ontario or Hamilton Community Legal Clinic, 21.74% (n = 15) were referred to a private lawyer; one case was taken on by the clinic lawyer. Conclusion The Legal Health Clinic was found to fulfill unmet legal needs which were abundant in this urban family practice. This has important implications for the future health of patients and clinical practice. Utilizing a Legal Health Clinic could translate into improved health outcomes for patients by helping overcome barriers in accessing legal services and addressing social causes of adverse health outcomes.

Women’s Healing Journey From Intimate Partner Violence: Establishing Positive Sexuality

2018 ◽  
Vol 29 (6) ◽  
pp. 779-795 ◽  
Author(s):  
Meredith E. Bagwell-Gray
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Health ◽  
Health Outcomes ◽  
Partner Violence ◽  
Healing Process ◽  
Intimate Partner ◽  
Process Data ◽  
Transmitted Infection ◽  
Wide Range ◽  
Women's Healing

Survivors of intimate partner violence (IPV) have an elevated risk for negative sexual health outcomes, including HIV and sexually transmitted infection (STI). Given the unique risk contexts for survivors, there is a need for effective sexual health interventions that take into account the imbalances of power for women who are survivors of IPV. Toward the aim of informing contextually relevant intervention approaches, this article describes women’s strategies toward maintaining their sexual health in the context of violent, controlling relationships. Strategies are examined across women’s healing process. Data were collected through semi-structured, in-person interviews with women who had experienced IPV ( N = 28). Participants had a wide range of negative sexual health outcomes and commonly used an analogy of a journey to describe their healing. Throughout these journeys, women gained more confidence and ownership over their sexuality. Themes centered around enhanced self-acceptance, ownership of personal sexuality, and readiness for desirable sexual partnerships.

scholarly journals Reactions to Diversity: Using Theater to Teach Medical Students about Cultural Diversity

2016 ◽  
Vol 3 ◽  
pp. JMECD.S37986 ◽  
Author(s):  
Kimberley D Ivory ◽  
Paul Dwyer ◽  
Georgina Luscombe
Keyword(s):  
Medical Students ◽  
Health Outcomes ◽  
Diversity Training ◽  
Social Determinant ◽  
Cultural Humility ◽  
Future Health ◽  
Perceptions And Attitudes ◽  
Interactive Exercises ◽  
Social Determinant Of Health

Training medical students to understand the effects of culture and marginalization on health outcomes is important to the future health of increasingly diverse populations. We devised and evaluated a short training module on working with diversity to challenge students’ thinking about the role of both patient and practitioner culture in health outcomes. The workshop combined didactic teaching about culture as a social determinant of health using the cultural humility model, interactive exercises, and applied theater techniques. We evaluated changes in the students’ perceptions and attitudes over time using the Reaction to Diversity Inventory. There was initial significant improvement. Women and students with no past diversity training responded best. However, scores largely reverted to baseline over 12 months.

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