Ontario Healthcare Coverage Eligibility Among New Permanent Residents: A Scoping Review

New permanent residents to Ontario can experience difficulties accessing health services due to the 3-month residency requirement for provincial healthcare coverage. This scoping literature review, which included peer-reviewed articles and gray literature from 1993–2013, examined the effects of the 3-month waiting period on the health of new permanent residents to Ontario, public health, and the health-care system. At the individual level, issues of affordability, pre-existing conditions, and quality of care were prominent throughout the literature. At a systems level, the policy was found to constrain various health-care settings, pose a risk to public health, and compound health-care system costs.     

The Psychosocial Well-Being of African Refugees in Winnipeg: Critical Stressors and Coping Strategies

Using a photovoice approach, this study explores stressing factors for African refugees after resettlement in Canada and the strategies they adopt to cope. The study used a purposive sampling procedure to recruit 15 participants (8 women and 7 men). Participants took part in a three-phase process of picture taking, one-on-one interviews, and focus group discussions on the selected pictures. Thematic analysis was applied to analyze the data. Identified stressors included social relationship ruptures, lack of understanding of the new culture, unemployment, and navigating unfamiliar laws and regulations. Coping strategies and recommendations for policies and best practices are discussed.     

The Consequences of Identity Theft Victimization: An Examination of Emotional and Physical Health Outcomes

Identity theft—one of the fastest growing crimes—results in considerable financial losses as well as time spent to restore credit and prevent future attacks. While scholars have begun to devote more attention to identifying the factors that increase risk of identity theft, little is known about the aftermath for victims. Using data from the Identity Theft Supplement to the National Crime Victimization Survey, we address this gap in the literature. Results indicate that, in addition to financial losses and loss of time, victims also experience emotional (e.g., depression) and physical (e.g., poor health) symptoms. The implications of these findings for theory, research, and policy are discussed.     

Sex Differences in the Health Risk Behavior Outcomes of Childhood Bullying Victimization

Short- and long-term health consequences of bullying victimization are well documented and include physical and mental health issues as well as increased involvement in risky behavior, but research exploring sex differences in victimization outcomes is still limited. This study uses data from the National Longitudinal Survey of Youth—1997 to examine the consequences of victimization by sex and, more specifically, relationships between bullying victimization and later health risk behaviors—including risky sexual activity, smoking, alcohol use, and drug use. Multivariate analyses identified sex differences for specific health risk indicators, and a substantial difference was evident for overall risk.     

Filters of influence: The help-seeking process of African American single mothers living in poverty seeking mental health services for their children

There are a disproportionate number of African American children living in poverty who are in need of mental health services. African American children who live in poverty tend to underutilize mental health treatment due to the barriers their caregivers face; however, far less research has been conducted on the percentage of children who do access mental health treatment and the experiences of their caregivers in maneuvering through the barriers in their environments. This grounded theory study systematically generated a help-seeking theory that was constructed through the experiences of single African American mothers living in poverty who accessed mental health treatment for their children.     

An Examination of the Effects of Different Victimization Types on Psychological and Behavioral Health Outcomes and the Mediating Role of Stress

Although a considerable amount of research has highlighted the link between interpersonal victimization and adverse psychological and behavioral health, a paucity of research has examined and compared the effects of multiple forms of victimization in the same study. There is also a limited understanding of the underlying individual factors (e.g., emotional processes) that might link experiences of victimization to psychological and behavioral health adversities. To address these gaps, the author used a nationally representative sample of 19,422 Canadians aged 15 years old or older to examine the effects of different types of victimization on psychological and behavioral health outcomes, and to determine whether these associations are mediated by perceived stress. Results revealed that some victimization types (i.e., personal, household/property, cyberbully, ex-partner physical/sexual and emotional abuse) had statistically significant adverse effects on psychological and behavioral health outcomes (i.e., self-report mental health, life satisfaction, satisfaction with safety from crime, and alcohol/drug abuse). Results also revealed that perceived stress mediated the association between some victimization types and psychological, but not behavioral, health outcomes. Discussion points toward the utility of examining multiple victimization types, as well as other converging individual factors or adversities, in explaining psychological and behavioral health outcomes.     

Lesbian and Gay Immigrants' Post-Migration Experiences: An Integrative Literature Review

This integrative literature review synthesizes recent empirical knowledge about lesbian and gay immigrants' post-migration experiences. Twenty-four studies with various designs are included. The literature shows that those immigrants encounter some opportunities but also many challenges on economical, social and identity levels, thus soliciting coping strategies. Results are synthesized under five topics: the delicate situation in which they find themselves for revealing their lesbian or gay sexual orientation; the racist and homophobic discrimination they can experience; their renegotiation of socioeconomic status; the identity and affiliation challenges they have to overcome; and the hardships that can impact their health.     

Review article: the moral right to health: a survey of available conceptions

In recent years, there has been increasing recognition of both the philosophical questions engendered by the idea of a human right to health and the potential of philosophical analysis to help in the formulation of better policy. In this article, I attempt to locate recent work on the moral right to health in a number of historically established conceptions, with the aim of providing a map of the conceptual landscape as to the claims expressed by such a right.     

Food insecurity and ART adherence in Swaziland: the case for coordinated faith-based and multi-sectoral action

ABSTRACT

Faith-based organisations (FBOs) have long been involved in HIV and AIDS impact mitigation and humanitarian relief, but most are not equipped to intervene in the structural drivers of food insecurity and attendant health inequities. Acknowledging limitations is as paramount a task for organisational effectiveness as maximising strengths. This article reports findings from a study of HIV-positive care supporters who volunteer with a church-run home-based care organisation in Swaziland. The article seeks to assess the impact of chronic food insecurity on antiretroviral adherence practices and how these individuals manage daily food shortages. Findings highlight the limited capacities of FBOs in highly vulnerable settings and the imperative for international and governmental coordination.     

From rhetoric to reality: an NGO’s challenge for reaching the furthest behind

The guiding principle of Agenda 2030 is the commitment to “leave no one behind”. However, as the Millennium Development Goals experience has demonstrated, there remains a “rhetoric-implementation gap” where local stakeholders struggle to realistically respond to policies formulated at the global level. This article proposes a way forward for NGOs seeking to translate the rhetoric of Agenda 2030 into reality. It presents an integrated and multi-sectoral approach to meet the challenges of an NGO working to ameliorate the basic needs of women who are affected by HIV/AIDS and limited WaSH provisions in the impoverished rural community of Lyantonde, Uganda.