Legislatively Excluded, Medically Uninsured and Structurally Violated
The Social Organization of HIV Healthcare for African, Caribbean and Black Immigrants with Precarious Immigration Status in Toronto, Canada
Bibliographic Data
| ID | 4661689 |
|---|---|
| Authors | Apondi J Odhiambo (0000-0002-1042-9260, University of Toronto, Toronto, ON, Canada, corresponding author), Lisa Forman (0000-0002-4200-9359, University of Toronto, Toronto, ON, Canada), Laron E Nelson (0000-0002-2630-602X, Yale School of Nursing, New Haven, CT, USA), Patricia O’campo (0000-0003-4549-7324, University of Toronto, Toronto, ON, Canada), Patricia O''Campo, Patricia O'Campo, Daphne Grace (0000-0002-9032-3959, University of Toronto, Toronto, ON, Canada) |
| Year | 2022 |
| Volume | 32 |
| Issue | 5 |
| Pages | 847-865 |
| Publication date | 2022-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/10497323221082958 |
| PMID | 35380883 |
| OpenAlex | W4225630248 |
| Language | EN |
| Citations received | 8 |
| References cited | 55 |
African, Caribbean and Black immigrants face persistent legislative barriers to accessing healthcare services in Canada. This Institutional Ethnography examines how structural violence and exclusionary legislative frameworks restrict the right to HIV healthcare access for many Black immigrants. We conducted semi-structured interviews with Black immigrants living with HIV ( n = 20) and healthcare workers in Toronto, Canada ( n = 15), and analyzed relevant policy texts. Findings revealed that exclusionary immigration and healthcare legislation shaping and regulating immigrants' right to health restricted access to public resources, including health insurance and HIV healthcare and related services, subjecting Black immigrants with precarious status to structural violence. Healthcare providers and administrative staff worked as healthcare gatekeepers. These barriers undermine public health efforts of advancing health equity and ending HIV "while leaving no one behind." We urge continued policy reforms in Canada's immigration and healthcare systems regarding HIV care access for Canada's precarious status immigrants
Economic growth · Economics · Health care · Health equity · Immigration · Legislation · Legislature · Political science · Sociology · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Law · Migration, Health and Trauma
We worked together to change things about our lives”
Disparities in healthcare, STI testing, and PrEP access among newcomer sexual minority men in Canada's three largest urban centers
Structural violence and the uncertainty of viral undetectability for African, Caribbean and Black people living with HIV in Canada
Migrants are human beings and they don’t sleep with animals” healthcare workers and migrants’ experiences of the impact of inadequate antiretroviral therapy provision in Botswana
Migration status, discrimination, and recent sexually transmitted infection testing among South Asian gay, bisexual, and other queer men living in Canada
Post-arrival HIV acquisition patterns
Barriers to access to healthcare service in rural Ontario
We are like broken vessels; we get thrown out
Evaluating the Impact of Immigration Policies on Health Status Among Undocumented Immigrants
Risk and preventing perinatal HIV transmission
Texts and the ontology of organizations and institutions
Pathologies of Power
Institutional ethnography as practice
Aiding Violence
Leaving no one behind
Pathologies of Power
Social Determinants of Perceived Discrimination among Black Youth
Refugees in Canada during the First Wave of the Covid-19 Pandemic
A Comparison of Health Access Between Permanent Residents, Undocumented Immigrants and Refugee Claimants in Toronto, Canada
Leaving no one behind? An equity analysis of the HIV care cascade among a cohort of people living with HIV in Manitoba, Canada
Troubling ruling discourses of health
You Have to Pay to Live
Racism in European Health Care
Immigration Status and Basic Social Human Rights
Immigration Versus Immigrant
Structural Violence
Responses to Structural Violence
Revisiting Johan Galtung’s Concept of Structural Violence
Using Institutional Ethnography to Understand the Production of Health Care Disparities
HIV-Positive Patients and the Doctor-Patient Relationship
An Exploration of Syndemic Factors That Influence Engagement in HIV Care Among Black Men
Exploring the Mutual Constitution of Racializing and Medicalizing Discourses of Immigrant Tuberculosis in the Canadian Press
When Health Care is Displaced by State Interests
Observation and Institutional Ethnography
Are Institutional Health Policies Exclusionary
Beyond Barriers in Studying Disparities in Women's Access to Health Services in Ontario, Canada
State-level immigration and immigrant-focused policies as drivers of Latino health disparities in the United States
Structural violence and schizophrenia
Institutionalizing precarious migratory status in Canada
Violence, Peace, and Peace Research
"Racializing "Illegality
Conducting Analysis in Institutional Ethnography
Legal Violence
Beyond Decision Making
Canada's Non-status Immigrants
| Unique citing works | 8 |
|---|---|
| Citations per year | 2,67 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 8 |