Journal of Immigrant and Minority Health

, Volume 18, Issue 3, pp 697–709 | Cite as

A Scoping Review of Immigrant Experience of Health Care Access Barriers in Canada

Review Paper

Abstract

Canadian population-based surveys report comparable access to health care services between immigrant and non-immigrant populations, yet other research reports immigrant-specific access barriers. A scoping review was conducted to explore research regarding Canadian immigrants’ unique experiences in accessing health care, and was guided by the research question: “What is currently known about the barriers that adult immigrants face when accessing Canadian health care services?” The findings of this study suggest that there are unmet health care access needs specific to immigrants to Canada. In reviewing research of immigrants’ health care experiences, the most common access barriers were found to be language barriers, barriers to information, and cultural differences. These findings, in addition to low cultural competency reported by interviewed health care workers in the reviewed articles, indicate inequities in access to Canadian health care services for immigrant populations. Suggestions for future research and programming are discussed.

Keywords

Immigrants Health access Barriers Canada 

References

  1. 1.
    Statistics Canada: City of Toronto Health Unit (Health Region) Health Profile, December 2013. Statistics Canada Catalogue no. 82-228-XWE. Ottawa: Government of Canada; 2013. Retrieved 20 July 2014 from http://www12.statcan.gc.ca/health-sante/82-228/index.cfm?Lang=E.
  2. 2.
    Statistics Canada: Longitudinal survey of immigrants to Canada: Process, progress and prospects No. 89-611-XIE. Ottawa: Government of Canada; 2003.Google Scholar
  3. 3.
    Statistics Canada: Canadian Community Health Survey—Annual Component (CCHS); 2012. Retrieved 20 July 2014 from http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SDDS=3226&lang=en&db=imdb&adm=8&dis=2.
  4. 4.
    Gushulak BD, Pottie K, Hatcher Roberts J, Torres S, DesMeules M. Canadian collaboration for immigrant and refugee health :migration and health in Canada: health in the global village. CMAJ. 2011;183(12):E952–8. doi:10.1503/cmaj.090287.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Zanchetta MS, Poureslami IM. Health literacy within the reality of immigrants’ culture and language. Can J Public Health. 2006;97:S26–30.PubMedGoogle Scholar
  6. 6.
    Koehn S, Neysmith S, Kobayashi K, Khamisa H. Revealing the shape of knowledge using an intersectionality lens: results of a scoping review on the health and health care of ethnocultural minority older adults. Ageing Soc. 2013;33(03):437–64.CrossRefGoogle Scholar
  7. 7.
    Canada Health Act. Revised statutes of Canada; 1984. c. 6, s. 1. Retrieved 3 Aug 2014 from http://laws-lois.justice.gc.ca/PDF/C-6.pdf.
  8. 8.
    Schellenberg G, Maheux H. Immigrants’ perspectives on their first four years in Canada: highlights from three waves of the longitudinal survey of immigrants to Canada. Ottawa: Statistics Canada; 2008.Google Scholar
  9. 9.
    Ng E, Pottie K, Spitzer D. Official language proficiency and self-reported health among immigrants to Canada. Statistics Canada. Catalogue no. 82-003-XPE. Health Reports 2011; 22(4):1–8. Retrieved 5 Apr 2015 from http://scholar.google.ca/scholar?q=Official+language+proficiency+and+self-reported+health+among+immigrants+to+Canada&btnG=&hl=en&as_sdt=2005&sciodt=0%2C5&cites=7951494501265002208&scipsc=.
  10. 10.
    Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.CrossRefGoogle Scholar
  11. 11.
    Giordano C, Druyts EF, Garber G, Cooper C. Evaluation of immigration status, race and language barriers on chronic hepatitis C virus infection management and treatment outcomes. Eur J Gastroenterol Hepatol. 2009;21(9):963–8.CrossRefPubMedGoogle Scholar
  12. 12.
    Newbold KB. Health care use and the Canadian immigrant population. Int J Health Serv. 2009;39(3):545–65. doi:10.2190/HS.39.3.g.CrossRefPubMedGoogle Scholar
  13. 13.
    Setia MS, Quesnel-Vallee A, Abrahamowicz M, Tousignant P, Lynch J. Access to health-care in Canadian immigrants: a longitudinal study of the national population health survey. Health Soc Care Community. 2011;19(1):70–9.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Sword W, Watt S, Krueger P. Postpartum health, service needs, and access to care experiences of immigrant and Canadian-born women. JOGNN. 2006;35(6):717–27. doi:10.1111/j.1552-6909.2006.00092.x.CrossRefPubMedGoogle Scholar
  15. 15.
    McDonald JT, Kennedy S. Cervical cancer screening by immigrant and minority women in Canada. J Immigr Minor Health. 2007;9(4):323–34. doi:10.1007/s10903-007-9046-x.CrossRefPubMedGoogle Scholar
  16. 16.
    Hyman I, Patychuk D, Zaidi Q, Kljujic D, Shakya Y, Rummens J, Creatore M, Vissandjee B. Self-management, health service use and information seeking for diabetes care among recent immigrants in Toronto. Chronic Dis Inj Can. 2012;33(1):12–8.PubMedGoogle Scholar
  17. 17.
    Wang L, Rosenberg M, Lo L. Ethnicity and utilization of family physicians: a case study of Mainland Chinese immigrants in Toronto, Canada. Soc Sci Med. 2008;67(9):1410–22. doi:10.1016/j.socscimed.2008.06.012.CrossRefPubMedGoogle Scholar
  18. 18.
    Ganann R, Sword W, Black M, Carpio B. Influence of maternal birthplace on postpartum health and health services use. J Immigr Minor Health. 2012;14(2):223–9. doi:10.1007/s10903-011-9477-2.CrossRefPubMedGoogle Scholar
  19. 19.
    Lai DW, Chau SB. Predictors of health service barriers for older Chinese immigrants in Canada. Health Soc Work. 2007;32(1):57–65.CrossRefPubMedGoogle Scholar
  20. 20.
    Lai DW, Surood S. Effect of service barriers on health status of aging South Asian immigrants in Calgary, Canada. Health Soc Work. 2013;38(1):41–50.CrossRefPubMedGoogle Scholar
  21. 21.
    Citizenship and Immigration Canada. Managing permanent immigration and temporary migration; 2013. Retrieved 3 Aug 2014 from http://www.cic.gc.ca/english/resources/publications/annual-report-2013/section2.asp.
  22. 22.
    Dastjerdi M, Olson K, Ogilvie L. A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory. Int J Equity Health. 2012;11:55.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Donnelly T, McKellin W, Hislop G, Long B. Socioeconomic influences on Vietnamese-Canadian women’s breast and cervical cancer prevention practices: a social determinant’s perspective. Soc Work Public Health. 2009;24(5):454–76.CrossRefPubMedGoogle Scholar
  24. 24.
    Guruge S, Hunter J, Barker K, McNally MJ, Magalhães L. Immigrant women’s experiences of receiving care in a mobile health clinic. J Adv Nurs. 2012;66(2):350–9.CrossRefGoogle Scholar
  25. 25.
    Ngwakongnwi E, Hemmelgarn BR, Musto R, Quan H, King-Shier KM. Experiences of French speaking immigrants and non-immigrants accessing health care services in a large Canadian city. Int J Environ Res Public Health. 2012;9(10):3755–68.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Li HZ, Browne AJ. Defining mental illness and accessing mental health services: perspectives of Asian Canadians. Can J Community Ment Health. 2000;19(1):143–60.CrossRefGoogle Scholar
  27. 27.
    Ahmad F, Mahmood S, Pietkiewicz I, McDonald L, Ginsburg O. Concept mapping with South Asian immigrant women: barriers to mammography and solutions. J Immigr Minor Health. 2012;14(2):242–50. doi:10.1007/s10903-011-9472-7.CrossRefPubMedGoogle Scholar
  28. 28.
    Gupta A, Kumar A, Stewart DE. Cervical cancer screening among South Asian women in Canada: the role of education and acculturation. Health Care Women Int. 2002;23(2):123–34.CrossRefPubMedGoogle Scholar
  29. 29.
    Sadavoy J, Meier R, Ong AYM. Barriers to access to mental health services for ethnic seniors: the Toronto study. Can J Psychiatry. 2004;49(3):192–9.PubMedGoogle Scholar
  30. 30.
    Gulati S, Watt L, Shaw N, Sung L, Poureslami IM, Klaassen R, Dix D, Klassen AF. Communication and language challenges experienced by Chinese and South Asian immigrant parents of children with cancer in Canada: implications for health services delivery. Pediatr Blood Cancer. 2012;58(4):572.CrossRefPubMedGoogle Scholar
  31. 31.
    Klassen AF, Gulati S, Watt L, Banerjee AT, Sung L, Klaassen RJ, Dix D, Poureslami I, Shaw N. Immigrant to Canada, newcomer to childhood cancer: a qualitative study of challenges faced by immigrant parents. Psycho Oncol. 2012;21(5):558–62. doi:10.1002/pon.1963.CrossRefGoogle Scholar
  32. 32.
    Stewart MJ, Neufeld A, Harrison M, Spitzer D, Hughes K, Makwarimba E. Immigrant women family caregivers in Canada: implications for policies and programmes in health and social sectors. Health Soc Care Community. 2006;14(4):329–40.CrossRefPubMedGoogle Scholar
  33. 33.
    Lindsay S, King G, Klassen AF, Esses V, Stachel M. Working with immigrant families raising a child with a disability: challenges and recommendations for healthcare and community service providers. Disabil Rehabil. 2012;34(23):2007–17.CrossRefPubMedGoogle Scholar
  34. 34.
    Teng L, Blackmore ER, Stewart DE. Healthcare worker’s perceptions of barriers to care by immigrant women with postpartum depression: An exploratory qualitative study. Arch Women Ment Health. 2007;10(3):93–101. doi:10.1007/s00737-007-0176-x.CrossRefGoogle Scholar
  35. 35.
    Weerasinghe S, Mitchell T. Connection between the meaning of health and interaction with health professionals: caring for immigrant women. Health Care Women Int. 2007; 28(4):309–328. Retrieved 21 July 2014 from http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=2009560193&site=ehost-live.
  36. 36.
    McDonald JT, Kennedy S. Insights into the ‘healthy immigrant effect’: health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59(8):1613–27.CrossRefPubMedGoogle Scholar
  37. 37.
    Ahmad F, Jandu B, Albagli A, Angus JE, Ginsburg O. Exploring ways to overcome barriers to mammography uptake and retention among South Asian immigrant women. Health Soc Care Community. 2013;21(1):88–97.CrossRefPubMedGoogle Scholar
  38. 38.
    Poureslami I, Rootman I, Doyle-Waters M, Nimmon L, FitzGerald J. Health literacy, language, and ethnicity-related factors in newcomer asthma patients to Canada: a qualitative study. J Immigr Minor Health. 2011;13(2):315–22. doi:10.1007/s10903-010-9405-x.CrossRefPubMedGoogle Scholar
  39. 39.
    Reitmanova S, Gustafson DL. Primary mental health care information and services for St. John’s visible minority immigrants: gaps and opportunities. Issues Ment Health Nurs. 2009;30(10):615–23.CrossRefPubMedGoogle Scholar
  40. 40.
    Clough J, Lee S, Chae DH. Barriers to health care among Asian immigrants in the United States: a traditional review. J Health Care Poor Underserv. 2013;24(1):384–403.CrossRefGoogle Scholar
  41. 41.
    Ku L, Matani S. Left out: immigrants’ access to health care and insurance. Health Aff. 2001;20(1):247–56.CrossRefGoogle Scholar
  42. 42.
    Derose KP, Bahney BW, Lurie N, Escarce JJ. Review: immigrants and health care access, quality, and cost. Med Care Res Rev. 2009;66(4):355–408.CrossRefPubMedGoogle Scholar
  43. 43.
    De Luca G, Ponzo M, Andrés AR. Health care utilization by immigrants in Italy. Int J Health Care Finance Econ. 2013;13(1):1–31.CrossRefPubMedGoogle Scholar
  44. 44.
    Lindert J, Schouler-Ocak M, Heinz A, Priebe S. Mental health, health care utilisation of migrants in Europe. Eur Psychiatry. 2008;23:14–20.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.School of Rehabilitation TherapyQueen’s UniversityKingstonCanada

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