Voluntary migrants to Canada are generally healthier than the average Canadian, but after ten years in the country they report poorer health and higher rates of chronic disease than those born here. Troublingly, women — particularly those from non-European countries — experience the most precipitous decline in health. What contributes to this deterioration, and how can its effects be mitigated?Engendering Migrant Health brings together researchers from across Canada to address the intersections of gender, immigration, and health in the lives of new Canadians. Focusing on the context of Canadian policy and society, the contributors illuminate migrants' testimonies of struggle, resistance, and solidarity as they negotiate a place for themselves in a new country. Topics range from the difficulties of Francophone refugees and the changing roles of fathers, to the experiences of queer newcomers and the importance of social unity to communal and individual health
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This paper explores the ways in which government policy and public discourse have operated to enhance and maintain the liminal status of Somali women refugees in Canada, and the ways in which Somali Canadian women have resisted these efforts in order to create meaning and a place for themselves and their families in North America. The policies and practices that obliged many Somali women to wait three to five years to apply for permanent residency status, Eurocentric definitions of the family that constrain family unification strategies, and economic marginalization due to lack of recognition of foreign credentials have had cumulative adverse effects on the health and well-being of Somali women in Canada. ; L'article se penche, d'une part, sur la manière dont les politiques gouvernementales et le discours public ont contribué à rehausser et à maintenir le statut liminaire des réfugiées somaliennes au Canada et, d'autre part, sur la façon dont les Canadiennes d'origine somalienne s'y sont opposées afin de créer un sens et une place pour elles et leur famille en Amérique du Nord. Plusieurs facteurs ont eu des effets néfastes sur la santé et le bien-être des Somaliennes au Canada : les politiques et les pratiques qui les obligent à attendre de trois à cinq ans pour demander un statut de résidence permanente, les définitions eurocentriques de la famille qui restreignent les stratégies d'unification familiale de même que la marginalisation économique découlant du peu de reconnaissance de la certification étrangère.
How is gender implicated in our exploration of health disparities in Canada? Set against the backdrop of federal government policy, this review paper examines the ways in which gender intersects with other health determinants to produce disparate health outcomes. An overview of salient issues including the impact of gender roles, environmental exposures, gender violence, workplace hazards, economic disparities, the costs of poverty, social marginalization and racism, aging, health conditions, interactions with health services, and health behaviours are considered. This review suggests health is detrimentally affected by gender roles and statuses as they intersect with economic disparities, cultural, sexual, physical and historical marginalization as well as the strains of domestic and paid labour. These conditions result in an unfair health burden borne in particular by women whose access to health determinants is–in various degrees–limited. While progress has certainly been made on some fronts, the persistence of health disparities among diverse populations of women and men suggests a postponement of the vision of a just society with health for all that was articulated in the Federal Plan on Gender Equality. Commitment, creativity and collaboration from stakeholders ranging from various levels of government, communities, academics, non-governmental agencies and health professionals will be required to reduce and eliminate health disparities between and among all members of our society.
Situating data from a pilot study conducted in the Philippines within the research literature, we examine the impact of the recent global economic crisis on the experiences of Filipino migrant workers and their families in the context of previous economic upheavals. In so doing, we highlight the gendered effects of shifts in the global economy and detail government response to the premature return of migrant workers to the Philippines primarily due to retrenchment impelled by the global economic crisis. While the current conditions of migration and return are significant, we argue that these are not the result of a new global economic crisis, but are instead the ongoing effects of neoliberal globalization that have resulted in sustained multiple crises with which residents of the Global South have had to contend. Moreover, the reputed solutions offered to returned migrants are rooted in the same faulty paradigm that will be destined to produce only further hardship.
Abstract Background In Southeast Asia, hundreds of thousands of young rural women migrate from their villages to the larger cities in search of work. Many find employment with beer companies or in the clubs where beer is sold, promoting the sale of beer. Previous research suggests these young migrants are in a highly vulnerable position. This paper will describe the findings of an October 2009 meeting to develop a research agenda on the sexual and reproductive health of beer promoters and a subsequent pilot study of focus groups with beer promoters to review this agenda. Methods Participants of the research meeting representing beer promoters, academics, non-governmental organizations (NGOs), government and the beer industry from Cambodia, Thailand, Laos, and Vietnam collaborated in the development of three key research themes. The themes were verified in focus group discussions with beer promoters organized by local research partners in all four countries. The focus group participants were asked what they felt were the key sexual and reproductive health issues facing them in a non-directive and unstructured manner, and then asked to comment more specifically on the research priorities developed at the meeting. The focus groups were recorded digitally, transcribed, and translated into English. The data were analyzed by coding for common themes and then developing matrices to compare themes between groups. Results The participants of the meeting identified three key research themes: occupational health (including harassment and violence, working conditions, and fair pay), gender and social norms (focusing on the impact of power relations between the genders on women's health), and reproductive health (knowledge and access to reproductive health care services). The participants in the focus groups in all four countries agreed that these were key priorities for them, though the emphasis on the most important issues varied between groups of women. Sexual harassment in the workplace and challenges in accessing reproductive health care services because of the barriers of cost, shyness, and stigmatizing attitudes of health care providers were common problems for many of the women. Conclusions There is a need for regional research and programming for beer promotion women in Southeast Asia focusing on the three research themes of occupational health, gender norms and reproductive health. Such research and programs could provide important benefits for many beer promotion women who currently face significant risks to their sexual and reproductive health.
A new introduction to a timeless dynamic: how the movement of humans affects health everywhere. International migrants compose more than three percent of the world's population, and internal migrants—those migrating within countries—are more than triple that number. Population migration has long been, and remains today, one of the central demographic shifts shaping the world around us. The world's history—and its health—is shaped and colored by stories of migration patterns, the policies and political events that drive these movements, and narratives of individual migrants. Migration and Health offers the most expansive framework to date for understanding and reckoning with human migration's implications for public health and its determinants. It interrogates this complex relationship by considering not only the welfare of migrants, but also that of the source, destination, and ensuing-generation populations. The result is an elevated, interdisciplinary resource for understanding what is known—and the considerable territory of what is not known—at an intersection that promises to grow in importance and influence as the century unfolds
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