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http://hdl.handle.net/11375/18583
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DC Field | Value | Language |
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dc.contributor.advisor | Sword, Wendy | - |
dc.contributor.author | Ganann, Rebecca | - |
dc.date.accessioned | 2015-11-17T16:20:43Z | - |
dc.date.available | 2015-11-17T16:20:43Z | - |
dc.date.issued | 2016-06 | - |
dc.identifier.uri | http://hdl.handle.net/11375/18583 | - |
dc.description.abstract | Immigrant women are at greater risk for postpartum depression (PPD) compared to non-immigrant women and experience multiple barriers to accessing health services to address their needs. This mixed method study explored the multi-level factors that contribute to the postpartum mental health of immigrant women in Canada and their ability to access requisite health services. In the quantitative phase, data from a longitudinal prospective cohort survey of women were used to examine predictors of PPD over the first postpartum year for a sample of women who delivered at two hospitals in Toronto, Ontario. In the qualitative phase, an interpretive descriptive design shaped by an integrated knowledge translation approach was used to understand the factors immigrant women living in Scarborough, Ontario (a region of Toronto) perceive as contributing to their postpartum emotional health and the factors immigrant women and care providers perceive as influencing access to health services. Across quantitative and qualitative findings, factors contributing to PPD among immigrant women included a lack of social support, individual and community-level challenges faced in terms of the social health determinants, physical health status, and client-provider relationships. Factors contributing to reduced access to health services included: lack of system knowledge, social health determinants, organizational and system barriers, limited access to treatment, and a need for service integration and system navigation support. Immigrant women in Canada experience numerous health inequities that increase their risk for PPD and v prevent them from accessing service supports to address PPD concerns. The Canadian health care system needs to be responsive to individual needs in order to facilitate equitable access and address the health needs of Canadian immigrant women and their families. The diversity and proportion of immigrants in Canada calls for a linguistically and culturally supportive health care system with a strategic approach to enhancing accessibility to address health inequities. | en_US |
dc.language.iso | en | en_US |
dc.subject | Postpartum depression | en_US |
dc.subject | Immigrant women | en_US |
dc.subject | Health service accessibility | en_US |
dc.subject | Health inequities | en_US |
dc.title | A MIXED METHODS INQUIRY INTO INFLUENCES ON IMMIGRANT WOMEN’S POSTPARTUM MENTAL HEALTH AND ACCESS TO SERVICES | en_US |
dc.type | Thesis | en_US |
dc.contributor.department | Nursing | en_US |
dc.description.degreetype | Dissertation | en_US |
dc.description.degree | Doctor of Philosophy (PhD) | en_US |
dc.description.layabstract | Immigrant women have a 2-3 times higher risk for postpartum depression (PPD) than native-born women. This study explored the factors that contribute to PPD among immigrant women in Canada and how health services can help them get the care they need, from the perspective of immigrant women and care providers. This study found increased PPD risk when women lacked social support, had physical health issues, and faced challenges such as low income and lack of English language skills. Working with care providers could help address these challenges or make it more difficult to get care. Immigrant women had more difficulty getting services when they lacked knowledge about the health care system, faced social, financial, and language-based barriers to care, and experienced barriers when using available services. The findings from this research can inform the design and delivery of health care to best meet the needs of immigrant women with PPD. | en_US |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Description | Size | Format | |
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Ganann PhD Thesis Submission Copy (2015-11-13).pdf | Dissertation | 778.79 kB | Adobe PDF | View/Open |
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