Evidence map›Paper›PMID 34915891›Full record

ArticleInternational journal for equity in health2021

Difficulties accessing health care services during the COVID-19 pandemic in Canada: examining the intersectionality between immigrant status and visible minority status.

Josephine Etowa, Yujiro Sano, Ilene Hyman, Charles Dabone, Ikenna Mbagwu, Bishwajit Ghose, Muna Osman, Hindia Mohamoud

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  8. Factors associated with self-rated health in Black Canadians: A cross-sectional study.Canadian journal of public health = Revue canadienne de sante publique · 2025
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  16. Looking through the lens: a photovoice study examining access to services for newcomer children.International journal of qualitative studies on health and well-being · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Josephine EtowaFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada. jetowa@uottawa.ca.ORCID 0000-0003-2019-7958
Yujiro SanoDepartment of Sociology, Nipissing University, North Bay, ON, Canada.
Ilene HymanFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Charles DaboneFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Ikenna MbagwuFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Bishwajit GhoseFaculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Muna OsmanOttawa Local Immigrant Partnership, Ottawa, ON, Canada.
Hindia MohamoudOttawa Local Immigrant Partnership, Ottawa, ON, Canada.
University of Ottawa · CAImpact · CANipissing University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifficulties accessing health care services can result in delaying in seeking and obtaining treatment. Although these difficulties are disproportionately experienced among vulnerable groups, we know very little about how the intersectionality of realities experienced by immigrants and visible minorities can impact their access to health care services since the pandemic.

methodsUsing Statistics Canada's Crowdsourcing Data: Impacts of COVID-19 on Canadians-Experiences of Discrimination, we combine two variables (i.e., immigrant status and visible minority status) to create a new variable called visible minority immigrant status. This multiplicative approach is commonly used in intersectionality research, which allows us to explore disadvantages experienced by minorities with multiplicative identities.

resultsMain results show that, compared to white native-born, visible minority immigrants are less likely to report difficulties accessing non-emergency surgical care (OR = 0.55, p < 0.001), non-emergency diagnostic test (OR = 0.74, p < 0.01), dental care (OR = 0.71, p < 0.001), mental health care (OR = 0.77, p < 0.05), and making an appointment for rehabilitative care (OR = 0.56, p < 0.001) but more likely to report difficulties accessing emergency services/urgent care (OR = 1.46, p < 0.05).

conclusionWe conclude that there is a dynamic interplay of factors operating at multiple levels to shape the impact of COVID-19 related needs to be addressed through changes in social policies, which can tackle unique struggles faced by visible minority immigrants.

Indexed as

COVID-19Emigrants and ImmigrantsCanadaHealth Services AccessibilityHumansIntersectional FrameworkPandemicsSARS-CoV-2CanadaCOVID-19Health careImmigrantsVisible minorities

Identifiers

PMID34915891
PMCPMC8674863
OpenAlexW4200485902

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.