Culturally appropriate health services for Black Canadians

Gigi Rain Ella Wickham

Abstract


Black Canadians are more likely to suffer health disparities compared to the majority of the population. This is an issue in regards to equity, where some people are not given the right tools needed for physical and/or mental wellness and prosperity. Black-White disparities are partially caused by socio-economic status (SES), sociocultural factors and the social determinants of health. According to public health studies, racism and perceived
discrimination, income, poverty and other factors affect adherence to physician referrals or advice and overall health among Black populations. Additionally, Afro-Caribbean cultures suffer from various health issues, such as obesity and hypertension, at a higher incidence than their White counterparts. Research shows that Community Health Clinics (CHCs) like TAIBU CHC in Scarborough, Ontario are likely to be effective in addressing disparities, as they provide care to those who need it most. To coordinate effective care to a specific community, they are using linguistic, sociocultural, evidential and other strategies. With these programs, however, it is important to still view the individual as having specific needs and issues and not just as a reflection of their culture when implementing cultural competence.

Les Canadiens noirs font face à des disparités en matière de santé par rapport au reste de la population. Ceci est une question d’équité, car certaines personnes n’ont pas les outils nécessaires pour leur bien-être physique et/ou mental. Ces disparités sont partiellement causées par leur statut socioéconomique (SSE), les facteurs socioculturels et les déterminants sociaux de santé. Selon des études de santé publique, des facteurs tels que le racisme, la discrimination, le revenu et la pauvreté affectent l’adhésion des patients à des conseils médicaux ainsi que la santé globale de la population noire. En outre, la population afro-caribéenne souffre de problèmes de santé comme l’obésité et l’hypertension à une incidence plus élevée que leurs homologues blancs. La recherche montre que les cliniques de santé communautaire (CSC) comme TAIBU CHC à Scarborough, Ontario peuvent être efficaces en adressant les disparités, car elles fournissent des soins à ceux qui ont le plus besoin. Pour coordonner des soins efficaces pour une communauté spécifique, elles utilisent des stratégies linguistiques, socioculturelles, évidentielles, entre autres. Avec ces programmes, cependant, il reste important de répondre aux besoins individuels de la population tout en tenant compte de la culture lors d’une mise en oeuvre de compétences culturelles.


Keywords


health services; health disparities; visible minorities

Full Text:

PDF

References


Kreuter, M., Lukwago, S., Bucholtz, D., Clark, E., & Sanders Thompson, V. (2003). Achieving cultural appropriateness in health promotion programs: Targeted and tailored approaches. Health Education & Behavior, 30(2), 133-146. doi:10.1177/1090198102251021

Penner, L., Dovidio, J., Edmondson, D., Dailey, R., Markova, T., Albrecht, T., & Gaertner, S. (2009). The experience of discrimination and black-white health disparities in medical care. Journal of Black Psychology, 35(2), 180-203. doi:10.1177/0095798409333585

Rodney, P., & Copeland, E. (2009). The Health Status of Black Canadians: Do Aggregated Racial and Ethnic Variables Hide Health Disparities? Journal of Health Care for the Poor and Underserved, 20(3), 817-823. doi:10.1353/ hpu.0.0179

Saha, S., Beach, M. C., & Cooper, L. A. (2008). Patient Centeredness, Cultural Competence and Healthcare Quality. Journal of the National Medical Association, 100(11), 1275 1285.

TAIBU Community Health Centre. (n.d.). Retrieved July 25, 2016, from http://www.taibuchc.ca/




DOI: https://doi.org/10.13034/jsst.v10i2.220

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Journal of Student Science and Technology