Ethnic minority and migrant women’s struggles in accessing healthcare during COVID-19: an intersectional analysis

Yong, Adrienne; Germain, Sabrina

doi:10.1080/14797585.2021.2012090

Cited by 12 publications

(15 citation statements)

References 50 publications

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“…8,11 Moreso systemic barriers, including backlogs, a decimated and underfunded healthcare system and workforce shortages, mean people with LC experience barriers to access. 7,15,31,32 Furthermore, this research adds further to emerging literature surrounding COVID-19, ethnicity and mistrust amongst ethnic minorities. 16,19,33 In relation to accessing LC support, experiences of mistrust and fear were rooted in the disproportionate impact of COVID-19 on ethnic minorities, intersectional accounts of discrimination and previous negative encounters with the healthcare system.…”

Section: Existing Literaturementioning

confidence: 57%

“…Similar to previous studies on LC, participants in this study were having to still do the ‘hard and heavy’ work of both understanding and managing a new illness and navigating fragmented healthcare services 8,11 . Moreso systemic barriers, including backlogs, a decimated and underfunded healthcare system and workforce shortages, mean people with LC experience barriers to access 7,15,31,32 …”

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

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‘I don't know what to do or where to go’. Experiences of accessing healthcare support from the perspectives of people living with Long Covid and healthcare professionals: A qualitative study in Bradford, UK

Baz

Fang

Carpentieri

et al. 2022

Health Expectations

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Background: In October 2022, it was estimated 2.3 million people in the United Kingdom have self-reported Long Covid (LC). Many people have reported not receiving adequate healthcare support. There is a lack of research which provides an in-depth exploration of the barriers faced by people with LC in accessing healthcare support. It is important to understand these barriers to provide better support, care and advice for those experiencing LC.Objective: To understand the barriers faced in accessing primary, secondary and specialist healthcare support for people with LC.Design and Participation: 40 interviews were conducted with people living with LC in Bradford alongside 12 interviews with healthcare professionals (HCPs) providing LC support in Bradford healthcare settings. Interviews were analysed using reflexive thematic analysis.Results: People living with LC had a large degree of difficulty in accessing healthcare services for LC support. We categorized the healthcare access experiences of participants into five main types: (1) being unable to access primary care, (2) accessing primary care but receiving (perceived) inadequate support, (3) extreme persistence, (4) alternatives to mainstream health care and (5) positive experiences.There was a severe lack of access to specialist LC services. Ethnic minority participants faced a further barrier of mistrust and fear of services deterring them from accessing support. HCPs discussed systemic barriers to delivering services.Experiences were embedded in macrostructural issues further exacerbated by the pandemic. Conclusion:To better support people with LC, the barriers faced in accessing healthcare support must be addressed. Of significance, improvements to general

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Section: Existing Literaturementioning

confidence: 57%

Section: Discussionmentioning

confidence: 73%

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‘I don't know what to do or where to go’. Experiences of accessing healthcare support from the perspectives of people living with Long Covid and healthcare professionals: A qualitative study in Bradford, UK

Baz

Fang

Carpentieri

et al. 2022

Health Expectations

View full text Add to dashboard Cite

show abstract

“…Backlogs, a decimated and underfunded healthcare system, and workforce shortages mean people with LC experience a bottleneck in accessing services. 7,14,29 Access to primary care is particularly difficult for those living in deprived postcodes where there is higher prevalence of inequalities and ill health, therefore more demand for services. 12 This can be frustrating when people are managing a new illness for which there is no current holistic treatment.…”

Section: Discussionmentioning

confidence: 99%

"I don't know what to do or where to go". experiences of accessing healthcare support from the perspectives of people living with Long Covid and healthcare professionals: A qualitative study in Bradford, UK.

Baz

Fang

Carpentieri

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: In July 2022 it was estimated 2 million people in the UK have self-reported Long Covid (LC).1 Many people have reported not receiving adequate healthcare support. There is a lack of research which provides an in-depth exploration of the barriers faced by people with LC in accessing healthcare support. It is important to understand these barriers to provide better support, care and advice for those experiencing LC. Objective: To understand the barriers faced in accessing primary, secondary and specialist healthcare support for people with LC. Design and participation: 40 interviews were conducted with people with LC alongside 12 interviews with healthcare professionals (HCPs) providing LC support in Bradford, as part of a UK wide qualitative longitudinal study. Results: People living with LC had a large degree of difficulty in accessing healthcare services for LC support. We categorised the healthcare access experiences of participants into five main types: 1) being unable to access primary care 2) accessing primary care but receiving (perceived) inadequate support 3) extreme persistence 4) alternatives to mainstream healthcare 5) positive experiences. There was a severe lack of access to specialist LC services. Ethnic minority participants faced a further barrier of mistrust and fear of services deterring them from accessing support. HCPs discussed systemic barriers to delivering services. Experiences were embedded in macro structural issues further exacerbated by the pandemic. Conclusion: To better support people with LC the barriers faced in accessing healthcare support must be addressed. Of significance, improvements to GP access are required; especially as GPs are the first line of support for people living with LC. Patient and public involvement: A PPI group is engaged at regular intervals in the project.

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“…Although COVID-19 has disrupted all families in some way, recent research documents the inequitable impacts of the pandemic on families who were already marginalized, which could lead to even greater racial and ethnic disparities in family well-being (Chen et al, 2021;Kantamneni, 2020). These disparities are further heightened due to the intersection of gender, race, and socioeconomic status, making the impact of COVID-19 particularly salient for minoritized mothers of young children living in poverty (Gomez-Aguinaga et al, 2021;Yong & Germain, 2022). Studies examining the experiences of Black and Latinx families during the pandemic have also indicated resilience to the impact of COVID-19 (Gassman-Pines et al, 2020;Penner et al, 2021;Raviv et al, 2021).…”

mentioning

confidence: 99%

Mental Health Trajectories of Latinx Female Caregivers and Young Children During COVID-19: A Longitudinal Analysis

et al. 2023

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Studies of the impact of COVID-19 on mental health symptoms suggest that there may be a unique impact of COVID-19 on minoritized individuals, young children (children five and younger), and their caregivers. Longitudinal studies with representative samples including minoritized populations are needed to accurately reflect the experience of families during COVID-19. The current study used a longitudinal design to assess trajectories of mental health among Latinx female caregivers and their young children over time, beginning prior to the onset of the COVID-19 pandemic and over the course of 12 months. In fall of 2019, Latinx female caregivers (N = 213; 93.0% biological mother) of young children (M age = 5.38, SD = 0.34) reported on their own and their child's (52.6% female) mental health symptoms, as well as parenting stress, at three time points through Fall of 2020. Growth curve models showed that self-report of caregiver global mental health worsened over time, though caregiver depression and parenting stress did not change significantly, nor did caregiver-report of their children's mental health. Results suggest that while female caregiver well-being was adversely affected by COVID-19, caregivers showed resilience in the face of this pandemic, which in turn may have buffered the impact of the pandemic on Latinx child mental health. Methodological and contextual implications of these results are considered.

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Ethnic minority and migrant women’s struggles in accessing healthcare during COVID-19: an intersectional analysis

Cited by 12 publications

References 50 publications

‘I don't know what to do or where to go’. Experiences of accessing healthcare support from the perspectives of people living with Long Covid and healthcare professionals: A qualitative study in Bradford, UK

‘I don't know what to do or where to go’. Experiences of accessing healthcare support from the perspectives of people living with Long Covid and healthcare professionals: A qualitative study in Bradford, UK

"I don't know what to do or where to go". experiences of accessing healthcare support from the perspectives of people living with Long Covid and healthcare professionals: A qualitative study in Bradford, UK.

Mental Health Trajectories of Latinx Female Caregivers and Young Children During COVID-19: A Longitudinal Analysis

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