Examining the health and healthcare experiences of older Vietnamese Canadians who have chronic conditions
Notice bibliographique
Résumé
Older immigrants in Canada have poorer health and projected health outcomes as well as a harder time seeking and accessing healthcare compared to their younger, non-immigrant counterparts. Although previous research has explored the barriers that older immigrants face, the experiences of older Vietnamese immigrants have not been thoroughly examined. Older Vietnamese immigrants have been studied in other contexts, like the United States and Australia, where researchers found evidence of multifaceted barriers to health, including limited English proficiency, low health literacy, and social/cultural influences on health behaviours. Building on this research, the purpose of my study was to explore the health and healthcare experiences of older Vietnamese immigrants in Canada, who have at least one chronic condition. Intersectionality theory was also used to further understand how health is influenced by various systems of oppression. I conducted semi-structured interviews with eight older Vietnamese immigrants, aged 53-70 (average age 62). Six participants were interviewed twice, and two participants were interviewed once. The data were audio-coded and thematically analyzed. Three themes were identified. The first theme, “Finding a doctor who cares about you is hard”, compared the participants’ lack of adequate care in Vietnam with their experiences of receiving quality care for the first-time post immigration. The second theme, “You just have to try your best”, encompassed the participants’ difficulties with managing their health and accessing care as well as their complex feelings of gratitude and indebtedness to Canada. The last theme, “At this age I can’t be strong and healthy anymore”, identified the ways that participants’ health experiences and perceptions had changed as they aged in Canada, especially as they reflected on the ways that war and poverty had influenced their health decisions. These findings are discussed in relation to past research and recommendations for future research, healthcare policy, and healthcare practice are also provided. Through a deep exploration of the health and healthcare experiences of older Vietnamese immigrants in Canada, this study has further unraveled the complex ways that history, identity, and immigration influence health while also highlighting the importance of incorporating marginalized populations within healthcare research.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,016 | 0,005 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,001 | 0,004 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».