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Intersection of Canadian Policy Parameters Affecting Women with Precarious Immigration Status: A Baseline for Understanding Barriers to Health

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Abstract

Canadian federal policy provides a framework for the immigration and health experiences of immigrant women. The official immigration category under which a migrant is admitted determines to what degree her right to remain in the country (immigration status) is precarious. Women immigrants fall primarily into the more dependent categories and they experience barriers to access to health services arising from this precarious status. Federal immigration and health policies create direct barriers to health through regulation of immigrants’ access to services as well as unintended secondary barriers. These direct and secondary policy barriers intersect with each other and with socio-cultural barriers arising from the migrant’s socio-economic and ethno-cultural background to undermine equitable access to health for immigrant women living in Canada.

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References

  1. De Genova NP: Migrant “illegality” and deportability in everyday life. Annual Review of Anthropology 2002; 31:419–447

    Article  Google Scholar 

  2. Citizenship and Immigration Canada (CIC): Facts and figures 2002: Immigration review. Ottawa: CIC; 2003a

    Google Scholar 

  3. Citizenship and Immigration Canada (CIC): Facts and Figures 2002: Statistical overview of the temporary resident and refugee claimant population. Ottawa: CIC; 2003b

    Google Scholar 

  4. Statistics Canada (StatsCan): Longitudinal Survey of Immigrants to Canada: Process, Progress and Prospects. Ottawa: Industry Canada; 2003

    Google Scholar 

  5. Beiser M, Ogilvie L, Oxman-Martinez J, Armstrong R: New Canadian Children and Youth Study (NCCYS); 2004 (ongoing research)

  6. Hou F, Picot G: Visible Minority Neighbourhood Enclaves and Labour Market Outcomes of Immigrants. Ottawa: Statistics Canada; 2003

    Google Scholar 

  7. Jackson A, Smith E: Does a rising tide lift all boats? The Labour Market Experiences and Incomes of Recent Immigrants, 1995 to 1998. Ottawa: Canadian Council on Social Development; 2002

    Google Scholar 

  8. Osborne M: Access to Licensure for Foreign Qualified Nurses. Calgary: Alberta Network of Immigrant Women; 2002

    Google Scholar 

  9. Bannerji H: A question of silence: Reflections on violence against women in communities of colour: In: Dua E, Robertson A, eds. Scratching the Surface: Canadian Anti-racist Feminist Thought. Toronto, Canada: Women’s Press; 1999:261–277

  10. Shah NM, Menon I: Violence against women migrant workers: Issues, data and partial solutions. Asian Pacific Migration Journal 1997; 6:5–30

    Google Scholar 

  11. Hulchanski JD: Immigrants and access to housing: How welcome are newcomers to Canada? Proceedings of the Second National Conference and of the Thematic Seminar “Housing and Neighbourhood”: November 23–26, Montréal, Québec; 1997:263–274

  12. Oxman-Martinez J, Lapierre-Vincent N, eds.: Precarious Immigration Status, Dependency and Women’s Vulnerability to Violence: Impacts on their Health. Montreal: Centre for Applied Family Studies, McGill University and Immigration and Metropolis domain 4; 2002

    Google Scholar 

  13. Gagnon AJ: The Responsiveness of the Canadian Health Care System Towards Newcomers. Ottawa: Royal Commission on the Future of Health Care in Canada (Romanow Commission), Health Canada; 2002

    Google Scholar 

  14. Health Canada (Federal/Provincial/Territorial Ministers of Health): Strategies for Population Health: Investing in the Health of Canadians. Ottawa: Health Canada; 1994

    Google Scholar 

  15. Frank JW: The determinants of health: A new synthesis. Current Issues in Public Health 1995; 1:233–240

    Google Scholar 

  16. Oxman-Martinez J, Khanlou N, Weerasinghe S, Agnew V: Intersecting Barriers to Health for Immigrant Women with Precarious Status; 2004 (ongoing research)

  17. Bowen S: Access to health services for underserved populations in Canada. In: Certain Circumstances: Equity in and Responsiveness of the Health Care System to the Needs of Minority and Marginalized Populations. Ottawa: Health Canada; 2001:1–60

  18. World Health Organization Constitution: 1948

  19. Wilkinson R, Marmot M, eds.: Social Determinants of Health–-The Solid Facts. Copenhagen: World Health Organization Regional Office for Europe; 1998

    Google Scholar 

  20. Vissandjee B, Weinfeld M, Dupere S, Abdool S: Sex, gender, ethnicity, and access to health care services: Research and policy challenges for immigrant women in Canada. International Journal of Migration & Integration 2001; 2:55–75

    Google Scholar 

  21. Weerasinghe S, Williams LS: Health and the intersections of diversity: A challenge paper on selected program, policy and research issues. Paper presented at the Intersections of Diversity Seminar: April, Niagara Falls, Canada; 2003

  22. Langevin L, Belleau MC: Trafficking in women in Canada: A critical Analysis of the Legal Framework Governing Immigrant Live-in Caregivers and Mail-order Brides. Ottawa: Status of Women Canada; 2002

    Google Scholar 

  23. Vissandjee B, Desmeules M, Cao Z, Abdool S, Kazanjian A: Integrating ethnicity and migration as determinants of Canadian women’s health. BMC Women’s Health 2004; 4:S34

    Article  PubMed  Google Scholar 

  24. Hyman I: Immigration and Health: Working Paper. Ottawa: Health Canada; 2001

    Google Scholar 

  25. Gushulak BD, MacPherson DW: Health issues associated with the smuggling and trafficking of migrants. Journal of Immigrant Health 2000; 2:67–77

    Article  Google Scholar 

  26. Agnew V: In Search of a Safe Place: Abused Women and Culturally Sensitive Services. Toronto, Canada: University of Toronto Press; 1998

    Google Scholar 

  27. Mulvihill MA, Mailloux L, Atkin W: Advancing Policy and Research Responses to Immigrant and Refugee Women’s Health in Canada. Ottawa: Women’s Health Bureau, Health Canada; 2001

    Google Scholar 

  28. Gastaldo D, Lima J, Chakir F, Bendris N, Vissandjee B: Reproductive and sexual care for Arab Muslim women living in Quebec (Canada): Looking at religion, gender and immigration to have a better understanding of health. Paper presented at the International Sociological Association Conference: August, Montreal, Quebec; 1998

  29. Menjívar C, Salcido O: Immigrant women and domestic violence: Common experiences in different countries. Gender & Society 2002; 16:898–920

    Google Scholar 

  30. Immigration and Refugee Protection Act. S.C. 2001: c. 27

  31. Citizenship and Immigration Canada (CIC): About the department. Web publication, 2004a. Retrieved on October 21, 2004, from http://www.cic.gc.ca/english/department/index.html

  32. Oxman-Martinez J, Martinez A, Hanley J: Trafficking women: Gendered impacts of Canadian immigration policy. Journal of International Migration and Integration 2001; 2:297–313

    Google Scholar 

  33. Ministère des Relations avec les citoyens et de l’Immigration (MRCI): Canada–Québec Accord Relating to Immigration and Temporary Admission of Aliens of 1991. Québec: Gouvernement du Québec; 2000

  34. CIC: Letter of intent with respect to a Canada–Ontario immigration agreement (May 7, 2004). Web publication: Citizenship and Immigration Canada; 2004b. Retrieved on October 21, 2004, from http://www.cic.gc.ca/english/policy/fed-prov/ont-intent.html

  35. Garcea J: Settlement Renewal: A Compendium of Issues and Options. Edmonton: Prairie Centre for Excellence for Research and Immigration; 1998

    Google Scholar 

  36. Citizenship and Immigration Canada (CIC): Family class immigration. Web publication, 2003c. Retrieved on October 19, 2004, from http://www.cic.gc.ca/english/sponsor/index.html

  37. Citizenship and Immigration Canada (CIC): Working temporarily in Canada. Web publication, 2004c. Retrieved on October 18, 2004, from http://www.cic.gc.ca/english/work/index.html

  38. Citizenship and Immigration Canada (CIC): The Live-in Caregiver Program: For Employers and Caregivers Abroad. Ottawa: CIC; 2002

    Google Scholar 

  39. Oxman-Martinez J, Hanley J, Cheung L: Another Look at the Live-in-Caregivers Program. Montréal: Immigration et métropoles; 2004

    Google Scholar 

  40. Spitzer D, Bernardino C, Pereira II: In the shadows: Live-in caregivers in Alberta. Edmonton: Changing Together... A Centre for Immigrant Women; 2002

    Google Scholar 

  41. Macklin A: Foreign domestic workers: Surrogate housewife or mail order servant? McGill Law Journal 1992; 37:681–760

    Google Scholar 

  42. Oxman-Martinez J, Hanley J: A Follow up Study of Canadian Policy on Human Trafficking: Impacts of the Immigration and Refugee Protection Act. Montreal: Immigration et métropoles; 2004

    Google Scholar 

  43. Crépeau F, Jimenez E: L’impact de la lutte contre le terrorisme sur les libertés fondamentales au Canada. In Bribosia E, Weyerbergh A, eds. Lutte contre le terrorisme et droits fondamentaux, collection “~Droit et Justice~”. Brussels: Bruylant; 2002

  44. Newbold KB, Danforth J: Health status and Canada’s immigrant population. Soc Sci Med 2003; 57:1981–1995

    Article  PubMed  Google Scholar 

  45. Hyman I, Guruge S: A review of theory and health promotion strategies for new immigrant women. Can J Public Health 2002; 93:183–187

    PubMed  Google Scholar 

  46. Health Canada: About Health Canada. Web publication, 2003. Retrieved October 19, 2004, from http://www.hc-sc.gc.ca/english/about/about.html

  47. Canada Health Act: R.S.C 1985:c. C-6

  48. Office of the Prime Minister: First minister’s meeting (September 13–15, 2004): A 10-year plan to strengthen health care (news release). Web publication, 2004. Retrieved on October 19, 2004, from http://www.pm.gc.ca/eng/feature.asp?pageId=2&id=260

  49. Health Canada (Women’s Health Bureau): About the Women’s Health Bureau. Web publication, 2003. Retrieved on October 19, 2004, from http://www.hc-sc.gc.ca/english/women/index.html

  50. Spitzer D, Stewart M, Kushner K: Gender, Sex & Health: Overview of Recent Research. Working Paper. Ottawa: CIHR Institute of Gender and Health; 2004

  51. Elliot SJ, Gillie J: Moving experiences: A qualitative analysis of health and migration. Health and Place 1998; 4:327–339

    Article  PubMed  Google Scholar 

  52. Pollard AJ, Savulescu J: Ethics in practice: Eligibility of overseas visitors and people of uncertain residential status for NHS treatment. BMJ 2004; 329:346–349

    Article  PubMed  Google Scholar 

  53. Bowen S: Cultural Competency in Paediatric Health Care: Issues and Best Practices. Ottawa: Health Canada, 2002

    Google Scholar 

  54. Wilson K, Rosenberg MW: Accessibility and the Canadian health care system: Squaring perceptions and realities. Health Policy 2004; 67:137–148

    Article  PubMed  Google Scholar 

  55. Neufeld A, Harrison M, Stewart MJ, Hughes K, Spitzer DL: Immigrant women: Making connections to community resources for support in family caregiving. Qualitative Health Research 2002; 12:751–768

    Article  PubMed  Google Scholar 

  56. MacLeod L, Shin M: Isolated, Afraid and Forgotten: The Service Delivery Needs and Realities of Immigrant and Refugee Women Who Are Battered. Ottawa: National Clearing House on Family Violence; 1990

    Google Scholar 

  57. Côté A, Kérisit M, Côté M: Sponsorship... for Better or Worse: The Impact of Sponsorship on the Equality Rights of Immigrant Women. Ottawa: Status of Women Canada; 2001

  58. Picot G: The deteriorating economic welfare of immigrants and possible causes. Ottawa: StatsCan; 2004

    Google Scholar 

  59. Citizenship and Immigration Canada (CIC): Facts and Figures 2003. Immigration Overview: Permanent and Temporary Residents. Ottawa: CIC; 2004d

  60. Risman BJ: Gender as a social structure: Theory wrestling with activism. Gender and Society 2004; 18:429–450

    Article  Google Scholar 

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Correspondence to Jacqueline Oxman-Martinez.

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Oxman-Martinez, J., Hanley, J., Lach, L. et al. Intersection of Canadian Policy Parameters Affecting Women with Precarious Immigration Status: A Baseline for Understanding Barriers to Health. J Immigrant Health 7, 247–258 (2005). https://doi.org/10.1007/s10903-005-5122-2

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  • DOI: https://doi.org/10.1007/s10903-005-5122-2

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