Document Type

Thesis

Degree Name

Master of Arts (MA)

Department

Psychology

Faculty/School

Faculty of Arts

First Advisor

Dr. Ciann L. Wilson

Advisor Role

Supervisor

Second Advisor

Dr. Maritt Kirst

Advisor Role

Committee Member

Third Advisor

Dr. Magnus Mfoafo-McCarthy

Advisor Role

Committee Member

Abstract

Little research has investigated the barriers and facilitators to accessing healthcare for African, Caribbean, and Black people in Canada. This thesis identifies barriers and facilitators using a socio-ecological framework in two papers. Five focus groups were held with 22 ACB participants in Waterloo, Ontario. Thematic analysis guidelines informed the analysis of focus group data. The first paper identified barriers at the social (racism and employment, immigrant status) and institutional (wait times, out-of-pocket expenses) levels. Community connections was the sole facilitator at the social level. The second paper identified four barriers at the interpersonal level: physicians’ style of care, lack of culturally competent care, racism and discrimination and dismissal. Findings highlight a need for data concerning ACB people and health outcomes and problematize current models of care.

Convocation Year

2019

Convocation Season

Spring

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