Access to the Healthcare System for ACB People Living in Waterloo Region, Ontario: A Racial and Socio-ecological Examination
Master of Arts (MA)
Faculty of Arts
Dr. Ciann L. Wilson
Dr. Maritt Kirst
Dr. Magnus Mfoafo-McCarthy
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.
Fante-Coleman, Tiyondah, "Access to the Healthcare System for ACB People Living in Waterloo Region, Ontario: A Racial and Socio-ecological Examination" (2019). Theses and Dissertations (Comprehensive). 2132.