This study is a secondary analysis of survey data collected in fall 2000 from patients of a safety-net hospital and its eight community health outreach clinics in Fort Worth, Texas. The study examined three objectives. These include explaining the utilization of Pap smear tests among the sample who were low-income women, by ascertaining the determinants of using these services. Using binary logistic regressions analyses primarily, the study tested 10 hypotheses. The main hypothesis tested the race/ethnicity/immigration status effect on Pap smear screening. The remaining hypotheses examined the effects of other independent/control variables on having a Pap smear. Results from the data provide support for the existence of a race/ethnicity/immigration status effect. Anglos were more likely to have had a Pap smear, followed by African Americans, Hispanic immigrants, and finally, by Hispanic Americans. The persistence of the race/ethnicity/immigration status effect, even when the effects of other independent/control variables are taken into account, may be explained by several factors. These include cultural differences between the different groups studied. The race/ethnicity/immigration status effect on Pap smear screening changed with the introduction of age, usual source of care, check-up for current pregnancy, and having multiple competing needs for food, clothing and housing into the models studied. Other variables, such as marital status, employment status and health insurance coverage had no statistically significant effects on Pap smear screening. The findings of this study are unique, probably due to the hospital-based sample who has regular access to subsidized health insurance from a publicly funded safety-net healthcare network and its healthcare providers. Given the importance of race/ethnicity/immigration status for preventive Pap smear screening, public education efforts to promote appropriate Pap smear tests among vulnerable populations should target specific race/ethnicity/immigration status groups in the U.S. within the cultural context of each group. Furthermore, publicly funded health programs for underserved populations such as the John Peter Smith Connections and Medicaid should be maintained and strengthened.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

Background: The provision of healthcare for immigrants is a global issue. Understanding the complexities of migrant’s experiences seeking healthcare is essential to improving their ability to access healthcare. This qualitative study reports on the experiences seeking healthcare for three groups of migrants. Methods: Seventeen one-on-one interviews were conducted with Spanish-speaking women through an interpreter. Community-based participatory action research was the framework utilized for this study. Results: An individual’s immigration status emerged as the single most important factor affecting both an individual’s ability to seek out healthcare and what their experiences are when trying to access healthcare. Conclusion: This study brings to light two issues that are not discussed in great depth in the migrant health service literature. The immigration status of migrants is the largest factor affecting their ability to seek healthcare. Food security is a very stressful issue for many refugees and undocumented immigrants.

Background: The provision of healthcare for immigrants is a global issue. Understanding the complexities of migrant’s experiences seeking healthcare is essential to improving their ability to access healthcare. This qualitative study reports on the experiences seeking healthcare for three groups of migrants. Methods: Seventeen one-on-one interviews were conducted with Spanish-speaking women through an interpreter. Community-based participatory action research was the framework utilized for this study. Results: An individual’s immigration status emerged as the single most important factor affecting both an individual’s ability to seek out healthcare and what their experiences are when trying to access healthcare. Conclusion: This study brings to light two issues that are not discussed in great depth in the migrant health service literature. The immigration status of migrants is the largest factor affecting their ability to seek healthcare. Food security is a very stressful issue for many refugees and undocumented immigrants.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Bullying and harassment is a common phenomenon that usually is associated with schools, but bullying among adults at workplaces is not as much discussed. Previous research shows that discrimination occurs in various social areas because of the individual's gender and ethnicity. Based on this there was a reason to suppose that bullying, which is a form of vulnerability, could also depend of belonging to a particular social category. The aim of this study was to get knowledge about the correlation between bullying at the workplace and concurrent collaboration of class, gender and ethnicity. The results of this quantitative study show that there is no correlation between the simultaneous interaction of gender, class and ethnicity towards bullying and harassment. (The concept immigration status is used instead of ethnicity). The results show, however, that there is correlation between individual social categories (gender, immigration status and class) and some specific types of vulnerability mentioned in the survey.

Background: Domestic violence and abuse is a public health problem affecting more than one third of all women globally. It usually takes place between individuals in intimate relationships and/or within the family. In the United Kingdom (UK), while theoretical and policy interventions have led to an increase in domestic violence and abuse service provision for women, there is paucity of research on the disclosure and help-seeking practices of women from ethnic minority populations. Aim: To identify factors influencing disclosure and help-seeking practices of Nigerian (ethnic minority population) women resident in England with lived experience of domestic violence and abuse, in order to make recommendations to relevant stakeholders on domestic violence service provision and utilisation. Methods: A cross-sectional qualitative research design was utilised. This included a qualitative systematic review of literature on domestic violence research among women from ethnic minority populations in the UK; individual, in-depth semi-structured interviews with 16 Nigerian women resident in England with lived experience of domestic violence and abuse, and with nine Nigerian religious and community leaders based in England. The interviews were conducted between May 2012 and April 2014, and data were analysed using thematic analysis technique. Findings: Three main themes were identified as factors influencing the disclosure and help-seeking practices of Nigerian (ethnic minority population) women in England, UK. These are socialisation from country of birth, immigration status, and acculturation in the country of immigration. These findings were discussed using the modified sociological theory of domestic violence and abuse. Conclusion: There is a need for appropriate gender socialisation, and collaborative working with ethnic minority community groups and faith-based organisations to enhance access and facilitate utilisation of existing domestic violence services by Nigerian (ethnic minority populations) women resident in England with lived experience of domestic violence and abuse.

Le sujet principal de ce texte est une forme très ciblée de ségrégation démographique : la ségrégation selon le type de famille. Cependant, puisque la répartition spatiale des familles mariées, des familles en union libre, des familles monoparentales à chef féminin et de celles à chef masculin ne dépend pas uniquement de leur structure, il faut aussi considérer d'autres facettes de leur identité, notamment leurs caractéristiques socio-économiques et ethnoculturelles. La combinaison de ces facteurs engendre une ségrégation croisée que nous explorons avec les données du recensement de 2006 pour la région métropolitaine de Montréal. Nous utilisons d'abord des indices de ségrégation pour mettre en évidence une ségrégation familiale "brute", puis nous avons recours à des modèles de locational attainment pour déterminer l'effet "net" du type de famille sur le revenu médian du quartier de résidence et sur la distance qui sépare ce quartier du centre-ville. Nous trouvons qu'il existe une interaction importante entre l'appartenance ethnoculturelle, le revenu familial et le type de famille ce qui nous conduit à relativiser les résultats de recherches qui ne prennent pas en compte l'hétérogénéité interne des types de famille. / The main topic of this text is a narrowly defined form of demographic segregation: segregation by family type. However, since the spatial distribution of married, cohabiting, lone-mother, or lone-father families does not depend solely on their structure, we must also consider other aspects of their identity, including their socio-economic and ethno-cultural characteristics. The combination of these factors produces a cross-segregation that we investigate using 2006 census data for the Montreal metropolitan area. We first use segregation indices to highlight a "raw" family type segregation and we then use locational attainment models to determine its "net" effect on the median household income of the neighborhood and on the distance between the neighborhood and the city core. We find a significant interaction between ethnicity, family income and family type which leads us to put in perspective the findings of studies that do not take into account the internal heterogeneity of family types.

Le sujet principal de ce texte est une forme très ciblée de ségrégation démographique : la ségrégation selon le type de famille. Cependant, puisque la répartition spatiale des familles mariées, des familles en union libre, des familles monoparentales à chef féminin et de celles à chef masculin ne dépend pas uniquement de leur structure, il faut aussi considérer d'autres facettes de leur identité, notamment leurs caractéristiques socio-économiques et ethnoculturelles. La combinaison de ces facteurs engendre une ségrégation croisée que nous explorons avec les données du recensement de 2006 pour la région métropolitaine de Montréal. Nous utilisons d'abord des indices de ségrégation pour mettre en évidence une ségrégation familiale "brute", puis nous avons recours à des modèles de locational attainment pour déterminer l'effet "net" du type de famille sur le revenu médian du quartier de résidence et sur la distance qui sépare ce quartier du centre-ville. Nous trouvons qu'il existe une interaction importante entre l'appartenance ethnoculturelle, le revenu familial et le type de famille ce qui nous conduit à relativiser les résultats de recherches qui ne prennent pas en compte l'hétérogénéité interne des types de famille. / The main topic of this text is a narrowly defined form of demographic segregation: segregation by family type. However, since the spatial distribution of married, cohabiting, lone-mother, or lone-father families does not depend solely on their structure, we must also consider other aspects of their identity, including their socio-economic and ethno-cultural characteristics. The combination of these factors produces a cross-segregation that we investigate using 2006 census data for the Montreal metropolitan area. We first use segregation indices to highlight a "raw" family type segregation and we then use locational attainment models to determine its "net" effect on the median household income of the neighborhood and on the distance between the neighborhood and the city core. We find a significant interaction between ethnicity, family income and family type which leads us to put in perspective the findings of studies that do not take into account the internal heterogeneity of family types.

Alors que de plus en plus d’immigrants intègrent le marché de travail au Québec, il y a un intérêt grandissant pour comprendre les facteurs qui influent leur succès de carrière. Des études actuelles qui focalisent sur les antécedents de succès de carrière montrent que les organisations sont au cœur de ce processus non seulement parce qu’elles forment le contexte dans lequel évoluent les carrières mais surtout parce qu’elles ont la capacité de mettre en place des pratiques et des politiques organisationnelles qui peuvent promouvoir de façon active le succès de carrière chez les employé(e)s (Bagdadli and Gianecchini, 2019). Outre ces pratiques et politiques organisationnelles, des recherches ont montré que des facteurs sociodémographiques, tels la race, le genre et le statut d’immigrant des individus peuvent aussi avoir un impact sur le succès de carrière des individus. Dans le cadre de cette étude exploratoire, nous nous sommes penchés sur le sentiment de réussite de carrière des femmes noires d’origine immigrante au Québec. Nous nous sommes intéressés tout particulièrement à leurs perceptions de leur succès de carrière ainsi qu’à ses déterminants. Nous avons examiné à la fois l’influence des facteurs organisationnels et celle de leur identité de femme noire immigrante sur leur succès de carrière. Bien que nos résultats montrent que certaines femmes ont pu bénéficier des pratiques organisationnelles qui visent à promouvoir le développement de leurs carrières, la plupart ont indiqué qu’elles ont dû faire face à d’importantes barrières en lien avec leur identité sociale. Ces barrières ont eu une influence négative sur leurs perceptions de leur succès de carrière. Les résultats de notre recherche sont importants du point de vue organisationnel et institutionnel car ils jettent un regard critique sur l’impact des pratiques et politiques qui sont en place dans les organisations au Québec et pointent dans la direction des solutions afin de réduire ou d'enrayer les barrières existantes et leurs effets auprès des femmes noires immigrantes. / As increasing numbers of immigrants integrate the labour market in Quebec, there is growing interest in understanding the factors that influence their career success. Existing research examining the antecedents of career success shows that organizations play a key role in the process not only because they provide the context in which careers unfold but especially because they can, though various organizational career management (OCM) practices and policies, actively promote the career development of their employees (Bagdadli and Gianecchini, 2019). In addition to OCM practices, which may take various forms, research has also shown that factors related to an individuals’ social identity can influence their career outcomes as well. Among the different facets of an individual’s social identity researchers have identified race, gender, and immigration status as some of the factors that are most likely to influence individuals’ career outcomes. In this exploratory research, which focused on Black immigrant women in Quebec, we examined their perceptions of career success as well as investigated the perceived role of OCM practices and social identity factors in their career outcomes. While our study found that some women benefitted from OCM practices that contributed to their career success, for the most part, the women faced important barriers to their career success, which can linked to the different facets of their social identity. These findings are important from both an organizational and institutional standpoint as they provide useful information regarding the impact of existing practices on this category of employees as well point towards possible solutions that are geared towards minimizing or removing existing barriers and their effects.