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Who we are

Meanings of Health, Illness and Help seeking Strategies among Punjabi speaking Immigrants in Hamilton. Who we are. Research Team: Partnership, interdisciplinary Community Advisory Group: Community informants/leaders. Goals of this study. To collect preliminary data on community perceptions

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Who we are

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  1. Meanings of Health, Illness and Help seeking Strategies among Punjabi speaking Immigrants in Hamilton

  2. Who we are Research Team: • Partnership, interdisciplinary Community Advisory Group: • Community informants/leaders

  3. Goals of this study • To collect preliminary data on community perceptions • To initiate community based action through community engagement • To provide culturally relevant access to services to decrease disparity, support health and strengthen partnerships

  4. Hamilton Metropolitan Area Population in 2006: 504,559 Area: 1,117.21 sq. km. • 9th largest census metropolitan area in Canada • Cities with highest proportion of recent immigrants (01-06) Toronto (21%) Montreal (26%) Mississauga(22%) • 3 % South Asians (Mid-2006 census)

  5. Qualitative approach drawing on participatory action research

  6. Seven important considerations… • Gaining Access • Encouraging participation • Maintaining Interest COST • Data Collection issues • Member Checking TIME • Report back • Action

  7. Occupation InformationOccupational differences are important to note, as they were reported to add tension to the already difficult resettlement process.

  8. Intervening/Mediating variables • Financial aspects: Income/Poverty • Education • Employment/underemployment • Gender (only mentioned by females- patriarchic) • Interfamilial relationships (females) • View of health care system- focus on treatment and not prevention

  9. Help-seeking barriers….

  10. Priorities for Action

  11. From Idea to Action………. • Women for Women of India Isolated Seniorsproject: • New Horizons grant application in partnership with Catholic Family Services, DARTS, Ontario Early Years Centre, Recreation Services, and Equal Access for Multicultural Health workgroup for a project to support isolated seniors • Translation of How to Start a Walking Groupbooklet and Pedometer guide • into Punjabi, Arabic, Hindi, Bangladeshi and Urdu. To be posted on website www.doitwell.ca

  12. FREE physical activity program for women with limited incomes CALL:905-546-3540 Join us at 5 Hamilton locations to… Take a break from your busy day child minding bus tickets prizes health talks healthy snacks pedometer loans gently used running shoes Women’s Health Educators • Provide free education sessions on women’s health in Urdu, Hindi, Punjabi, Chinese, Arabic and Vietnamese • Assist in setting up appointments for screening • Accompany women to appointments for free language support if needed Call 905 546 3540 for more information.

  13. Lessons Learned…. • Advisory committeewas instrumental in guiding the research • Member Checking is key • Participants prioritized ideas, increasing the likelihood of action and were involved with development of actions. • Cultural, hierarchy issues • Older males should contact members of patriarchic communities,woman and younger men may not have credibility. A persons name is an important marker for members of the community, as it defines person’s caste, occupation and where you come from. • Recruitment issues • there may be relationship issues of which investigators are unaware (i.e. facilitators being related). Investigators also need to be aware of biases and personal issues between the facilitators that may impede their ability to work together.

  14. Lessons learned • Personal outreach • i.e. approaching people individually, posting information where members of the target group go in the community and where they live. Investigators MUST approach faith leaders at the beginning of the project. If they don’t buy into the project, they will not allow access to the people in their faith community. • Facilitator biases were an issue • Tape recorders were turned off during discussion about sensitive issues such as abuse and racism. Due to their desire to get ongoing employment, facilitators’ desire to please their employers may affect their honest feedback. • Transcription • Require trained translators to prevent paraphrasing of discussion; and encouraging verbatim translation. During meetings the facilitators at times may have added information or changed information as it was discussed.. • ACTION: crucial to accountability to the community!!!

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