Gender and sexual orientation

Question 1

factors that led to foreign-born
women underutilizing formal social support 3

Answer 1

s lack of access
to information, cultural and linguistic barriers, transportation problems, and the stigma of seeking out mental health services

Question 2

Cultural Transitioning and Negotiating Gender Roles by Foreign-Born Women? different options?

Answer 2

Some women challenged traditional gender roles “as a symbol of
empowerment and autonomy,” and adopted a multicultural ethnic
identity (Sadeghi, 2008, p. 221), whereas others maintained a strong
identity with their cultural group but deviated from traditional gender
roles (Mac & Alderson, 2009; Malhi, Boon, & Rogers, 2009). Others
remained ambivalent about gender roles and continued to assume
traditional gender roles

Question 3

Visible minority foreign-born women reported experiencing discrimination in Canada t or f

Answer 3

t

Question 4

, the perception of group discrimination led to changed rel w cultural heart how?

Answer 4

the retention of their cultural heritage (Taylor, Wright,
Moghaddam, & Lalonde, 1990), and strengthened their identification
with their ethnic communities

Question 5

Foreign-born women reacted differently to personal encounters of
racism based on the extent to which they had …2

Answer 5

adopted mainstream
Canadian culture and their knowledge of their ethnic group’s historical experiences of racism

Question 6

role of activism

Answer 6

Activism by visible minority
foreign-born women played a significant role in their integration
into Canadian society and served as a strategy to advocate for their
ethnic communities in Canada (Miedema & Tastsoglou, 2000),
and to resist racial discrimination

Question 7

Foreign-born
women tended to rely more on… to improve their
language proficiency (Adamuti-Trache, 2012), and learning English served as a tool to negotiate their social identity

Answer 7

informal networks

Question 8

However, informal learning of English proved difficult for
older foreign-born women because of limited contact with native
speakers why

Answer 8

work and child-care
responsibilities were major impediments to women taking English
classes

Question 9

government-sponsored language classes improved prospects for finding employment.

Answer 9

f failed to

Question 10

pros and cons of English
language training in the workplace

Answer 10

enabled foreign-born women to
acculturate more effectively to the Canadian work environment
(Duff, Wong, & Early, 2000) and gain a greater sense of autonomy
(Wong, Duff, & Early, 2001), but failed to improve their workplace status

Question 11

Employment Experiences of Foreign-Born Women: pros and cons

Answer 11

gain identity, harder time than foriegn men or non migrant women despite their having more education than Canadianborn women, and living in cities with more job opportunities= female dominated roles despite male training

Question 12

women actively engaged in strategies to overcome structural barriers to employment

Answer 12

volunteered their time, accepted lower wages
and worked harder than did their Canadian-born coworkers in
order to prove their skills and qualifications to employers
put their family’s needs before their jobs, sought childcare support from extended family
members

Question 13

employment can provide foreign-born women with
a sense of identity as income earners, but they are more likely to
be employed in … jobs despite their
having more education than Canadian-born women

Answer 13

traditional female jobs at lower wages

Question 14

what forced these women to downgrade career trajectories 3

Answer 14

Nonrecognition of foreign certification and education, lower language proficiency, and lack of Canadian work experience forced women to
downgrade their career trajectories

Question 15

Housing Experiences of Foreign-Born Women: women with strong
ethnic social networks tended to live in more segregated communities, how did this satisfy their social needs?

Answer 15

they recognized that this led to feelings of alienation and a
reduced sense of belonging in Canada.

Question 16

foriegn born vs refugee use of shelters?

Answer 16

foreign-born women in Vancouver were less likely than Canadianborn women to use homeless shelters, relying on family and
community networks to find housing. Refugee claimants were
more likely to experience frequent moves and homelessness, because of weaker ties to their ethnic communities, language barriers, and lack of access to resources

Question 17

risk of insecure housing?

Answer 17

barriers to housing were a contributor to intimate
partner violence among foreign-born women.

Question 18

foreign-born women in Canada often faced
increased risk for violence because of …

Answer 18

differences in gender roles
in Canada versus their cultural communities and families, families interpret women’s acculturation and integration into Canadian society
as a threat to the family’s cultural norms

Question 19

rates of intimate partner violence increase with longer
residence in Canada t or f

Answer 19

t

Question 20

why less reporting?

Answer 20

lack of knowledge of resources and stigma, language barriers

Question 21

foreignborn women living in … reported lower
rates of intimate partner violence and suggested that these neighborhoods could be sources of informal community support.

Answer 21

immigrant neighborhoods

Question 22

barriers to employment and lack of knowledge about legal rights, often forced foreign-born women who
experienced intimate partner violence into “…,”
where they lacked housing but did not use services for the homeless.

Answer 22

hidden homelessness

Question 23

living w partner = greater risk t or f

Answer 23

foreign-born women with reduced social support, or not living
with their partner, were at greater risk for intimate partner violence

Question 24

Access to Medical Care by Foreign-Born Women: visible minority foreign-born women were less likely to
report unmet health care needs, most articles reviewed found that
foreign-born women do not share in the …,
which refers to the general good health of newcomers to Canada.

Answer 24

healthy immigrant effect

Question 25

why less healthy

Answer 25

lack of knowledge about medical services (Vahabi, 2010), feeling uncomfortable asking questions about sexual health (MatickaTyndale, Shirpak, & Chinichian, 2007), a perceived lack of cultural sensitivity, and poor interaction with medical care providers (Bottorff et al., 2001; Johnson et al., 2004), and a lack of trust toward medical care professionals, language barriers, insurance coverage, lack of value and access to preventative services

Question 26

preferred to consult physicians outside their ethnic communities because of a lack of trust based on concerns about ...

Answer 26

confidentiality

Question 27

women had reservations about disclosing their chronic illness to employers and coworkers for fear of losing their job. impact?

Answer 27

this nondisclosure led to reduced management of their illness in the workplace, thereby exacerbating their symptoms

Question 28

Strategies that they employed to understand and use health information included ...5

Answer 28

asking family and friends for translation, using the Internet, TV and written materials (e.g., pamphlets, books), asking their family physician, and using local and community organizations to access information (Todd & Hoffman-Goetz, 2011b). Greater acculturation

Question 29

Cultural beliefs about medical care affected foreign-born women’s health seeking behaviors; women holding more traditional beliefs about medical care were less likely to seek ....

Answer 29

Western care

Question 30

Myths and misunderstandings about the causes of health issues also undermined their ... and thus decreased their likelihood of seeking medical care

Answer 30

perception of risk

Question 31

The overall findings from the articles reviewed indicate that for health state that 3

Answer 31

(a) the healthy immigrant effect does not apply to foreign-born women, especially visible minority women; (b) there are barriers to accessing medical care especially among refugee claimants who do not have access to provincial health insurance; and (c) specific cultural beliefs affect how foreign-born women seek out and use medical care

Question 32

Mental Health and Well-Being Among Foreign-Born Women: The articles on foreign-born women’s mental health and well-being provided evidence that multiple influences, including ...4 adversely affected their mental health. Moreover, these studies identified additional barriers to accessing mental health services, especially ....4. Facilitators to promoting mental health included....

Answer 32

loss of social support and sense of isolation, linguistic difficulties, economic difficulties, discrimination and marginalization, financial and language difficulties, cultural factors, and the perceived lack of cultural sensitivity. women connecting to trusted support systems, families, and communities

Question 33

skipped conclusion and suggestions

Answer 33

.

Question 34

Implications for Mental Health Practice in Canada: Practitioners’ understanding of the complex lived experiences of these women is central to overcoming one barrier identified in this review,...

Answer 34

the perceived lack of cultural sensitivity among service providers.

Question 35

Implications: structural changes to improve language MH and finances barriers??

Answer 35

To bridge the language gap, mental health providers could use trained interpreters, as well as cultural informants or brokers with linguistic proficiency and cultural competency. Mental health agencies should hire ethnic or minority counselors or trained paraprofessionals who can provide services in women’s native language, and who can also act as cultural brokers for clients sliding scale fee

Question 36

Another barrier identified in this review was the lack of access to information about mental health issues. how to remedy?

Answer 36

developing educational materials, especially in the women’s native languages, and making these available to cultural and religious community centers, at immigration and resettlement organizations, and online. reduce stigma