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• W128295613 abstract "The authors thank the participants who graciously shared their experiences to make this research possible. Support for this study was provided by the Joint Centre of Excellence on Research in Immigration and Settlement-Toronto (CERIS). The opinions in this paper are not necessarily those of CERIS. E. Fuller-Thomson, J. Lee, E. Lawson, N. ChaudHuri and M. Thompson Joint Centre of Excellence for Research on Immigration and Settlemen (CERIS) www.ceris.metropolis.globalx.net Faculty of Social Work, University of Toronto Toronto, ON M5S 1A1 This article reports on a qualitative study of ten Caribbean Canadians and sixteen Cantonese-speaking Canadians with respiratory illness. The data were gathered through life history interviews conducted during 1998 in South-East Toronto. After an overview of the literature, the study design is presented. The results focus on the techniques these immigrants use to manage their illness. The article concludes with a discussion of implications for research and policy. Respiratory illness is one of the most common chronic health problems. There has been a significant world-wide increase in morbidity and mortality rates from asthma (Gottlieb et al. 1995). Respiratory illness causes a substantial financial burden on the health care system. In addition to medical costs, the personal suffering and productivity lost due to illness have societal costs as well. Recent research has shown that respiratory symptoms are significantly higher among poorer children, those in the inner city, and among minority populations (Ernst et al. 1995; Gottlieb et al. 1995; Wing 1993). Immigrants from outside North America and Europe constitute over twenty percent of Metro Toronto residents, yet relatively little is known about their experience of respiratory illness. In Regent Park, a large public housing site in South-East Toronto, respiratory illness accounted for 9.3% of all hospital admissions in 1995 (Glazier et al. 1995). With its significant impact on our health care system, and its disproportionate representation in marginalized segments of society, respiratory illness presents an important topic for research. An ecological assessment of factors related to health outcomes has contributed to the development of a new framework for understanding health (Boothroyd and Eberle 1990; Premier's Council on Health Strategy 1991; Renaud 1993). This population health framework was adopted in 1994 by the Federal, Provincial, Territorial Ministers of Health (Health Canada 1994). In addition to the importance of genetics and biological factors, evidence consistently has pointed to the significance of the social, psychological, economic, and environmental correlates of health (for example, Evans and Stoddart 1990; Marmot et al 1987; Mustard and Frank 1991; Health and Welfare Canada 1986; Premier's Council on Health, Well-Being and Social Justice 1993; Renaud and Bouchard 1994). These factors have been defined as the determinants of health. Income and social factors have been identified as the most important determinants of health (Health Canada 1994). Other research has highlighted the importance of the social environment, including job-related factors and unemployment, family and social networks, prenatal and early childhood conditions. In addition to social and economic determinants, physical environment is also a key factor (Health Canada 1994). This determinants of health framework can also be applied to understanding how people select strategies to manage their health. The resources individuals have to deal with their illness are accessed from their location in the social, cultural, geographic and economic environment. Only when people are allowed to tell their life stories can the full dimensions of these factors become visible. This study builds on a pilot study of 19 residents of South-East Toronto who had breathing problems themselves or who had children with breathing problems. …" @default.
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• W128295613 date "1997-03-22" @default.
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• W128295613 title "Self-Care Strategies for Managing Respiratory Illness in South-East Toronto: Life Histories of Chinese and Caribbean Immigrants" @default.
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