Journal of International Women's Studies
Volume 8, Issue 4, 2007, Pages 32-48
Integration, clarification, substantiation: Sex, gender, ethnicity and migration as social determinants of women's health (Review)
Vissandjee B.* ,
Hyman I. ,
Spitzer D.L. ,
Apale A. ,
Kamrun N.
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a
School of Nursing, University of Montreal, Montréal, QC, Canada
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b
Joint Centre of Excellence for Research on Immigration and Settlement, Toronto, ON, Canada
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c
Department of Gender Migration and Health, Institute of Women's Studies, University of Ottawa, Ottawa, ON, Canada
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d
School of Nursing, University of Montreal, Montréal, QC, Canada
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e
School of Nursing, University of Montreal, Montréal, QC, Canada
Abstract
The aim of this paper was to examine, via a scoping review, how the literature focusing on immigrant women's health, based on selected criteria, has been able to capture not only sex and gender differences but also the other socially grounded determinants of health. Using selected health databases as well as a diversity of keywords, a final sample of 59 was obtained after a number of steps to increase validity and credibility of the process were taken. Since "women" was one of the main keywords, all of the studies included women either by themselves (n=20/59) or along with men (n=39/ 59). In 34 (57.6%) of the papers reviewed, gender was defined above and beyond 'sex' (i.e. some discussion was provided regarding the social context of the study population prior to the presentation of the goal of the study). Ethnicity was merely mentioned without being expanded upon and at times being substituted with race in 26 (44%) of the papers reviewed. Migration was defined in 22 (37.2%) of the papers and was predominantly operationalized by length of stay in the country. While the concepts at hand represent important units of analysis within women's health research, most studies neglected to either capture gender specificities beyond sex as a biological variable, or to define migration experiences beyond ethnic identity. Anchored within women's health scholarship seeking for conceptual clarity and accuracy, this paper pleads for an improved consideration of the multiple and interactive social and biological determinants of health, as well as structural conditions at the basis of structural inequities; If the production of socially grounded women's health research depends upon accurate, fully integrated and applied conceptualizations of relevant dimensions, how can this be facilitated by policy-makers, health research funding bodies, the researchers themselves and ultimately by health care practitioners?.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-34547585206&partnerID=40&md5=c6a93bc0e886e9d2b9ebb60d3ae2b9f1
ISSN: 15398706
Cited by: 9
Original Language: English