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The Healthcare System

   This section presents literature and information on healthcare disparities in Canada, highlighting inequities in access, treatment, and health outcomes

Research articles

Adrien, A., Boivin, J. F., Hankins, C., Leaune, V., Tousignant, Y., & Tremblay, J. (1993). Use of qualitative and quantitative methods to study attitudes related to AIDS among Montrealers of Haitian origin. https://pubmed.ncbi.nlm.nih.gov/8358695/

Adrien, A., Leaune, V., Remis, R. S., Boivin, J. F., Rud, E., Duperval, R., & Noël, G. E. (1999). Migration and HIV: an epidemiological study of Montrealers of Haitian origin. International Journal of STD & AIDS, 10(4), 237–242. https://doi.org/10.1258/0956462991914005

Aiko Bruce, A., Witol, A., Alvadj-Korenic, T., Mayan, M., Greenslade, H., Plaha, M., & Venner, M. A. (2018). “A complex interface: Exploring sickle cell disease from a parent’s perspective, after moving from Sub-Saharan Africa to North America”. Pediatric hematology and oncology, 35(7-8), 373-384. https://doi.org/https://dx.doi.org/10.1080/08880018.2018.1541949

Alidina, Z., Wormsbecker, A. E., Urquia, M., MacGillivray, J., Taerk, E., Yudin, M. H., & Campbell, D. M. (2016). HIV prophylaxis in high-risk newborns: an examination of sociodemographic factors in an inner city context. Canadian Journal of Infectious Diseases and Medical Microbiology2016(1), 2782786.  https://doi.org/10.1155/2016/2782786

Alidina, Z., Wormsbecker, A. E., Urquia, M., MacGillivray, J., Taerk, E., Yudin, M. H., & Campbell, D. M. (2016). HIV Prophylaxis in High-Risk Newborns: An Examination of Sociodemographic Factors in an Inner-City Context. The Canadian Journal of Infectious Diseases & Medical Microbiology, 2016, 2782786–2782789. https://doi.org/10.1155/2016/2782786

Allen, U. D., Barton, M., Upton, J., Bailey, A., Campigotto, A., Abdulnoor, M., … & seroMARK Research Group Appelt Pamela Awuku Mark Bailey Paul Collins Janet Gebremikael Liben Gumb Jenny Mengesha Tesfai Patterson Adaoma Prescod Cheryl Richardson Noelle Thompson Sylvanus Welch Nicole. (2024). Disproportionate Rates of COVID-19 Among Black Canadian Communities: Lessons from a Cross-Sectional Study in the First Year of the Pandemic. Journal of Racial and Ethnic Health Disparities, 1-10. https://doi.org/10.1007/s40615-023-01903-z

Amin, M., & Perez, A. (2012). Is the wait-for-patient-to-come approach suitable for African newcomers to Alberta, Canada? Community Dentistry and Oral Epidemiology, 40(6), 523–531. https://doi.org/10.1111/j.1600-0528.2012.00698.x

Anderson, K. K., McKenzie, K. J., & Kurdyak, P. (2017). Examining the impact of migrant status on ethnic differences in mental health service use preceding a first diagnosis of schizophrenia. Social psychiatry and psychiatric epidemiology52, 949-961. https://doi.org/10.1007/s00127-017-1403-z

Antoniou, T., Zagorski, B., Macdonald, E. M., Bayoumi, A. M., Raboud, J., Brophy, J., Masinde, K.-I., Tharao, W. E., Yudin, M. H., Ng, R., Loutfy, M. R., & Glazier, R. H. (2014). Trends in live birth rates and adverse neonatal outcomes among HIV-positive women in Ontario, Canada, 2002–2009: a descriptive population-based study. International Journal of STD & AIDS, 25(13), 960–966. https://doi.org/10.1177/0956462414526861

Archie, S., Akhtar-Danesh, N., Norman, R., Malla, A., Roy, P., & Zipursky, R. B. (2010). Ethnic diversity and pathways to care for a first episode of psychosis in Ontario. Schizophrenia bulletin36(4), 688-701. https://doi.org/10.1093/schbul/sbn137

Auger, N., Chery, M., & Daniel, M. (2012). Rising Disparities in Severe Adverse Birth Outcomes Among Haitians in Québec, Canada, 1981–2006. Journal of Immigrant and Minority Health, 14(2), 198–208. https://doi.org/10.1007/s10903-011-9460-y

Baffour, T. D., & Chonody, J. M. (2009). African-American women’s conceptualizations of health disparities: a community-based participatory research approach. American Journal of Community Psychology, 44(3-4), 374–381. https://doi.org/10.1007/s10464-009-9260-x

Baidoobonso, S., Bauer, G. R., Speechley, K. N., Lawson, E., & BLACCH Study Team (2016). Social and Proximate Determinants of the Frequency of Condom Use Among African, Caribbean, and Other Black People in a Canadian City: Results from the BLACCH Study. Journal of Immigrant and Minority Health, 18(1), 67–85. https://doi.org/10.1007/s10903-014-9984-z

Bailey, A., Bailey, R., Newman, G., Barrett, A., Nguyen, M., & Lindsay, J. (2023). Deconstructing the Trauma-Altered Identity of Black Men. Journal of Child & Adolescent Trauma. https://doi.org/10.1007/s40653-023-00526-0

Beagan, B. L., & Chapman, G. E. (2012). Meanings of food, eating and health among African Nova Scotians:‘certain things aren’t meant for Black folk’. Ethnicity & health17(5), 513-529. https://doi.org/10.1080/13557858.2012.661844

Beiser, M., Taa, B., Fenta-Wube, H., Baheretibeb, Y., Pain, C., & Araya, M. (2012). A comparison of levels and predictors of emotional problems among preadolescent Ethiopians in Addis Ababa, Ethiopia, and Toronto, Canada. Transcultural psychiatry49(5), 651-677. https://doi.org/10.1177/1363461512457155

Binet, A., & Kooh, S. W. (1996). Persistence of vitamin D-deficiency rickets in Toronto in the 1990s. Canadian journal of public health= Revue canadienne de sante publique, 87(4), 227-230. https://pubmed.ncbi.nlm.nih.gov/8870299/

Bitnun, A., Lee, T., Brophy, J., Samson, L. M., Kakkar, F., Vaudry, W., Tan, B., Money, D. M., Singer, J., Sauvé, L. J., & Alimenti, A. (2018). Missed opportunities for prevention of vertical HIV transmission in Canada, 1997-2016: a surveillance study. CMAJ Open, 6(2), E202–E210. https://doi.org/10.9778/cmajo.20180016

Blanchet, R., Sanou, D., Nana, C. P., Pauzé, E., Batal, M., & Giroux, I. (2017). Strategies and Challenges in Recruiting Black Immigrant Mothers for a Community-Based Study on Child Nutritional Health in Ottawa, Canada. Journal of Immigrant and Minority Health, 19(2), 367–372. https://doi.org/10.1007/s10903-016-0536-6

Brassard, P., & Remis, R. S. (1999). Incidence of tuberculosis among reported AIDS cases in Quebec from 1979 to 1996. CMAJ160(13), 1838-1842. https://www.cmaj.ca/content/160/13/1838.short

Brassard, P., & Remis, R. S. (1999). Incidence of tuberculosis among reported AIDS cases in Quebec from 1979 to 1996. Canadian Medical Association Journal (CMAJ), 160(13), 1838–1842. https://pubmed.ncbi.nlm.nih.gov/10405668/

Broder, H. L., & Wilson-Genderson, M. (2007). Reliability and convergent and discriminant validity of the Child Oral Health Impact Profile (COHIP Child’s version). Community Dentistry and Oral Epidemiology, 35(s1), 20–31. https://doi.org/10.1111/j.1600-0528.2007.0002.x

Brown, C., Langille, D., Tanner, J., & Asbridge, M. (2014). Health-compromising behaviors among a multi-ethnic sample of Canadian high school students: risk-enhancing effects of discrimination and acculturation. Journal of Ethnicity in Substance Abuse, 13(2), 158–178. https://doi.org/10.1080/15332640.2013.852075

Bui, Y. G., Trépanier, S., Milord, F., Blackburn, M., Provost, S., & Gagnon, S. (2011). Cases of malaria, hepatitis A, and typhoid fever among VFRs, Quebec (Canada). Journal of travel medicine18(6), 373-378. https://doi.org/10.1111/j.1708-8305.2011.00556.x

Cénat, J. M. , Kogan, C. , Noorishad, P.-G. , Hajizadeh, S. , Dalexis, R. D. , Ndengeyingoma, A. , & Guerrier, M. (2021). Prevalence and correlates of depression among Black individuals in Canada: The major role of everyday racial discrimination. Depression Anxiety, 38, 886–895. https://doi.org/10.1002/da.23158

Cénat, J. M., Blais, M., Lavoie, F., Caron, P.-O., & Hébert, M. (2018). Cyberbullying victimization and substance use among Quebec high schools’ students: The mediating role of psychological distress. Computers in Human Behavior, 89, 207–212. https://doi.org/10.1016/j.chb.2018.08.014

Cénat, J. M., Dalexis, R. D., Darius, W. P., Kogan, C. S., & Guerrier, M. (2023). Prevalence of current PTSD symptoms among a sample of black individuals aged 15 to 40 in Canada: The major role of everyday racial discrimination, racial microaggressions, and internalized racism. Canadian Journal of Psychiatry, 68(3), 178-186. https://doi.org/10.1177/07067437221128462

Cénat, J. M., Dromer, É., Auguste, E., Dalexis, R. D., Darius, W. P., Kogan, C. S., & Guerrier, M. (2023). Frequency and Factors Related to Substance Use Among Black Individuals Aged 15–40 Years Old in Canada: The Role of Everyday Racial Discrimination. Psychololgy of Addictive Behaviors, 37(5), 695-708. https://doi.org/10.1037/adb0000913

Cénat, J. M., Farahi, S. M. M. M., & Dalexis, R. D. (2023). Prevalence and determinants of depression, anxiety, and stress symptoms among Black individuals in Canada in the context of the COVID-19 pandemic. Psychiatry Research, 326, 115341. https://doi.org/10.1016/j.psychres.2023.115341

Cénat, J. M., Kouamou, L. N., Moshirian Farahi, S. M. M., Darius, W. P., Dalexis, R. D., Charles, M., & Kogan, C. S. (2022). Perceived racial discrimination, psychosomatic symptoms, and resilience among Black individuals in Canada: A moderated mediation model. Journal of Psychosomatic Research, 163, 111053. https://doi.org/10.1016/j.jpsychores.2022.111053

Cénat, J. M., Moshirian Farahi, S. M. M., Bakombo, S. M., Dalexis, R. D., Pongou, R., Caulley, L., Yaya, S., Etowa, J., & Venkatesh, V. (2023). Vaccine mistrust among Black individuals in Canada: The major role of health literacy, conspiracy theories, and racial discrimination in the healthcare system. Journal of Medical Virology, 95(4), e28738. https://doi.org/10.1002/jmv.28738

Cénat, J. M., Moshirian Farahi, S. M. M., Broussard, C., & Dalexis, R. D. (2024). The state of COVID-19 vaccine confidence and need in Black individuals in Canada: Understanding the role of sociodemographic factors, health literacy, conspiracy theories, traumatic stressors and racial discrimination. Vaccine, 42(4), 960–968. https://doi.org/10.1016/j.vaccine.2023.10.048

Chan, A., Pullen Sansfaçon, A., & Saewyc, E. (2023). Experiences of discrimination or violence and health outcomes among Black, Indigenous and People of Colour trans and/or nonbinary youth. Journal of Advanced Nursing, 79(5), 2004–2013. https://doi.org/10.1111/jan.15534

Claydon, J. E., Mitton, C., Sankaran, K., & Lee, S. K. (2007). Ethnic differences in risk factors for neonatal mortality and morbidity in the neonatal intensive care unit. Journal of Perinatology, 27(7), 448–452. https://doi.org/10.1038/sj.jp.7211766

Corriveau-Bourque, C., & Bruce, A. A. K. (2015). The Changing Epidemiology of Pediatric Hemoglobinopathy Patients in Northern Alberta, Canada. Journal of Pediatric Hematology/Oncology, 37(8), 595-599. https://doi.org/10.1097/mph.0000000000000442

Darko, N. A., Wilson, C. L., & Oliver, V. (2024). “We are mothers, sisters, and lovers too”: Examining young Black women’s experiences navigating sex and sexual health. American Journal of Community Psychology, pp. 1-14. DOI: 10.1002/ajcp.12753

 Daroya, E., Grey, C., Lessard, D., Klassen, B., Skakoon-Sparling, S., Gaspar, M., Perez-Brumer, A., Adam, B., Lachowsky, N. J., Moore, D., Sang, J. M., Lambert, G., Hart, T. A., Cox, J., Jollimore, J., Tan, D. H. S., & Grace, D. (2023). ‘I did not have sex outside of our bubble’: changes in sexual practices and risk reduction strategies among sexual minority men in Canada during the COVID-19 pandemic. Culture, Health & Sexuality, 25(9), 1147–1163. https://doi.org/10.1080/13691058.2022.2139414

Davis, A. N., Gahagan, J. C., & George, C. (2013). “Everyone just keeps their eyes closed and their fingers crossed”: sexual health communication among black parents and children in Nova Scotia, Canada. International Journal for Equity in Health, 12, 55. https://doi.org/10.1186/1475-9276-12-55

Deveci, A. C., Gurnani, M., Wolfe-Wylie, M. C., Regina, A., Cordeiro, K., Dave, M. G., Mahmud, F. H., & Hamilton, J. (2024). Looking at Diabetes Through Different Lenses: Focus Groups Conducted with Somali Canadian Families and Their Health-care Providers. Canadian Journal of Diabetes, 48(2), 112-119.e113. https://doi.org/https://dx.doi.org/10.1016/j.jcjd.2023.11.004

Djiadeu, P., Smith, M. D. R., Kushwaha, S., Odhiambo, A. J., Absalom, D., Husbands, W., Tharao, W., Regan, R., Sa, T., Zhang, N., Kaul, R., & Nelson, L. E. (2020). Social, Clinical, and Behavioral Determinants of HIV Infection and HIV Testing among Black Men in Toronto, Ontario: A Classification and Regression Tree Analysis. Journal of the International Association of Providers of AIDS Care, 19, 2325958220934613. https://doi.org/10.1177/2325958220934613

Ducharme, F. M., Smyrnova, A., Lawson, C. C., & Miles, L. M. (2022). Reference values for respiratory sinusoidal oscillometry in children aged 3 to 17 years. Pediatric pulmonology57(9), 2092-2102.  https://doi.org/10.1002/ppul.25984

Etowa, J., Kakuru, D. M., Gebremeskel, A., Etowa, E. B., & Kohoun, B. (2022). De-problematizing masculinity among heterosexual African, Caribbean, and Black male youth and men. Canadian Journal of Public Health, 113(4), 611-621. https://doi.org/10.17269/s41997-021-00596-3

Ferrari, M., Flora, N., Anderson, K. K., Tuck, A., Archie, S., Kidd, S., & McKenzie, K. (2015). The African, Caribbean and European (ACE) Pathways to Care study: a qualitative exploration of similarities and differences between African-origin, Caribbean-origin and European-origin groups in pathways to care for psychosis. BMJ open5(1), e006562. https://doi.org/10.1136/bmjopen-2014-006562

Ford-Jones, E. L., Wang, E., Petric, M., Corey, P., Moineddin, R., & Fearon, M. (2000). Hospitalization for community-acquired, rotavirus-associated diarrhea: a prospective, longitudinal, population-based study during the seasonal outbreak. The Greater Toronto Area/Peel Region PRESI Study Group. Pediatric Rotavirus Epidemiology Study for Immunization. Archives of Pediatrics & Adolescent Medicine, 154(6), 578–585. https://doi.org/10.1001/archpedi.154.6.578

Gipson, D. S., Troost, J. P., Spino, C., Attalla, S., Tarnoff, J., Massengill, S., Lafayette, R., Vega-Warner, V., Adler, S., Gipson, P., Elliott, M., Kaskel, F., Fermin, D., Moxey-Mims, M., Fine, R. N., Brown, E. J., Reidy, K., Tuttle, K., Gibson, K., … Trachtman, H. (2022). Comparing Kidney Health Outcomes in Children, Adolescents, and Adults with Focal Segmental Glomerulosclerosis. JAMA Network Open, 5(8), e2228701–e2228701. https://doi.org/10.1001/jamanetworkopen.2022.28701

Gold, J. H., Garner, J. B., Murphy, D., & Weldon, K. L. (1980). Youth in Transition: Youth in Transition: Mental Health Problems of Black and Micmac Students at Dalhousie University. The Canadian Journal of Psychiatry25(1), 49-56. https://doi.org/10.1177/070674378002500110

Grégoire-Pelchat, P., Alos, N., Ribault, V., Pastore, Y., Robitaille, N., & Mailhot, G. (2018). Vitamin D Intake and Status of Children with Sickle Cell Disease in Montreal, Canada. Journal of Pediatric Hematology Oncology, 40(8), e531-e536. https://doi.org/10.1097/MPH.0000000000001306

Griener, T. P., Naugler, C., Chan, W. W., & Church, D. L. (2018). Sociodemographic correlates of urine culture test utilization in Calgary, Alberta. BMC urology18, (1) 1-7. https://doi.org/10.1186/s12894-018-0315-x

Guthrie, J. L., Delli Pizzi, A., Roth, D., Kong, C., Jorgensen, D., Rodrigues, M., Tang, P., Cook, V. J., Johnston, J., & Gardy, J. L. (2018). Genotyping and Whole-Genome Sequencing to Identify Tuberculosis Transmission to Pediatric Patients in British Columbia, Canada, 2005-2014. The Journal of Infectious Diseases, 218(7), 1155–1163. https://doi.org/10.1093/infdis/jiy278

Hamilton, H. A., Owusu-Bempah, A., Boak, A., & Mann, R. E. (2018). Ethnoracial differences in cannabis use among native-born and foreign-born high school students in Ontario. Journal of ethnicity in substance abuse17(2), 123-134. https://doi.org/10.1080/15332640.2017.1312655

Hanna, T. A., Ahmed, A., Vincent, R., Coulibaly, K. S., Ahmed, Y., Petrick, R., Vincent, E., Hafid, M. E., Hawkes, M. T., Ravi, S., & Gnidehou, S. (2022). Gaps in knowledge and practices of malaria prevention in Francophone African immigrants in Metropolitan Edmonton. Malaria Journal, 21(1), 197. https://doi.org/10.1186/s12936-022-04210-w

Hassan, O., Genoe, M. R., Salm, T., Kikulwe, D., & Johnson, S. (2021). Barriers and Facilitators of Active Living: Experiences of Recently Immigrated West African Children in Saskatchewan, Canada. International Journal of Health, Wellness & Society, 11(2), 103-120. https://doi.org/10.18848/2156-8960/CGP/v11i02/103-120

Haw, J., Walrond, J., Jayachandran, J., Dordunoo, D., Eche-Ameh, H., Muwhen, U., Phiri, P., Rastogi, J., & Tinga, B. (2023). Sickle cell disease and the need for blood: Barriers to donation for African, Caribbean, and Black young adults in Canada. Transfusion, 63(7), 1324–1332. https://doi.org/10.1111/trf.17396

Hiraki, L. T., Benseler, S. M., Tyrrell, P. N., Harvey, E., Hebert, D., & Silverman, E. D. (2009). Ethnic differences in pediatric systemic lupus erythematosus. The Journal of rheumatology36(11), 2539-2546. https://doi.org/10.3899/jrheum.081141

Hiraki, L. T., Benseler, S. M., Tyrrell, P. N., Harvey, E., Hebert, D., & Silverman, E. D. (2009). Ethnic differences in pediatric systemic lupus erythematosus. The Journal of Rheumatology, 36(11), 2539–2546. https://doi.org/10.3899/jrheum.081141

Huculak, M. A., & Peckmann, T. R. (2012). In vivo facial tissue depth study of African Nova Scotian children. Journal of the Canadian Society of Forensic Science, 45(3), 126-142. https://doi.org/10.1080/00085030.2012.10757186

Husbands, W., Lawson, D. O., Etowa, E. B., Mbuagbaw, L., Baidoobonso, S., Tharao, W., … & Etowa, J. (2022). Black Canadians’ exposure to everyday racism: implications for health system access and health promotion among urban Black communities. Journal of Urban Health99(5), 829-841. https://doi.org/10.1007/s11524-022-00676-w

Isayama, T., Lee, S. K., Yang, J., Lee, D., Daspal, S., Dunn, M., Shah, P. S., & Canadian Neonatal Network and Canadian Neonatal Follow-Up Network Investigators (2017). Revisiting the Definition of Bronchopulmonary Dysplasia: Effect of Changing Panoply of Respiratory Support for Preterm Neonates. JAMA Pediatrics, 171(3), 271–279. https://doi.org/10.1001/jamapediatrics.2016.4141

Jani, P., Song, N., Artna, E., Lyeo, J., Assam, A., Maelzer, F., Murphy, A., Grant, A., & Archie, S. (2022). Online Knowledge Translation Program Involving Video Games and University Student-Led Tutorials About Cannabis and Psychosis for Black Youth: Mixed Method Feasibility Study. JMIR Formative Research, 6(6), e33693. https://doi.org/10.2196/33693

Jankovic, J., Coffey, B., Claassen, D. O., Jimenez-Shahed, J., Gertz, B. J., Garofalo, E. A., Stamler, D. A., Wieman, M., Savola, J. M., Gordon, M. F., Alexander, J., Barkay, H., & Harary, E. (2021). Safety and Efficacy of Flexible-Dose Deutetrabenazine in Children and Adolescents with Tourette Syndrome: A Randomized Clinical Trial. JAMA Network Open, 4(10), e2128204. https://doi.org/10.1001/jamanetworkopen.2021.28204

Jensen, J. T., Kaunitz, A. M., Achilles, S. L., Zatik, J., Weyers, S., Piltonen, T., Suturina, L., Apolikhina, I., Bouchard, C., Chen, M. J., Apter, D., Jost, M., Foidart, J. M., & Creinin, M. D. (2022). Pooled efficacy results of estetrol/drospirenone combined oral contraception phase 3 trials. Contraception, 116, 37–43. https://doi.org/10.1016/j.contraception.2022.07.009

Kakalia, S., Sochett, E. B., Stephens, D., Assor, E., Read, S. E., & Bitnun, A. (2011). Vitamin D supplementation and CD4 count in children infected with human immunodeficiency virus. The Journal of Pediatrics, 159(6), 951–957. https://doi.org/10.1016/j.jpeds.2011.06.010

Kengneson, C. C., Blanchet, R., Sanou, D., Batal, M., Phillips, K. P., & Giroux, I. (2021). Maternal perceptions and concerns about children’s weight status and diet quality: a study among Black immigrant families. Public health nutrition, 25(8), 1–14.  https://doi.org/10.1017/S1368980021004729

Kerr, J., Northington, T., Sockdjou, T., & Maticka-Tyndale, E. (2018). Perceived neighborhood quality and HIV- related stigma among African diasporic youth; results from the African, Caribbean, and black youth (ACBY) study. Journal of Health Care for the Poor and Underserved, 29(2), 651-663. https://doi.org/10.1353/hpu.2018.0049

Khalil, C., Goldfarb, R., Travers, R., & Coleman, T. (2021). HIV risk in African, Caribbean and Black youth: perceptions of community leaders in the Windsor-Sussex Region. University of Toronto Medical Journal, 98(3), 38 44. https://www.researchgate.net/publication/368909579_HIV_risk_in_African_Caribbean_and_Black_youth_perceptions_of_community_leaders_in_the_Windsor-Sussex_Region

Khalil, N. J., & Allard, R. (2012). Examining the Association Between Neighbourhood Characteristics and Gonorrhea Rates Among Women Aged 15 to 24 Years in Montreal, Canada. Canadian Journal of Public Health, 103(5), e390–e394. https://doi.org/10.1007/BF03404448

Khan, M., MacEntee, K., Kiptui, R., Van Berkum, A., Oudshoorn, A., Ayuku, D. O., Apondi, E., Lee, E. O. J., Abramovich, A., MacDonald, S. A., & Braitstein, P. (2022). Barriers to and facilitators of accessing HIV services for street-involved youth in Canada and Kenya. BMC Public Health, 22(1), 1901. https://doi.org/10.1186/s12889-022-14290-7

Knight, S., Jarvis, G. E., Ryder, A. G., Lashley, M., & Rousseau, C. (2022). Ethnoracial differences in coercive referral and intervention among patients with first-episode psychosis. Psychiatric Services73(1), 2-8. https://doi.org/10.1176/appi.ps.202000715

Kolahdooz, F., Nader, F., Daemi, M., Jang, S. L., Johnston, N., & Sharma, S. (2019). Prevalence of known risk factors for type 2 diabetes mellitus in multiethnic urban youth in Edmonton: findings from the WHY ACT NOW project. Canadian journal of diabetes43(3), 207-214. https://doi.org/10.1016/j.jcjd.2018.10.002

Konkor, I., Mkandawire, P., Antabe, R., Luginaah, I., Husbands, W., Wong, J., Lawson, E., Etowa, J., Omorodion, F., & McIntosh, M. D. (2021). Sexual Debut Among Heterosexual Men of African and Caribbean Descent: Are the Youth Initiating Sex Earlier than the Older Generation? Archives of Sexual Behavior, 50(6), 2359–2369. https://doi.org/10.1007/s10508-020-01855-z

Lebenbaum, M., Stukel, T. A., Saunders, N. R., Lu, H., Urquia, M., Kurdyak, P., & Guttmann, A. (2021). Association of source country gender inequality with experiencing assault and poor mental health among young female immigrants to Ontario, Canada. BMC Public Health, 21(1), 739. https://doi.org/10.1186/s12889-021-10720-0

Lee-Foon, N. K., Logie, C. H., Siddiqi, A., & Grace, D. (2021). “I just trust what Google says, it’s the Bible”: Exploring young, Black gay and other men who have sex with men’s evaluation of sexual health information sources in Toronto, Canada. Canadian Journal of Human Sexuality, 29(3), 275-288. https://doi.org/10.3138/CJHS.2020-0026

Lee-Foon, N., George, C., Gahagan, J., Etowa, J., & Weaver, R. (2018). Minding the gap: health and social care provider perceptions of parental communication and Black-Canadian youths’ sexual health. Culture, Health & Sexuality, 20(12), 1347–1361. https://doi.org/10.1080/13691058.2018.1435905

Lieberman, L., Kirby, M., Ozolins, L., Mosko, J., & Friedman, J. (2009). Initial presentation of unscreened children with sickle cell disease: The Toronto experience. Pediatric Blood & Cancer53(3), 397-400. https://doi.org/10.1002/pbc.22023

Lieberman, L., Kirby, M., Ozolins, L., Mosko, J., & Friedman, J. (2009). Initial presentation of unscreened children with sickle cell disease: the Toronto experience. Pediatric Blood & Cancer, 53(3), 397–400. https://doi.org/10.1002/pbc.22023

Logie, C. H., Okumu, M., Ryan, S., Yehdego, D. M., & Lee-Foon, N. (2018). Adapting and pilot testing the Healthy Love HIV and sexually transmitted infection prevention intervention with African, Caribbean and Black women in community-based settings in Toronto, Canada. International Journal of STD & AIDS, 29(8), 751–759. https://doi.org/10.1177/0956462418754971

Luginaah, N. A., Konkor, I., Lawson, E. S., Mkandawire, P., Husbands, W., Omorodion, F., Etowa, J., Antabe, R., & Wong, J. (2022). Concurrent sexual partnerships and HIV testing among heterosexual Black men in Ontario, Canada: findings from the weSpeak study. Ethnicity & Health, 27(8), 1825–1840. https://doi.org/10.1080/13557858.2021.1976395

MacKinnon, K. R., Kia, H., Salway, T., Ashley, F., Lacombe-Duncan, A., Abramovich, A., Enxuga, G., & Ross, L. E. (2022). Health Care Experiences of Patients Discontinuing or Reversing Prior Gender-Affirming Treatments. JAMA network open, 5(7), e2224717. https://doi.org/10.1001/jamanetworkopen.2022.24717

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Maraj, A., Anderson, K. K., Flora, N., Ferrari, M., Archie, S., McKenzie, K. J., & ACE Project Team (2017). Symptom profiles and explanatory models of first-episode psychosis in African-, Caribbean- and European-origin groups in Ontario. Early Intervention in Psychiatry, 11(2), 165–170. https://doi.org/10.1111/eip.12272

Marcoux, D., Dang, J., Auguste, H., McCuaig, C., Powell, J., Hatami, A., … & Le Meur, J. B. (2018). Emergence of African species of dermatophytes in tinea capitis: a 17‐year experience in a Montreal pediatric hospital. Pediatric Dermatology35(3), 323-328.  https://doi.org/10.1111/pde.13446

Marcoux, D., Dang, J., Auguste, H., McCuaig, C., Powell, J., Hatami, A., Maari, C., & Le Meur, J. B. (2018). Emergence of African species of dermatophytes in tinea capitis: A 17-year experience in a Montreal pediatric hospital. Pediatric Dermatology, 35(3), 323–328. https://doi.org/10.1111/pde.13446

Matheson, K., Jorden, S., & Anisman, H. (2008). Relations between trauma experiences and psychological, physical and neuroendocrine functioning among Somali refugees: mediating role of coping with acculturation stressors. Journal of Immigrant and Minority Health, 10(4), 291-304. https://doi.org/10.1007/s10903-007-9086-2

Maticka-Tyndale, E., Kerr, J., & Mihan, R. (2016). A profile of the sexual experiences of African, Caribbean and Black Canadian youth in the context of Canadian youth sexuality. Canadian Journal of Human Sexuality, 25(1), 41-52. https://doi.org/10.3138/cjhs.251-A1

Maticka-Tyndale, E., Kerr, J., Mihan, R., & Mungwete, R. (2016). Condom Use at Most Recent Intercourse Among African, Caribbean, and Black Youth in Windsor, Ontario. International Journal of Sexual Health, 28(3), 228-242. https://doi.org/10.1080/19317611.2016.1198444

McKenzie, M. M., Modeste, N. N., Marshak, H. H., & Wilson, C. (2015). Religious involvement and health-related behaviors among Black Seventh-Day Adventists in Canada. Health promotion practice16(2), 264-270. https://doi.org/10.1177/1524839914532812

McKinnon, B., Abalovi, K., Fortin, G., Parvez, M., Dalal, S., Bouabid, R., Jasmin, D., Zéphrin, M., Gupta, N., Hasan, A. T., Andog-naba Sebastien, A., Taheem, B., Dubé, È., Tuong Nguyen, C., Quach, C., Vandermorris, A., & Zinszer, K. (2023). Perspectives on COVID-19 Vaccination and Vaccine Passports in a Diverse Urban Adolescent Population: A Youth Participatory Mixed Methods Study. Journal of Adolescent Health, 73(3), 527–535. https://doi.org/10.1016/j.jadohealth.2023.04.013

McKinnon, B., Yang, S., Kramer, M. S., Bushnik, T., Sheppard, A. J., & Kaufman, J. S. (2016). Comparison of black-white disparities in preterm birth between Canada and the United States. CMAJ. Canadian Medical Association Journal, 188(1), E19–E26. https://doi.org/10.1503/cmaj.150464

Mihan, R., Kerr, J., Maticka-Tyndale, E., & ACBY Team (2016). HIV-related stigma among African, Caribbean, and Black youth in Windsor, Ontario. AIDS Care, 28(6), 758–763. https://doi.org/10.1080/09540121.2016.1158397

Monagel, D. A., Monteiro, J., Thull-Freedman, J., Ruzycki, A., Leaker, M., & Steele, M. (2022). Clinical features at diagnosis of sickle cell disease prior to universal newborn screening in Alberta. Paediatrics & Child Health, 27(8), 464-468. https://doi.org/10.1093/pch/pxac070

Muia, C. M., McGarr, G. W., Schmidt, M. D., Fujii, N., Amano, T., & Kenny, G. P. (2019). Contribution of nitric oxide synthase to cutaneous vasodilatation and sweating in men of black‐African and Caucasian descent during exercise in the heat. Experimental Physiology104(12), 1762-1768. https://doi.org/10.1113/EP088115

Muia, C. M., Notley, S. R., Saci, S., D’Souza, A. W., & Kenny, G. P. (2020). Whole‐body heat exchange in black‐African and Caucasian men during exercise eliciting matched heat‐loss requirements in dry heat. Experimental Physiology, 105(1), 7–12. https://doi.org/10.1113/EP088091

Mulatris, P., & Liboy, M. G. (2020). Autour de la diversité des orientations sexuelles: regard croisé Afrique-Canada parmi les jeunes francophones issus de l’immigration africaine subsaharienne. Canadian Ethnic Studies, 52(1), 73-93.

Ndao, M., Bandyayera, E., Kokoskin, E., Diemert, D., Gyorkos, T. W., MacLean, J. D., John, R. S., & Ward, B. J. (2005). Malaria “epidemic” in Quebec: diagnosis and response to imported malaria. Canadian Medical Association Journal (CMAJ), 172(1), 46-50. https://doi.org/10.1503/cmaj.1031862

Newman, P. A., Dinh, D. A., Massaquoi, N., Williams, C. C., Lacombe-Duncan, A., Tepjan, S., & Nyoni, T. (2024). “Going vaccine hunting”: Multilevel influences on COVID-19 vaccination among racialized sexual and gender minority adults-a qualitative study. Human Vaccines & Immunotherapeutics, 20(1), 2301189. https://doi.org/10.1080/21645515.2023.2301189

Ngobi, J. B., Pottie, K., Leonard, L., Tugwell, P., Hoffman, S., & Welch, V. (2020). Multi-level barriers to reaching HIV testing among young heterosexual African migrants from HIV-endemic countries in Ottawa. Canadian Journal of Human Sexuality, 29(1), 79-93. https://doi.org/10.3138/cjhs.2019-0033

Noble, A., Owens, B., Thulien, N., & Suleiman, A. (2022). “I feel like I’m in a revolving door, and COVID has made it spin a lot faster”: The impact of the COVID-19 pandemic on youth experiencing homelessness in Toronto, Canada. Plos one17(8), e0273502. https://doi.org/10.1371/journal.pone.0273502

Oble, A., Owens, B., Thulien, N., & Suleiman, A. (2022). “I feel like I’m in a revolving door, and COVID has made it spin a lot faster”: The impact of the COVID-19 pandemic on youth experiencing homelessness in Toronto, Canada. PloS One, 17(8), e0273502. https://doi.org/10.1371/journal.pone.0273502

Okoye, H. U., & Saewyc, E. (2021). Fifteen-year trends in self-reported racism and link with health and well-being of African Canadian adolescents: a secondary data analysis. International Journal for Equity in Health, 20(1), 108. https://doi.org/10.1186/s12939-021-01446-x

Okoye, H., Ojukwu, E., Coronel Villalobos, M., & Saewyc, E. (2023). Racism as a social determinant of health: Link to school-related psychosocial stressors in a population-based sample of African adolescents in Canada. Journal of Advanced Nursing, 79(9), 3498–3512. https://doi.org/10.1111/jan.15673

Olawo, O., Pilkington, B., & Khanlou, N. (2021). Identity-Related Factors Affecting the Mental Health of African Immigrant Youth Living in Canada. International Journal of Mental Health and Addiction, 19(3), 701–713. https://doi.org/10.1007/s11469-019-00177-z

Omorodion, F., Gbadebo, K., & Ishak, P. (2007). HIV vulnerability and sexual risk among African youth in Windsor, Canada. Culture, Health & Sexuality, 9(4), 429–437. https://doi.org/10.1080/13691050701256721

Osman, S., Aiello, O., Brouillette, K., Taylor, M., McKenzie, K., Renzaho, A. M. N., Henderson, J., Hamilton, H., & Salami, B. (2024). “Dual Pandemics”: Intersecting Influences of Anti-Black Racism and the COVID-19 Pandemic on the Mental Health of Black Youth. The Canadian Journal of Nursing Research, https://doi.org/10.1177/08445621241253116

Owusu-Bempah, A., Nicholson, J., Butler, A., Croxford, R., & Kouyoumdjian, F. G. (2023). Opioid toxicity deaths in Black persons who experienced provincial incarceration in Ontario, Canada 2015-2020: A population-based study. Preventive Medicine, 177, 107778–107778. https://doi.org/10.1016/j.ypmed.2023.107778

Patte, K. A., Duncan, M. J., Amores, A., Belita, E., Kocsis, R., Riazi, N. A., … & Leatherdale, S. T. (2024). Inequities in dietary intake and eating behaviours among adolescents in Canada. Canadian Journal of Public Health, 1-14. https://doi.org/10.17269/s41997-024-00854-0

Penner, M., Senman, L., Andoni, L., Dupuis, A., Anagnostou, E., Kao, S., Solish, A., Shouldice, M., Ferguson, G., & Brian, J. (2023). Concordance of Diagnosis of Autism Spectrum Disorder Made by Pediatricians vs a Multidisciplinary Specialist Team. JAMA Network Open, 6(1), e2252879-e2252879. https://doi.org/10.1001/jamanetworkopen.2022.52879

Robitaille, N., Delvin, E. E., & Hume, H. A. (2006). Newborn screening for sickle cell disease: A 1988-2003 Quebec experience. Paediatrics and Child Health, 11(4), 223-227. https://doi.org/10.1093/pch/11.4.223

Roger, E., & Letts, M. (1999). Sickle cell disease of the spine in children. (Cover story). Canadian Journal of Surgery, 42(4), 289-292. https://pubmed.ncbi.nlm.nih.gov/10459329/

Rousseau, C., Hassan, G., Measham, T., & Lashley, M. (2008). Prevalence and correlates of conduct disorder and problem behavior in Caribbean and Filipino immigrant adolescents. European Child & Adolescent Psychiatry, 17(5), 264-273. 10.1007/s00787-007-0640-1

Salami, B., Alaazi, D. A., Ibrahim, S., Yohani, S., Scott, S. D., Vallianatos, H., Urichuk, L., & Islam, B. (2022). African Immigrant Parents’ Perspectives on the Factors Influencing Their Children’s Mental Health. Journal of Child and Family Studies, 31(1), 142-154. https://doi.org/10.1007/s10826-021-02130-y

Salami, B., Denga, B., Taylor, R., Ajayi, N., Jackson, M., Asefaw, M., & Salma, J. (2021). Access to mental health for Black youths in Alberta. Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice, 41(9), 245–253. https://doi.org/10.24095/hpcdp.41.9.01

Salami, B., Idi, Y., Anyieth, Y., Cyuzuzo, L., Denga, B., Alaazi, D., & Okeke-Ihejirika, P. (2022). Factors that contribute to the mental health of Black youth. Canadian Medical Association Journal (CMAJ), 194(41), E1404-E1410. https://doi.org/10.1503/cmaj.212142

Shimeles H., Husbands W., Clemon G., Fenta H., Afzal A., Baidoobonso S., and Mbulaheni T. (2012). Stay Alive: Evaluation of the Keep it Alive! HIV Awareness and Prevention Campaign for African, Caribbean and Black Communities in Ontario. https://accho.ca/wp-content/uploads/2021/08/KIA_Evaluation_Report_Final_Aug2013.pdf

Shimeles, H., Husbands, W., Tharao, W., Adrien, A., & Pierre-Pierre, V. (2011). African, Caribbean and Black Communities in Canada. For the Canadian Institute of Health Research, 1-10. https://accho.ca/wp-content/uploads/2021/08/SRC_Synthesis_Paper_ACB_Communities_May-6-2011.pdf

Stephenson, N., Metcalfe, A., McDonald, S., Williamson, T., McMorris, C., & Tough, S. (2023). The association of gestational age at birth with trajectories of early childhood developmental delay among late preterm and early term born children: A longitudinal analysis of All Our Families pregnancy cohort. Paediatric and Perinatal Epidemiology37(6), 505-515. https://doi.org/10.1111/ppe.12965

Tahmasebi, H., Asgari, S., Hall, A., Higgins, V., Chowdhury, A., Thompson, R., Bohn, M. K., Macri, J., & Adeli, K. (2020). Influence of ethnicity on biochemical markers of health and disease in the CALIPER cohort of healthy children and adolescents. Clinical chemistry and laboratory medicine, 58(4), 605–617. https://doi.org/10.1515/cclm-2019-0876

Tessier, J. R. (2001). Disordered eating behaviors and attitudes of youth in a Northern Canadian community (Yukon). https://www.collectionscanada.gc.ca/obj/s4/f2/dsk3/ftp04/NQ60353.pdf

Valdez, C., Rodrigues, R., Reid, J., & Anderson, K. K. (2024). Disparities in Access to a Regular Primary Care Physician Among First-Generation Migrants with Early Psychosis in Ontario, Canada. Community Mental Health Journal, 1-5.  https://doi.org/10.1007/s10597-024-01266-7

Van Der Ven, E., Bourque, F., Joober, R., Selten, J. P., & Malla, A. K. (2012). Comparing the clinical presentation of first-episode psychosis across different migrant and ethnic minority groups in Montreal, Quebec. The Canadian Journal of Psychiatry57(5), 300-308. https://doi.org/10.1177/070674371205700505

Vandewouw, M. M., Brian, J., Crosbie, J., Schachar, R. J., Iaboni, A., Georgiades, S., Nicolson, R., Kelley, E., Ayub, M., Jones, J., Taylor, M. J., Lerch, J. P., Anagnostou, E., & Kushki, A. (2023). Identifying Replicable Subgroups in Neurodevelopmental Conditions Using Resting-State Functional Magnetic Resonance Imaging Data. JAMA Network Open, 6(3), e232066. https://doi.org/10.1001/jamanetworkopen.2023.2066

Waldron, I., Senger, B., Cookey, J., Crown, M., & Tibbo, P. (2023). Addressing Stigma and Promoting Help-Seeking Among African Nova Scotian Youth Experiencing Psychosis and Other Mental Health Problems. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 68(3), 200–207. https://doi.org/10.1177/07067437221125305

Walmsley, B., Gallant, D., Naccarato, M., Hull, M., Smith, A., & Tan, D. H. S. (2019). The PrEP you want: a web-based survey of online cross-border shopping for HIV prophylaxis medications. Journal of Medical Internet Research21(7), e12076. doi: 10.2196/12076

Walmsley, B., Gallant, D., Naccarato, M., Hull, M., Smith, A., & Tan, D. H.-S. (2019). The PrEP You Want: A Web-Based Survey of Online Cross-Border Shopping for HIV Prophylaxis Medications. JMIR. Journal of Medical Internet Research, 21(7), e12076–e12076. https://doi.org/10.2196/12076

Watts, K. J., Wagaman, M. A., Eaton, A. D., Leung, V. W., & Craig, S. L. (2023). Examining the Role of Peer and Family Belongingness in the Mental Health of Black LGBTQ+ Youth. Child & Youth Services, 1-20. https://doi.org/10.1080/0145935X.2023.2261364

Williams, K. K. A., Baidoobonso, S., Haggerty, J., Lofters, A., & Adams, A. M. (2024). Anti-Black discrimination in primary health care: a qualitative study exploring internalized racism in a Canadian context. Ethnicity & Health, 29(3), 343–352. https://doi.org/10.1080/13557858.2024.2311429

Yohani, S., Salami, B., Okeke-Ihejirika, P., Vallianatos, H., Alaazi, D., & Nsaliwa, C. (2020). “If You Say You Have Mental Health Issues, Then You Are Mad”: Perceptions of Mental Health in the Parenting Practices of African Immigrants in Canada. Canadian Ethnic Studies, 52(3), 47-66. https://doi.org/10.1353/ces.2020.0016

Zhabokritsky, A., Nelson, L. E., Tharao, W., Husbands, W., Sa, T., Zhang, N., … & Kaul, R. (2019). Barriers to HIV pre-exposure prophylaxis among African, Caribbean and Black men in Toronto, Canada. Plos one14(3), e0213740. https://doi.org/10.1371/journal.pone.0213740

Zhabokritsky, A., Nelson, L. E., Tharao, W., Husbands, W., Sa, T., Zhang, N., Thomas-Pavanel, J., Baidoobonso, S., & Kaul, R. (2019). Barriers to HIV pre-exposure prophylaxis among African, Caribbean and Black men in Toronto, Canada. PloS one, 14(3), e0213740. https://doi.org/10.1371/journal.pone.0213740

Reports

Black Kids’ Health (n.d). Evidence-based health information for you and your family.https://black.kidshealthnetwork.org/

Black Health Equity Working Group. (2021). Engagement, Governance, Access, and Protection (EGAP). A Data Governance Framework for Health Data Collected from Black Communities in Ontario. https://blackhealthequity.ca/wp-content/uploads/2021/03/Report_EGAP_framework.pdf

Black Health Alliance. (2020). Racism and Health: A Brief Report on the Impact of Anti-Black Racism on the Health and Wellbeing of Black Communities in Canada. Retrieved from https://blackhealthalliance.ca/wp-content/uploads/2020/12/Black-Health-Alliance-Racism-and-Health-Report-Final.pdf

Black Health Alliance .(2005). How Do Scarborough’s Black Youth Access the Health Care System? Retrieved from? https://blackhealthalliance.ca/wp-content/uploads/BHA_Black_Youth_and_Health_Care_Access.pdf

Government of Canada. (2020). Social determinants and inequities in health for Black Canadians: A snapshot. Retrieved from https://www.canada.ca/en/public-health/services/health-promotion/population-health/what-determines-health/social-determinants-inequities-black-canadians-snapshot.html

Government of Canada. (2023). Anti-Black racism in the early years: The experiences of Black families and early childhood educators in Nova Scotia. Health Promotion and Chronic Disease Prevention in Canada. Retrieved from https://www.canada.ca/en/public-health/services/reports-publications/health-promotion-chronic-disease-prevention-canada-research-policy-practice/vol-43-no-8-2023/anti-black-racism-early-years-experiences-black-families-early-childhood-educators-nova-scotia.html

Centre for Addiction and Mental Health (CAMH). (2021). Research snapshot: Canadian Black children and youth face many barriers to accessing mental healthcare. Retrieved from https://kmb.camh.ca/eenet/resources/research-snapshot-canadian-black-children-and-youth-mental-health-barriers

Ontario Association of Children’s Aid Societies. (2022). Understanding the over-representation of Black children in Ontario’s child welfare system: Findings from the Ontario Incidence Study of Reported Child Abuse and Neglect. Retrieved from https://www.oacas.org/wp-content/uploads/2022/06/Black-Children-in-Care-OIS-Report-2022-Final.pdf

Videos

Health disparities among Black Canadians: https://www.youtube.com/watch?v=Ocxw2Sdronk

The impact of anti-black racism on children and youth in Canada: https://www.youtube.com/watch?v=mI6qLJrM40w

Centering Equity, Diversity, and Inclusion into Child Health Research: https://www.youtube.com/watch?v=H5O5vYoIb2E

An Examination of Health Equity in Canada: https://www.youtube.com/watch?v=xkblzpb8luE

Documentaries

Being Black in Canada | Special Program: https://www.youtube.com/watch?v=fnElRCTrMpw

Breakout Session 4: Black Mental Health in Canada: https://www.youtube.com/watch?v=2B__RG0wtfk

The Epidemic Killing Black Children: https://www.youtube.com/watch?v=4KMk5KATlRM

The Fight for Black Lives: https://www.youtube.com/watch?v=_qjy7E7ucd8