{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:06:56Z","timestamp":1777504016853,"version":"3.51.4"},"reference-count":57,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Nurs Res"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The three-month health insurance waiting period in Ontario reinforces health inequities for newcomer women and their babies. Little is known about the systemic factors that shape newcomer women's experiences during the OHIP waiting period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the factors that shaped newcomer women's experiences with perinatal care during the three-month health insurance waiting period in Ontario, Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study was informed by an intersectional framework, and guided by a critical ethnographic method. Individual interviews were conducted with four newcomer women and three perinatal healthcare professionals. Participant observations at recruitment and interview sites were integral to the study design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The key systemic factors that shaped newcomer women's experiences with perinatal care included social identity, migration, and the healthcare system. Social identities related to gender, race, and socio-economic status intersected to form a social location, which converged with newcomer women's experiences of social isolation and exclusion. These experiences, in turn, intersected with Ontario's problematic perinatal health services. Together, these factors form systems of oppression for newcomer women in the perinatal period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Given the health inequities that can result from these systems of oppression, it is important to adopt an upstream approach that is informed by the Human Rights Code of Ontario to improve accessibility to and the experiences of perinatal care for newcomer women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08445621221150620","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T01:05:55Z","timestamp":1673485555000},"page":"333-344","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Newcomer Women's Experiences with Perinatal Care During the Three-Month Health Insurance Waiting Period in Ontario, Canada"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4930-5193","authenticated-orcid":false,"given":"Jessica","family":"Pimienta","sequence":"first","affiliation":[{"name":"Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sepali","family":"Guruge","sequence":"additional","affiliation":[{"name":"Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4183-2949","authenticated-orcid":false,"given":"Oona","family":"St-Amant","sequence":"additional","affiliation":[{"name":"Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Catallo","sequence":"additional","affiliation":[{"name":"Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Hart","sequence":"additional","affiliation":[{"name":"Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"bibr1-08445621221150620","unstructured":"Association of Ontario Midwives. (2020).\n                      Mission, vision, and values\n                      . https:\/\/www.ontariomidwives.ca\/mission-vision-values"},{"key":"bibr2-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1851-9"},{"key":"bibr3-08445621221150620","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr4-08445621221150620","unstructured":"Bates L., Cheff R. (2018).\n                      Using the law to advance health equity: OHIP eligibility of Ontario-born babies of uninsured parents\n                      . https:\/\/www.wellesleyinstitute.com\/wp-content\/uploads\/2018\/06\/OHIP-Eligibility-of-Ontario-born-Babies-of-Uninsured-Parents-pdf"},{"issue":"2","key":"bibr5-08445621221150620","volume":"24","author":"Bennett C.","year":"2019","journal-title":"The Online Journal of Issues in Nursing"},{"key":"bibr6-08445621221150620","volume-title":"Critical ethnography in educational research: A theoretical and practical guide","author":"Carspecken F. P.","year":"1996"},{"issue":"1","key":"bibr7-08445621221150620","first-page":"103","volume":"21","author":"Castro A.","year":"2019","journal-title":"Health and Human Rights"},{"key":"bibr8-08445621221150620","unstructured":"City of Toronto. (2013).\n                      Medically uninsured residents in Toronto\n                      . http:\/\/www.toronto.ca\/legdocs\/mmis\/2013\/hl\/bgrd\/backgroundfile-57588.pdf"},{"key":"bibr9-08445621221150620","volume-title":"Black feminist thought: Knowledge, consciousness, and the politics of empowerment","author":"Collins P. H.","year":"1990"},{"key":"bibr10-08445621221150620","volume-title":"Black feminist thought: Knowledge, consciousness, and the politics of empowerment","author":"Collins P. H.","year":"2000","edition":"2"},{"key":"bibr11-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1891\/1058-1243.21.3.158"},{"issue":"8","key":"bibr12-08445621221150620","first-page":"139","volume":"1989","author":"Crenshaw K.","year":"1989","journal-title":"University of Chicago Legal Forum"},{"key":"bibr13-08445621221150620","doi-asserted-by":"publisher","DOI":"10.2307\/1229039"},{"key":"bibr14-08445621221150620","volume-title":"Critical race theory: The key writings that formed the movement","author":"Crenshaw K.","year":"1995"},{"key":"bibr15-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1016\/j.rhm.2016.04.004"},{"key":"bibr16-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe2021693"},{"key":"bibr17-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.111095"},{"key":"bibr18-08445621221150620","unstructured":"Government of Canada. (2022).\n                      What is the Interim Federal Health Program?\n                      https:\/\/www.cic.gc.ca\/english\/helpcentre\/answer.asp?qnum=1272&top=33"},{"key":"bibr19-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurox.2019.100007"},{"key":"bibr20-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2008.00234.x"},{"key":"bibr21-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-207"},{"key":"bibr22-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1080\/09581590802294296"},{"key":"bibr23-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1080\/15546128.2018.1479668"},{"key":"bibr24-08445621221150620","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2011.37.1.057"},{"key":"bibr25-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.06.004"},{"key":"bibr26-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2014.09.009"},{"key":"bibr27-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0773-z"},{"key":"bibr28-08445621221150620","unstructured":"Hostetter M., Klein S. (2018, September 27).\n                      In focus: Reducing racial disparities in health care by confronting racism\n                      . https:\/\/www.commonwealthfund.org\/publications\/newsletter-article\/2018\/sep\/focus-reducing-racial-disparities-health-care-confronting"},{"key":"bibr29-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.2450.3069"},{"key":"bibr30-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/8783294"},{"key":"bibr31-08445621221150620","first-page":"235","volume-title":". The Sage handbook of qualitative research","author":"Kincheloe J","year":"2018","edition":"5"},{"key":"bibr32-08445621221150620","unstructured":"King\u2019s Printer for Ontario. (2022a).\n                      Health Insurance Act\n                      . https:\/\/www.ontario.ca\/laws\/regulation\/900552"},{"key":"bibr33-08445621221150620","unstructured":"King\u2019s Printer for Ontario. (2022b).\n                      What OHIP Covers\n                      . https:\/\/www.ontario.ca\/page\/what-ohip-covers"},{"key":"bibr34-08445621221150620","unstructured":"King\u2019s Printer for Ontario. (2022c).\n                      Health Care in Ontario\n                      . https:\/\/www.ontario.ca\/page\/health-care-ontario"},{"key":"bibr35-08445621221150620","unstructured":"King\u2019s Printer for Ontario. (2020).\n                      Ontario Health Insurance Plan: INFO Bulletin\n                      . http:\/\/www.health.gov.on.ca\/en\/pro\/programs\/ohip\/bulletins\/4000\/bul4749.aspx"},{"key":"bibr36-08445621221150620","unstructured":"King\u2019s Printer for Ontario. (2021).\n                      Human Rights Code\n                      . https:\/\/www.ontario.ca\/laws\/statute\/90h19"},{"key":"bibr37-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2017.189"},{"key":"bibr38-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232018248.30102017"},{"key":"bibr39-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.12.030"},{"key":"bibr40-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-114"},{"key":"bibr41-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"bibr42-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1177\/0884217505281856"},{"issue":"1","key":"bibr43-08445621221150620","first-page":"59","volume":"10","author":"McGibbon E.","year":"2011","journal-title":"Women\u2019s Health and Urban Life"},{"key":"bibr44-08445621221150620","doi-asserted-by":"crossref","DOI":"10.3138\/9781442685604","volume-title":"Women\u2019s health in Canada: critical perspectives on theory and policy","author":"Morrow M.","year":"2008"},{"key":"bibr45-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.06.049"},{"issue":"3","key":"bibr46-08445621221150620","first-page":"716","volume":"27","author":"Pimienta J.","year":"2022","journal-title":"The Qualitative Report"},{"key":"bibr47-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-007-0213-4"},{"key":"bibr48-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-8910.2014048005283"},{"key":"bibr49-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770180211"},{"key":"bibr50-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1897-8"},{"key":"bibr51-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-74"},{"key":"bibr52-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2008.74"},{"key":"bibr53-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1525\/maq.2004.18.4.490"},{"key":"bibr54-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cku230"},{"key":"bibr55-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-019-0729-2"},{"key":"bibr56-08445621221150620","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1288-6"},{"key":"bibr57-08445621221150620","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph10062198"}],"container-title":["Canadian Journal of Nursing Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08445621221150620","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08445621221150620","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08445621221150620","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:22:41Z","timestamp":1777389761000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/08445621221150620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,11]]},"references-count":57,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/08445621221150620"],"URL":"https:\/\/doi.org\/10.1177\/08445621221150620","relation":{"has-preprint":[{"id-type":"doi","id":"10.32920\/27236460","asserted-by":"object"},{"id-type":"doi","id":"10.32920\/27236460.v1","asserted-by":"object"}]},"ISSN":["0844-5621","1705-7051"],"issn-type":[{"value":"0844-5621","type":"print"},{"value":"1705-7051","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,11]]}}}