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. 2021 Oct 3;24(4):1029–1044. doi: 10.1007/s10903-021-01273-w

Table 2.

Analytical themes and sub-themes

Structural determinants of health Intermediary determinants of health Health consequences

Political views and practices in Canada

Institutionalization of temporariness

- Complexity of migratory system

- Politically produced precarious immigration status

Stigmatization/illegalization/criminalization

- Considered morally inferior

- Considered taking advantage of the system/costly

- Threat to national security

(Un)deservingness

Invisibilization

- Limited data

- Unofficial healthcare provision

- “Don’t ask, don’t tell” policy

Rights

- Health as human right

- Health as a human right vs. right of citizens

Myth of universal healthcare

- Universal versus selective healthcare system

Intersectional social position

- Nationality/immigration status

- Social class/occupation

- Gender/sexuality

- ‘Race’/ethnicity

Living conditions

- Poor housing conditions

- Food insecurity

Working conditions

- Financial insecurity/low wages

- Precarious working conditions

- Deportability

Social practices

- Social isolation

- Social network mobilization

- Health care avoidance

Psychosocial conditions

- Lack of social support

- (In)visibility

- Fear of deportation

- Fear of debt

- Powerlessness/hopelessness

- Autonomy and resilience

Healthcare

- Lack of coverage

- Access does not ensure utilization

- Barriers and facilitators: gatekeeping/administrative, sustainability, provider ideology

- Limited access to healthcare

- Fear of using services (deportation risk)

- Differential utilization according to social position/intersectionality

- Debt due to healthcare

Social services

- Lack of access to education

- Barriers and facilitators: gatekeeping/administrative, sustainability, provider ideology

- Limited access to social services

- Fear of using services (deportation risk)

- Differential utilization according to social position/intersectionality

Broad impact on health and wellbeing

Physical health

- Increased risk of complications

- Poorer health outcomes

- Accidents

- Domestic violence

- Pregnancy and obstetric issues

- Increased rate of HIV

Mental health and wellbeing

- Inability to plan for future

- Stress/Fatigue

- Anxiety

- Depression

- PTSD

- Addictions

Lower quality care

- Limited or lack of continuity of care

- Seeking care only for emergencies