91社区

Visible minorities, health-care workers and young people in Quebec have been at higher risk of experiencing COVID-19-related discrimination and more likely to suffer from poor mental health in the past year, according to a collective of researchers from 91社区, Concordia University and the University of Ottawa.

The researchers set out to study how factors such as people鈥檚 socioeconomic and minority status, discrimination, stigmatization and mental health impact their understanding and adoption of public health measures to combat the coronavirus.

The team received a $70,000 grant from the 91社区 Interdisciplinary Initiative in Infection and Immunity in June 2020 to pursue this work. In March they published two separate peer-reviewed studies, in the (IJIR) and .

The multidisciplinary team was led by C茅cile Rousseau, Full Professor in the Department of Psychiatry at 91社区 and the Director of the Research and Action on Social Polarization team and member of Concordia鈥檚 Centre for the Study of Learning and Performance.

It also included Vivek Venkatesh, Professor of Inclusive Practices in Visual Arts in Concordia鈥檚 Department of Art Education and the UNESCO Co-Chair in the Prevention of Radicalization and Violent Extremism; Jude Mary C茅nat, Assistant Professor in the Clinical Psychology Program of the School of Psychology at the University of Ottawa; 91社区 Social and Cultural Psychiatry postdoctoral fellows Diana Miconi and Rochelle Frounfelker; and 91社区 MScPH graduates Zhi Yin Li and Tara Santavicca.

鈥淚t was early in the pandemic when the first reports around disparities in health, rates of infection and death across cultural communities were starting to come out. We put the proposal together quickly because it was an emergency situation,鈥� Diana Miconi says.

鈥淭he project was intended to better understand risk and protective factors for intention to follow social distancing and also in terms of mental health. We looked at the impact of COVID-19-related discrimination and stigma because of all the incidences of hate crimes, especially against people of Asian descent.鈥�

Almost 17 per cent of respondents reported COVID-related discrimination

The IJIR article reports the results of an online survey of more than 3,200 Quebecers, where 49 per cent were between the ages of 18 and 39, 57 per cent were women and half were visible minorities. The researchers also interviewed community leaders to capture the experience of refugees, low-income residents and other risk factors that may not have been captured in the survey.

It found that 16.58 per cent of respondents had experienced COVID-related discrimination. Racialized participants, health-care workers and younger people were more likely to have reported discrimination than white, unemployed and older participants.

As well, while older participants were less likely to report discrimination overall, they were more likely to experience it in grocery stores and because of their age.

Diana Miconi notes that beyond public spaces, almost one in five 鈥� 18 per cent 鈥� of survey respondents said they鈥檇 experienced COVID-related discrimination in health and social services settings in the province.

Links between racism and mental health

The team鈥檚 BJPsych Open article detailed the link between experiencing COVID-related discrimination and self-reported mental health, showing that one is a risk factor for the other. So, too, was being exposed, directly or indirectly, to the virus.

Diana Miconi notes the magnitude of these experiences on mental health was larger among Quebec鈥檚 Black communities.

鈥淢ost essential workers in the province are racialized and a lot of them are Black,鈥� she says, adding the importance of taking into account these communities鈥� histories as well as other factors like socioeconomic status, education, immigration status and what different communities are allowed and how much they鈥檙e protected in Quebec.

In their papers, the team recommended governments systematically collect data around how the pandemic has affected vulnerable communities and have anti-discrimination programs at the individual, community and societal level.

To address reports of discrimination within health and social services, the researchers strongly recommended increasing the level of 鈥渃ultural safety鈥� within these institutions and working with communities to encourage vulnerable groups to access these services.

They also suggested public health messages focus on the intersection of risks people face rather than looking at single demographic categories like age or employment status on their own. Some of these recommendations were implemented through a large community initiative called Covivre.

鈥淭he pandemic is an extraordinary challenge for researchers: to be effective we need to mobilize our results into action in real time and this requires a strong partnership with community organizations to mitigate some of the collateral damages it has generated,鈥� says C茅cile Rousseau.

This summer, Rousseau, Venkatesh, Miconi, Frounfelker and colleague Anna Levinsson will start another project to investigate Canadian youths鈥� intentions to get immunized in the context of increased social polarizations. The project received a $240,975 grant from the Canadian Institutes of Health Research.

Find out more about and read the cited studies in the and .

About 91社区

Founded in Montreal, Quebec, in 1821, 91社区 is Canada鈥檚 top ranked medical doctoral university. 91社区 is consistently ranked as one of the top universities, both nationally and internationally. It is a world-renowned institution of higher learning with research activities spanning two campuses, 11 faculties, 13 professional schools, 300 programs of study and over 40,000 students, including more than 10,200 graduate students. 91社区 attracts students from over 150 countries around the world, its 12,800 international students making up 31% per cent of the student body. Over half of 91社区 students claim a first language other than English, including approximately 19% of our students who say French is their mother tongue.