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The Peel Region of Toronto, Canada is home to over a third of the province's South Asian population. Youth are at a vulnerable time period in terms of their mental health. South Asian youth populations may face additional challenges to their mental health such as acculturative stress, intergenerational conflict, and racism and discrimination. This qualitative study set out to understand the mental health concerns and service access barriers experienced by South Asian youth populations in the Peel Region of Toronto, Canada from the perspective of mental health service providers. In-depth semi-structured interviews were carried out with mental health service providers (n = 22) who work with South Asian youth living in Peel Region. Thematic analysis was used to elucidate themes related to mental health stressors and service access barriers experienced by youth. According to mental health service providers, South Asian youth navigate a number of unique stressors related to the domains of culture, religion, and family dynamics, experiences of discrimination, the impact of migration, beliefs around mental illness and help-seeking, help-seeking trajectories and therapy recommendations, and lastly, sex differences. Mental health service providers outlined steps needed to effectively address the unique mental health challenges, best practice guidelines, and recommendations for working with South Asian youth, families, and communities to provide a practical and nuanced overview on how a multi-level strategy for mental health care can effectively meet the needs of South Asian youth populations. [ABSTRACT FROM AUTHOR]

The objective of this study was to describe youth identity from the parents' perspective focusing on the impact of migration on identity formation for both parents and children. The semi-structured interview guide was developed using an intersectional lens (Crenshaw 1989). Interviews with Bangladeshi immigrants (n = 18) living in Toronto, Canada, were analyzed using Braun and Clarke's (Qualitative Research in Psychology, 3(2), 77–101, 2006) guide on thematic analysis and a systems framework (Khanlou et al. 2018). Parents described youth identity as a time of conflict fraught with turmoil, confusion, loneliness, and dual identity. Parents felt their children were on a divergent path from themselves in terms of identity and often felt the changes in their children as a result of acculturation were difficult to comprehend. Their identity as a "parent" took precedence over all other roles in life, particularly for mothers. Parents and children experienced changes in their identity at the macro-, meso-, micro-, and individual levels. Parenting support programs and resources are particularly needed for families with adolescent children to help mitigate conflict within the home and bridge understanding between parents and children as identities shift and transition through the migration and resettlement process. [ABSTRACT FROM AUTHOR]

This study explored the impact of age at time of immigration on mental health in Canada. The Canadian Community Health Survey (CCHS) 2011 was analyzed to determine prevalence rates for mood disorders for those who immigrated during early childhood, middle childhood, adolescence, and adulthood. Multivariable logistic regression analysis was carried out on pooled CCHS 2007-2011 data to calculate risk of mood disorders. Those who immigrated during early childhood (before the age of six) had a significantly higher prevalence rate of mood disorders (6.83 %, 95 % CI 6.77-6.89) compared to those who immigrated later in life (4.83-4.88 %, 95 % CI 4.56-4.93). Immigrating during early childhood was also associated with elevated risk of mood disorders (OR 1.40, 95 % CI 1.04-1.88) compared to those who immigrated as adults after adjusting for key factors. Mental health services need to consider the factors associated with early childhood migration and the implications for early intervention programming. [ABSTRACT FROM AUTHOR]

The use of ‘South Asian’ ethnic categorization was investigated to determine if there is consistency in its use in health research in Canada. Quantitative content analysis and a secondary qualitative content analysis were carried out on articles retrieved from a systematic review of Canadian health research conducted on ‘South Asians’ from 2005 to 2012. About 22% of articles (n = 31) examining South Asian health in Canada failed to include an explicit definition of ‘South Asian’. The failure to use a consistent operationalized definition throughout the study and the inappropriate application of findings to the relevant South Asian subpopulations were the major problems noted in the literature. Given the contextuality and fluidity of ethnic identity, the authors recommend the consistent use of explicit definitions of the specific subgroup of interest and that findings based on specific subgroups not be applied to the ‘South Asian community’ at large. [ABSTRACT FROM PUBLISHER]