{"id":{"repo_id":"uwo","oai_identifier":"oai:uwo.scholaris.ca:20.500.14721/33518"},"canonical_url":"https://search.dev.ndltd.org/etd/uwo/oai:uwo.scholaris.ca:20.500.14721/33518","repository":{"repo_id":"uwo","name":"Western University","base_url":"https://uwo.scholaris.ca/server/oai/request"},"display":{"title":"Access to Care and the Impact of Inequality Among Individuals with a History of Mental Illness","abstract":"Using an Intersectionality framework, a secondary analysis of pre-existing data from the CURA2 Poverty and Social Inclusion study (Forchuk et al., 2010-2015) was used to explore the relationship between experiences of oppression and self-rated health among a cross-section of 293 community dwelling participants with a mental illness. Binary logistic regression was used to estimate the association between self-rated health and social identity (gender, ethnicity, education, homelessness, employment, disability); health care access was tested for both mediating and moderating effects. The final model explained between 18.9-25.2% of the variance in self-rated health; four independent variables made unique statistically significant contributions to the model (education, employment, disability, unmet health need). There were no significant 3-way or 2-way interactions. Findings highlight the impact of social identity in shaping health. Further research is needed to facilitate greater understanding of the underlying factors that contribute to health inequalities among individuals who suffer from a mental illness.","abstract_html":"Using an Intersectionality framework, a secondary analysis of pre-existing data from the CURA2 Poverty and Social Inclusion study (Forchuk et al., 2010-2015) was used to explore the relationship between experiences of oppression and self-rated health among a cross-section of 293 community dwelling participants with a mental illness. Binary logistic regression was used to estimate the association between self-rated health and social identity (gender, ethnicity, education, homelessness, employment, disability); health care access was tested for both mediating and moderating effects. The final model explained between 18.9-25.2% of the variance in self-rated health; four independent variables made unique statistically significant contributions to the model (education, employment, disability, unmet health need). There were no significant 3-way or 2-way interactions. Findings highlight the impact of social identity in shaping health. Further research is needed to facilitate greater understanding of the underlying factors that contribute to health inequalities among individuals who suffer from a mental illness.","abstract_has_math":false,"creators":["Atyeo, Heather"],"institution":"The University of Western Ontario","degree_name":"M Sc","degree_level":null,"degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":[],"advisors":["Dr.Cheryl Forchuk"],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016-01-13","date_published":"2016-01-13","updated_at":"2026-07-27T21:56:16Z","subjects":["Mental health","inequality","Intersectionality","axes of oppression","access to care"],"languages":["en_ca"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/20.500.14721/33518","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Dr.Cheryl Forchuk"]},{"key":"dc:creator","label":"Author","values":["Atyeo, Heather"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2025-07-10T19:52:55Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2025-07-10T19:52:55Z"]},{"key":"dc:date.issued","label":"Date","values":["2016-01-13"]},{"key":"dc:publisher","label":"Institution","values":["The University of Western Ontario"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M Sc"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Mental health","inequality","Intersectionality","axes of oppression","access to care"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en_ca"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/20.500.14721/33518"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."]},{"key":"dc:description.abstract","label":"Abstract","values":["Using an Intersectionality framework, a secondary analysis of pre-existing data from the CURA2 Poverty and Social Inclusion study (Forchuk et al., 2010-2015) was used to explore the relationship between experiences of oppression and self-rated health among a cross-section of 293 community dwelling participants with a mental illness. Binary logistic regression was used to estimate the association between self-rated health and social identity (gender, ethnicity, education, homelessness, employment, disability); health care access was tested for both mediating and moderating effects. The final model explained between 18.9-25.2% of the variance in self-rated health; four independent variables made unique statistically significant contributions to the model (education, employment, disability, unmet health need). There were no significant 3-way or 2-way interactions. Findings highlight the impact of social identity in shaping health. Further research is needed to facilitate greater understanding of the underlying factors that contribute to health inequalities among individuals who suffer from a mental illness."]},{"key":"dc:title","label":"Title","values":["Access to Care and the Impact of Inequality Among Individuals with a History of Mental Illness"]}]}],"canonical_facts":{"dc:contributor.advisor":["Dr.Cheryl Forchuk"],"dc:creator":["Atyeo, Heather"],"dc:date.accessioned":["2025-07-10T19:52:55Z"],"dc:date.available":["2025-07-10T19:52:55Z"],"dc:date.issued":["2016-01-13"],"dc:description":["The thesis cover page in the PDF document includes references to Western University’s previous institutional repository platform, known as Scholarship@Western, and links to that platform (beginning with ir.lib.uwo.ca). In citing or referring to this thesis, use the DOI or handle from this page instead. Sample citation: Author name, \"Thesis title.\" (Year). Western University Open Repository. https://doi.org/10.71858/123456."],"dc:description.abstract":["Using an Intersectionality framework, a secondary analysis of pre-existing data from the CURA2 Poverty and Social Inclusion study (Forchuk et al., 2010-2015) was used to explore the relationship between experiences of oppression and self-rated health among a cross-section of 293 community dwelling participants with a mental illness. Binary logistic regression was used to estimate the association between self-rated health and social identity (gender, ethnicity, education, homelessness, employment, disability); health care access was tested for both mediating and moderating effects. The final model explained between 18.9-25.2% of the variance in self-rated health; four independent variables made unique statistically significant contributions to the model (education, employment, disability, unmet health need). There were no significant 3-way or 2-way interactions. Findings highlight the impact of social identity in shaping health. Further research is needed to facilitate greater understanding of the underlying factors that contribute to health inequalities among individuals who suffer from a mental illness."],"dc:identifier.uri":["https://hdl.handle.net/20.500.14721/33518"],"dc:language.iso":["en_ca"],"dc:publisher":["The University of Western Ontario"],"dc:subject":["Mental health","inequality","Intersectionality","axes of oppression","access to care"],"dc:title":["Access to Care and the Impact of Inequality Among Individuals with a History of Mental Illness"],"dc:type":["thesis"],"thesis:degree_discipline":["Nursing"],"thesis:degree_name":["M Sc"]},"updated_at":"2026-07-27T21:56:16Z"}