• Home
  • Josephine Pui-Hing Wong
Josephine Pui-Hing Wong

Josephine Pui-Hing Wong
Toronto Metropolitan University

RN, BScN, MScN, PhD

About

86
Publications
11,150
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
941
Citations

Publications

Publications (86)
Article
Full-text available
Psychological distress and mental illness have become increasingly pervasive among Chinese university students. However, many university students who need mental health treatment or psychological support do not actively seek help from professional counselors or service providers, which could lead to poor mental health outcomes. To promote help-seek...
Article
Full-text available
Objective Canada became a preferred destination for many non-European and American migrants since the introduction of favorable immigration policies the late 1960s. Blacks, including immigrants from African and the Caribbean however are a known vulnerable population to HIV in Canada. Even though first-generation immigrants might differ from subsequ...
Article
Full-text available
Background: Since the pandemic, more Canadians have reported poorer mental health. A vital group experiencing high level of stressors are health care providers (HCPs) caring for COVID-19 patients, carrying out public health responses, or working with vulnerable populations. The mental health of HCPs is negatively affected by the pandemic, not only...
Article
Universal health coverage (UHC), a target of the United Nations' third Sustainable Development Goal on health, refers to people having access to essential healthcare services without suffering financial hardship. The World Bank and other leading global health actors champion mixed health systems—in which government and privately-financed market del...
Article
Full-text available
From existing empirical research, we identified that Chinese college students commonly experience stigma surrounding mental illness and found some factors that support them in resisting the stigma and achieving psychological health. However, less research provides qualitative data involving individual experiences and insights on mental illness with...
Preprint
BACKGROUND Since the pandemic, more Canadians have reported poorer mental health. A vital group experiencing high level of stressors are health care providers (HCPs) caring for COVID-19 patients, carrying out public health responses, or working with vulnerable populations. The mental health of HCPs are negatively affected by the pandemic, not only...
Preprint
BACKGROUND Human papillomavirus (HPV) is the primary cause of cervical cancer, which is preventable through screening and early treatment. The Papanicolaou (Pap) test and visual inspection with acetic acid (VIA), traditionally performed at the clinical setting, have been used effectively to screen for cervical cancer and pre-cancerous changes, and...
Article
Background Human papillomavirus (HPV) is the primary cause of cervical cancer, which is preventable through screening and early treatment. The Papanicolaou (Pap) test and visual inspection with acetic acid (VIA), which are traditionally performed in clinical settings, have been used effectively to screen for cervical cancer and precancerous changes...
Preprint
BACKGROUND During a global pandemic, it is critical to rapidly deploy a psychological intervention to support the mental health and resilience of highly affected individuals and communities. OBJECTIVE This is the impetus behind the development and implementation of the Pandemic Acceptance and Commitment to Empowerment Response (PACER) Training, an...
Article
Background: During a global pandemic, it is critical to rapidly deploy a psychological intervention to support the mental health and resilience of highly affected individuals and communities. Objective: This is the rationale behind the development and implementation of the Pandemic Acceptance and Commitment to Empowerment Response (PACER) Traini...
Article
Background African, Caribbean, and Black men constitute the second-highest category of males living with HIV in Ontario, which increased from 15.4% to 17% between 2011 and 2016. Previous studies have attributed this disproportionately higher rate to multiple concurrent sexual partnerships and low rates of HIV testing. Drawing on theoretical constru...
Article
Full-text available
Although age at first sex is considered a measure of sexual risk and vulnerability for HIV infection, there is a dearth of literature on age at sexual debut in the Canadian context. This study examined time variations to first sex among heterosexual African, Caribbean, and Black (ACB) men in four Ontarian cities. A population-based retrospective su...
Preprint
Full-text available
BACKGROUND TTemporary migrant live–in caregivers constitute a vulnerable stream of temporary foreign workers in Canada. This is because the majority are racialized women from the Global South, the gendered nature of caregiving work has historically been undervalued, and their working and living spheres are intertwined which makes application of lab...
Article
Background: Temporary migrant live-in caregivers constitute a vulnerable stream of temporary foreign workers in Canada. This is because the majority are racialized women from the Global South, the gendered nature of caregiving work has historically been undervalued, and their working and living spheres are intertwined which makes application of la...
Article
Background Psychological distress, isolation, feelings of powerlessness, and limited social support are realities faced by temporary migrant live-in caregivers in Canada. Furthermore, they experience multiple barriers in accessing mental health services due to their long work hours, limited knowledge of health resources, precarious employment, and...
Preprint
BACKGROUND Psychological distress, isolation, feeling of powerlessness, and limited social support are realities faced by temporary migrant live–in caregivers in Canada. Furthermore, they experience multiple barriers in accessing mental health services due to their long work hours, limited knowledge about health resources, precarious employment, an...
Article
Full-text available
Objective Although there is evidence of effective stigma reduction by various psychological and educational interventions, the mechanisms of change remain unclear. In this article, we examine hypothesized processes that might have mediated reductions in stigma observed among Asian men who had received in mental health promotion interventions in Gre...
Article
Full-text available
In Ontario, African, Caribbean, and Black (ACB) men account for almost 60% of the estimated number of HIV-positive people (through heterosexual contact), although they constitute less than 5% of the province’s population. However, current HIV research, programming and policy in Ontario are not aligned with heterosexual ACB men’s healthcare needs an...
Article
Full-text available
African, Caribbean, and black (ACB) men living in Canada share a heightened risk of HIV infection and the associated risk factors such as suboptimal use of family planning services such as condom use. In this study, we assessed the factors associated with knowledge, attitude, and condom use among ACB men in Ontario. Methods. This was a cross-sectio...
Article
Full-text available
Mental illness stigma has detrimental effects on health and wellbeing. Approaches to address stigma in racialized populations in Western nations need to emphasize inclusivity, social justice, and sociocultural intersectionality of determinants of health. The current paper evaluates two interventions to reduce stigma of mental illness among Asian me...
Article
While there is a growing body of literature on Black people’s access to HIV services in Canada, the question of how this access varies across Canada’s urban jurisdictions has hitherto never arisen in research and policy. This paper assesses HIV healthcare needs among heterosexual Black men in four Ontario cities of Windsor, London, Toronto and Otta...
Article
Background Chinese students are extremely vulnerable to developing mental illness. The stigma associated with mental illness presents a barrier to seeking help for their mental health. Objective The Linking Hearts—Linking Youth and ‘Xin’ (hearts) project is an implementation science project that seeks to reduce mental illness stigma and promote th...
Article
Background: The Canadian Caregiver program, initiated in 1992, functions to conceal the inadequate public policy and programs on child and elder care in Canada. Consequently, migrant caregivers have become an invisible diaspora filling a domestic labour gap with few protections. Aim and Methods: This scoping review aims to identify the systemic bar...
Article
Full-text available
This study aimed to explore the association between mental health knowledge level and the prevalence of depressive symptoms among Chinese college students. A cross-sectional study was conducted in six universities in Jinan, Shandong Province, China, and a total of 600 college students were recruited to self-complete a series of questionnaires. The...
Article
Full-text available
Background In Canada, heterosexual African, Caribbean, and Black (ACB) men’s heightened risk of HIV infection has been linked to behavioral characteristics, including practices of hegemonic masculinity that discourage the use of HIV preventive services. However, this framing is bereft of the role of structural factors that may be contributing to ne...
Article
Background Rapid urbanization, academic pressures, and developmental life transition stressors contribute to mental health stress for postsecondary students in China. Effective prevention, early identification, and timely intervention are challenged by stigma, a lack of mental health literacy, and inadequate mental health resources. Objective Our...
Preprint
BACKGROUND Chinese students are extremely vulnerable to developing mental illness. The stigma associated with mental illness presents a barrier to seeking help for their mental health. OBJECTIVE The Linking Hearts—Linking Youth and ‘Xin’ (hearts) project is an implementation science project that seeks to reduce mental illness stigma and promote th...
Article
Full-text available
In Western countries, Blacks experience various challenges and problems such as discrimination, racism, unemployment, low income that can contribute to substance use. This scoping review seeks to map available evidence on the prevalence, factors associated and impacts for substance use among ACB people in Canada. We searched electronic bibliographi...
Article
Full-text available
Heterosexual African, Caribbean and Black (ACB) men are a vulnerable group to HIV infection in Canada, but little is known about their uptake of HIV testing services. Studies on ACB men HIV vulnerabilities have largely focused on behavioural factors. While these studies have contributed to the current HIV prevention success in Canada, little attent...
Article
There is a pressing need for sex education interventions that combat stigma and increase HIV knowledge and comfort in talking about sex among Canadian South Asians. A community-based research study in the Greater Toronto Area in Ontario, Canada assessed (1) the impact of fact-based versus story-based interventions on two outcomes: knowledge of HIV/...
Article
The Youth Engagement Project (YEP) is a community-based pilot study in Toronto, Canada that we developed to better understand perspectives about and experiences of sexual health education among socioeconomically marginalized, racialized, and LGBTQ youth. We investigated: 1) what sex-related messages these young people received as they grew up, 2) h...
Article
Objective: Poor knowledge of sexual partners’ HIV status is a major contributing factor in the heterosexual spread of HIV in Canada. This study examined knowledge of sexual partner’s HIV serostatus and the practice of safer sex among self-identified heterosexual African, Caribbean and Black (ACB) men in London, Ontario. Design: A cross-sectional da...
Article
Each year Canada approves about 70,000 agricultural temporary foreign worker positions. However, few studies have examined temporary foreign workers’ sexual health. In this mixed-methods study, we used surveys and focus groups to explore the knowledge of HIV and sexually transmitted infections (STI), sexual behaviours and the perspectives of sexual...
Article
Chinese people are currently the second largest visible minority group living in Canada; however, little is known about the sexual practices of Chinese youth living in Canada. Using a case study, we applied Bourdieu’s theory of social practise to illustrate how the sexual practices of a young Chinese immigrant man, Matthew, were shaped by his prima...
Article
Full-text available
Background: Colorectal cancer (CRC) is the second and third highest cause of cancer deaths among Canadian men and women, respectively. Population-based screening through fecal occult blood testing (FOBT) has been proven to be effective in reducing CRC morbidity and mortality. Although participation in Ontario's organized CRC screening program has...
Article
Full-text available
Background Stigma of mental illness contributes to silence, denial and delayed help seeking. Existing stigma reduction strategies seldom consider gender and cultural contexts. Purpose The Strengths in Unity study was a multi-site Canadian study that engaged Asian men in three stigma reduction interventions (ACT, CEE, psychoeducation) and mobilized...
Article
Full-text available
Introduction Previous research demonstrated that substance use continues to be one of the most complex and prevalent problems among African, Caribbean and Black (ACB) people. A number of studies were conducted to characterise substance use patterns in this population. To our knowledge, this is the first known review in Canada characterising substan...
Preprint
Full-text available
The ETSN (Ethno-racial Treatment Support Network) is a peer-based HIV health literacy and peer support training program developed in response to the complex challenges faced by racialized and newcomer people living with HIV/AIDS (PHA) in accessing treatment and support. Since its inception in 2003, the ETSN program has trained over 200 PHAs, their...
Article
Full-text available
Background: Building the collective capacity of racialized women to meaningfully lead and engage in research is critical to health equity. To address the silence and stigma related to HIV/sexually transmitted infections (STIs) among South Asian women in Canada, peer leadership and engagement were identified as important strategies to promote open...
Article
Full-text available
Story-based learning is well recognized as an effective strategy for adult health education. However, there is a scarcity of research on story-based health education among women in South Asian diasporic communities. To address this gap, we undertook a pilot study in Toronto to explore how South Asian women respond to the use of fact-based and story...
Article
Full-text available
Empirical evidence suggests rapid health decline among temporary migrant workers but there is limited knowledge about their mental health. This study explored live-in care givers’ (LCs) mental health and its determinants. Using a mixed methods design, a purposeful sample of 30 LCs was recruited. Data were collected through a selfcompleted questionn...
Article
Background: The available evidence on interventions addressing the stigma of mental illness is limited because of small samples, lack of diversity in study samples, and exclusion of people living with mental illness. To date, no published studies have evaluated anti-stigma interventions for Asian men in Canada. Aim This paper describes the protoco...
Article
Distress among young immigrant and refugee men has drawn increasing research attention in recent years. Nuanced understandings of distress are needed to inform mental health and public health programming. The purpose of this research was to examine distress from the perspectives of young immigrant and refugee men living in Greater Vancouver, Britis...
Article
Full-text available
Cervical cancer rates are disproportionately high among women living with the human immunodeficiency virus (WLHIV). Cervical cancer is preventable through HPV screening, regular Pap tests, and early cancer detection. Evidence indicates that HPV and cervical cancer screening are suboptimal among WLHIV, who face a myriad of access barriers. Consideri...
Article
Marginalized communities bear a disproportionate burden of syndemic challenges related to HIV, mental illness and addiction. Stigma is a major barrier to effective responses. CHAMP, an innovative community-based intervention that integrated psychological intervention and collective empowerment strategies to reduce stigma, was found to be effective...
Article
Full-text available
Human papillomavirus (hpv) infection is the cause of anal squamous cell cancer (ascc) in 80% of cases. Available research has also shown high prevalence of anal hpv infection among men who have sex with men (msm). However, hpv vaccination is low among msm in Canada. In light of this information, we conducted a scoping review with the aim of explori...
Article
Full-text available
In recet years, the experiences of immigrant and refugee young men have drawn attention worldwide. Human-induced environmental disasters, local and global conflicts, and increasingly inequitable distributions of wealth have shaped transnational migration patterns. Canada is home to a large immigrant and refugee population, particularly in its urban...
Article
Full-text available
Racialized diasporic communities in Canada experience disproportionate burden of HIV infection. Their increased vulnerabilities are associated with interlocking challenges, including barriers in accessing resources, migration and settlement stress, and systemic exclusion. Further, people living with HIV (PLHIV) in these diasporic communities face s...
Article
Breast cancer screening disparities continue to prevail with immigrant women being at the forefront of the under screened population. There is a paucity of knowledge about the role of religious affiliation or cultural orientation on immigrant women's cancer screening uptake. This study examined differences in uptake of breast cancer screening among...
Research
Full-text available
The overall goals of the project were to increase access to culturally appropriate information and resources on mental health, and to support women from the six ethnic-cultural communities to make informed choices regarding mental health services and/or treatments for themselves and/or their family members. Following the principle of evidence-base...
Research
Full-text available
This manual was developed with the aim of promoting mental health and reducing stigma using a holistic collective empowerment and capacity building approach.
Chapter
Acceptance and Commitment Therapy, an acceptance- and mindfulness-based cognitive behavior therapy, is said to reflect many common tenets underlying Zen Buddhism. However, little has been written about the relationship between Zen Buddhism and ACT. A few researchers have highlighted the parallels between Zen Buddhism and ACT, but writing about the...
Article
Full-text available
Background Canada depends on Temporary Foreign Workers (TFWs), also known as migrant workers, to fill labour shortage in agriculture, hospitality, construction, child/senior care, and other low-skilled occupations. Evidence shows that TFWs, especially women live-in caregivers (LC), constitute a vulnerable population. Their health is compromised by...
Article
Muslim communities comprise one of the fastest growing populations in Canada and other Western countries. Healthcare providers and educators point to the lack of relevant and inclusive sexual health information as a major barrier in promoting Muslim young people's sexual health. Since evidence-based knowledge is critical to the development of relev...
Article
In the past decade, the People’s Republic of China has become the leading source country of immigrants to Canada. However, little is known about the experience of Chinese gay immigrants in Canada. Using narratives collected through a qualitative study, we show the way in which Chinese gay men construct their experience of immigration in Canada. Unl...
Article
Purpose Racialized minority and newcomer communities are over-represented in positive HIV cases in Canada. Stigma has been identified as one of the barriers to HIV prevention, testing, and treatment. Faith, media, and social justice sectors have historically served a vital role in promoting health issues in these communities. However, they have be...
Article
Full-text available
Background Violence is a critical public health problem associated with compromised health and social suffering that are preventable. The Centre for Global Health and Health Equity organized a forum in 2014 to identify: (1) priority issues related to violence affecting different population groups in Canada, and (2) strategies to take action on prio...
Presentation
Presented at Faculty of Community Services (FCS): “Faculty Achievement Event”, at Ryerson University, Toronto, ON.
Article
Background: Young peoples mental health is a public health priority. Given the influences of migration and resettlement on mental health, synthesis of current research with young people from migrant backgrounds can help inform mental health promotion initiatives that account for and are responsive to their needs.Aims: This article distils the resul...
Article
Full-text available
The demographic characteristics of people living with HIV/AIDS (PHAs) in Canada are increasingly diverse. Despite literature suggesting a potentially heightened mental health burden borne by racialized immigrant, refugee, and non-status PHAs (IRN-PHAs), researchers have hitherto paid insufficient attention to whether existing services adequately ad...
Article
Full-text available
Background:The Exclusionary Circle Game was a learning tool developed for an intervention study to address stigma associated with human immunodeficiency virus (HIV) infection and social exclusion. Objectives: The objectives of The Exclusionary Circle Game were to enhance collective resonance and empathy, promote critical reflection and dialogue, an...
Article
As people living with HIV/AIDS (PHAs) achieve more stable health, many have taken on active peer support and professional roles within AIDS service organizations. Although the increased engagement has been associated with many improved health outcomes, emerging program and research evidence have identified new challenges associated with such transi...
Conference Paper
Research Stream: Community-based research; Population Focus: Ethnoracial communities; FROM CRISIS TO REBIRTH – EXPLORING RESILIENCY RESPONSES OF ASIAN MSM IN DEALING WITH TESTING HIV POSITIVE Alan Li 1, 3, 7; Maurice Poon 2; Richard Utama 3; Christian Hui 3, 7; Alvi Dandal 3, 4; Josephine Wong 5, 7; Noulmook Sutdhibhasilp 3; Barry Adam 6; Constanti...
Article
This study explored sexual practices and sex-seeking behaviours in a sample of 222 East and Southeast Asian men recruited through two gay venues. Over half of the respondents reported having a current regular partner; the rate of unprotected anal sex with their regular partner was high (45.1%). Among all respondents, 74.8% (166) reported having cas...
Article
Full-text available
Purpose – Canadian HIV/AIDS researchers, service providers and policy-makers are faced with new challenges of providing effective and inclusive care that meets the needs of the changing populations infected with and affected by HIV. Since 2005 immigrants and refugees from ethno-racial minority communities have comprised close to 20 percent of all n...
Article
Full-text available
The Raising Sexually Healthy Children (RSHC) program is a peer-to-peer leadership training program for immigrant parents in Toronto, Canada. It was established in 1998 with the goal of promoting family sex education and parent-child communication. This evaluative study examined the developmental processes and outcomes of the RSHC program to identif...
Poster
Full-text available
East, Southeast, and South Asians are the fastest growing minority groups in Canada. Yet, there is a paucity of sexual health research on this population. Existing literature tends to portray Asian women as less sexually active than their non-Asian counterparts. These studies perpetuate stereotypes of Asian women as model minority or sexually conse...
Conference Paper
FACILITATING PEER RESEARCH ASSOCIATES TO BE HIV CHAMPIONS: EXPERIENCES AND LESSONS LEARNT FROM THE CHAMP STUDY Christian Hui 1; Henry Luyombya 1; Alan Li 1; Josephine Wong 1; Kenneth Poon 1; Ciro Bisignano 1; Dale Maitland 1; Francisco Corroy 1; Eleanor Maticka-Tyndale 5; Kenneth Fung 5; 1 Committee for Accessible AIDS Treatment; 2 Regent Park Comm...
Article
Full-text available
Homophobia and heterosexism are ubiquitous in Canadian society. They contribute to significant health and mental health disparities for lesbian, gay and bisexual youth and their families. Anti-homophobia efforts tend to focus on students and teachers at school. While these efforts are important, they do not reach parents, who play an important role...
Article
It is well documented that drug use is highly prevalent among men who have sex with men (MSM) and that drug use is correlated with unprotected sex in this population. However, little is known about these phenomena as they relate to ethno-racial MSM in Canada. A survey was conducted to explore the prevalence and correlates of drug use in a sample of...