Sante Publique. 2026;38(HS1):63-82. doi: 10.3917/spub.hs1.2026.0063.
ABSTRACT
INTRODUCTION: Black immigrant communities in Canada and Europe have faced disproportionate mental health challenges, further exacerbated by the COVID-19 pandemic. Structural racism, social isolation, and cultural stigma are among the key factors contributing to mental health distress in these populations. This scoping review aims to explore the mental health outcomes, experiences, and access to care among Black African immigrants in Canada and Europe after the COVID-19 pandemic, using an intersectional lens that considers the combined impact of race, migration, and minority status.
METHODOLOGY: A total of 19 peer-reviewed studies published during the post-COVID-19 period (2021–2024) were included. These studies employed qualitative, quantitative, or mixed methods and focused on adult Black immigrants in Canada or the UK. Data were extracted on mental health prevalence, perceptions, and barriers and facilitators to care.
RESULTS: Findings reveal high rates of depression, anxiety, and psychosis among Black immigrants, often linked to systemic racism, cultural stigma, and poor living conditions. Major barriers to care include mistrust of Eurocentric services, lack of culturally competent providers, financial constraints, and language barriers. Facilitators included strong community ties, religious support, and access to culturally sensitive professionals.
CONCLUSION: The review highlights a critical need for culturally appropriate mental health services and community-based interventions. It also underscores the importance of policy changes and future research, particularly in underrepresented European regions and among groups experiencing intersectional marginalization.
PMID:42675001 | DOI:10.3917/spub.hs1.2026.0063
