Research Library

The aim of this study is to assess the oral health of the children of refugees and immigrants (“newcomers”). We also seek to understand the barriers to appropriate oral health care and use of dental services. Finally, we look into clinical and behavioural interventions for this population in North America. In general, children of newcomers exhibit poorer oral health compared with their non-newcomer peers. This population faces language, cultural and financial barriers that, consequently, limit their access to and use of dental services. Intervention programs, such as educational courses and counseling, targeting newcomer parents or their children are helpful in improving the oral health status of immigrant children. The disparity in dental caries between children of newcomers and their peers can be reduced by improving their parents’ literacy in the official language(s) and educating parents regarding good oral health practices. An appropriate oral health policy remains crucial for marginalized populations in general and newcomer children in particular. The aim of this study is to assess the oral health of the children of refugees and immigrants (“newcomers”). We also seek to understand the barriers to appropriate oral health care and use of dental services. Finally, we look into clinical and behavioural interventions for this population in North America. In general, children of newcomers exhibit poorer oral health compared with their non-newcomer peers. This population faces language, cultural and financial barriers that, consequently, limit their access to and use of dental services. Intervention programs, such as educational courses and counseling, targeting newcomer parents or their children are helpful in improving the oral health status of immigrant children. The disparity in dental caries between children of newcomers and their peers can be reduced by improving their parents’ literacy in the official language(s) and educating parents regarding good oral health practices. An appropriate oral health policy remains crucial for marginalized populations in general and newcomer children in particular.
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Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination. Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination.
This publication has no Abstract to dispaly

New immigrants generally arrive in Canada with a health advantage over their Canadian counterparts, but lose that advantage over time. Difficulties in acquiring a physician may contribute. Past studies relied on older data, and lacked control for many confounders and assessment of gender differences. We assessed the relationship between immigrant status and having a regular doctor among Canadian adults. New Canadian immigrants are less likely to have a regular doctor compared to non-immigrants, and should be targeted by policies and programs facilitating finding a doctor. New immigrants generally arrive in Canada with a health advantage over their Canadian counterparts, but lose that advantage over time. Difficulties in acquiring a physician may contribute. Past studies relied on older data, and lacked control for many confounders and assessment of gender differences. We assessed the relationship between immigrant status and having a regular doctor among Canadian adults. New Canadian immigrants are less likely to have a regular doctor compared to non-immigrants, and should be targeted by policies and programs facilitating finding a doctor.
This publication has no Abstract to dispaly

While the subject of “Muslim integration” has received extensive scholarly attention, especially in the Western European context, there has been little study of the subject in Canada. Canada has a long history of welcoming immigrants who make up 20 percent of the population. Yet, Canada has not fully escaped the debates and anxieties related to the accommodation of Muslim immigrants and the integration of those populations. In particular, these anxieties have been displayed around the proposal to use religious law in family based disputes in Ontario in 2005, controversies around the wearing of the niqab in the oath of citizenship, the admission of Syrian refugees in 2015, and concerns over homegrown violent extremism after the 11th of September 2001. This article examines social integration among Canada’s diverse Muslim communities. Using the barometer of a sense of national belonging, it examines the life experiences of Canadian Muslims and their ideas and sentiments related to belonging. It concludes that despite concerns in the community over discrimination and divisive areas of public policy (e.g., security), Canadian Muslims are well integrated socially. While the subject of “Muslim integration” has received extensive scholarly attention, especially in the Western European context, there has been little study of the subject in Canada. Canada has a long history of welcoming immigrants who make up 20 percent of the population. Yet, Canada has not fully escaped the debates and anxieties related to the accommodation of Muslim immigrants and the integration of those populations. In particular, these anxieties have been displayed around the proposal to use religious law in family based disputes in Ontario in 2005, controversies around the wearing of the niqab in the oath of citizenship, the admission of Syrian refugees in 2015, and concerns over homegrown violent extremism after the 11th of September 2001. This article examines social integration among Canada’s diverse Muslim communities. Using the barometer of a sense of national belonging, it examines the life experiences of Canadian Muslims and their ideas and sentiments related to belonging. It concludes that despite concerns in the community over discrimination and divisive areas of public policy (e.g., security), Canadian Muslims are well integrated socially.
This publication has no Abstract to dispaly

Focus groups are a useful strategy in qualitative health research when it is important to understand how social contexts shape participants’ health. However, when cross-lingual focus groups are conducted, and in languages in which the researcher is not fluent, it raises questions regarding the usefulness and rigor of the findings. In this article, we will discuss three different approaches to cross-lingual focus groups used in a community-based participatory research project with pregnant and postpartum, African immigrant women in Alberta, Canada. In two approaches, we moderated focus groups in women’s mother tongue with the support of real-time interpreters, but in the first approach, audio recording was used and in the second approach, audio recording was not used. In the third approach, a bilingual moderator facilitated focus groups in women’s mother tongue, with transcription and translation of audio-recorded data upon completion of data generation. We expect the lessons learned in this project may assist others in planning and implementing cross-lingual focus groups, especially in the context of community-based participatory research. Focus groups are a useful strategy in qualitative health research when it is important to understand how social contexts shape participants’ health. However, when cross-lingual focus groups are conducted, and in languages in which the researcher is not fluent, it raises questions regarding the usefulness and rigor of the findings. In this article, we will discuss three different approaches to cross-lingual focus groups used in a community-based participatory research project with pregnant and postpartum, African immigrant women in Alberta, Canada. In two approaches, we moderated focus groups in women’s mother tongue with the support of real-time interpreters, but in the first approach, audio recording was used and in the second approach, audio recording was not used. In the third approach, a bilingual moderator facilitated focus groups in women’s mother tongue, with transcription and translation of audio-recorded data upon completion of data generation. We expect the lessons learned in this project may assist others in planning and implementing cross-lingual focus groups, especially in the context of community-based participatory research.
This publication has no Abstract to dispaly

Chinese Canadian youth are usually represented as a model minority and are therefore rendered invisible in identity debates. This paper examines how racism affects the identity construction of Chinese youth in different school fields. Particularly, I raise and discuss a theoretical concept, racialized habitus, which is manifested as both intergroup exclusion and intragroup distinction. This study indicates the continuing significance of research on racism. It calls for challenging racism as an act of distinction, habitus, and action, as well as a discursive practice of discourse. Chinese Canadian youth are usually represented as a model minority and are therefore rendered invisible in identity debates. This paper examines how racism affects the identity construction of Chinese youth in different school fields. Particularly, I raise and discuss a theoretical concept, racialized habitus, which is manifested as both intergroup exclusion and intragroup distinction. This study indicates the continuing significance of research on racism. It calls for challenging racism as an act of distinction, habitus, and action, as well as a discursive practice of discourse.
This publication has no Abstract to dispaly

This paper examines the relationships between self-reported loneliness and living arrangements. A questionnaire with some open-ended questions was administered face-to-face in English, Hindi or Punjabi to a sample of 161 elderly South Asian immigrants 60 or more years of age living in Edmonton, Alberta, Canada in 2003. The majority of respondents said that they never felt lonely. More than one in three (37.3%) respondents indicated that they felt lonely occasionally, frequently or all of the time. Those living alone were significantly more likely to report feeling lonely at least occasionally than were those living with others, especially those living with their spouse in an extended family. The fact that South Asian immigrant seniors typically lived with others, often in an extended family with or without their spouse, and rarely lived alone protected them to some extent from loneliness. However, our findings showed that among those living with others, it was the amount of waking time spent alone at home and the quality of family relationships rather than living arrangement per se that significantly predicted self-reported loneliness. Nevertheless, living in a larger household was associated with spending less time alone. This paper examines the relationships between self-reported loneliness and living arrangements. A questionnaire with some open-ended questions was administered face-to-face in English, Hindi or Punjabi to a sample of 161 elderly South Asian immigrants 60 or more years of age living in Edmonton, Alberta, Canada in 2003. The majority of respondents said that they never felt lonely. More than one in three (37.3%) respondents indicated that they felt lonely occasionally, frequently or all of the time. Those living alone were significantly more likely to report feeling lonely at least occasionally than were those living with others, especially those living with their spouse in an extended family. The fact that South Asian immigrant seniors typically lived with others, often in an extended family with or without their spouse, and rarely lived alone protected them to some extent from loneliness. However, our findings showed that among those living with others, it was the amount of waking time spent alone at home and the quality of family relationships rather than living arrangement per se that significantly predicted self-reported loneliness. Nevertheless, living in a larger household was associated with spending less time alone.
This publication has no Abstract to dispaly

Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care. Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care.
This publication has no Abstract to dispaly

This article aims to build both community and scholarly knowledge of skills, aspirations, needs, and characteristics of the international newcomer adult population in Edmonton. It highlights the Canadian Language Benchmarks (CLB) test scores, socio-demographic profiles, as well as goals and plans among adult immigrants and refugee clients of the Language Assessment, Referral, and Counselling Centre (LARCC) in Edmonton, Alberta. LARCC includes both provincially and federally funded programs. It provides immigrants and refugees with a recognized assessment of their current level of English language proficiency; knowledge of local options and resources for relevant English language and occupational training; and helps newcomers explore their educational and career goals/opportunities. This article is largely practical rather than theoretical, presenting a practitioners’ perspective into how to better enhance the benefits of immigration for immigrants, in particular, and for the larger society as a whole. As such, following an empirical discussion, we outline several suggestions: (1) community partners to collaborate in order to “create the networks and pathways that lead to substantive labour market success for the majority of newcomers; (2) increase in social, business, and employment networking opportunities for immigrants; more support for immigrants on-the-job language and occupational skills development, including intercultural or transcultural skill development for established worker and newcomers alike; (3) “language and occupational training opportunities need to be more immediately linked to employers” This article aims to build both community and scholarly knowledge of skills, aspirations, needs, and characteristics of the international newcomer adult population in Edmonton. It highlights the Canadian Language Benchmarks (CLB) test scores, socio-demographic profiles, as well as goals and plans among adult immigrants and refugee clients of the Language Assessment, Referral, and Counselling Centre (LARCC) in Edmonton, Alberta. LARCC includes both provincially and federally funded programs. It provides immigrants and refugees with a recognized assessment of their current level of English language proficiency; knowledge of local options and resources for relevant English language and occupational training; and helps newcomers explore their educational and career goals/opportunities. This article is largely practical rather than theoretical, presenting a practitioners’ perspective into how to better enhance the benefits of immigration for immigrants, in particular, and for the larger society as a whole. As such, following an empirical discussion, we outline several suggestions: (1) community partners to collaborate in order to “create the networks and pathways that lead to substantive labour market success for the majority of newcomers; (2) increase in social, business, and employment networking opportunities for immigrants; more support for immigrants on-the-job language and occupational skills development, including intercultural or transcultural skill development for established worker and newcomers alike; (3) “language and occupational training opportunities need to be more immediately linked to employers”
This publication has no Abstract to dispaly

This paper explores how government members of the Alberta Legislative Assembly (MLAs) “constructed” migrant work and migrant workers in legislature and media statements between 2000 and 2011. Government MLAs asserted that migrant work (1) was economically necessary and (2) posed no threat to Canadian workers. Government MLAs also asserted that international migrant workers (3) had questionable occupational, linguistic or cultural skills and (4) caused negative social and economic impacts in Canada. Taken individually, these narratives appear contradictory, casting migrant work as good but migrant workers as bad. Viewed together, these narratives comprise an effort to dehumanize temporary and permanent international migrant workers. This (sometimes racialized) “othering” of migrant workers justifies migrant workers’ partial citizenship and suppresses criticism of their poor treatment. This paper explores how government members of the Alberta Legislative Assembly (MLAs) “constructed” migrant work and migrant workers in legislature and media statements between 2000 and 2011. Government MLAs asserted that migrant work (1) was economically necessary and (2) posed no threat to Canadian workers. Government MLAs also asserted that international migrant workers (3) had questionable occupational, linguistic or cultural skills and (4) caused negative social and economic impacts in Canada. Taken individually, these narratives appear contradictory, casting migrant work as good but migrant workers as bad. Viewed together, these narratives comprise an effort to dehumanize temporary and permanent international migrant workers. This (sometimes racialized) “othering” of migrant workers justifies migrant workers’ partial citizenship and suppresses criticism of their poor treatment.
This publication has no Abstract to dispaly