Research Library

Canada’s National Housing Strategy (2017) identifies LGBTQ2 people and newcomers (including refugees) as vulnerable groups within Canada’s housing system. Members of each group are known to experience significant barriers to housing in Canada. However, the unique experiences of LGBTQ refugees—who fall into both groups—have yet to be investigated. This thesis asks: To what extent are LGBTQ refugees able to access safe, stable and affordable housing in Alberta, Canada? Interviews and policy analysis found that LGBTQ refugees do not have adequate access to safe, stable and affordable housing in the province. They continue to experience significant barriers related to affordability, social housing supply, and discrimination, among other factors. Policy recommendations are also included in this thesis. Canada’s National Housing Strategy (2017) identifies LGBTQ2 people and newcomers (including refugees) as vulnerable groups within Canada’s housing system. Members of each group are known to experience significant barriers to housing in Canada. However, the unique experiences of LGBTQ refugees—who fall into both groups—have yet to be investigated. This thesis asks: To what extent are LGBTQ refugees able to access safe, stable and affordable housing in Alberta, Canada? Interviews and policy analysis found that LGBTQ refugees do not have adequate access to safe, stable and affordable housing in the province. They continue to experience significant barriers related to affordability, social housing supply, and discrimination, among other factors. Policy recommendations are also included in this thesis.
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The sexual health needs of female immigrant adolescents in Canada have been largely unmet and have increased in magnitude over the last few years. For immigrant female adolescents of Pakistani descent, who are also racialized youth in Canada, the silence around issues of sexuality needs can affect their physical, emotional, and sexual health and well-being, and ability to reach their full potential. Evidence suggests that immigrant adolescents lack sexual and reproductive health knowledge and use fewer sexual health-related services and sex education resources than do non-immigrant youth. In Pakistani immigrant adolescents, this difference appears to be associated with sociocultural and religious practices. The overarching purpose of this dissertation is to contribute towards improving sexual health of female immigrant adolescents living in Canada. The purpose of this study was to qualitatively explore the experience of developing sexuality and its relationship to developing identity and well-being in middle- to late- female adolescents of Pakistani-descent, living in a large urban area in Alberta, Canada. This study sought to create space for dialogue and to explore the perceived cultural influence on issues of sexuality that often arise among individuals from different cultural backgrounds using the postmodern feminist lens. An art-based strategy was used to conduct research with 21 female adolescents who were of first- or second-generation Pakistani-descent. Data was collected using semi-structured interviews and having participants create a relevant timeline. The sexual health needs of female immigrant adolescents in Canada have been largely unmet and have increased in magnitude over the last few years. For immigrant female adolescents of Pakistani descent, who are also racialized youth in Canada, the silence around issues of sexuality needs can affect their physical, emotional, and sexual health and well-being, and ability to reach their full potential. Evidence suggests that immigrant adolescents lack sexual and reproductive health knowledge and use fewer sexual health-related services and sex education resources than do non-immigrant youth. In Pakistani immigrant adolescents, this difference appears to be associated with sociocultural and religious practices. The overarching purpose of this dissertation is to contribute towards improving sexual health of female immigrant adolescents living in Canada. The purpose of this study was to qualitatively explore the experience of developing sexuality and its relationship to developing identity and well-being in middle- to late- female adolescents of Pakistani-descent, living in a large urban area in Alberta, Canada. This study sought to create space for dialogue and to explore the perceived cultural influence on issues of sexuality that often arise among individuals from different cultural backgrounds using the postmodern feminist lens. An art-based strategy was used to conduct research with 21 female adolescents who were of first- or second-generation Pakistani-descent. Data was collected using semi-structured interviews and having participants create a relevant timeline.
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Current industrialized food systems have detrimental consequences for people and the planet. Relocalizing food systems offers one strategy to mitigate these harms; advocates point to opportunities for ecological, economic, and social benefits as reason to localize food production. However, the assumption that the local is inherently preferable to the global can lead academics, practitioners, and consumers into the local trap. With increasing ethnic diversity in Canada, the perception that local is inherently good and global is inherently bad can translate into defensive and exclusionary tendencies towards the food preferences and practices of newcomers, immigrants and refugees. While the literature identifies various manifestations of the local trap, it offers limited investigation of strategies that may overcome this pitfall. In contrast to defensive localism, alternative conceptualizations of scale may support action in favour of collaborative, inclusive, and diversity-receptive outcomes in food systems. Therefore, in this thesis, I aim to identify strategies that may include the food preferences and practices of newcomers while also addressing problematic aspects of industrial food systems. I also seek to understand the mechanisms and conceptualizations that enable such strategies. To accomplish this, 1) I completed a literature analysis to synthesize potential strategies and models and 2) empirically explored food practices and goals of the EthniCity Catering program (Centre for Newcomers) in Calgary, Alberta to illustrate the potential application of such strategies in a specific time and place. This thesis hopes to offer theoretical contributions to geographical discussions on scale in food systems as well as practical implications for food system practitioners. Current industrialized food systems have detrimental consequences for people and the planet. Relocalizing food systems offers one strategy to mitigate these harms; advocates point to opportunities for ecological, economic, and social benefits as reason to localize food production. However, the assumption that the local is inherently preferable to the global can lead academics, practitioners, and consumers into the local trap. With increasing ethnic diversity in Canada, the perception that local is inherently good and global is inherently bad can translate into defensive and exclusionary tendencies towards the food preferences and practices of newcomers, immigrants and refugees. While the literature identifies various manifestations of the local trap, it offers limited investigation of strategies that may overcome this pitfall. In contrast to defensive localism, alternative conceptualizations of scale may support action in favour of collaborative, inclusive, and diversity-receptive outcomes in food systems. Therefore, in this thesis, I aim to identify strategies that may include the food preferences and practices of newcomers while also addressing problematic aspects of industrial food systems. I also seek to understand the mechanisms and conceptualizations that enable such strategies. To accomplish this, 1) I completed a literature analysis to synthesize potential strategies and models and 2) empirically explored food practices and goals of the EthniCity Catering program (Centre for Newcomers) in Calgary, Alberta to illustrate the potential application of such strategies in a specific time and place. This thesis hopes to offer theoretical contributions to geographical discussions on scale in food systems as well as practical implications for food system practitioners.
This publication has no Abstract to dispaly

We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience. We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience.
This publication has no Abstract to dispaly

Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage. Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage.
This publication has no Abstract to dispaly

This comprehensive report provides insights into the state of language training in Alberta, Manitoba, and Saskatchewan. The report is based on a survey of front-line workers in the newcomer-serving sector and identifies key areas that require further reflection and action to promote improved sector health. The report highlights the challenges faced by front-line staff in delivering language training and provides recommendations for addressing these challenges. The report is an essential resource for policymakers, service providers, and other stakeholders interested in improving the quality of language training services for newcomers in the PNT region. This comprehensive report provides insights into the state of language training in Alberta, Manitoba, and Saskatchewan. The report is based on a survey of front-line workers in the newcomer-serving sector and identifies key areas that require further reflection and action to promote improved sector health. The report highlights the challenges faced by front-line staff in delivering language training and provides recommendations for addressing these challenges. The report is an essential resource for policymakers, service providers, and other stakeholders interested in improving the quality of language training services for newcomers in the PNT region.
This publication has no Abstract to dispaly

In this qualitative study, researchers conducted interviews with 11 participants who had entered Canada through the Temporary Foreign Worker Program and who had since loss status. Findings show policy changes, abuse and exploitation by employers, language barriers, and misinformation and language gaps drive workers out of status. Once without status, people often remain in Canada because they are motivated by issues related to family. These can include the continued desire to bring family members to Canada, financial responsibilities for family members in countries of origin, the desire to stay with Canadian partners or children, or the breakdown of family ties which dissuades the desire to return. Challenges of living without status include mental health struggles, financial strain, and barriers to service access. Interplays between factors driving status loss and experiences of those who live without status in Canada show that the state plays an important role in creating precarity through restrictive immigration and residency policies. Understandings the state’s role in the production of precarity may inform effective policy changes moving forward. In this qualitative study, researchers conducted interviews with 11 participants who had entered Canada through the Temporary Foreign Worker Program and who had since loss status. Findings show policy changes, abuse and exploitation by employers, language barriers, and misinformation and language gaps drive workers out of status. Once without status, people often remain in Canada because they are motivated by issues related to family. These can include the continued desire to bring family members to Canada, financial responsibilities for family members in countries of origin, the desire to stay with Canadian partners or children, or the breakdown of family ties which dissuades the desire to return. Challenges of living without status include mental health struggles, financial strain, and barriers to service access. Interplays between factors driving status loss and experiences of those who live without status in Canada show that the state plays an important role in creating precarity through restrictive immigration and residency policies. Understandings the state’s role in the production of precarity may inform effective policy changes moving forward.
This publication has no Abstract to dispaly

The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
This publication has no Abstract to dispaly

The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth. The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth.
This publication has no Abstract to dispaly

An overview of the Rainbow Refuge program at the Edmonton Newcomers Centre (previously called the Edmonton Mennonite Newcomers Centre). Rainbow Refuge was the first LGBTQ+ program in the Edmonton settlement sector, and provides support and programming in the following 4 areas: 1) immigration, 2) settlement, employment and mental health, 3) community connection, and 4) education and advocacy. An overview of the Rainbow Refuge program at the Edmonton Newcomers Centre (previously called the Edmonton Mennonite Newcomers Centre). Rainbow Refuge was the first LGBTQ+ program in the Edmonton settlement sector, and provides support and programming in the following 4 areas: 1) immigration, 2) settlement, employment and mental health, 3) community connection, and 4) education and advocacy.
This publication has no Abstract to dispaly