Research Library

The United States and Canada have resettled over 120,000 Afghan refugees since August 2021, but sociodemographic and health status data remains sparse with investigations often limited to refugee entrance exams, standardized health screenings, or acute health settings. This retrospective community-engaged cohort study investigated Afghan patients who received care between January 1, 2011 and December 31, 2020 at an interdisciplinary specialized refugee clinic in Calgary, AB, Canada that provides care to newly arrived refugees. 2 reviewers independently extracted and manually verified sociodemographic factors, medical diagnoses, and clinic utilization variables from patients’ electronic medical records, then coded patient diagnoses into ICD-10 codes and chapter groups. Diagnosis frequencies were calculated and stratified by age group and sex. We corroborated these findings with Afghan refugee co-investigators. Among 402 Afghan refugee patients, they were relatively young, experienced diverse health characteristics, and had multi-specialty care engagement in their first two years after arrival. These findings may guide specialized healthcare provision to this inadequately characterized but growing population of refugee arrivals in North America and elsewhere. The United States and Canada have resettled over 120,000 Afghan refugees since August 2021, but sociodemographic and health status data remains sparse with investigations often limited to refugee entrance exams, standardized health screenings, or acute health settings. This retrospective community-engaged cohort study investigated Afghan patients who received care between January 1, 2011 and December 31, 2020 at an interdisciplinary specialized refugee clinic in Calgary, AB, Canada that provides care to newly arrived refugees. 2 reviewers independently extracted and manually verified sociodemographic factors, medical diagnoses, and clinic utilization variables from patients’ electronic medical records, then coded patient diagnoses into ICD-10 codes and chapter groups. Diagnosis frequencies were calculated and stratified by age group and sex. We corroborated these findings with Afghan refugee co-investigators. Among 402 Afghan refugee patients, they were relatively young, experienced diverse health characteristics, and had multi-specialty care engagement in their first two years after arrival. These findings may guide specialized healthcare provision to this inadequately characterized but growing population of refugee arrivals in North America and elsewhere.
This publication has no Abstract to dispaly

Recent events, such as the COVID-19 pandemic, have drawn nationwide attention to systemic racism as a serious threat to public health in Canada. One promising approach to address such racism is through developing and implementing standardized procedures for collecting and using disaggregated, race-based data. In this commentary, we summarize why this approach is necessary to address systemic racism in Canada, and highlight municipal actions being taken in Edmonton, Alberta, to move this approach forward. This article describes Edmonton’s Race-based Data Table created in 2021. In documenting the beginning stages of the Table, and in evaluating its ongoing progress, we contribute to national conversations regarding the need for government institutions and other organizations to consistently collect and use race-based data as a means of increasing transparency and accountability in their actions. Recent events, such as the COVID-19 pandemic, have drawn nationwide attention to systemic racism as a serious threat to public health in Canada. One promising approach to address such racism is through developing and implementing standardized procedures for collecting and using disaggregated, race-based data. In this commentary, we summarize why this approach is necessary to address systemic racism in Canada, and highlight municipal actions being taken in Edmonton, Alberta, to move this approach forward. This article describes Edmonton’s Race-based Data Table created in 2021. In documenting the beginning stages of the Table, and in evaluating its ongoing progress, we contribute to national conversations regarding the need for government institutions and other organizations to consistently collect and use race-based data as a means of increasing transparency and accountability in their actions.
This publication has no Abstract to dispaly

The Calgary-based Foundation for Black Communities’ (FFBC) Black Ideas Grant (BIG) Bridge and Build Program has provided funding for RaricaNow, an organization in Edmonton aiding 2SLGBTQ+ refugees. The numbers of 2SLGBTQ+ refugees continue to climb, and this grant will allow RaricaNow to provide housing and more settlement supports. The Calgary-based Foundation for Black Communities’ (FFBC) Black Ideas Grant (BIG) Bridge and Build Program has provided funding for RaricaNow, an organization in Edmonton aiding 2SLGBTQ+ refugees. The numbers of 2SLGBTQ+ refugees continue to climb, and this grant will allow RaricaNow to provide housing and more settlement supports.
This publication has no Abstract to dispaly

Little is known about human papillomavirus (HPV) vaccination among immigrant children in Canada. We conducted a study in Alberta, Canada to assess HPV vaccine coverage among school-aged immigrant children compared with non-immigrant children. This cohort study analyzed population-based linked administrative health data to measure HPV vaccine coverage for 346749 school-aged children, including 31656 immigrants. Coverage was examined at 12 years of age from 2008 to 2018 for females, and from 2014 to 2018 for males and both sexes combined. Vaccine series completion was considered receipt of three doses, with initiation (one or more dose) as a supplementary analysis. Multivariable logistic regression examined the association of vaccine coverage with migration status, adjusting for sociodemographic variables. Overall, immigrant children had significantly higher rates of HPV vaccination than nonimmigrant children. When controlled for location, income, biological sex and year, immigrant children still had greater odds of vaccine series completion than nonimmigrant children. Little is known about human papillomavirus (HPV) vaccination among immigrant children in Canada. We conducted a study in Alberta, Canada to assess HPV vaccine coverage among school-aged immigrant children compared with non-immigrant children. This cohort study analyzed population-based linked administrative health data to measure HPV vaccine coverage for 346749 school-aged children, including 31656 immigrants. Coverage was examined at 12 years of age from 2008 to 2018 for females, and from 2014 to 2018 for males and both sexes combined. Vaccine series completion was considered receipt of three doses, with initiation (one or more dose) as a supplementary analysis. Multivariable logistic regression examined the association of vaccine coverage with migration status, adjusting for sociodemographic variables. Overall, immigrant children had significantly higher rates of HPV vaccination than nonimmigrant children. When controlled for location, income, biological sex and year, immigrant children still had greater odds of vaccine series completion than nonimmigrant children.
This publication has no Abstract to dispaly

A conceptual model was designed and tested to predict immigrant children’s oral health in Canada by examining parental acculturation and perceived social support (PSS) using structural equation modelling. A convenience sample of first-generation immigrant parents and their children aged 2–12 years were recruited by multilingual community workers in Edmonton, AB, Canada. Parents completed a validated questionnaire on demographics, child’s oral health (OH) behaviours, parental acculturation and PSS. Dental examinations determined children’s dental caries rate using DMFT/dmft index. Structural equation modelling (SEM) was used to analyse the data. A total of 336 families participated in this study. The findings emphasize the important role of parental acculturation and PSS levels in predicting immigrant children’s oral health behaviours and dental caries. A conceptual model was designed and tested to predict immigrant children’s oral health in Canada by examining parental acculturation and perceived social support (PSS) using structural equation modelling. A convenience sample of first-generation immigrant parents and their children aged 2–12 years were recruited by multilingual community workers in Edmonton, AB, Canada. Parents completed a validated questionnaire on demographics, child’s oral health (OH) behaviours, parental acculturation and PSS. Dental examinations determined children’s dental caries rate using DMFT/dmft index. Structural equation modelling (SEM) was used to analyse the data. A total of 336 families participated in this study. The findings emphasize the important role of parental acculturation and PSS levels in predicting immigrant children’s oral health behaviours and dental caries.
This publication has no Abstract to dispaly

Research on immigrant and refugee vaccination uptake in Canada shows that immunization decisions vary by vaccine type, location, age and migration status. Despite their diversity, these studies often treat immigrant and refugee populations as a single group relative to other Canadians. In this comparative study, we explored how previous risk communication and immunization experiences influence immunization decisions by immigrant and refugee women from three communities across Canada. Participants included women from the Punjabi immigrant community located in Surrey and Abbotsford, British Columbia (n = 36), the Nigerian immigrant community located in Winnipeg, Manitoba (n = 43), and the Congolese refugee community in Edmonton, Alberta (n = 18). Using focus groups, we sought to understand immunization experiences in Canada and before arrival, and what information sources influenced the immunization decision-making process by the women in the three communities. Given our participants’ different communication preferences and needs, we argue that a one-size-fits-all communication approach is inappropriate for immigrant and refugee populations. Research on immigrant and refugee vaccination uptake in Canada shows that immunization decisions vary by vaccine type, location, age and migration status. Despite their diversity, these studies often treat immigrant and refugee populations as a single group relative to other Canadians. In this comparative study, we explored how previous risk communication and immunization experiences influence immunization decisions by immigrant and refugee women from three communities across Canada. Participants included women from the Punjabi immigrant community located in Surrey and Abbotsford, British Columbia (n = 36), the Nigerian immigrant community located in Winnipeg, Manitoba (n = 43), and the Congolese refugee community in Edmonton, Alberta (n = 18). Using focus groups, we sought to understand immunization experiences in Canada and before arrival, and what information sources influenced the immunization decision-making process by the women in the three communities. Given our participants’ different communication preferences and needs, we argue that a one-size-fits-all communication approach is inappropriate for immigrant and refugee populations.
This publication has no Abstract to dispaly

Last year, Alberta launched a temporary 1 year driver’s license exchange program for Ukrainian refugees with a Ukrainian Category B or BE driver’s license. The goal of the program was to help refugees find and access employment and care for their families. As of April 18, 2024, this program is now permanent. Last year, Alberta launched a temporary 1 year driver’s license exchange program for Ukrainian refugees with a Ukrainian Category B or BE driver’s license. The goal of the program was to help refugees find and access employment and care for their families. As of April 18, 2024, this program is now permanent.
This publication has no Abstract to dispaly

Forced migration is one of the most pressing crises of our lifetime. Of the millions forced to migrate, many come to know the brutality of state-managed migration that habitually denies asylum seekers and places substantive restrictions on refugees who have been resettled. Sociologists of sport and leisure have examined the sporting experiences of refugees through an intersectional lens, foregrounding how displacement and resettlement are differently lived and negotiated across overlapping power structures and markers of gender, sexuality, ethnicity, religion, and legal status. Through a participatory and collective photovoice project, this article explores the experiences of an all-Afghan soccer team that played in a social, co-ed soccer league in the spring of 2022, just after they arrived in Edmonton, Alberta, Canada. In photovoice narratives and subsequent interviews, team members underlined many of the barriers they faced as they navigated the formal and informal rules and dominant norms of this seemingly inclusive sports landscape. In doing so, they revealed some of the limits of official discourses of Canadian multiculturism, which rarely accommodate more significant forms of difference, and which reproduce racial and ethnic hierarchies that powerfully discipline newcomers who are encouraged to embrace their precarious status as model minorities. Forced migration is one of the most pressing crises of our lifetime. Of the millions forced to migrate, many come to know the brutality of state-managed migration that habitually denies asylum seekers and places substantive restrictions on refugees who have been resettled. Sociologists of sport and leisure have examined the sporting experiences of refugees through an intersectional lens, foregrounding how displacement and resettlement are differently lived and negotiated across overlapping power structures and markers of gender, sexuality, ethnicity, religion, and legal status. Through a participatory and collective photovoice project, this article explores the experiences of an all-Afghan soccer team that played in a social, co-ed soccer league in the spring of 2022, just after they arrived in Edmonton, Alberta, Canada. In photovoice narratives and subsequent interviews, team members underlined many of the barriers they faced as they navigated the formal and informal rules and dominant norms of this seemingly inclusive sports landscape. In doing so, they revealed some of the limits of official discourses of Canadian multiculturism, which rarely accommodate more significant forms of difference, and which reproduce racial and ethnic hierarchies that powerfully discipline newcomers who are encouraged to embrace their precarious status as model minorities.
This publication has no Abstract to dispaly

The Rainbow Refuge, part of the Edmonton Newcomer Centre, has put Edmonton on the map as a safe and supportive city for 2SLGBTQIA+ refugees. Rainbow Refuge provides counselling, legal services, housing, employment and community, but with only 3 staff and limited funding, the program is struggling. Members have tripled in the past year, where the program now serves more than 600 people from over 60 countries. Stories of 2SLGBTQIA+ refugees are also shared in the article. The Rainbow Refuge, part of the Edmonton Newcomer Centre, has put Edmonton on the map as a safe and supportive city for 2SLGBTQIA+ refugees. Rainbow Refuge provides counselling, legal services, housing, employment and community, but with only 3 staff and limited funding, the program is struggling. Members have tripled in the past year, where the program now serves more than 600 people from over 60 countries. Stories of 2SLGBTQIA+ refugees are also shared in the article.
This publication has no Abstract to dispaly

This paper focuses on the perspectives given by newcomer high school students as they discuss, through open dialogue and social media, their main challenges living in a new country. The scholars employed a collaborative action research approach and were guided by two questions: 1) How can newcomer students’ lived experiences inform best practices in the field of education? and 2) How did the social isolation brought on by COVID-19 affect the mental health/well-being of newcomer students? The results highlighted the racial, cultural, linguistic, and religious challenges these students face in their education as well as the considerable mental/emotional impact the COVID-19 pandemic had upon this demographic. The data holds major implications for best practice in the field of education, with specific emphasis on newcomer students. This paper focuses on the perspectives given by newcomer high school students as they discuss, through open dialogue and social media, their main challenges living in a new country. The scholars employed a collaborative action research approach and were guided by two questions: 1) How can newcomer students’ lived experiences inform best practices in the field of education? and 2) How did the social isolation brought on by COVID-19 affect the mental health/well-being of newcomer students? The results highlighted the racial, cultural, linguistic, and religious challenges these students face in their education as well as the considerable mental/emotional impact the COVID-19 pandemic had upon this demographic. The data holds major implications for best practice in the field of education, with specific emphasis on newcomer students.
This publication has no Abstract to dispaly