Research Library

Canadian policy requires refugees with a history of tuberculosis (TB) or abnormal chest radiograph to be screened after arrival for TB. However, Tibetan refugees are screened, regardless of preimmigration assessment. We sought to determine the incidence of latent (LTBI) and active TB, as well as treatment-related outcomes and associations between preimmigration factors and TB infection among Tibetan refugees arriving in Calgary, Alberta. We found no associations between preimmigration factors and treatment completion. A case of active TB was detected and treated. Within this cohort, the case of active TB would have been detected through the usual postsurveillance process due to a history of TB and abnormal chest radiograph. Forty-nine percent had LTBI, compared to previously quoted rates of 97 percent. Tibetan refugees should be screened for TB in a similar manner to other refugees resettling in Canada. Canadian policy requires refugees with a history of tuberculosis (TB) or abnormal chest radiograph to be screened after arrival for TB. However, Tibetan refugees are screened, regardless of preimmigration assessment. We sought to determine the incidence of latent (LTBI) and active TB, as well as treatment-related outcomes and associations between preimmigration factors and TB infection among Tibetan refugees arriving in Calgary, Alberta. We found no associations between preimmigration factors and treatment completion. A case of active TB was detected and treated. Within this cohort, the case of active TB would have been detected through the usual postsurveillance process due to a history of TB and abnormal chest radiograph. Forty-nine percent had LTBI, compared to previously quoted rates of 97 percent. Tibetan refugees should be screened for TB in a similar manner to other refugees resettling in Canada.
This publication has no Abstract to dispaly

Leisure in parks and other forms of protected areas are connected to an individual’s health and well-being. Findings show that anticipated human health and well-being benefits were a major factor motivating individuals decision to visit a park or protected area. However, there was a negative correlation between age and each of the perceived benefits, indicating that older visitors were less motivated to visit protected areas. Interestingly, health motivations and benefits (or outcomes) were correlated highly with nature relatedness, meaning the more connected one is to nature, the greater the motivation to visit parks and the greater the health and well-being benefits received from park experiences. Overall, this study represents the largest examination of the human health and well-being benefits associated with visitor experiences in a Canadian protected areas context. The results substantiate the need for park organizations to better understand the “service provider” “client” relationship from a human health and well-being perspective so that integrated policies and visitor experience programs can be developed or enhanced where appropriate. Leisure in parks and other forms of protected areas are connected to an individual’s health and well-being. Findings show that anticipated human health and well-being benefits were a major factor motivating individuals decision to visit a park or protected area. However, there was a negative correlation between age and each of the perceived benefits, indicating that older visitors were less motivated to visit protected areas. Interestingly, health motivations and benefits (or outcomes) were correlated highly with nature relatedness, meaning the more connected one is to nature, the greater the motivation to visit parks and the greater the health and well-being benefits received from park experiences. Overall, this study represents the largest examination of the human health and well-being benefits associated with visitor experiences in a Canadian protected areas context. The results substantiate the need for park organizations to better understand the “service provider” “client” relationship from a human health and well-being perspective so that integrated policies and visitor experience programs can be developed or enhanced where appropriate.
This publication has no Abstract to dispaly

Early childhood caries (ECC) is a severe form of tooth decay affecting the primary teeth of preschool children. Canadian surveys have found that children from disadvantaged groups, including recent immigrants, have higher rates of caries and lower rates of dental visits than Canadian-born children and tend to seek dental care for treatment reasons.Oral diseases disproportionally affect immigrant communities. For example, besides financial costs, African new immigrant families face additional barriers, including those related to language and cultural values, which leads to a lower rate of dental care uptake for their children. Therefore, there is a clear need to enhance prevention and treatment of oral diseases among recent immigrant children, especially those from communities with a higher prevalence of dental problems. Dental education for immigrant and refugee families can be accomplished through community leaders with experience in health promotion. These individuals have the potential to reach out to newcomer parents, raise their awareness of oral health and preventive care, and facilitate their children’s access to dental services. Early childhood caries (ECC) is a severe form of tooth decay affecting the primary teeth of preschool children. Canadian surveys have found that children from disadvantaged groups, including recent immigrants, have higher rates of caries and lower rates of dental visits than Canadian-born children and tend to seek dental care for treatment reasons.Oral diseases disproportionally affect immigrant communities. For example, besides financial costs, African new immigrant families face additional barriers, including those related to language and cultural values, which leads to a lower rate of dental care uptake for their children. Therefore, there is a clear need to enhance prevention and treatment of oral diseases among recent immigrant children, especially those from communities with a higher prevalence of dental problems. Dental education for immigrant and refugee families can be accomplished through community leaders with experience in health promotion. These individuals have the potential to reach out to newcomer parents, raise their awareness of oral health and preventive care, and facilitate their children’s access to dental services.
This publication has no Abstract to dispaly

The benefits of green space and nature experiences are increasingly being recognised and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta in Western Canada. This study was designed to examine the influence of two such government supported nature interventions, including day trips and a more extensive weekend or week-long nature experience, on mental well-being outcomes. Findings show a positive trend towards improved depression markers, greater health satisfaction, improved social relationships (in particular, love and friendship), as well as satisfaction with a sense of community and experiences of helping. The benefits of green space and nature experiences are increasingly being recognised and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta in Western Canada. This study was designed to examine the influence of two such government supported nature interventions, including day trips and a more extensive weekend or week-long nature experience, on mental well-being outcomes. Findings show a positive trend towards improved depression markers, greater health satisfaction, improved social relationships (in particular, love and friendship), as well as satisfaction with a sense of community and experiences of helping.
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 aims to understand information-gathering and decision-making processes of immigrant mothers for scheduled childhood vaccines, vaccination during pregnancy, seasonal flu and pandemic vaccination. Our three main findings on information gathering and use in vaccination decisions were: 1) participants in all three communities passively received immunization information. Most mothers learned about vaccine practices exclusively from health care practitioners during scheduled visits. Social networks were primary sources of information in origin countries but were lost during immigration to Canada; 2) participants demonstrated universal trust in vaccines (i.e., no anti-vaccination sentiment). They were comfortable in receiving vaccines for themselves and their children, regardless of past adverse reactions; 3) participants’ recollection of the H1N1 vaccination campaign was almost nil, demonstrating the lack of reach of public health vaccination campaigns to designated priority groups (pregnant women and children) in Alberta. Our results highlight the limitations of Alberta’s current vaccination communication strategies in reaching immigrant women. When immigrant mothers receive vaccination information, our results indicate they will likely follow recommendations. However, our study shows that current communication strategies are not making this information accessible to immigrant women, which limits their ability to make informed vaccination decisions for themselves and their children. This paper aims to understand information-gathering and decision-making processes of immigrant mothers for scheduled childhood vaccines, vaccination during pregnancy, seasonal flu and pandemic vaccination. Our three main findings on information gathering and use in vaccination decisions were: 1) participants in all three communities passively received immunization information. Most mothers learned about vaccine practices exclusively from health care practitioners during scheduled visits. Social networks were primary sources of information in origin countries but were lost during immigration to Canada; 2) participants demonstrated universal trust in vaccines (i.e., no anti-vaccination sentiment). They were comfortable in receiving vaccines for themselves and their children, regardless of past adverse reactions; 3) participants’ recollection of the H1N1 vaccination campaign was almost nil, demonstrating the lack of reach of public health vaccination campaigns to designated priority groups (pregnant women and children) in Alberta. Our results highlight the limitations of Alberta’s current vaccination communication strategies in reaching immigrant women. When immigrant mothers receive vaccination information, our results indicate they will likely follow recommendations. However, our study shows that current communication strategies are not making this information accessible to immigrant women, which limits their ability to make informed vaccination decisions for themselves and their children.
This publication has no Abstract to dispaly

This paper presents the stories of four immigrant teachers as they endeavor to resume their teaching careers in Calgary, Alberta. The teachers in this study participated in a six-month professional bridging program in Calgary in 2008 in order to upgrade their professional knowledge and to meet Alberta certification requirements before seeking employment in local school boards. The professional integration consists of challenges and reflection on the teachers part, but they are happy that the bridging program helps them meet the Alberta certification requirements to be able to teach in local schools. The process of relearning through this program has improved their professional teaching and confidence level in terms of teaching methodology and interaction with students and colleagues. In a changing educational Alberta landscape that is becoming increasingly diverse, stories of internationally educated professionals are increasingly relevant, yet seldom found in the literature on teaching. This paper presents the stories of four immigrant teachers as they endeavor to resume their teaching careers in Calgary, Alberta. The teachers in this study participated in a six-month professional bridging program in Calgary in 2008 in order to upgrade their professional knowledge and to meet Alberta certification requirements before seeking employment in local school boards. The professional integration consists of challenges and reflection on the teachers part, but they are happy that the bridging program helps them meet the Alberta certification requirements to be able to teach in local schools. The process of relearning through this program has improved their professional teaching and confidence level in terms of teaching methodology and interaction with students and colleagues. In a changing educational Alberta landscape that is becoming increasingly diverse, stories of internationally educated professionals are increasingly relevant, yet seldom found in the literature on teaching.
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

This paper explores the Canadian Temporary Foreign Worker Program (TFWP). Our case studies of temporary foreign workers in nursing and trades in Alberta suggest that the TFWP encourages low trust and sense of belonging among migrant workers and resistance from domestic workers because it promotes inequality and exclusion. The inability of most migrant workers to access settlement services, to bring families, to change employers, or to enroll in further education and training overtly discourages their integration into the local community. The TFWP also impacts the domestic workforce and citizenry by creating a new class of workers and non-citizens without the same rights. The dynamics observed at a workplace level predictably impact local communities and Canadian society overall: patterns of diversity are destabilized, values of fairness and equal opportunity are challenged, and norms of reciprocity are weakened. This paper explores the Canadian Temporary Foreign Worker Program (TFWP). Our case studies of temporary foreign workers in nursing and trades in Alberta suggest that the TFWP encourages low trust and sense of belonging among migrant workers and resistance from domestic workers because it promotes inequality and exclusion. The inability of most migrant workers to access settlement services, to bring families, to change employers, or to enroll in further education and training overtly discourages their integration into the local community. The TFWP also impacts the domestic workforce and citizenry by creating a new class of workers and non-citizens without the same rights. The dynamics observed at a workplace level predictably impact local communities and Canadian society overall: patterns of diversity are destabilized, values of fairness and equal opportunity are challenged, and norms of reciprocity are weakened.
This publication has no Abstract to dispaly