Please note, this is not an open access database or repository. We have focused on creating simple summaries of reports and articles that we have accessed through websites and academic journals, with a focus on key findings, so that even if a full report is not free to access you can reference it. When possible, we include a link to wherever the original document is hosted (which may or may not be open-access). If you come across a link that is no longer active, please let us know and we can update it. There are also some reports that will have been submitted directly to the project. In this case, these reports are uploaded directly with permission from the author or publisher. Any original documents found on this site are stored in Canada on our secure servers

Use of Glycated Hemoglobin (A1C) for the Diagnosis of Diabetes Mellitus Type 2 in Ethnic Populations of Alberta- What are the Limitations?

In July, 2011, the Canadian Diabetes Association updated the 2008 clinical practice guidelines to include the use of glycated hemoglobin (A1C) for the diagnosis of diabetes mellitus type 2 (DM2) in adults. One of the caveats is that “A1C may be misleading in certain ethnicities…, and therefore its utility as a diagnostic tool in these populations is unclear.” Alberta is multicultural and General Practitioners (GPs) diagnose the majority of DM2. Alberta’s ethnic population: Canadian census data from 2006 (the latest available) indicated the top non-European ethnicities were First Nations, East and Southeast Asian, Chinese, South Asian and East Indian. Among visible minorities, non-First Nations groups also included Filipino and African. Use of glycated hemoglobin (A1C) to diagnose diabetes mellitus type 2 (DM2): First Nations, Asian and African ethnicities have A1Cs that are higher than those of European descent for a given glycemia, whereas Asian Indians have lower A1Cs. Thus, the present A1C cut-off will potentially over diagnose DM2 in the former populations, and under diagnose it in the latter. Thus, it is important for General Practitioners (GPs) not to rely solely on A1C for diagnosis of DM2. In July, 2011, the Canadian Diabetes Association updated the 2008 clinical practice guidelines to include the use of glycated hemoglobin (A1C) for the diagnosis of diabetes mellitus type 2 (DM2) in adults. One of the caveats is that “A1C may be misleading in certain ethnicities…, and therefore its utility as a diagnostic tool in these populations is unclear.” Alberta is multicultural and General Practitioners (GPs) diagnose the majority of DM2. Alberta’s ethnic population: Canadian census data from 2006 (the latest available) indicated the top non-European ethnicities were First Nations, East and Southeast Asian, Chinese, South Asian and East Indian. Among visible minorities, non-First Nations groups also included Filipino and African. Use of glycated hemoglobin (A1C) to diagnose diabetes mellitus type 2 (DM2): First Nations, Asian and African ethnicities have A1Cs that are higher than those of European descent for a given glycemia, whereas Asian Indians have lower A1Cs. Thus, the present A1C cut-off will potentially over diagnose DM2 in the former populations, and under diagnose it in the latter. Thus, it is important for General Practitioners (GPs) not to rely solely on A1C for diagnosis of DM2.
This publication has no Abstract to dispaly

The epidemiology of alcohol utilization during pregnancy: an analysis of the Canadian Maternity Experiences Survey (MES)

Maternal alcohol consumption during pregnancy may potentially constitute a major public health concern in Canada. The present study assessed the prevalence and predictors of maternal alcohol consumption during pregnancy of women living in Canada from 2005-2006 who had a singleton live birth and whose child remained in their care 5-9 months following birth. The analysis shows that 10.8% of women drank alcohol at some point during their pregnancies. Drinking alcohol during pregnancy was significantly associated with several important factors including marital status, smoking status, reaction to the pregnancy and immigrant status. While being an immigrant to Canada appeared to confer a protective effect (immigrants were less likely to consume alcohol during pregnancy than Canadian women), women who have partners and smoked during pregnancy were significantly more likely to drink alcohol during their pregnancies. Perhaps most importantly, pregnant women who reported indifference or being unhappy/very unhappy in regards to their pregnancies exhibited an increased risk of drinking alcohol during their pregnancies. Maternal alcohol consumption during pregnancy may potentially constitute a major public health concern in Canada. The present study assessed the prevalence and predictors of maternal alcohol consumption during pregnancy of women living in Canada from 2005-2006 who had a singleton live birth and whose child remained in their care 5-9 months following birth. The analysis shows that 10.8% of women drank alcohol at some point during their pregnancies. Drinking alcohol during pregnancy was significantly associated with several important factors including marital status, smoking status, reaction to the pregnancy and immigrant status. While being an immigrant to Canada appeared to confer a protective effect (immigrants were less likely to consume alcohol during pregnancy than Canadian women), women who have partners and smoked during pregnancy were significantly more likely to drink alcohol during their pregnancies. Perhaps most importantly, pregnant women who reported indifference or being unhappy/very unhappy in regards to their pregnancies exhibited an increased risk of drinking alcohol during their pregnancies.
This publication has no Abstract to dispaly

Two Multicultural Debates and the Lived Experiences of Chinese-Canadian Youth

This paper examines the lived experiences of Chinese-Canadian youth in Alberta in relation to two multiculturalism debates: multiculturalism as a politics of recognition and multiculturalism as a cohesive force. It focuses on three themes of their lived experiences, which include racial discrimination and stereotypes in school; biased media representation; and the relationship between ethnic language maintenance, sense of belonging and multiculturalism policy within a bilingual framework. Two findings are highlighted in this paper. First, the racism youth experienced at school and the racist discourse against Chinese-Canadian students found in Canadian media indicate that Chinese Canadians as racialized and ethnic minorities have not been recognized and treated as equal partners in social interactions with the White dominant group. The multicultural policy focus and task of addressing racism in the 1980s has yet to be finished despite current multicultural policy having a new focus. Second, multiculturalism within a bilingual framework is more an assimilating force than a divisive one. Given the separation of language rights and cultural rights as well as the strong linguistic and cultural assimilation forces in major Canadian institutions, it is less likely for Chinese-Canadian youth to maintain their ethnic language and culture. The main factor that affects their sense of belonging to Canada is the racism in Canadian society rather than the symbolic recognition of diversity that multiculturalism encourages. This paper examines the lived experiences of Chinese-Canadian youth in Alberta in relation to two multiculturalism debates: multiculturalism as a politics of recognition and multiculturalism as a cohesive force. It focuses on three themes of their lived experiences, which include racial discrimination and stereotypes in school; biased media representation; and the relationship between ethnic language maintenance, sense of belonging and multiculturalism policy within a bilingual framework. Two findings are highlighted in this paper. First, the racism youth experienced at school and the racist discourse against Chinese-Canadian students found in Canadian media indicate that Chinese Canadians as racialized and ethnic minorities have not been recognized and treated as equal partners in social interactions with the White dominant group. The multicultural policy focus and task of addressing racism in the 1980s has yet to be finished despite current multicultural policy having a new focus. Second, multiculturalism within a bilingual framework is more an assimilating force than a divisive one. Given the separation of language rights and cultural rights as well as the strong linguistic and cultural assimilation forces in major Canadian institutions, it is less likely for Chinese-Canadian youth to maintain their ethnic language and culture. The main factor that affects their sense of belonging to Canada is the racism in Canadian society rather than the symbolic recognition of diversity that multiculturalism encourages.
This publication has no Abstract to dispaly

Health Status of Refugees Settled in Alberta: Changes Since Arrival

This paper sought to examine which pre- and post-migration factors might be associated with changes in refugees’ health status. Having spent time in a refugee camp and having held professional/managerial jobs in one’s home country were associated with a greater decline in mental health status since arrival in Canada. Having completed a university degree in one’s home country was associated with a greater decline in physical health status. Being employed was associated with greater improvements in mental health status. Perceived economic hardship was associated with greater declines in physical health status. A higher number of settlement services received during the first year in Canada was associated with greater improvements in both mental and physical health status. Longer residence in Canada was associated with greater declines in physical health status but not in mental health status. While little can be done to alter refugees’ pre-migration experiences, public policies can affect many post-migration experiences in order to mitigate the negative health consequences associated with resettlement. Results of this study point to the need for continued provision of settlement services to assist refugees with job training, labour market access, and credential recognition, as well as counseling for refugees who experienced the trauma of living in a refugee camp. This paper sought to examine which pre- and post-migration factors might be associated with changes in refugees’ health status. Having spent time in a refugee camp and having held professional/managerial jobs in one’s home country were associated with a greater decline in mental health status since arrival in Canada. Having completed a university degree in one’s home country was associated with a greater decline in physical health status. Being employed was associated with greater improvements in mental health status. Perceived economic hardship was associated with greater declines in physical health status. A higher number of settlement services received during the first year in Canada was associated with greater improvements in both mental and physical health status. Longer residence in Canada was associated with greater declines in physical health status but not in mental health status. While little can be done to alter refugees’ pre-migration experiences, public policies can affect many post-migration experiences in order to mitigate the negative health consequences associated with resettlement. Results of this study point to the need for continued provision of settlement services to assist refugees with job training, labour market access, and credential recognition, as well as counseling for refugees who experienced the trauma of living in a refugee camp.
This publication has no Abstract to dispaly

La conciliation travail-études : défis et réalité pour les jeunes élèves africains noirs de Brooks

To meet their essential needs or those of their families, young black African immigrants from 15 to 24 years of age living in Brooks, Alberta, Canada, are trying to reconcile full-time night work with full-time school attendance. In most cases employers comply with the regulations on employment of children in Alberta, but no one can state with certainty that the age limit for this kind of employment is always observed. This pilot research examines the social impact of such work and study arrangements on young Francophone immigrants. To meet their essential needs or those of their families, young black African immigrants from 15 to 24 years of age living in Brooks, Alberta, Canada, are trying to reconcile full-time night work with full-time school attendance. In most cases employers comply with the regulations on employment of children in Alberta, but no one can state with certainty that the age limit for this kind of employment is always observed. This pilot research examines the social impact of such work and study arrangements on young Francophone immigrants.
This publication has no Abstract to dispaly

The Ethnic and National Identity of South Asian Immigrant Seniors Living in Edmonton, Canada

The Canadian population is aging and also becoming more ethnically diverse. This study examined differences in identities among South Asian seniors who immigrated at different life stages with different lengths of residency in Canada. We interviewed 161 immigrants of South Asian descent in Edmonton, Canada, aged 60 and older about their ethnic/national identity, transnational ties, cultural retention and practices, and participation in and concerns about life in Canada. Our findings show that women were more likely than men to see themselves as more South Asian than Canadian. Furthermore, logistic regression analysis showed that older age at immigration and low English-language proficiency were significant predictors of ethnic identity. These findings indicated the importance of language for ethnic and national (Canadian) identity and revealed that South Asian immigrant elders who came to Canada in later life tended to retain their ethnic identities, while immigrant elders who came to Canada earlier in life were more likely to have developed a bicultural identity that incorporated both ethnic and Canadian identity. Related to the notion of bicultural identity, strong transnational ties with the country of origin were associated with greater participation in Canadian society. The Canadian population is aging and also becoming more ethnically diverse. This study examined differences in identities among South Asian seniors who immigrated at different life stages with different lengths of residency in Canada. We interviewed 161 immigrants of South Asian descent in Edmonton, Canada, aged 60 and older about their ethnic/national identity, transnational ties, cultural retention and practices, and participation in and concerns about life in Canada. Our findings show that women were more likely than men to see themselves as more South Asian than Canadian. Furthermore, logistic regression analysis showed that older age at immigration and low English-language proficiency were significant predictors of ethnic identity. These findings indicated the importance of language for ethnic and national (Canadian) identity and revealed that South Asian immigrant elders who came to Canada in later life tended to retain their ethnic identities, while immigrant elders who came to Canada earlier in life were more likely to have developed a bicultural identity that incorporated both ethnic and Canadian identity. Related to the notion of bicultural identity, strong transnational ties with the country of origin were associated with greater participation in Canadian society.
This publication has no Abstract to dispaly

Finding a place to call home: The challenge of housing security for immigrants in Alberta

This article explores the challenges of housing security for immigrants in Alberta, Canada. It highlights the difficulties that immigrants face in finding affordable and secure housing due to discrimination, language barriers, and lack of knowledge about their rights. The report also discusses the impact of homelessness on individuals and society, including the negative effects on physical and mental health, education, and economic success. The report concludes by calling for increased government support for housing initiatives that prioritize the needs of immigrants and other vulnerable populations. Overall, this report sheds light on an important issue and provides valuable insights into the challenges of finding a place to call home. This article explores the challenges of housing security for immigrants in Alberta, Canada. It highlights the difficulties that immigrants face in finding affordable and secure housing due to discrimination, language barriers, and lack of knowledge about their rights. The report also discusses the impact of homelessness on individuals and society, including the negative effects on physical and mental health, education, and economic success. The report concludes by calling for increased government support for housing initiatives that prioritize the needs of immigrants and other vulnerable populations. Overall, this report sheds light on an important issue and provides valuable insights into the challenges of finding a place to call home.
This publication has no Abstract to dispaly

Refugee mental health and the meaning of “home”

This article describes the functional and psychological significance of “home” and how refugee mental health and resettlement may be affected by the lack of social supports associated with the concept of home. Using illustrations from studies with refugee communities, the author suggests that the way in which refugees evoke experiences of “back home” reveals critical social and psychological gaps in their settlement and integration experiences. Note that while the study provides insights into the experiences of refugees in Ontario and Alberta, the article emphasizes the need for a pan-Canadian approach to address the mental health needs of refugees. This article describes the functional and psychological significance of “home” and how refugee mental health and resettlement may be affected by the lack of social supports associated with the concept of home. Using illustrations from studies with refugee communities, the author suggests that the way in which refugees evoke experiences of “back home” reveals critical social and psychological gaps in their settlement and integration experiences. Note that while the study provides insights into the experiences of refugees in Ontario and Alberta, the article emphasizes the need for a pan-Canadian approach to address the mental health needs of refugees.
This publication has no Abstract to dispaly

A Conceptual Model of the Retrospective Accounts of Chinese Adults Who Immigrated to Canada as Children

This phenomenological study explores the retrospective accounts of 11 Chinese immigrant adults (9 F, 2 M) who immigrated to Canada when they were children. Six categories and 31 themes were extracted during the analysis of the transcripts. The categories include: (a) Adjusting to a Different Culture; (b) Family; (c) Language; (d) Environment; (e) Friendships; and (f) Self and Identity. Counsellors need to be aware of the challenges faced by immigrant children in their new life in Canada, both inside as well as outside the school system. They need to learn about the cultural background of such children to understand the differences and potential conflicts and issues that these children may face in the process of adjustment. This phenomenological study explores the retrospective accounts of 11 Chinese immigrant adults (9 F, 2 M) who immigrated to Canada when they were children. Six categories and 31 themes were extracted during the analysis of the transcripts. The categories include: (a) Adjusting to a Different Culture; (b) Family; (c) Language; (d) Environment; (e) Friendships; and (f) Self and Identity. Counsellors need to be aware of the challenges faced by immigrant children in their new life in Canada, both inside as well as outside the school system. They need to learn about the cultural background of such children to understand the differences and potential conflicts and issues that these children may face in the process of adjustment.
This publication has no Abstract to dispaly

Hidden in plain sight: The housing challenges of newcomers in Calgary

This report provides insights and solutions for the housing challenges faced by newcomers in Calgary. It was compiled by a team of experts from various organizations and communities, and it aims to shed light on the difficulties that newcomers face when it comes to finding affordable housing in the city. The report discusses the various challenges that newcomers face, such as language barriers, discrimination, and lack of knowledge about the housing market. It also highlights the initiatives and programs in place to address these challenges and provides recommendations for individuals and organizations to get involved in advocating for better housing options for newcomers in Calgary. Overall, this report is a valuable resource for anyone interested in understanding and addressing the housing challenges of newcomers in Calgary. This report provides insights and solutions for the housing challenges faced by newcomers in Calgary. It was compiled by a team of experts from various organizations and communities, and it aims to shed light on the difficulties that newcomers face when it comes to finding affordable housing in the city. The report discusses the various challenges that newcomers face, such as language barriers, discrimination, and lack of knowledge about the housing market. It also highlights the initiatives and programs in place to address these challenges and provides recommendations for individuals and organizations to get involved in advocating for better housing options for newcomers in Calgary. Overall, this report is a valuable resource for anyone interested in understanding and addressing the housing challenges of newcomers in Calgary.
This publication has no Abstract to dispaly