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 If you come across a link that is no longer active, please let us know and we can update it.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

Skilled Immigrants and the Negotiation of Family Relations During Settlement in Calgary, Alberta

When re-establishing their lives in Canada, international migrants with dependent children regularly encounter dramatically different conditions for family life. The parents’ employment situation, the limited availability of extended kin to help with child rearing, and a multicultural and relatively more permissive social environment, all of these invite or even demand changes in newcomers’ family practices. Yet, more information is needed about the ways in which skilled immigrants negotiate the changed conditions for work and family life in this country, and the impact this has on family dynamics during settlement. This study explores how coming to Canada impacted participants’ situations of paid work, parenting practices, and familial gender relations. Findings suggest that strained economic and social resources often limited the extent to which mothers and fathers were able to maintain an organization of family life similar to what they had established in their country of origin. However, while in some cases, shifts in family formation caused heightened levels of stress and strain and further entrenched the doing of conventional gender roles, in others, changed conditions acted as a catalyst for positive change. When re-establishing their lives in Canada, international migrants with dependent children regularly encounter dramatically different conditions for family life. The parents’ employment situation, the limited availability of extended kin to help with child rearing, and a multicultural and relatively more permissive social environment, all of these invite or even demand changes in newcomers’ family practices. Yet, more information is needed about the ways in which skilled immigrants negotiate the changed conditions for work and family life in this country, and the impact this has on family dynamics during settlement. This study explores how coming to Canada impacted participants’ situations of paid work, parenting practices, and familial gender relations. Findings suggest that strained economic and social resources often limited the extent to which mothers and fathers were able to maintain an organization of family life similar to what they had established in their country of origin. However, while in some cases, shifts in family formation caused heightened levels of stress and strain and further entrenched the doing of conventional gender roles, in others, changed conditions acted as a catalyst for positive change.
This publication has no Abstract to dispaly

Exploring caesarean section decision-making in newcomer and Canadian-born women in Edmonton, Alberta

Caesarean section (C-section) deliveries are conducted when there is a failure to progress in labor, or compromised fetal status. However, they place women at higher risk for immediate complications compared to vaginal deliveries. Mumtaz et al. (2014) showed that newcomer women in the prairie provinces experienced significantly higher C-section delivery rates compared to Canadian-born women, even though rates of recommendations by healthcare providers was equal. This on-going study aims to understand this trend, and explore how decisions regarding C-section deliveries are made within the experiences of newcomer and Canadian-born women. A focused ethnography was conducted at a universityaffiliated hospital in Edmonton, Alberta for an 8-month period in 2015. The study population comprised: 1) newcomer women who immigrated to Canada after 2004 and 2) Canadian-born women. Both groups consisted of women who have a higher risk of undergoing a C-section. Data collection strategies included participant observation of prenatal appointments, labour and delivery along with in-depth interviews with the women. Preliminary findings indicate that decisions to have emergency C-sections were solely due to physician recommendations. Women stated the safety of the baby as the main reason for following physician recommendations. Caesarean section (C-section) deliveries are conducted when there is a failure to progress in labor, or compromised fetal status. However, they place women at higher risk for immediate complications compared to vaginal deliveries. Mumtaz et al. (2014) showed that newcomer women in the prairie provinces experienced significantly higher C-section delivery rates compared to Canadian-born women, even though rates of recommendations by healthcare providers was equal. This on-going study aims to understand this trend, and explore how decisions regarding C-section deliveries are made within the experiences of newcomer and Canadian-born women. A focused ethnography was conducted at a universityaffiliated hospital in Edmonton, Alberta for an 8-month period in 2015. The study population comprised: 1) newcomer women who immigrated to Canada after 2004 and 2) Canadian-born women. Both groups consisted of women who have a higher risk of undergoing a C-section. Data collection strategies included participant observation of prenatal appointments, labour and delivery along with in-depth interviews with the women. Preliminary findings indicate that decisions to have emergency C-sections were solely due to physician recommendations. Women stated the safety of the baby as the main reason for following physician recommendations.
This publication has no Abstract to dispaly

Oral Health Status of Immigrant and Refugee Children in North America: A Scoping Review

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.
This publication has no Abstract to dispaly

An ethnographic investigation of the maternity healthcare experience of immigrants in rural and urban Alberta, Canada

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

“Cancelled Dreams”: Family Reunification and Shifting Canadian Immigration Policy

This article documents the impact of recently introduced restrictive family reunification policies on immigrants living in Canada today. Since 2008, Canadian immigration policy has changed dramatically with renewed neoliberal emphasis on economic immigrants and labor-market integration (younger, high-skilled immigrants with strong English or French language skills are prioritized over other groups of newcomers). This led to making the process of reuniting families more difficult and expensive. This article explores the impact of this policy shift on immigrant families and on immigrant women and children in particular. This article argues that there are profound human costs to limiting family reunification; these costs are disproportionately borne by immigrant women (who tend to take addition responsibilities of child care) and ultimately impact immigrant integration and belonging. This article documents the impact of recently introduced restrictive family reunification policies on immigrants living in Canada today. Since 2008, Canadian immigration policy has changed dramatically with renewed neoliberal emphasis on economic immigrants and labor-market integration (younger, high-skilled immigrants with strong English or French language skills are prioritized over other groups of newcomers). This led to making the process of reuniting families more difficult and expensive. This article explores the impact of this policy shift on immigrant families and on immigrant women and children in particular. This article argues that there are profound human costs to limiting family reunification; these costs are disproportionately borne by immigrant women (who tend to take addition responsibilities of child care) and ultimately impact immigrant integration and belonging.
This publication has no Abstract to dispaly

Rural Homelessness in Western Canada: Lessons Learned from Diverse Communities

Until recently, there was little acknowledgement that homelessness existed in rural areas in Canada. In order to understand the dynamics of homelessness in rural Alberta, we conducted interviews with service providers and other key stakeholders across Alberta. We examined homelessness dynamics and responses to rural homelessness in 20 rural communities across the province. Across all of the communities in the study, homelessness was reported however, the magnitude of the issue and its dynamics were distinct depending on the local contexts. We also identified several themes which serve as descriptors of rural homelessness issues. We note a number of recommendations emerging from this data which are aimed at building on the experiences, capacities, and strengths of rural communities. Until recently, there was little acknowledgement that homelessness existed in rural areas in Canada. In order to understand the dynamics of homelessness in rural Alberta, we conducted interviews with service providers and other key stakeholders across Alberta. We examined homelessness dynamics and responses to rural homelessness in 20 rural communities across the province. Across all of the communities in the study, homelessness was reported however, the magnitude of the issue and its dynamics were distinct depending on the local contexts. We also identified several themes which serve as descriptors of rural homelessness issues. We note a number of recommendations emerging from this data which are aimed at building on the experiences, capacities, and strengths of rural communities.
This publication has no Abstract to dispaly

Immigrant status and having a regular medical doctor among Canadian adults

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

Gauging Social Integration among Canadian Muslims: A Sense of Belonging in an Age of Anxiety

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

Understanding Job Status Decline among Newcomers to Canada

Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada. Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada.
This publication has no Abstract to dispaly

Is Universal Screening Necessary? Incidence of Tuberculosis among Tibetan Refugees Arriving in Calgary, Alberta

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