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 If you come across a link that is no longer active, please let us know and we can update it.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

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

Gender, migration, and practices of political participation in Lethbridge

This research explores political participation of immigrant women in Lethbridge. More specifically, research participants identified the factors that affect immigrant women’s practices of political participation in Lethbridge. The analysis draws upon feminist standpoint theory, as well as Sandra Burt’s and Martha Ackelsberg’s conceptual framework on political participation. Fifteen open-ended semi-structured interviews were conducted with immigrant women who have permanent residency or Canadian citizenship, have been living in Canada for more than three years, and are over nineteen years old. As a result of this research the following factors were revealed that affected immigrant women’s political participation: immigration status, country of origin, time, language, education, economic stability, opportunity, age and membership in organisations and groups. Overall, the research found out that the level of political participation of immigrant women in Lethbridge is low, especially for those coming from developing countries. This research explores political participation of immigrant women in Lethbridge. More specifically, research participants identified the factors that affect immigrant women’s practices of political participation in Lethbridge. The analysis draws upon feminist standpoint theory, as well as Sandra Burt’s and Martha Ackelsberg’s conceptual framework on political participation. Fifteen open-ended semi-structured interviews were conducted with immigrant women who have permanent residency or Canadian citizenship, have been living in Canada for more than three years, and are over nineteen years old. As a result of this research the following factors were revealed that affected immigrant women’s political participation: immigration status, country of origin, time, language, education, economic stability, opportunity, age and membership in organisations and groups. Overall, the research found out that the level of political participation of immigrant women in Lethbridge is low, especially for those coming from developing countries.
This publication has no Abstract to dispaly

Sub-Saharan African immigrants living with HIV in Canada: a narrative inquiry

Canadian epidemiological data suggest an increasing number of HIV infections among people from HIV-endemic countries, including sub-Saharan Africa. The purpose of this paper is to study the lived experiences of African immigrants living with HIV in Canada. The researchers found several narrative threads related to: stigma, social, and family exclusion; as well as HIV illness as a complex personal, familial, and social experience. Also, narratives across different geographic and social spaces shaped the complex experience among African immigrants living with HIV in Canada. The intent of this research was to demonstrate a deeper understanding of lived experience, among African immigrants living with HIV in Canada. It is important to understand social factors and the experience of HIV-related stigma because such experiences impact access to health and social services, as well as health and social outcomes of immigrants living with HIV. Based on the findings of this study, further research is needed to: study more closely the familial contexts of African families affected by HIV in Canada; explore the social and political landscapes that impact the experience of HIV illness and related stigma in Canada, in the context of migration and settlement; and examine the relationship between these experiences and the health and social outcomes of African immigrants living with HIV in Canada. Canadian epidemiological data suggest an increasing number of HIV infections among people from HIV-endemic countries, including sub-Saharan Africa. The purpose of this paper is to study the lived experiences of African immigrants living with HIV in Canada. The researchers found several narrative threads related to: stigma, social, and family exclusion; as well as HIV illness as a complex personal, familial, and social experience. Also, narratives across different geographic and social spaces shaped the complex experience among African immigrants living with HIV in Canada. The intent of this research was to demonstrate a deeper understanding of lived experience, among African immigrants living with HIV in Canada. It is important to understand social factors and the experience of HIV-related stigma because such experiences impact access to health and social services, as well as health and social outcomes of immigrants living with HIV. Based on the findings of this study, further research is needed to: study more closely the familial contexts of African families affected by HIV in Canada; explore the social and political landscapes that impact the experience of HIV illness and related stigma in Canada, in the context of migration and settlement; and examine the relationship between these experiences and the health and social outcomes of African immigrants living with HIV in Canada.
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

Migrant Social Workers’ Experiences of Professional Adaptation in Alberta Canada: A Comparative Gender Analysis

There is limited global research addressing the professional adaptation of migrant social workers in general, and a dearth of scholarship specific to the unique context in Alberta, Canada. While academic attention on the broad topic of professional migration of social workers has gained some traction over the past decade, the emerging literature has so far lacked a comparative gender analysis of the experiences of professional migration among social workers. The purpose of the present study was to develop enhanced understanding of the experiences of professional adaptation of migrant social workers in the Albertan context through a comparative gender analysis. This dissertation emerged from my involvement as a research assistant on a national study on the professional adaptation of migrant social workers in Canada. While coordinating data collection for the Alberta site of the national study, I conducted in-depth interviews with 17 male and female migrant social workers that had migrated to Alberta, Canada within the past decade. From these 17 interviews, 10 transcripts of interviews were selected as cases for secondary analysis in order to answer the question: How do female and male migrant social workers in Alberta experience their professional adaptation to practice in their new context? The research method employed in the secondary study was interpretive phenomenological analysis (IPA), a form of qualitative inquiry that examines how people make sense of significant lived experiences. Intersectionality theory and postcolonial feminisms provided the theoretical framework for the study, facilitating attention to both the macro-level factors that structure lived experiences and interactions, and the micro-level processes and interpretations that shape social identities. Engaging with the detailed personal accounts of the participants provided new understandings of how male and female migrant social workers both similarly and differentially interpret and make meaning out of their experiences of professional adaptation. The study makes an important contribution to existing knowledge about professional adaptation in the context of transnational labour mobility. Notably, it is among the first studies to explore the professional adaptation processes of migrant social workers in Alberta, as well as among the earliest works to engage in a qualitative comparative gender analysis that explores these experiences. There is limited global research addressing the professional adaptation of migrant social workers in general, and a dearth of scholarship specific to the unique context in Alberta, Canada. While academic attention on the broad topic of professional migration of social workers has gained some traction over the past decade, the emerging literature has so far lacked a comparative gender analysis of the experiences of professional migration among social workers. The purpose of the present study was to develop enhanced understanding of the experiences of professional adaptation of migrant social workers in the Albertan context through a comparative gender analysis. This dissertation emerged from my involvement as a research assistant on a national study on the professional adaptation of migrant social workers in Canada. While coordinating data collection for the Alberta site of the national study, I conducted in-depth interviews with 17 male and female migrant social workers that had migrated to Alberta, Canada within the past decade. From these 17 interviews, 10 transcripts of interviews were selected as cases for secondary analysis in order to answer the question: How do female and male migrant social workers in Alberta experience their professional adaptation to practice in their new context? The research method employed in the secondary study was interpretive phenomenological analysis (IPA), a form of qualitative inquiry that examines how people make sense of significant lived experiences. Intersectionality theory and postcolonial feminisms provided the theoretical framework for the study, facilitating attention to both the macro-level factors that structure lived experiences and interactions, and the micro-level processes and interpretations that shape social identities. Engaging with the detailed personal accounts of the participants provided new understandings of how male and female migrant social workers both similarly and differentially interpret and make meaning out of their experiences of professional adaptation. The study makes an important contribution to existing knowledge about professional adaptation in the context of transnational labour mobility. Notably, it is among the first studies to explore the professional adaptation processes of migrant social workers in Alberta, as well as among the earliest works to engage in a qualitative comparative gender analysis that explores these experiences.
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

Policy and Management Recommendations Informed by the Health Benefits of Visitor Experiences in Alberta’s Protected Areas

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

Feasibility of implementing a community-based oral health educational tool for newcomers in Alberta: perspectives of frontline community leaders

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

Mental well-being and quality-of-life benefits of inclusion in nature for adults with disabilities and their caregivers

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