Research Library

The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
This publication has no Abstract to dispaly

This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic. This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic.
This publication has no Abstract to dispaly

The Community Newcomer Needs Assessment is an opportunity for municipalities to learn about the strengths, weaknesses, and gaps of local services and supports for newcomers, and challenges the communities to develop a plan to address gaps and weaknesses; help municipalities assess challenges for newcomers provide information about the immigration process. Key strengths, weaknesses, and gaps in services and various challenges and opportunities for newcomers are identified in this report through the lens of the newcomer journey and the newcomer developing a sense of belonging. The Community Newcomer Needs Assessment is an opportunity for municipalities to learn about the strengths, weaknesses, and gaps of local services and supports for newcomers, and challenges the communities to develop a plan to address gaps and weaknesses; help municipalities assess challenges for newcomers provide information about the immigration process. Key strengths, weaknesses, and gaps in services and various challenges and opportunities for newcomers are identified in this report through the lens of the newcomer journey and the newcomer developing a sense of belonging.
This publication has no Abstract to dispaly

The Community Newcomer Needs Assessment is an opportunity for municipalities to learn about the strengths, weaknesses, and gaps of local services and supports for newcomers, and challenges the communities to develop a plan to address gaps and weaknesses; help municipalities assess challenges for newcomers provide information about the immigration process. Key strengths, weaknesses, and gaps in services and various challenges and opportunities for newcomers are identified in this report through the lens of the newcomer journey and the newcomer developing a sense of belonging. The Community Newcomer Needs Assessment is an opportunity for municipalities to learn about the strengths, weaknesses, and gaps of local services and supports for newcomers, and challenges the communities to develop a plan to address gaps and weaknesses; help municipalities assess challenges for newcomers provide information about the immigration process. Key strengths, weaknesses, and gaps in services and various challenges and opportunities for newcomers are identified in this report through the lens of the newcomer journey and the newcomer developing a sense of belonging.
This publication has no Abstract to dispaly

Immigrants tend to have lower screening rates than non-immigrants, and religious leaders may help close this gap. In particular, increased awareness of cancer and access to cancer screening is needed among immigrants facing barriers to care, such as Muslim immigrants in Alberta. Imams in Calgary were interviewed, and results found that most had cancer knowledge, but less knowledge about cancer screening. Imams were highly supportive of incorporating health messaging into their faith messaging, and using their role and status in the community to help increase screening rates and counter misunderstandings. Immigrants tend to have lower screening rates than non-immigrants, and religious leaders may help close this gap. In particular, increased awareness of cancer and access to cancer screening is needed among immigrants facing barriers to care, such as Muslim immigrants in Alberta. Imams in Calgary were interviewed, and results found that most had cancer knowledge, but less knowledge about cancer screening. Imams were highly supportive of incorporating health messaging into their faith messaging, and using their role and status in the community to help increase screening rates and counter misunderstandings.
This publication has no Abstract to dispaly

This is AAISA’s fourth annual Alberta Settlement and Integration Sector Survey report. The report is based on the Alberta Settlement and Integration Sector Survey conducted by AAISA in June 2021, which includes quantitative and qualitative data collected through open-ended survey questions, and supplemental references. The 2021 survey was completed by 60 settlement and integration agencies from across Alberta. The survey aims to examine and understand the priorities, systems-level issues, and potential areas of improvement in the Albertan settlement and integration sector. AAISA will use the survey results to improve and develop services and programs that will ensure agencies have the tools to offer innovative, high-quality, and adaptable programs and services to newcomers in Alberta. A total of 60 agencies responded to the Alberta Settlement and Integration Sector Survey conducted by AAISA in June 2021, of which 47 are AAISA members. These agencies provide services across Alberta, including 38% who provide itinerant and satellite services. Additionally, these agencies offer services across the province in over 70 languages. This is AAISA’s fourth annual Alberta Settlement and Integration Sector Survey report. The report is based on the Alberta Settlement and Integration Sector Survey conducted by AAISA in June 2021, which includes quantitative and qualitative data collected through open-ended survey questions, and supplemental references. The 2021 survey was completed by 60 settlement and integration agencies from across Alberta. The survey aims to examine and understand the priorities, systems-level issues, and potential areas of improvement in the Albertan settlement and integration sector. AAISA will use the survey results to improve and develop services and programs that will ensure agencies have the tools to offer innovative, high-quality, and adaptable programs and services to newcomers in Alberta. A total of 60 agencies responded to the Alberta Settlement and Integration Sector Survey conducted by AAISA in June 2021, of which 47 are AAISA members. These agencies provide services across Alberta, including 38% who provide itinerant and satellite services. Additionally, these agencies offer services across the province in over 70 languages.
This publication has no Abstract to dispaly

Small cities tend to have modest immigrant settlement services and cultural amenities, engendering a distinct sense of place among immigrants and impacting their wellbeing differently from large cities. This research examines the sense of place among immigrant women through their attribution of meanings to places of comfort and discomfort as they settled in a small city in Canada. Immigrant women took photographs of places that they considered to be either comfortable or uncomfortable. Findings indicated that these women appreciated the warmth and support extended to them by settlement services provider organizations, libraries, and faith-based organizations, attesting to the relational nature of the place. Nevertheless, immigrant women dreaded harsh winter conditions and felt unsafe in downtown areas. Immigrant women sought comfort in locales that this paper terms “restorative space,” showing their creative use of private and public spaces for relaxation. The findings from this study call for settlement policies that attend to distinct characteristics of local places to better serve the settlement needs of immigrants. Small cities tend to have modest immigrant settlement services and cultural amenities, engendering a distinct sense of place among immigrants and impacting their wellbeing differently from large cities. This research examines the sense of place among immigrant women through their attribution of meanings to places of comfort and discomfort as they settled in a small city in Canada. Immigrant women took photographs of places that they considered to be either comfortable or uncomfortable. Findings indicated that these women appreciated the warmth and support extended to them by settlement services provider organizations, libraries, and faith-based organizations, attesting to the relational nature of the place. Nevertheless, immigrant women dreaded harsh winter conditions and felt unsafe in downtown areas. Immigrant women sought comfort in locales that this paper terms “restorative space,” showing their creative use of private and public spaces for relaxation. The findings from this study call for settlement policies that attend to distinct characteristics of local places to better serve the settlement needs of immigrants.
This publication has no Abstract to dispaly

The research project Understanding Newcomers’ Experiences of Inclusion (UNEOI) examines newcomers’ experiences of settlement, integration, inclusion or exclusion and how these impact newcomer well-being. The research project Understanding Newcomers’ Experiences of Inclusion (UNEOI) examines newcomers’ experiences of settlement, integration, inclusion or exclusion and how these impact newcomer well-being.
This publication has no Abstract to dispaly

People who experience houselessness in Edmonton are disproportionately from racialized populations. 1 in 5 racialized families in Canada will experience houselessness, compared to 1 in 20 White families. The need to improve affordable housing in Edmonton is imminent. This article describes strengths and weaknesses of the Final Report of the Alberta Affordable Housing Review Panel (2020) as it relates to racialized individuals in Edmonton. People who experience houselessness in Edmonton are disproportionately from racialized populations. 1 in 5 racialized families in Canada will experience houselessness, compared to 1 in 20 White families. The need to improve affordable housing in Edmonton is imminent. This article describes strengths and weaknesses of the Final Report of the Alberta Affordable Housing Review Panel (2020) as it relates to racialized individuals in Edmonton.
This publication has no Abstract to dispaly

This report sheds light on the housing challenges, experiences, strengths and resiliency of newcomers in Edmonton, AB, Canada. Survey respondents were clients who accessed services from four immigrant and refugee serving agencies in the city with clients from 54 different countries speaking 58 different languages. It serves as a valuable resource for policymakers, service providers, and community members interested in understanding and addressing the housing needs of newcomers in the city. This report sheds light on the housing challenges, experiences, strengths and resiliency of newcomers in Edmonton, AB, Canada. Survey respondents were clients who accessed services from four immigrant and refugee serving agencies in the city with clients from 54 different countries speaking 58 different languages. It serves as a valuable resource for policymakers, service providers, and community members interested in understanding and addressing the housing needs of newcomers in the city.
This publication has no Abstract to dispaly