Research Library

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.
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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.
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Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care. Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care.
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This article aims to build both community and scholarly knowledge of skills, aspirations, needs, and characteristics of the international newcomer adult population in Edmonton. It highlights the Canadian Language Benchmarks (CLB) test scores, socio-demographic profiles, as well as goals and plans among adult immigrants and refugee clients of the Language Assessment, Referral, and Counselling Centre (LARCC) in Edmonton, Alberta. LARCC includes both provincially and federally funded programs. It provides immigrants and refugees with a recognized assessment of their current level of English language proficiency; knowledge of local options and resources for relevant English language and occupational training; and helps newcomers explore their educational and career goals/opportunities. This article is largely practical rather than theoretical, presenting a practitioners’ perspective into how to better enhance the benefits of immigration for immigrants, in particular, and for the larger society as a whole. As such, following an empirical discussion, we outline several suggestions: (1) community partners to collaborate in order to “create the networks and pathways that lead to substantive labour market success for the majority of newcomers; (2) increase in social, business, and employment networking opportunities for immigrants; more support for immigrants on-the-job language and occupational skills development, including intercultural or transcultural skill development for established worker and newcomers alike; (3) “language and occupational training opportunities need to be more immediately linked to employers” This article aims to build both community and scholarly knowledge of skills, aspirations, needs, and characteristics of the international newcomer adult population in Edmonton. It highlights the Canadian Language Benchmarks (CLB) test scores, socio-demographic profiles, as well as goals and plans among adult immigrants and refugee clients of the Language Assessment, Referral, and Counselling Centre (LARCC) in Edmonton, Alberta. LARCC includes both provincially and federally funded programs. It provides immigrants and refugees with a recognized assessment of their current level of English language proficiency; knowledge of local options and resources for relevant English language and occupational training; and helps newcomers explore their educational and career goals/opportunities. This article is largely practical rather than theoretical, presenting a practitioners’ perspective into how to better enhance the benefits of immigration for immigrants, in particular, and for the larger society as a whole. As such, following an empirical discussion, we outline several suggestions: (1) community partners to collaborate in order to “create the networks and pathways that lead to substantive labour market success for the majority of newcomers; (2) increase in social, business, and employment networking opportunities for immigrants; more support for immigrants on-the-job language and occupational skills development, including intercultural or transcultural skill development for established worker and newcomers alike; (3) “language and occupational training opportunities need to be more immediately linked to employers”
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With an increasing number of immigrants arriving in Calgary to work and live, there is a need to better understand how social service organizations attempt to create positive and meaningful changes in relation to the labour market integration of immigrants in Calgary. Skilled immigrants continue to arrive in Calgary, bringing with them skills and expertise that could greatly contribute to the economy. The goal of the study is to identify gaps and capacities of the current services working on immigrant labour market integration in Calgary. There are currently 21 members of the Immigrant Sector Council of Calgary (ISCC), and other social service organizations in the greater Calgary community working with immigrants and refugees, and there is a need to identify what organizations, programs, and services aim to facilitate immigrant labour market integration. The analyses were focused on documenting and comparing the scope, mandates, and activities of the agencies providing labour market programs and services to immigrants. With an increasing number of immigrants arriving in Calgary to work and live, there is a need to better understand how social service organizations attempt to create positive and meaningful changes in relation to the labour market integration of immigrants in Calgary. Skilled immigrants continue to arrive in Calgary, bringing with them skills and expertise that could greatly contribute to the economy. The goal of the study is to identify gaps and capacities of the current services working on immigrant labour market integration in Calgary. There are currently 21 members of the Immigrant Sector Council of Calgary (ISCC), and other social service organizations in the greater Calgary community working with immigrants and refugees, and there is a need to identify what organizations, programs, and services aim to facilitate immigrant labour market integration. The analyses were focused on documenting and comparing the scope, mandates, and activities of the agencies providing labour market programs and services to immigrants.
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Permitting entrance into the borders of Canada to migrants as asylum seekers opens yet a new chapter in the lives of these migrants. It is as though while they are being identified as asylum seekers or refugees, their identities and histories are simultaneously being erased. This article discusses the lack of educational policies that address the needs of refugee learners. Policies can serve to include or exclude refugee youth learners in educational contexts. A holistic approach to refugee education will lead to better outcomes for refugee youth. Positive policies include: welcoming atmosphere in schools; child-centered learning; community programing; supporting foundations. Permitting entrance into the borders of Canada to migrants as asylum seekers opens yet a new chapter in the lives of these migrants. It is as though while they are being identified as asylum seekers or refugees, their identities and histories are simultaneously being erased. This article discusses the lack of educational policies that address the needs of refugee learners. Policies can serve to include or exclude refugee youth learners in educational contexts. A holistic approach to refugee education will lead to better outcomes for refugee youth. Positive policies include: welcoming atmosphere in schools; child-centered learning; community programing; supporting foundations.
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Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care. Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care.
This publication has no Abstract to dispaly

In examining the economic integration of Chinese immigrants in Calgary and Edmonton, this study reveals that recent immigrants have encountered multi-faceted barriers, particularly in employment and language. Furthermore, they have experienced deskilling and devaluation of their prior learning and work experience after immigrating to Canada. As a consequence, many have suffered unemployment and underemployment, poor economic performance, and downward social mobility, which have adversely hindered their integration process. Immigrants’ negative experience can be attributed to a triple glass effect consisting of a glass gate, glass door, and glass ceiling. While a glass gate denies immigrants’ entrance to guarded professional communities, a glass door blocks immigrants’ access to professional employment at high-wage firms. It is the glass ceiling which prevents immigrants from moving up to management positions because of their ethnic and cultural differences. This study calls for the adoption of an inclusive framework that works toward recognitive justice in balancing freedom of mobility with recognition and full membership in Canada. In examining the economic integration of Chinese immigrants in Calgary and Edmonton, this study reveals that recent immigrants have encountered multi-faceted barriers, particularly in employment and language. Furthermore, they have experienced deskilling and devaluation of their prior learning and work experience after immigrating to Canada. As a consequence, many have suffered unemployment and underemployment, poor economic performance, and downward social mobility, which have adversely hindered their integration process. Immigrants’ negative experience can be attributed to a triple glass effect consisting of a glass gate, glass door, and glass ceiling. While a glass gate denies immigrants’ entrance to guarded professional communities, a glass door blocks immigrants’ access to professional employment at high-wage firms. It is the glass ceiling which prevents immigrants from moving up to management positions because of their ethnic and cultural differences. This study calls for the adoption of an inclusive framework that works toward recognitive justice in balancing freedom of mobility with recognition and full membership in Canada.
This publication has no Abstract to dispaly

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

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