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 If you come across a link that is no longer active, please let us know and we can update it.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

Diet quality and risk factors for cardiovascular disease among South Asians in Alberta

South Asians have a higher prevalence of early onset cardiovascular disease risk compared with other populations. Dietary intake is a factor that can affect the risk of developing a cardiovascular disease. Little is known about the dietary intake of South Asians in Alberta, thus the objective of the present study was to describe the dietary patterns among South Asians and their risks for cardiovascular diseases. Central obesity (70%), hypercholesterolemia (27%), and hypertension (14%) were predominant health conditions observed in the study participants. About 56% and 44% of participants obtained moderate and poor HEI (Healthy Eating Index) scores, respectively. The diet quality of the majority of participants was inadequate to meet macro- and micronutrient intake recommendations. The high prevalence of poor/moderate diet quality and pre-existing chronic health conditions across all body mass index groups is a cause for concern in this population. South Asians have a higher prevalence of early onset cardiovascular disease risk compared with other populations. Dietary intake is a factor that can affect the risk of developing a cardiovascular disease. Little is known about the dietary intake of South Asians in Alberta, thus the objective of the present study was to describe the dietary patterns among South Asians and their risks for cardiovascular diseases. Central obesity (70%), hypercholesterolemia (27%), and hypertension (14%) were predominant health conditions observed in the study participants. About 56% and 44% of participants obtained moderate and poor HEI (Healthy Eating Index) scores, respectively. The diet quality of the majority of participants was inadequate to meet macro- and micronutrient intake recommendations. The high prevalence of poor/moderate diet quality and pre-existing chronic health conditions across all body mass index groups is a cause for concern in this population.
This publication has no Abstract to dispaly

“When You See Nature, Nature Give You Something Inside”: The Role of Nature-based Leisure in Fostering Refugee Well-being in Canada

This study investigated the impacts of nature-based leisure on the well-being of refugees in Canada. We explored how the experiences of a two-day winter camping in northern Alberta affected refugees’ well-being. Participants, from three African countries, and Iran, welcomed an opportunity to be away in a natural setting, to connect with others, to learn new activities, involve their families, and as a distraction from their daily lives. Refugees acknowledged the welcoming efforts of the social services and parks agencies in bolstering their confidence and well-being. Refugees’ experiences underscored both the importance of access to nature-based leisure in mitigating stress, and host societies’ attitudes toward newcomers in fostering their well-being. Our findings suggest that developing nature-based leisure opportunities for refugees may promote their well-being and sense of belonging. This study investigated the impacts of nature-based leisure on the well-being of refugees in Canada. We explored how the experiences of a two-day winter camping in northern Alberta affected refugees’ well-being. Participants, from three African countries, and Iran, welcomed an opportunity to be away in a natural setting, to connect with others, to learn new activities, involve their families, and as a distraction from their daily lives. Refugees acknowledged the welcoming efforts of the social services and parks agencies in bolstering their confidence and well-being. Refugees’ experiences underscored both the importance of access to nature-based leisure in mitigating stress, and host societies’ attitudes toward newcomers in fostering their well-being. Our findings suggest that developing nature-based leisure opportunities for refugees may promote their well-being and sense of belonging.
This publication has no Abstract to dispaly

Factors associated with the timing of the first prenatal ultrasound in Canada

The aim of this study was to investigate the factors associated with the timing of the first prenatal ultrasound in Canada. 68.4% of Canadian women received an optimally timed first prenatal ultrasound, 27.4% received early ultrasounds and 4.3% received late ultrasound. Only 68% of Canadian women received an optimally timed prenatal ultrasound which was influenced by several factors including province of prenatal care, maternal age and country of birth, and an interaction effect between prenatal care provider and history of miscarriage. These findings establish a baseline of factors influencing the timing of prenatal ultrasound in Canada, which can be built upon by future studies. The aim of this study was to investigate the factors associated with the timing of the first prenatal ultrasound in Canada. 68.4% of Canadian women received an optimally timed first prenatal ultrasound, 27.4% received early ultrasounds and 4.3% received late ultrasound. Only 68% of Canadian women received an optimally timed prenatal ultrasound which was influenced by several factors including province of prenatal care, maternal age and country of birth, and an interaction effect between prenatal care provider and history of miscarriage. These findings establish a baseline of factors influencing the timing of prenatal ultrasound in Canada, which can be built upon by future studies.
This publication has no Abstract to dispaly

Prevalence of Known Risk Factors for Type 2 Diabetes Mellitus in Multiethnic Urban Youth in Edmonton: Findings From the WHY ACT NOW Project

The Canadian Diabetes Risk Assessment Questionnaire (CANRISK) is a validated, evidence-based, self-administered tool to assess the risk for type 2 diabetes mellitus in multiethnic Canadian adults. Identifying individuals at high risk for type 2 diabetes allows early intervention that improves modifiable risk factors. This study examined the risk factors for type 2 diabetes in multiethnic urban youth in Edmonton, Alberta. Almost 25% of the participating multiethnic youth 11 to 23 years of age scored in the moderate or high category of CANRISK. The most prevalent risk factors were ethnicity, followed by physical inactivity, overweight or obesity and low fruit and vegetable consumption. A validated type 2 diabetes screening tool for youth as well as culturally appropriate, evidence-based and multidisciplinary diet and lifestyle interventions aiming to improve modifiable type 2 diabetes risk factors in multiethnic youth, particularly targeting socioeconomically disadvantaged and immigrant children and youth, should be developed, implemented and evaluated. The Canadian Diabetes Risk Assessment Questionnaire (CANRISK) is a validated, evidence-based, self-administered tool to assess the risk for type 2 diabetes mellitus in multiethnic Canadian adults. Identifying individuals at high risk for type 2 diabetes allows early intervention that improves modifiable risk factors. This study examined the risk factors for type 2 diabetes in multiethnic urban youth in Edmonton, Alberta. Almost 25% of the participating multiethnic youth 11 to 23 years of age scored in the moderate or high category of CANRISK. The most prevalent risk factors were ethnicity, followed by physical inactivity, overweight or obesity and low fruit and vegetable consumption. A validated type 2 diabetes screening tool for youth as well as culturally appropriate, evidence-based and multidisciplinary diet and lifestyle interventions aiming to improve modifiable type 2 diabetes risk factors in multiethnic youth, particularly targeting socioeconomically disadvantaged and immigrant children and youth, should be developed, implemented and evaluated.
This publication has no Abstract to dispaly

Syrian Refugee Families with Young Children: An Examination of Strengths and Challenges During Early Resettlement

With the arrival of a large number of Syrian families to Canada, educators and other service providers are reflecting on best practices to support the psychosocial adaption of refugees from conflict settings. This article draws on a study and model that examined the psychosocial adaptation of Syrian refugee families with young children in Western Canada. The name of the model is RAISED between Cultures. The acronym stands for Reveal culture, Acknowledge pre-migration experiences, Identify post-migration systemic barriers, Support family and community strengths, Establish connections between environments, and Determine child outcomes together with families. Study focused on the role of cultural brokers in facilitating the adaptation of Syrian refugee families, our results provide evidence for the application of the model for educators and other school personnel. As key figures in refugee children and families’ adaptation to their host country, educators can draw on these findings to identify families’ and children’s’ strengths and challenges during early resettlement to ensure positive child outcomes. With the arrival of a large number of Syrian families to Canada, educators and other service providers are reflecting on best practices to support the psychosocial adaption of refugees from conflict settings. This article draws on a study and model that examined the psychosocial adaptation of Syrian refugee families with young children in Western Canada. The name of the model is RAISED between Cultures. The acronym stands for Reveal culture, Acknowledge pre-migration experiences, Identify post-migration systemic barriers, Support family and community strengths, Establish connections between environments, and Determine child outcomes together with families. Study focused on the role of cultural brokers in facilitating the adaptation of Syrian refugee families, our results provide evidence for the application of the model for educators and other school personnel. As key figures in refugee children and families’ adaptation to their host country, educators can draw on these findings to identify families’ and children’s’ strengths and challenges during early resettlement to ensure positive child outcomes.
This publication has no Abstract to dispaly

Refugee Student Integration: A Focus on Settlement, Education, and Psychosocial Support

This research focused on understanding the integration and settlement of Syrian children and youth in Winnipeg and Calgary. The goals were to understand how communities and schools might better support integration, the unique psychosocial and academic needs of Syrian refugees, and how schools can support reciprocal learning among refugee, immigrant, and Canadian-born students. Findings revealedthatmany refugees experience triple trauma as a result of forced migration, having experienced trauma in their country of origin, during transition, and again upon resettlement in Canada. Further challenges includeddifficulties in acquiring a new language, interrupted schooling, lack of resources for teachers who felt unprepared for the complexities of student needs, and racism and discrimination experienced by youth trying to integrate with their Canadian peers. The project reveals many gaps in programs and services and highlights the need for a coordinated approach among the different stakeholders in the refugee settlement and integration process. This research focused on understanding the integration and settlement of Syrian children and youth in Winnipeg and Calgary. The goals were to understand how communities and schools might better support integration, the unique psychosocial and academic needs of Syrian refugees, and how schools can support reciprocal learning among refugee, immigrant, and Canadian-born students. Findings revealedthatmany refugees experience triple trauma as a result of forced migration, having experienced trauma in their country of origin, during transition, and again upon resettlement in Canada. Further challenges includeddifficulties in acquiring a new language, interrupted schooling, lack of resources for teachers who felt unprepared for the complexities of student needs, and racism and discrimination experienced by youth trying to integrate with their Canadian peers. The project reveals many gaps in programs and services and highlights the need for a coordinated approach among the different stakeholders in the refugee settlement and integration process.
This publication has no Abstract to dispaly

Sense of community belonging among immigrants: perspective of immigrant service providers

This study examined the barriers and facilitators to community belonging for immigrants in Alberta, Canada. Participants discuss two forms of community belonging in this study: (a) belonging to an ethnocultural group; and (b) belonging within mainstream Canadian society. Barriers to mainstream community belonging for immigrants include employment barriers, language barriers, and discrimination. Recent immigrants often experience a sense of belonging to their ethnic group within the host country before feeling connected to others in their local geographic community. A major factor contributing to this trend is the lack of ethnocultural diversity in local community organizations in the areas where immigrants live. Immigrant service agencies and religious institutions compensate for this deficiency through creating avenues for social connection within and across ethnocultural groups and to mainstream Canadian society. Thus local community organizations should address issues of ethnocultural diversity and discrimination to improve the mental health of immigrants by fostering community belonging. Supporting programs in immigrant service agencies and religious institutions to increase social participation and engagement would, also, help strengthen community belonging and improve immigrant mental health. This study examined the barriers and facilitators to community belonging for immigrants in Alberta, Canada. Participants discuss two forms of community belonging in this study: (a) belonging to an ethnocultural group; and (b) belonging within mainstream Canadian society. Barriers to mainstream community belonging for immigrants include employment barriers, language barriers, and discrimination. Recent immigrants often experience a sense of belonging to their ethnic group within the host country before feeling connected to others in their local geographic community. A major factor contributing to this trend is the lack of ethnocultural diversity in local community organizations in the areas where immigrants live. Immigrant service agencies and religious institutions compensate for this deficiency through creating avenues for social connection within and across ethnocultural groups and to mainstream Canadian society. Thus local community organizations should address issues of ethnocultural diversity and discrimination to improve the mental health of immigrants by fostering community belonging. Supporting programs in immigrant service agencies and religious institutions to increase social participation and engagement would, also, help strengthen community belonging and improve immigrant mental health.
This publication has no Abstract to dispaly

Access and utilization of mental health services for immigrants and refugees: Perspectives of immigrant service providers

Difficult migration journeys and challenges in leaving one country and adapting to another are detrimental to immigrants’ mental health. Often these life stressors are coupled with a lack of adequate support which makes the adaptation process even more challenging. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers’ perceptions of access to and use of mental health services for immigrants and refugees in Alberta. Barriers to access and use of mental health services include language barriers, cultural interpretations of mental health, stigma around mental illness, and fear of negative repercussions when living with a mental illness. Strategies to improve mental health service delivery include developing community-based services, attending to financial barriers, training immigrant service providers on mental health, enhancing collaboration across sectors in mental health service delivery, and advancing the role of interpreters and cultural brokers. Overall, immigrant service providers present a nuanced view of the complex and inter-related barriers immigrants and refugees experience and identify potential approaches to enhancing mental health service delivery. Difficult migration journeys and challenges in leaving one country and adapting to another are detrimental to immigrants’ mental health. Often these life stressors are coupled with a lack of adequate support which makes the adaptation process even more challenging. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers’ perceptions of access to and use of mental health services for immigrants and refugees in Alberta. Barriers to access and use of mental health services include language barriers, cultural interpretations of mental health, stigma around mental illness, and fear of negative repercussions when living with a mental illness. Strategies to improve mental health service delivery include developing community-based services, attending to financial barriers, training immigrant service providers on mental health, enhancing collaboration across sectors in mental health service delivery, and advancing the role of interpreters and cultural brokers. Overall, immigrant service providers present a nuanced view of the complex and inter-related barriers immigrants and refugees experience and identify potential approaches to enhancing mental health service delivery.
This publication has no Abstract to dispaly

Policy recommendations for the Ministry of Health

Health is a basic human right for all. The Ministry of Health needs to increase health providers’ awareness of the Interim Federal Healthcare Benefit (IFHB), provide immediate coverage from the Alberta Health Care Insurance Plan (AHCIP) to refugees, and include refugees as eligible beneficiaries under Alberta Labour funding accessibility. Health is a basic human right for all. The Ministry of Health needs to increase health providers’ awareness of the Interim Federal Healthcare Benefit (IFHB), provide immediate coverage from the Alberta Health Care Insurance Plan (AHCIP) to refugees, and include refugees as eligible beneficiaries under Alberta Labour funding accessibility.
This publication has no Abstract to dispaly

Health care choices of Ghanaian adult immigrants in Calgary, Alberta, Canada

Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ health care choices with the first five to ten years of arrival in Calgary, Alberta. This research used a qualitative naturalistic approach with ten Ghanaian adult immigrants. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong support system to facilitate better health choices and encourage health care service use among recent newcomers Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ health care choices with the first five to ten years of arrival in Calgary, Alberta. This research used a qualitative naturalistic approach with ten Ghanaian adult immigrants. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong support system to facilitate better health choices and encourage health care service use among recent newcomers
This publication has no Abstract to dispaly