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 If you come across a link that is no longer active, please let us know and we can update it.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
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 report contains the assessment done by Constellation Consulting Group to assess the impact of service delivery mode on client satisfaction and therapy outcomes provided by CCIS during COVID. The main goal is to capture learnings about client preferences and service outcomes. This report contains the assessment done by Constellation Consulting Group to assess the impact of service delivery mode on client satisfaction and therapy outcomes provided by CCIS during COVID. The main goal is to capture learnings about client preferences and service outcomes.
This publication has no Abstract to dispaly
Administrative data was used to study COVID-19 vaccine coverage in immigrants and refugees compared to the Canadian-born population. Broadly, immigrants and refugees (78.2%) had comparable vaccine coverage to Canadian-born individuals (76%). However, initiatives to improve vaccine coverage is needed for older immigrants, immigrants in rural areas, and immigrants from certain ethnicities. Administrative data was used to study COVID-19 vaccine coverage in immigrants and refugees compared to the Canadian-born population. Broadly, immigrants and refugees (78.2%) had comparable vaccine coverage to Canadian-born individuals (76%). However, initiatives to improve vaccine coverage is needed for older immigrants, immigrants in rural areas, and immigrants from certain ethnicities.
This publication has no Abstract to dispaly
More research is needed on the specific health and wellbeing needs of racialized newcomers, especially for mental health in the rapidly growing Filipino-Canadian diaspora. Focus groups with Filipino men in Calgary, AB discussed: Filipino immigrant men’s conceptualization of mental illness, health, and stigma; gender and intergenerational expectations as a form of mental health stigma; and motivations to join a mental health ambassador program for Asian immigrant men in Canada. More research is needed on the specific health and wellbeing needs of racialized newcomers, especially for mental health in the rapidly growing Filipino-Canadian diaspora. Focus groups with Filipino men in Calgary, AB discussed: Filipino immigrant men’s conceptualization of mental illness, health, and stigma; gender and intergenerational expectations as a form of mental health stigma; and motivations to join a mental health ambassador program for Asian immigrant men in Canada.
This publication has no Abstract to dispaly
African immigrant children experience some of the poorest mental health outcomes in Canada, yet limited research on their menta health determinants exist. This study explored parents’ perspectives of the factors influencing the mental health of African immigrant children in Alberta, Canada. Parents identified racial discrimination, limited mental health awareness, limited access to mental health supports, changing family dynamics, parental absenteeism, and unresolved pre-migration trauma as factors influencing their children’s mental health. These factors were perceived as contributing to children’s experiences of material deprivation, social problems, and emotional difficulties. The findings suggest that interventions to enhance the mental health of African immigrant children must target transformation of the family, community, and cultural systems within which their lives are embedded, as well as the policies and institutions that produce and reproduce child mental health vulnerabilities. African immigrant children experience some of the poorest mental health outcomes in Canada, yet limited research on their menta health determinants exist. This study explored parents’ perspectives of the factors influencing the mental health of African immigrant children in Alberta, Canada. Parents identified racial discrimination, limited mental health awareness, limited access to mental health supports, changing family dynamics, parental absenteeism, and unresolved pre-migration trauma as factors influencing their children’s mental health. These factors were perceived as contributing to children’s experiences of material deprivation, social problems, and emotional difficulties. The findings suggest that interventions to enhance the mental health of African immigrant children must target transformation of the family, community, and cultural systems within which their lives are embedded, as well as the policies and institutions that produce and reproduce child mental health vulnerabilities.
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
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
Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability. Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability.
This publication has no Abstract to dispaly
Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA. Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA.
This publication has no Abstract to dispaly
This qualitative study explores South Asian immigrant women’s experiences of domestic violence, their views on help-seeking, and access to informal or formal sources of supports. Drawing from grounded theory approaches, this article focuses on one major theme, revictimization, which provides insights into the mistreatment and experiences of seven women who encountered challenges when disclosing abuse. Through an intersectional lens, this article examines how participants were revictimized and mistreated by people within and outside their own community including service providers who they trusted. Implications to reduce levels of mistrust for community members and service providers working with this specific population in Canada are discussed. This qualitative study explores South Asian immigrant women’s experiences of domestic violence, their views on help-seeking, and access to informal or formal sources of supports. Drawing from grounded theory approaches, this article focuses on one major theme, revictimization, which provides insights into the mistreatment and experiences of seven women who encountered challenges when disclosing abuse. Through an intersectional lens, this article examines how participants were revictimized and mistreated by people within and outside their own community including service providers who they trusted. Implications to reduce levels of mistrust for community members and service providers working with this specific population in Canada are discussed.
This publication has no Abstract to dispaly
