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 If you come across a link that is no longer active, please let us know and we can update it.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

Understanding Job Status Decline among Newcomers to Canada

Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada. Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada.
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

Rural Homelessness in Western Canada: Lessons Learned from Diverse Communities

Until recently, there was little acknowledgement that homelessness existed in rural areas in Canada. In order to understand the dynamics of homelessness in rural Alberta, we conducted interviews with service providers and other key stakeholders across Alberta. We examined homelessness dynamics and responses to rural homelessness in 20 rural communities across the province. Across all of the communities in the study, homelessness was reported however, the magnitude of the issue and its dynamics were distinct depending on the local contexts. We also identified several themes which serve as descriptors of rural homelessness issues. We note a number of recommendations emerging from this data which are aimed at building on the experiences, capacities, and strengths of rural communities. Until recently, there was little acknowledgement that homelessness existed in rural areas in Canada. In order to understand the dynamics of homelessness in rural Alberta, we conducted interviews with service providers and other key stakeholders across Alberta. We examined homelessness dynamics and responses to rural homelessness in 20 rural communities across the province. Across all of the communities in the study, homelessness was reported however, the magnitude of the issue and its dynamics were distinct depending on the local contexts. We also identified several themes which serve as descriptors of rural homelessness issues. We note a number of recommendations emerging from this data which are aimed at building on the experiences, capacities, and strengths of rural communities.
This publication has no Abstract to dispaly

Different Approaches to Cross-Lingual Focus Groups: Lessons From a Cross-Cultural Community-Based Participatory Research Project in the ENRICH Study

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.
This publication has no Abstract to dispaly

“If they tell me to get it, I’ll get it. If they don’t….”: Immunization decision-making processes of immigrant mothers

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.
This publication has no Abstract to dispaly

Exploring Sociocultural Factors During Pregnancy and Postpartum among African-immigrant Women within the Context of a Community-Based Organization

Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada. Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada.
This publication has no Abstract to dispaly

Municipal newcomer assistance in Lloydminster: Evaluating policy networks in immigration settlement services

This research explores the value of the federally funded Local Immigration Partnership (LIP) as it expands to Alberta and other provinces across Canada. While labour market demands make the recruitment and retention of immigrants a serious policy problem in smaller, more isolated centres, the existing academic literature has highlighted the importance of local settlement support services. In smaller centres, these services, if they are available, are delivered by a range of federal, provincial and municipal government agencies, acting in partnership with a range of Non-Governmental Organizations. There has been concern that there is a lack of cohesion in this policy network, which is particularly problematic given the network’s vital role in delivering services. Academic research indicates that relevant community actors are not sufficiently connected on immigration issues, and the LIP program has been designed as an information-based policy instrument, providing funding to help organize networked service delivery more effectively – this is seen as a low-cost strategy for improving immigration support in smaller cities. Regions of Canada vary in their strengths and in their challenges, and the LIP program’s focus on enhancing existing immigration-sector networks seeks to account for these differences. This project presents a case study of Lloydminster, Alberta to test the potential applicability and receptivity of the LIP program in a rurally located, economically booming, small Western Canadian city. Lloydminster’s immigration-sector network has improved on its own over time; but organizations on the periphery still feel disconnected, which is negatively impacting immigrant integration. From the data collected through this project, it is clear that a Local Immigration Partnership has the potential to improve the network in Lloydminster, and that the relevant community actors see real benefits in this approach to immigration policy. This research explores the value of the federally funded Local Immigration Partnership (LIP) as it expands to Alberta and other provinces across Canada. While labour market demands make the recruitment and retention of immigrants a serious policy problem in smaller, more isolated centres, the existing academic literature has highlighted the importance of local settlement support services. In smaller centres, these services, if they are available, are delivered by a range of federal, provincial and municipal government agencies, acting in partnership with a range of Non-Governmental Organizations. There has been concern that there is a lack of cohesion in this policy network, which is particularly problematic given the network’s vital role in delivering services. Academic research indicates that relevant community actors are not sufficiently connected on immigration issues, and the LIP program has been designed as an information-based policy instrument, providing funding to help organize networked service delivery more effectively – this is seen as a low-cost strategy for improving immigration support in smaller cities. Regions of Canada vary in their strengths and in their challenges, and the LIP program’s focus on enhancing existing immigration-sector networks seeks to account for these differences. This project presents a case study of Lloydminster, Alberta to test the potential applicability and receptivity of the LIP program in a rurally located, economically booming, small Western Canadian city. Lloydminster’s immigration-sector network has improved on its own over time; but organizations on the periphery still feel disconnected, which is negatively impacting immigrant integration. From the data collected through this project, it is clear that a Local Immigration Partnership has the potential to improve the network in Lloydminster, and that the relevant community actors see real benefits in this approach to immigration policy.
This publication has no Abstract to dispaly