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 If you come across a link that is no longer active, please let us know and we can update it.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

Socio-Cultural Determinants of Physical Activity among Latin American Immigrant Women in Alberta, Canada

Acculturation has been associated with decreased physical activity among immigrants. This study assessed the process of changing physical activity patterns within the context of Latin American immigrant women’s migration experiences to Canada. Overall, 86 % of the participants of this study reported gaining weight since coming to Canada. Participants reported becoming more sedentary upon arriving in Canada. Only 27.3 % of recent and 41.7 % of non-recent immigrant women were considered sufficiently physically active. Lack of time, resources, social support, and migration stress were identified as key barriers to physical activity. Migration stress associated with social integration barriers strongly influence physical activity among Latin American immigrant women. Acculturation has been associated with decreased physical activity among immigrants. This study assessed the process of changing physical activity patterns within the context of Latin American immigrant women’s migration experiences to Canada. Overall, 86 % of the participants of this study reported gaining weight since coming to Canada. Participants reported becoming more sedentary upon arriving in Canada. Only 27.3 % of recent and 41.7 % of non-recent immigrant women were considered sufficiently physically active. Lack of time, resources, social support, and migration stress were identified as key barriers to physical activity. Migration stress associated with social integration barriers strongly influence physical activity among Latin American immigrant women.
This publication has no Abstract to dispaly

Exploring caesarean section decision-making in newcomer and Canadian-born women in Edmonton, Alberta

Caesarean section (C-section) deliveries are conducted when there is a failure to progress in labor, or compromised fetal status. However, they place women at higher risk for immediate complications compared to vaginal deliveries. Mumtaz et al. (2014) showed that newcomer women in the prairie provinces experienced significantly higher C-section delivery rates compared to Canadian-born women, even though rates of recommendations by healthcare providers was equal. This on-going study aims to understand this trend, and explore how decisions regarding C-section deliveries are made within the experiences of newcomer and Canadian-born women. A focused ethnography was conducted at a universityaffiliated hospital in Edmonton, Alberta for an 8-month period in 2015. The study population comprised: 1) newcomer women who immigrated to Canada after 2004 and 2) Canadian-born women. Both groups consisted of women who have a higher risk of undergoing a C-section. Data collection strategies included participant observation of prenatal appointments, labour and delivery along with in-depth interviews with the women. Preliminary findings indicate that decisions to have emergency C-sections were solely due to physician recommendations. Women stated the safety of the baby as the main reason for following physician recommendations. Caesarean section (C-section) deliveries are conducted when there is a failure to progress in labor, or compromised fetal status. However, they place women at higher risk for immediate complications compared to vaginal deliveries. Mumtaz et al. (2014) showed that newcomer women in the prairie provinces experienced significantly higher C-section delivery rates compared to Canadian-born women, even though rates of recommendations by healthcare providers was equal. This on-going study aims to understand this trend, and explore how decisions regarding C-section deliveries are made within the experiences of newcomer and Canadian-born women. A focused ethnography was conducted at a universityaffiliated hospital in Edmonton, Alberta for an 8-month period in 2015. The study population comprised: 1) newcomer women who immigrated to Canada after 2004 and 2) Canadian-born women. Both groups consisted of women who have a higher risk of undergoing a C-section. Data collection strategies included participant observation of prenatal appointments, labour and delivery along with in-depth interviews with the women. Preliminary findings indicate that decisions to have emergency C-sections were solely due to physician recommendations. Women stated the safety of the baby as the main reason for following physician recommendations.
This publication has no Abstract to dispaly

Who is distressed? A comparison of psychosocial stress in pregnancy across seven ethnicities

Calgary, Alberta has the fourth highest immigrant population in Canada and ethnic minorities comprise 28 % of its total population. Previous studies have found correlations between minority status and poor pregnancy outcomes. One explanation for this phenomenon is that minority status increases the levels of stress experienced during pregnancy. The aim of the present study was to identify specific types of maternal psychosocial stress experienced by women of an ethnic minority (Asian, Arab, Other Asian, African, First Nations and Latin American). Findings from this study indicate that women who identify with an ethnic minority were more likely to report symptoms of depression, anxiety, inadequate social support, and problems with emotional and physical health during pregnancy than women who identified with the White reference group. This study has identified that women of an ethic minority experience greater psychosocial stress in pregnancy compared to the White reference group. Calgary, Alberta has the fourth highest immigrant population in Canada and ethnic minorities comprise 28 % of its total population. Previous studies have found correlations between minority status and poor pregnancy outcomes. One explanation for this phenomenon is that minority status increases the levels of stress experienced during pregnancy. The aim of the present study was to identify specific types of maternal psychosocial stress experienced by women of an ethnic minority (Asian, Arab, Other Asian, African, First Nations and Latin American). Findings from this study indicate that women who identify with an ethnic minority were more likely to report symptoms of depression, anxiety, inadequate social support, and problems with emotional and physical health during pregnancy than women who identified with the White reference group. This study has identified that women of an ethic minority experience greater psychosocial stress in pregnancy compared to the White reference group.
This publication has no Abstract to dispaly

Contrasting “back home” and “here”: how Northeast African migrant women perceive and experience health during pregnancy and postpartum in Canada

International migration and the number of migrant women who experience pregnancy and childbirth in receiving countries have significantly increased in the last two decades. Migrant women often have unmet social and economic needs during pregnancy and are more likely to have problems unaddressed by health care systems. In this qualitative study, we explored migrant women’s perceptions and experiences of health during pregnancy and postpartum, while participating in a perinatal program offered through a community-based organization. Additionally, we examined sociocultural factors that might have shaped women’s health upon migration to the Canadian city of Edmonton, Alberta. Women expressed their perceptions and experiences of health during pregnancy and postpartum by contrasting their countries of origin with Canada, respectively identified as “back home” and “here”. Differences in social support and the physical environment (both natural and built) between “back home” and “here” were commonly described as factors that shaped their opportunities to eat healthy, be physically active and emotionally well before and after having a baby “here”. Overall, women described that in Canada they lacked the social and environmental factors perceived as key enablers of healthy pregnancies and postpartum. Thus a complex network of factors seem to influence Northeast African women’s health during pregnancy and postpartum upon migration to Canada. It is of the utmost importance to provide these women with the immediate sociocultural and environmental factors they need to successfully thrive during pregnancy and postpartum, especially while establishing social and support networks “here”. International migration and the number of migrant women who experience pregnancy and childbirth in receiving countries have significantly increased in the last two decades. Migrant women often have unmet social and economic needs during pregnancy and are more likely to have problems unaddressed by health care systems. In this qualitative study, we explored migrant women’s perceptions and experiences of health during pregnancy and postpartum, while participating in a perinatal program offered through a community-based organization. Additionally, we examined sociocultural factors that might have shaped women’s health upon migration to the Canadian city of Edmonton, Alberta. Women expressed their perceptions and experiences of health during pregnancy and postpartum by contrasting their countries of origin with Canada, respectively identified as “back home” and “here”. Differences in social support and the physical environment (both natural and built) between “back home” and “here” were commonly described as factors that shaped their opportunities to eat healthy, be physically active and emotionally well before and after having a baby “here”. Overall, women described that in Canada they lacked the social and environmental factors perceived as key enablers of healthy pregnancies and postpartum. Thus a complex network of factors seem to influence Northeast African women’s health during pregnancy and postpartum upon migration to Canada. It is of the utmost importance to provide these women with the immediate sociocultural and environmental factors they need to successfully thrive during pregnancy and postpartum, especially while establishing social and support networks “here”.
This publication has no Abstract to dispaly

Oral Health Status of Immigrant and Refugee Children in North America: A Scoping Review

The aim of this study is to assess the oral health of the children of refugees and immigrants (“newcomers”). We also seek to understand the barriers to appropriate oral health care and use of dental services. Finally, we look into clinical and behavioural interventions for this population in North America. In general, children of newcomers exhibit poorer oral health compared with their non-newcomer peers. This population faces language, cultural and financial barriers that, consequently, limit their access to and use of dental services. Intervention programs, such as educational courses and counseling, targeting newcomer parents or their children are helpful in improving the oral health status of immigrant children. The disparity in dental caries between children of newcomers and their peers can be reduced by improving their parents’ literacy in the official language(s) and educating parents regarding good oral health practices. An appropriate oral health policy remains crucial for marginalized populations in general and newcomer children in particular. The aim of this study is to assess the oral health of the children of refugees and immigrants (“newcomers”). We also seek to understand the barriers to appropriate oral health care and use of dental services. Finally, we look into clinical and behavioural interventions for this population in North America. In general, children of newcomers exhibit poorer oral health compared with their non-newcomer peers. This population faces language, cultural and financial barriers that, consequently, limit their access to and use of dental services. Intervention programs, such as educational courses and counseling, targeting newcomer parents or their children are helpful in improving the oral health status of immigrant children. The disparity in dental caries between children of newcomers and their peers can be reduced by improving their parents’ literacy in the official language(s) and educating parents regarding good oral health practices. An appropriate oral health policy remains crucial for marginalized populations in general and newcomer children in particular.
This publication has no Abstract to dispaly

An ethnographic investigation of the maternity healthcare experience of immigrants in rural and urban Alberta, Canada

Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination. Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination.
This publication has no Abstract to dispaly

“Cancelled Dreams”: Family Reunification and Shifting Canadian Immigration Policy

This article documents the impact of recently introduced restrictive family reunification policies on immigrants living in Canada today. Since 2008, Canadian immigration policy has changed dramatically with renewed neoliberal emphasis on economic immigrants and labor-market integration (younger, high-skilled immigrants with strong English or French language skills are prioritized over other groups of newcomers). This led to making the process of reuniting families more difficult and expensive. This article explores the impact of this policy shift on immigrant families and on immigrant women and children in particular. This article argues that there are profound human costs to limiting family reunification; these costs are disproportionately borne by immigrant women (who tend to take addition responsibilities of child care) and ultimately impact immigrant integration and belonging. This article documents the impact of recently introduced restrictive family reunification policies on immigrants living in Canada today. Since 2008, Canadian immigration policy has changed dramatically with renewed neoliberal emphasis on economic immigrants and labor-market integration (younger, high-skilled immigrants with strong English or French language skills are prioritized over other groups of newcomers). This led to making the process of reuniting families more difficult and expensive. This article explores the impact of this policy shift on immigrant families and on immigrant women and children in particular. This article argues that there are profound human costs to limiting family reunification; these costs are disproportionately borne by immigrant women (who tend to take addition responsibilities of child care) and ultimately impact immigrant integration and belonging.
This publication has no Abstract to dispaly

Migrant Social Workers’ Experiences of Professional Adaptation in Alberta Canada: A Comparative Gender Analysis

There is limited global research addressing the professional adaptation of migrant social workers in general, and a dearth of scholarship specific to the unique context in Alberta, Canada. While academic attention on the broad topic of professional migration of social workers has gained some traction over the past decade, the emerging literature has so far lacked a comparative gender analysis of the experiences of professional migration among social workers. The purpose of the present study was to develop enhanced understanding of the experiences of professional adaptation of migrant social workers in the Albertan context through a comparative gender analysis. This dissertation emerged from my involvement as a research assistant on a national study on the professional adaptation of migrant social workers in Canada. While coordinating data collection for the Alberta site of the national study, I conducted in-depth interviews with 17 male and female migrant social workers that had migrated to Alberta, Canada within the past decade. From these 17 interviews, 10 transcripts of interviews were selected as cases for secondary analysis in order to answer the question: How do female and male migrant social workers in Alberta experience their professional adaptation to practice in their new context? The research method employed in the secondary study was interpretive phenomenological analysis (IPA), a form of qualitative inquiry that examines how people make sense of significant lived experiences. Intersectionality theory and postcolonial feminisms provided the theoretical framework for the study, facilitating attention to both the macro-level factors that structure lived experiences and interactions, and the micro-level processes and interpretations that shape social identities. Engaging with the detailed personal accounts of the participants provided new understandings of how male and female migrant social workers both similarly and differentially interpret and make meaning out of their experiences of professional adaptation. The study makes an important contribution to existing knowledge about professional adaptation in the context of transnational labour mobility. Notably, it is among the first studies to explore the professional adaptation processes of migrant social workers in Alberta, as well as among the earliest works to engage in a qualitative comparative gender analysis that explores these experiences. There is limited global research addressing the professional adaptation of migrant social workers in general, and a dearth of scholarship specific to the unique context in Alberta, Canada. While academic attention on the broad topic of professional migration of social workers has gained some traction over the past decade, the emerging literature has so far lacked a comparative gender analysis of the experiences of professional migration among social workers. The purpose of the present study was to develop enhanced understanding of the experiences of professional adaptation of migrant social workers in the Albertan context through a comparative gender analysis. This dissertation emerged from my involvement as a research assistant on a national study on the professional adaptation of migrant social workers in Canada. While coordinating data collection for the Alberta site of the national study, I conducted in-depth interviews with 17 male and female migrant social workers that had migrated to Alberta, Canada within the past decade. From these 17 interviews, 10 transcripts of interviews were selected as cases for secondary analysis in order to answer the question: How do female and male migrant social workers in Alberta experience their professional adaptation to practice in their new context? The research method employed in the secondary study was interpretive phenomenological analysis (IPA), a form of qualitative inquiry that examines how people make sense of significant lived experiences. Intersectionality theory and postcolonial feminisms provided the theoretical framework for the study, facilitating attention to both the macro-level factors that structure lived experiences and interactions, and the micro-level processes and interpretations that shape social identities. Engaging with the detailed personal accounts of the participants provided new understandings of how male and female migrant social workers both similarly and differentially interpret and make meaning out of their experiences of professional adaptation. The study makes an important contribution to existing knowledge about professional adaptation in the context of transnational labour mobility. Notably, it is among the first studies to explore the professional adaptation processes of migrant social workers in Alberta, as well as among the earliest works to engage in a qualitative comparative gender analysis that explores these experiences.
This publication has no Abstract to dispaly

Gauging Social Integration among Canadian Muslims: A Sense of Belonging in an Age of Anxiety

While the subject of “Muslim integration” has received extensive scholarly attention, especially in the Western European context, there has been little study of the subject in Canada. Canada has a long history of welcoming immigrants who make up 20 percent of the population. Yet, Canada has not fully escaped the debates and anxieties related to the accommodation of Muslim immigrants and the integration of those populations. In particular, these anxieties have been displayed around the proposal to use religious law in family based disputes in Ontario in 2005, controversies around the wearing of the niqab in the oath of citizenship, the admission of Syrian refugees in 2015, and concerns over homegrown violent extremism after the 11th of September 2001. This article examines social integration among Canada’s diverse Muslim communities. Using the barometer of a sense of national belonging, it examines the life experiences of Canadian Muslims and their ideas and sentiments related to belonging. It concludes that despite concerns in the community over discrimination and divisive areas of public policy (e.g., security), Canadian Muslims are well integrated socially. While the subject of “Muslim integration” has received extensive scholarly attention, especially in the Western European context, there has been little study of the subject in Canada. Canada has a long history of welcoming immigrants who make up 20 percent of the population. Yet, Canada has not fully escaped the debates and anxieties related to the accommodation of Muslim immigrants and the integration of those populations. In particular, these anxieties have been displayed around the proposal to use religious law in family based disputes in Ontario in 2005, controversies around the wearing of the niqab in the oath of citizenship, the admission of Syrian refugees in 2015, and concerns over homegrown violent extremism after the 11th of September 2001. This article examines social integration among Canada’s diverse Muslim communities. Using the barometer of a sense of national belonging, it examines the life experiences of Canadian Muslims and their ideas and sentiments related to belonging. It concludes that despite concerns in the community over discrimination and divisive areas of public policy (e.g., security), Canadian Muslims are well integrated socially.
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