Research Library

Despite rising forced displacement globally, refugees’ health and research priorities are largely unknown. We investigated whether a diverse refugee committee could utilize participatory methods to identify health priorities and a research agenda to address them. We conducted a qualitative study with focus groups of current and former refugees, asylum claimants and evacuees from a specialized refugee clinic over a year. We collected sociodemographic data using standardized instruments, then utilized a four-step nominal group technique process (idea generation, recording, discussion, and voting) to identify and rank participants’ health and research priorities. Participants ranked their top five priorities across three time periods: Pre-migration/early arrival (0–3 months), post-migration (3 months–2 years), and long-term health (>2 years). Participants created overarching priorities and corroborated findings via a member checking step. Twenty-three participants (median age 35 years) attended one or more of five focus groups. Twenty-one completed sociodemographic surveys: 16/21 (76%) were women, representing 8 countries of origin. Twelve participants completed the member checking process, affirming the results with minor clarifications. This proof-of-concept study illustrates how refugees can use a rigorous consensus process without external influence to prioritize their healthcare needs, direct a health research agenda to address those needs, and co-produce research. These low-cost participatory methods should be replicated elsewhere. Despite rising forced displacement globally, refugees’ health and research priorities are largely unknown. We investigated whether a diverse refugee committee could utilize participatory methods to identify health priorities and a research agenda to address them. We conducted a qualitative study with focus groups of current and former refugees, asylum claimants and evacuees from a specialized refugee clinic over a year. We collected sociodemographic data using standardized instruments, then utilized a four-step nominal group technique process (idea generation, recording, discussion, and voting) to identify and rank participants’ health and research priorities. Participants ranked their top five priorities across three time periods: Pre-migration/early arrival (0–3 months), post-migration (3 months–2 years), and long-term health (>2 years). Participants created overarching priorities and corroborated findings via a member checking step. Twenty-three participants (median age 35 years) attended one or more of five focus groups. Twenty-one completed sociodemographic surveys: 16/21 (76%) were women, representing 8 countries of origin. Twelve participants completed the member checking process, affirming the results with minor clarifications. This proof-of-concept study illustrates how refugees can use a rigorous consensus process without external influence to prioritize their healthcare needs, direct a health research agenda to address those needs, and co-produce research. These low-cost participatory methods should be replicated elsewhere.
This publication has no Abstract to dispaly

This publication has no Abstract to dispaly

The United States and Canada have resettled over 120,000 Afghan refugees since August 2021, but sociodemographic and health status data remains sparse with investigations often limited to refugee entrance exams, standardized health screenings, or acute health settings. This retrospective community-engaged cohort study investigated Afghan patients who received care between January 1, 2011 and December 31, 2020 at an interdisciplinary specialized refugee clinic in Calgary, AB, Canada that provides care to newly arrived refugees. 2 reviewers independently extracted and manually verified sociodemographic factors, medical diagnoses, and clinic utilization variables from patients’ electronic medical records, then coded patient diagnoses into ICD-10 codes and chapter groups. Diagnosis frequencies were calculated and stratified by age group and sex. We corroborated these findings with Afghan refugee co-investigators. Among 402 Afghan refugee patients, they were relatively young, experienced diverse health characteristics, and had multi-specialty care engagement in their first two years after arrival. These findings may guide specialized healthcare provision to this inadequately characterized but growing population of refugee arrivals in North America and elsewhere. The United States and Canada have resettled over 120,000 Afghan refugees since August 2021, but sociodemographic and health status data remains sparse with investigations often limited to refugee entrance exams, standardized health screenings, or acute health settings. This retrospective community-engaged cohort study investigated Afghan patients who received care between January 1, 2011 and December 31, 2020 at an interdisciplinary specialized refugee clinic in Calgary, AB, Canada that provides care to newly arrived refugees. 2 reviewers independently extracted and manually verified sociodemographic factors, medical diagnoses, and clinic utilization variables from patients’ electronic medical records, then coded patient diagnoses into ICD-10 codes and chapter groups. Diagnosis frequencies were calculated and stratified by age group and sex. We corroborated these findings with Afghan refugee co-investigators. Among 402 Afghan refugee patients, they were relatively young, experienced diverse health characteristics, and had multi-specialty care engagement in their first two years after arrival. These findings may guide specialized healthcare provision to this inadequately characterized but growing population of refugee arrivals in North America and elsewhere.
This publication has no Abstract to dispaly

Following spring 2020’s deadly COVID-19 outbreaks in the Alberta meatpacking industry, we conducted research with meatpackers who were formerly resettled refugees and now Canadian permanent residents (PRs) or Canadian citizens. Research with temporary foreign workers often promotes permanent legal status as a solution to poor conditions of precarious work in Canada, but even with permanent immigration status, former refugees experienced a large gap between their rights as “guaranteed” by the state through their PR status and their daily work in meatpacking plants in rural Alberta. Work in the plants is dangerous, dirty, and difficult, and employees found it difficult to enact their rights as workers. Access to adequate breaks, sick days, and other mandated requirements was reported to be contested and contingent. Former refugees working in this sector experience unexpected “unfreedom.” Following spring 2020’s deadly COVID-19 outbreaks in the Alberta meatpacking industry, we conducted research with meatpackers who were formerly resettled refugees and now Canadian permanent residents (PRs) or Canadian citizens. Research with temporary foreign workers often promotes permanent legal status as a solution to poor conditions of precarious work in Canada, but even with permanent immigration status, former refugees experienced a large gap between their rights as “guaranteed” by the state through their PR status and their daily work in meatpacking plants in rural Alberta. Work in the plants is dangerous, dirty, and difficult, and employees found it difficult to enact their rights as workers. Access to adequate breaks, sick days, and other mandated requirements was reported to be contested and contingent. Former refugees working in this sector experience unexpected “unfreedom.”
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The Calgary-based Foundation for Black Communities’ (FFBC) Black Ideas Grant (BIG) Bridge and Build Program has provided funding for RaricaNow, an organization in Edmonton aiding 2SLGBTQ+ refugees. The numbers of 2SLGBTQ+ refugees continue to climb, and this grant will allow RaricaNow to provide housing and more settlement supports. The Calgary-based Foundation for Black Communities’ (FFBC) Black Ideas Grant (BIG) Bridge and Build Program has provided funding for RaricaNow, an organization in Edmonton aiding 2SLGBTQ+ refugees. The numbers of 2SLGBTQ+ refugees continue to climb, and this grant will allow RaricaNow to provide housing and more settlement supports.
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Thousands of refugee families are resettled across Canada each year, and many must navigate parenthood while simultaneously contending with resettlement challenges. Refugee women are primarily responsible for care work yet often face disproportionate barriers to information, resources, and access to health services. We leveraged a community-engaged research approach with several project partners to: i) explore the scope, nature, and extent of literature examining the influence of gender norms, roles, and expectations on health and wellbeing during resettlement; ii) explore women’s diverse conceptualizations of health and what it means to be healthy; iii) identify barriers and resilience factors for health and wellbeing during resettlement, including in the context of the COVID-19 pandemic; iv) explore women’s experiences of gender as a determinant of health during resettlement, specifically in the context of motherhood; and v) explore the role of participation in Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY), a home visiting program, in promoting health during resettlement. We conducted a scoping review, followed by surveys, in-depth interviews, and collage-building with refugee mothers (n=28) enrolled in the HIPPY program delivered by the Calgary Immigrant Women’s Association. Data were analyzed using a participatory inductive deductive thematic analysis. Our findings establish gender roles, norms, and expectations as important determinants of health, mediating experiences of other social determinants of health during resettlement. Participation in HIPPY promoted wellbeing during resettlement and the COVID-19 pandemic by mitigating social isolation and improving women’s access to information and resources for health and parenting in Canada. Thousands of refugee families are resettled across Canada each year, and many must navigate parenthood while simultaneously contending with resettlement challenges. Refugee women are primarily responsible for care work yet often face disproportionate barriers to information, resources, and access to health services. We leveraged a community-engaged research approach with several project partners to: i) explore the scope, nature, and extent of literature examining the influence of gender norms, roles, and expectations on health and wellbeing during resettlement; ii) explore women’s diverse conceptualizations of health and what it means to be healthy; iii) identify barriers and resilience factors for health and wellbeing during resettlement, including in the context of the COVID-19 pandemic; iv) explore women’s experiences of gender as a determinant of health during resettlement, specifically in the context of motherhood; and v) explore the role of participation in Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY), a home visiting program, in promoting health during resettlement. We conducted a scoping review, followed by surveys, in-depth interviews, and collage-building with refugee mothers (n=28) enrolled in the HIPPY program delivered by the Calgary Immigrant Women’s Association. Data were analyzed using a participatory inductive deductive thematic analysis. Our findings establish gender roles, norms, and expectations as important determinants of health, mediating experiences of other social determinants of health during resettlement. Participation in HIPPY promoted wellbeing during resettlement and the COVID-19 pandemic by mitigating social isolation and improving women’s access to information and resources for health and parenting in Canada.
This publication has no Abstract to dispaly

This study explored pathways to success through a narrative inquiry into the settlement and integration experiences of refugees from Ethiopia living in Calgary, Alberta, Canada. The study filled an important gap in information that accounted for success by refugees, although there was ample evidence regarding the structural challenges faced by all groups of newcomers in Canada. The end-goal was to develop a deeper understanding into how adult learning could be tailored to meet the needs of refugees and possibly other groups of newcomers. The theoretical frameworks that guided this study included insights about the role of agency, structure, and lifelong learning primarily through the scholarly contributions by Pierre Bourdieu, Anthony Giddens, and Peter Jarvis. Additionally, the study included insights by multiple scholars who explored the settlement and integration experiences of newcomers in Canada. The narrative data was collected through conversational interviews with the participants. Afterwards, the data was transcribed, analyzed, and stored in consideration of ethical practices. The study revealed multiple perspectives on the meaning of success based on insights shared by the participants. This study explored pathways to success through a narrative inquiry into the settlement and integration experiences of refugees from Ethiopia living in Calgary, Alberta, Canada. The study filled an important gap in information that accounted for success by refugees, although there was ample evidence regarding the structural challenges faced by all groups of newcomers in Canada. The end-goal was to develop a deeper understanding into how adult learning could be tailored to meet the needs of refugees and possibly other groups of newcomers. The theoretical frameworks that guided this study included insights about the role of agency, structure, and lifelong learning primarily through the scholarly contributions by Pierre Bourdieu, Anthony Giddens, and Peter Jarvis. Additionally, the study included insights by multiple scholars who explored the settlement and integration experiences of newcomers in Canada. The narrative data was collected through conversational interviews with the participants. Afterwards, the data was transcribed, analyzed, and stored in consideration of ethical practices. The study revealed multiple perspectives on the meaning of success based on insights shared by the participants.
This publication has no Abstract to dispaly

Last year, Alberta launched a temporary 1 year driver’s license exchange program for Ukrainian refugees with a Ukrainian Category B or BE driver’s license. The goal of the program was to help refugees find and access employment and care for their families. As of April 18, 2024, this program is now permanent. Last year, Alberta launched a temporary 1 year driver’s license exchange program for Ukrainian refugees with a Ukrainian Category B or BE driver’s license. The goal of the program was to help refugees find and access employment and care for their families. As of April 18, 2024, this program is now permanent.
This publication has no Abstract to dispaly

Forced migration is one of the most pressing crises of our lifetime. Of the millions forced to migrate, many come to know the brutality of state-managed migration that habitually denies asylum seekers and places substantive restrictions on refugees who have been resettled. Sociologists of sport and leisure have examined the sporting experiences of refugees through an intersectional lens, foregrounding how displacement and resettlement are differently lived and negotiated across overlapping power structures and markers of gender, sexuality, ethnicity, religion, and legal status. Through a participatory and collective photovoice project, this article explores the experiences of an all-Afghan soccer team that played in a social, co-ed soccer league in the spring of 2022, just after they arrived in Edmonton, Alberta, Canada. In photovoice narratives and subsequent interviews, team members underlined many of the barriers they faced as they navigated the formal and informal rules and dominant norms of this seemingly inclusive sports landscape. In doing so, they revealed some of the limits of official discourses of Canadian multiculturism, which rarely accommodate more significant forms of difference, and which reproduce racial and ethnic hierarchies that powerfully discipline newcomers who are encouraged to embrace their precarious status as model minorities. Forced migration is one of the most pressing crises of our lifetime. Of the millions forced to migrate, many come to know the brutality of state-managed migration that habitually denies asylum seekers and places substantive restrictions on refugees who have been resettled. Sociologists of sport and leisure have examined the sporting experiences of refugees through an intersectional lens, foregrounding how displacement and resettlement are differently lived and negotiated across overlapping power structures and markers of gender, sexuality, ethnicity, religion, and legal status. Through a participatory and collective photovoice project, this article explores the experiences of an all-Afghan soccer team that played in a social, co-ed soccer league in the spring of 2022, just after they arrived in Edmonton, Alberta, Canada. In photovoice narratives and subsequent interviews, team members underlined many of the barriers they faced as they navigated the formal and informal rules and dominant norms of this seemingly inclusive sports landscape. In doing so, they revealed some of the limits of official discourses of Canadian multiculturism, which rarely accommodate more significant forms of difference, and which reproduce racial and ethnic hierarchies that powerfully discipline newcomers who are encouraged to embrace their precarious status as model minorities.
This publication has no Abstract to dispaly

This qualitative inquiry delved into the healthcare needs and experiences of Afghan refugee women resettled in Edmonton, AB, Canada, addressing three primary research questions. Employing a community-based participatory research approach alongside qualitative narrative inquiry, the study explored the lived experiences of Afghan women refugees accessing healthcare services, at the New Canadians Health Centre (NCHC). Through focus groups with six NCHC staff and semi-structured interviews with three Afghan women clients, a nuanced understanding of their healthcare journeys emerged. Their insights offered valuable recommendations for culturally sensitive service provision. Ultimately, this study highlighted the imperative of culturally safe healthcare practices and underscored the transformative role of community and empowerment in shaping the healthcare experiences of Afghan refugee women in Canada. This qualitative inquiry delved into the healthcare needs and experiences of Afghan refugee women resettled in Edmonton, AB, Canada, addressing three primary research questions. Employing a community-based participatory research approach alongside qualitative narrative inquiry, the study explored the lived experiences of Afghan women refugees accessing healthcare services, at the New Canadians Health Centre (NCHC). Through focus groups with six NCHC staff and semi-structured interviews with three Afghan women clients, a nuanced understanding of their healthcare journeys emerged. Their insights offered valuable recommendations for culturally sensitive service provision. Ultimately, this study highlighted the imperative of culturally safe healthcare practices and underscored the transformative role of community and empowerment in shaping the healthcare experiences of Afghan refugee women in Canada.
This publication has no Abstract to dispaly