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 If you come across a link that is no longer active, please let us know and we can update it.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

Uninsured Maternity Patients in Calgary: Local Trends and Survey of Health Care Workers

Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians. Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians.
This publication has no Abstract to dispaly

The Oral Health of Preschool Children of Refugee and Immigrant Families in Manitoba

Children of newcomers to Canada are at a moderate to high risk for developing early childhood caries (ECC). The purpose of this study was to investigate the oral health of preschool children of refugee and immigrant families in Winnipeg. We recruited 211 children. Overall, 45.5% of the children had ECC and 31.8% had severe ECC (S-ECC). Infant dental enucleation was observed in 6 children. Things that we associate with severity of oral health conditions were increasing age, the presence of debris on teeth, parents believing their child has dental problems and the presence of enamel hypoplasia. Overall, ECC is prevalent in children of newcomer families in Manitoba. These data will inform advocacy efforts to improve access to dental care and tailor early childhood oral health promotion and ECC prevention activities for refugees and recent immigrants. Children of newcomers to Canada are at a moderate to high risk for developing early childhood caries (ECC). The purpose of this study was to investigate the oral health of preschool children of refugee and immigrant families in Winnipeg. We recruited 211 children. Overall, 45.5% of the children had ECC and 31.8% had severe ECC (S-ECC). Infant dental enucleation was observed in 6 children. Things that we associate with severity of oral health conditions were increasing age, the presence of debris on teeth, parents believing their child has dental problems and the presence of enamel hypoplasia. Overall, ECC is prevalent in children of newcomer families in Manitoba. These data will inform advocacy efforts to improve access to dental care and tailor early childhood oral health promotion and ECC prevention activities for refugees and recent immigrants.
This publication has no Abstract to dispaly

African Immigrant Child and Family Well-Being in Alberta: First Stakeholders Meeting Proceedings

Recent statistics indicate that Alberta will continue to be a popular destination for African immigrants, however African families face parenting challenges that threaten their integration, mental health and general wellbeing. This meeting, the first of its kind in Alberta, brought together around 150 stakeholders from diverse backgrounds, including African immigrant parents, service providers, policy makers and researchers across Alberta. This report is a summary of the presentations, panels and focus groups in the meeting. Recent statistics indicate that Alberta will continue to be a popular destination for African immigrants, however African families face parenting challenges that threaten their integration, mental health and general wellbeing. This meeting, the first of its kind in Alberta, brought together around 150 stakeholders from diverse backgrounds, including African immigrant parents, service providers, policy makers and researchers across Alberta. This report is a summary of the presentations, panels and focus groups in the meeting.
This publication has no Abstract to dispaly

Unspoken Skills and Tactics: Essentials for Immigrant Professionals in Integration to Workplace Culture

Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches. Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches.
This publication has no Abstract to dispaly

Social support needs of Sudanese and Zimbabwean refugee new parents in Canada

The purpose of this paper is to examine support needs of African refugee new parents in Canada. Separated from their traditional family and cultural supports, refugee new parents reported isolation and loneliness. They lacked support during pregnancy, birth, and postpartum and had limited interactions with people from similar cultural backgrounds. Refugees required support to access services and overcome barriers such as language, complex systems, and limited financial resources. Support preferences included emotional and information support from peers from their cultural community and culturally sensitive service providers. The purpose of this paper is to examine support needs of African refugee new parents in Canada. Separated from their traditional family and cultural supports, refugee new parents reported isolation and loneliness. They lacked support during pregnancy, birth, and postpartum and had limited interactions with people from similar cultural backgrounds. Refugees required support to access services and overcome barriers such as language, complex systems, and limited financial resources. Support preferences included emotional and information support from peers from their cultural community and culturally sensitive service providers.
This publication has no Abstract to dispaly

Searching for Tomorrow-South Sudanese Women Reconstructing Resilience through Photovoice

Experiences of refugees have rarely been described through the concept of resilience because of them dealing with the challenges of flight, exile, forced migration, and resettlement. Researchers were approached by eight South Sudanese refugee women resettled in Calgary, Alberta, Canada, who were interested in exploring alternative notions of resilience through reflection, dialogue, and action. Using Photovoice, a technique that employs still photography and text captions, participants of this study used aesthetic expression to deconstruct and reconstruct notions of resilience. Faith and spirituality, circles of support, and the global community were the key overarching themes describing participants’ resilience process which enabled participants to survive their past, foster support in the present and harness hope for the future. At each stage, we also identified supporting factors and threats to resiliency. In conclusion, we suggest that resettlement service providers need to foster the resiliency in their programmes. Experiences of refugees have rarely been described through the concept of resilience because of them dealing with the challenges of flight, exile, forced migration, and resettlement. Researchers were approached by eight South Sudanese refugee women resettled in Calgary, Alberta, Canada, who were interested in exploring alternative notions of resilience through reflection, dialogue, and action. Using Photovoice, a technique that employs still photography and text captions, participants of this study used aesthetic expression to deconstruct and reconstruct notions of resilience. Faith and spirituality, circles of support, and the global community were the key overarching themes describing participants’ resilience process which enabled participants to survive their past, foster support in the present and harness hope for the future. At each stage, we also identified supporting factors and threats to resiliency. In conclusion, we suggest that resettlement service providers need to foster the resiliency in their programmes.
This publication has no Abstract to dispaly

(Mis)Givings in a Prairie City? Identity and Belonging of Filipina (Im)Migrants in Lethbridge, Alberta

Migration is an experience of the self, a personal journey for those who leave their places of origin. The movement from one place to another carries with it material and subjective meanings. Mobility also implies change, transformation or seeming difference in its social interactions with another culture or a different social system. These changes undeniably affect one’s notion of identity and belonging. This chapter uses a feminist approach in examining selected personal case studies of Filipina immigrants in Lethbridge, a small city in southern Alberta. This chapter demonstrates how gender roles, labour migration and identity construction are interconnected. A concluding section deals with the prospect of whether these Filipina immigrants will stay or leave the city, emphasizing the best the city has to offer or not. Migration is an experience of the self, a personal journey for those who leave their places of origin. The movement from one place to another carries with it material and subjective meanings. Mobility also implies change, transformation or seeming difference in its social interactions with another culture or a different social system. These changes undeniably affect one’s notion of identity and belonging. This chapter uses a feminist approach in examining selected personal case studies of Filipina immigrants in Lethbridge, a small city in southern Alberta. This chapter demonstrates how gender roles, labour migration and identity construction are interconnected. A concluding section deals with the prospect of whether these Filipina immigrants will stay or leave the city, emphasizing the best the city has to offer or not.
This publication has no Abstract to dispaly

Welcoming the Stranger in Alberta: Newcomers, Secularism and Religiously Affiliated Settlement Agencies

Religious groups and churches have always played, and continue to play, vital roles in the settlement and integration of newcomers to Canada. In the 1980s, several not-for-profit agencies emerged with Catholic and Mennonite roots to respond to the arrival of thousands of refugees to the province from Southeast Asia and Central America. Today, these agencies are particularly interesting as they both challenge prevailing views on secularization and the provision of public services and play an exceptionally active role in providing services to newcomers. This paper explores the interplay between the prevalence of a liberal secular ideology in Canada and the shifting identities of faith-based organizations in Alberta. Based on archival research and interviews, this paper demonstrates that it is the shifting and, often conflicting, views of staff and volunteers that have contributed to the secularization of identities in most of these agencies. Religious groups and churches have always played, and continue to play, vital roles in the settlement and integration of newcomers to Canada. In the 1980s, several not-for-profit agencies emerged with Catholic and Mennonite roots to respond to the arrival of thousands of refugees to the province from Southeast Asia and Central America. Today, these agencies are particularly interesting as they both challenge prevailing views on secularization and the provision of public services and play an exceptionally active role in providing services to newcomers. This paper explores the interplay between the prevalence of a liberal secular ideology in Canada and the shifting identities of faith-based organizations in Alberta. Based on archival research and interviews, this paper demonstrates that it is the shifting and, often conflicting, views of staff and volunteers that have contributed to the secularization of identities in most of these agencies.
This publication has no Abstract to dispaly

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

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