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 If you come across a link that is no longer active, please let us know and we can update it.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

Organizational racism: Self-assessment

This document provides questions for organizations to assess how well they are addressing organizational racism and anti-racism within their staff, mission, and clients. This document provides questions for organizations to assess how well they are addressing organizational racism and anti-racism within their staff, mission, and clients.
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

Sociodemographic Correlates of Clinical Laboratory Test Expenditures in a Major Canadian City

Objectives: The increasing cost of clinical laboratory testing is a challenge in our health care system. This study calculates the annual clinical laboratory test costs. Results: While more women received laboratory testing (58.4%), men had slightly higher testing costs per capita. Except for Chinese, visible minority and Aboriginal populations had higher testing costs. There was an inverse correlation between testing cost and household income. Higher costs were found in those without postsecondary education and the unemployed. Furthermore, another factor that affect the costs is where patients live and access healthcare. Conclusions: Laboratory costs are different depending on social and economic background of patients. Objectives: The increasing cost of clinical laboratory testing is a challenge in our health care system. This study calculates the annual clinical laboratory test costs. Results: While more women received laboratory testing (58.4%), men had slightly higher testing costs per capita. Except for Chinese, visible minority and Aboriginal populations had higher testing costs. There was an inverse correlation between testing cost and household income. Higher costs were found in those without postsecondary education and the unemployed. Furthermore, another factor that affect the costs is where patients live and access healthcare. Conclusions: Laboratory costs are different depending on social and economic background of patients.
This publication has no Abstract to dispaly

Alberta Immigrant Nominee Program Environmental Scan – Pathways to Prosperity: Canada

This is an environmental scan. It examines the impact of federal policy changes on the Alberta Immigrant Nominee Program (AINP) and the flow of nominees to the Alberta labour market and communities. It was found that the AINP has taken on a broad scope of helping to achieve provincial economic and labour market needs. It is mainly low/semi-skilled TFWs who use the program to achieve residency, as the federal immigration streams tend to have higher requirements. The program itself has been criticized for creating a vulnerable environment for TFWs in addition to its limited capacity to process applications in a timely manner. The key learnings of the report find that immigrant retention is best achieved through community and family support. Although there were moves away from this with the closing of the family stream of the AINP in 2013, the new Liberal government has highlighted family reunification as a key immigration goal. However, federal and provincial immigration goals have also been shown to conflict with each other, as the provincial labour market need for low/semi-skilled workers is misaligned with the federal target of a highly-skilled and educated workforce. Lack of intergovernmental communication in the past resulted in confusion and little consideration of how immigration streams may influence each other. Behaviour of employers is also as a key factor contributing to TFW vulnerability. Thus, we recommend increasing intergovernmental communication and lateral dialogue on policy changes and how they may affect other immigration streams. Long-term labour market assessments are recommended to support the provision of residency to immigrants who are needed most. Furthermore, the AINP’s structural complexity should be reduced to be more inclusive, consistent and easy to access for applicants. Greater accountability, transparency and oversight should also be employed to reduce labour abuses and reduce the vulnerability of nominees of the program. This is an environmental scan. It examines the impact of federal policy changes on the Alberta Immigrant Nominee Program (AINP) and the flow of nominees to the Alberta labour market and communities. It was found that the AINP has taken on a broad scope of helping to achieve provincial economic and labour market needs. It is mainly low/semi-skilled TFWs who use the program to achieve residency, as the federal immigration streams tend to have higher requirements. The program itself has been criticized for creating a vulnerable environment for TFWs in addition to its limited capacity to process applications in a timely manner. The key learnings of the report find that immigrant retention is best achieved through community and family support. Although there were moves away from this with the closing of the family stream of the AINP in 2013, the new Liberal government has highlighted family reunification as a key immigration goal. However, federal and provincial immigration goals have also been shown to conflict with each other, as the provincial labour market need for low/semi-skilled workers is misaligned with the federal target of a highly-skilled and educated workforce. Lack of intergovernmental communication in the past resulted in confusion and little consideration of how immigration streams may influence each other. Behaviour of employers is also as a key factor contributing to TFW vulnerability. Thus, we recommend increasing intergovernmental communication and lateral dialogue on policy changes and how they may affect other immigration streams. Long-term labour market assessments are recommended to support the provision of residency to immigrants who are needed most. Furthermore, the AINP’s structural complexity should be reduced to be more inclusive, consistent and easy to access for applicants. Greater accountability, transparency and oversight should also be employed to reduce labour abuses and reduce the vulnerability of nominees of the program.
This publication has no Abstract to dispaly

Trauma-informed teaching practice and refugee children: A hopeful reflection on welcoming our new neighbours to Canadian schools

Given the Canadian government’s focus on refugee resettlement in light of global crises, many schools are receiving increased enrolment of students who have experienced the trauma associated with living in, and fleeing from, regions experiencing armed conflict. The authors assert that given the numbers of such students entering Calgarian classrooms, it is important that educators have at least some knowledge of trauma-informed teaching practice. While acknowledging the challenges inherent in trauma-informed teaching practice, the article encourages a move away from a deficit perspective on children from refugee backgrounds, toward one of hope, befitting the resiliency such children bring to their new country. Given the Canadian government’s focus on refugee resettlement in light of global crises, many schools are receiving increased enrolment of students who have experienced the trauma associated with living in, and fleeing from, regions experiencing armed conflict. The authors assert that given the numbers of such students entering Calgarian classrooms, it is important that educators have at least some knowledge of trauma-informed teaching practice. While acknowledging the challenges inherent in trauma-informed teaching practice, the article encourages a move away from a deficit perspective on children from refugee backgrounds, toward one of hope, befitting the resiliency such children bring to their new country.
This publication has no Abstract to dispaly

Smoking environments in transition: the experiences of recent Chinese migrants to Canada

International migrants experience first-hand differences between countries in terms of the social meanings, spatial regulation and prevalence of smoking. This research centred on the smoking-related perceptions, experiences and behaviours of recent migrants from China to Canada. Participants of this study observed that smoking remains almost ubiquitous in China due to ineffective spatial restrictions and the social importance of smoking among men. By contrast, smoking bans in Canada were perceived as effective due to widespread compliance and expectations of enforcement. They were conscious that male smoking was both less prevalent and less socially valued in Canada; conversely, female smoking was perceived as more accepted in Canada than in China. There was broad agreement that smoking was tolerated in Canada, provided it occurred in appropriate places. Complying with widespread spatial restrictions brought about changes in smokers’ behaviours: they smoked less often and consumed fewer cigarettes. Because smoking was more difficult to perform, participants thought the Canadian context supported quitting. Non-smokers were enthusiastic about smoke-free environments in Canada and had become acculturated to air that did not smell of smoke. These findings affirm the importance of comprehensive smoking bans, backed by enforcement, in contributing to the denormalisation of smoking and the protection of non-smokers. International migrants experience first-hand differences between countries in terms of the social meanings, spatial regulation and prevalence of smoking. This research centred on the smoking-related perceptions, experiences and behaviours of recent migrants from China to Canada. Participants of this study observed that smoking remains almost ubiquitous in China due to ineffective spatial restrictions and the social importance of smoking among men. By contrast, smoking bans in Canada were perceived as effective due to widespread compliance and expectations of enforcement. They were conscious that male smoking was both less prevalent and less socially valued in Canada; conversely, female smoking was perceived as more accepted in Canada than in China. There was broad agreement that smoking was tolerated in Canada, provided it occurred in appropriate places. Complying with widespread spatial restrictions brought about changes in smokers’ behaviours: they smoked less often and consumed fewer cigarettes. Because smoking was more difficult to perform, participants thought the Canadian context supported quitting. Non-smokers were enthusiastic about smoke-free environments in Canada and had become acculturated to air that did not smell of smoke. These findings affirm the importance of comprehensive smoking bans, backed by enforcement, in contributing to the denormalisation of smoking and the protection of non-smokers.
This publication has no Abstract to dispaly

Skilled Immigrants and the Negotiation of Family Relations During Settlement in Calgary, Alberta

When re-establishing their lives in Canada, international migrants with dependent children regularly encounter dramatically different conditions for family life. The parents’ employment situation, the limited availability of extended kin to help with child rearing, and a multicultural and relatively more permissive social environment, all of these invite or even demand changes in newcomers’ family practices. Yet, more information is needed about the ways in which skilled immigrants negotiate the changed conditions for work and family life in this country, and the impact this has on family dynamics during settlement. This study explores how coming to Canada impacted participants’ situations of paid work, parenting practices, and familial gender relations. Findings suggest that strained economic and social resources often limited the extent to which mothers and fathers were able to maintain an organization of family life similar to what they had established in their country of origin. However, while in some cases, shifts in family formation caused heightened levels of stress and strain and further entrenched the doing of conventional gender roles, in others, changed conditions acted as a catalyst for positive change. When re-establishing their lives in Canada, international migrants with dependent children regularly encounter dramatically different conditions for family life. The parents’ employment situation, the limited availability of extended kin to help with child rearing, and a multicultural and relatively more permissive social environment, all of these invite or even demand changes in newcomers’ family practices. Yet, more information is needed about the ways in which skilled immigrants negotiate the changed conditions for work and family life in this country, and the impact this has on family dynamics during settlement. This study explores how coming to Canada impacted participants’ situations of paid work, parenting practices, and familial gender relations. Findings suggest that strained economic and social resources often limited the extent to which mothers and fathers were able to maintain an organization of family life similar to what they had established in their country of origin. However, while in some cases, shifts in family formation caused heightened levels of stress and strain and further entrenched the doing of conventional gender roles, in others, changed conditions acted as a catalyst for positive change.
This publication has no Abstract to dispaly