Research Library

Racialized, low-income, and migrant communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. This article is a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. Stakeholder respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). Suggested improvements include increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities. Racialized, low-income, and migrant communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. This article is a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. Stakeholder respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). Suggested improvements include increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities.
This publication has no Abstract to dispaly

Health literacy is an important public health concern and can be defined as ‘the degree or extent to which the individuals have the capacity to obtain, process and understand basic health information and services to make appropriate health decisions’. Research on health literacy among recent immigrants to Canada is not that extensive, so this research described health literacy status among Nepalese immigrants residing in Calgary, Alberta. Noteworthy levels of limited health literacy and marginal health literacy were observed among the Nepalese immigrant population. Multidirectional, culturally tailored, community-led, collaborative initiatives are needed to improve health literacy among the immigrant population, to lessen health disparities and to promote better health outcomes. Health literacy is an important public health concern and can be defined as ‘the degree or extent to which the individuals have the capacity to obtain, process and understand basic health information and services to make appropriate health decisions’. Research on health literacy among recent immigrants to Canada is not that extensive, so this research described health literacy status among Nepalese immigrants residing in Calgary, Alberta. Noteworthy levels of limited health literacy and marginal health literacy were observed among the Nepalese immigrant population. Multidirectional, culturally tailored, community-led, collaborative initiatives are needed to improve health literacy among the immigrant population, to lessen health disparities and to promote better health outcomes.
This publication has no Abstract to dispaly

This research examines everyday place-based experiences of settlement sociability among racialized immigrants based on the understanding that racial matters are spatial matters. Findings indicate that racialized immigrants felt comfortable in “de-racialized” spaces, where they were temporarily relieved from their ethnic visibility and a sense of being out of place. They were uncomfortable in areas that triggered “racialized insecurity,” where they felt vulnerable because of their racialized identity. The findings of this research call attention to the need for a closer inspection of how places of immigrant settlement and race are inextricably linked. The promotion of settlement sociability needs to go beyond physical proximity to social closeness, valuing co-ethnicity and cultural familiarity, especially in the initial stage of settlement. This research examines everyday place-based experiences of settlement sociability among racialized immigrants based on the understanding that racial matters are spatial matters. Findings indicate that racialized immigrants felt comfortable in “de-racialized” spaces, where they were temporarily relieved from their ethnic visibility and a sense of being out of place. They were uncomfortable in areas that triggered “racialized insecurity,” where they felt vulnerable because of their racialized identity. The findings of this research call attention to the need for a closer inspection of how places of immigrant settlement and race are inextricably linked. The promotion of settlement sociability needs to go beyond physical proximity to social closeness, valuing co-ethnicity and cultural familiarity, especially in the initial stage of settlement.
This publication has no Abstract to dispaly

Underpinned by neoliberal rationalities, the contractual relationship between government funders and immigrant-serving organisations (ISOs) has led these agencies to promote neoliberal values of competition in the business market, prioritising quantity over quality in their services in order to secure government funding. Informed by Foucault’s concept of governmentality as its theoretical framework and institutional ethnography (IE) as its methodology, our study investigates the work experiences of 18 immigrant settlement workers (ISWs) at three ISOs in western Canada. This study identifies how following an outcomes-driven evaluation approach, as required by the federal government, produces a series of textually mediated accountabilities, constructing translocal textual social relations that further coordinate and govern ISWs’ conduct in their local ISO workplaces. This evaluation approach, as analyzed in our study, is exercised as the technologies of ruling power, which is strengthened by the ruling of systems, workplace knowledge, social relations, and the governed-self, producing ideal ISWs who are self-accountable, self-regulated, adaptable, and productive. This process of making ideal ISWs legitimises ISWs’ apparatus role in reinforcing technologies of ruling power from the individual, organisational and institutional perspectives to better serve the agenda of the state. Underpinned by neoliberal rationalities, the contractual relationship between government funders and immigrant-serving organisations (ISOs) has led these agencies to promote neoliberal values of competition in the business market, prioritising quantity over quality in their services in order to secure government funding. Informed by Foucault’s concept of governmentality as its theoretical framework and institutional ethnography (IE) as its methodology, our study investigates the work experiences of 18 immigrant settlement workers (ISWs) at three ISOs in western Canada. This study identifies how following an outcomes-driven evaluation approach, as required by the federal government, produces a series of textually mediated accountabilities, constructing translocal textual social relations that further coordinate and govern ISWs’ conduct in their local ISO workplaces. This evaluation approach, as analyzed in our study, is exercised as the technologies of ruling power, which is strengthened by the ruling of systems, workplace knowledge, social relations, and the governed-self, producing ideal ISWs who are self-accountable, self-regulated, adaptable, and productive. This process of making ideal ISWs legitimises ISWs’ apparatus role in reinforcing technologies of ruling power from the individual, organisational and institutional perspectives to better serve the agenda of the state.
This publication has no Abstract to dispaly

Accessible primary health care is essential for the health of immigrant populations in Canada. This study explored barriers to accessing care among a relatively less studied immigrant population group, Nepalese immigrant women, which will help effectively shape public policy and improve access to primary health care for the wider immigrant population in Canada. Community-engaged focus groups were conducted in Calgary, AB. The focus groups identified long wait times as a major barrier to receiving PHC services, along with lack of proficiency in English, lack of access to medical records, competing responsibilities and unfamiliarity with the Canadian healthcare system. Accessible primary health care is essential for the health of immigrant populations in Canada. This study explored barriers to accessing care among a relatively less studied immigrant population group, Nepalese immigrant women, which will help effectively shape public policy and improve access to primary health care for the wider immigrant population in Canada. Community-engaged focus groups were conducted in Calgary, AB. The focus groups identified long wait times as a major barrier to receiving PHC services, along with lack of proficiency in English, lack of access to medical records, competing responsibilities and unfamiliarity with the Canadian healthcare system.
This publication has no Abstract to dispaly

The Rainbow Refuge Program (through the Edmonton Newcomer Centre, formerly called the Edmonton Mennonite Centre for Newcomers) provides settlement services, housing support, settlement support and community building for 2SLGBTQ+ newcomers in Edmonton. Since the start of the program, the acceptance rate of 2SLGBTQ+ refugee claims in Edmonton has increased exponentially. The Rainbow Refuge Program (through the Edmonton Newcomer Centre, formerly called the Edmonton Mennonite Centre for Newcomers) provides settlement services, housing support, settlement support and community building for 2SLGBTQ+ newcomers in Edmonton. Since the start of the program, the acceptance rate of 2SLGBTQ+ refugee claims in Edmonton has increased exponentially.
This publication has no Abstract to dispaly

Available evidence in Canada suggests children born to immigrants face a greater risk of poor mental health outcomes. However, these comparisons often mask important ethno-racial differences in mental health risks and outcomes among immigrant populations. Recent evidence suggests African immigrant children have some of the poorest social and mental health outcomes in Canada. Despite this awareness, research has yet to identify community-based strategies for addressing the stressors underpinning such outcomes. This study used data obtained from focus groups with African immigrant parents in Edmonton, AB and surrounding towns to identify child mental health stressors and child mental health promotion strategies in the African immigrant community. Available evidence in Canada suggests children born to immigrants face a greater risk of poor mental health outcomes. However, these comparisons often mask important ethno-racial differences in mental health risks and outcomes among immigrant populations. Recent evidence suggests African immigrant children have some of the poorest social and mental health outcomes in Canada. Despite this awareness, research has yet to identify community-based strategies for addressing the stressors underpinning such outcomes. This study used data obtained from focus groups with African immigrant parents in Edmonton, AB and surrounding towns to identify child mental health stressors and child mental health promotion strategies in the African immigrant community.
This publication has no Abstract to dispaly

In this qualitative study, researchers conducted interviews with 11 participants who had entered Canada through the Temporary Foreign Worker Program and who had since loss status. Findings show policy changes, abuse and exploitation by employers, language barriers, and misinformation and language gaps drive workers out of status. Once without status, people often remain in Canada because they are motivated by issues related to family. These can include the continued desire to bring family members to Canada, financial responsibilities for family members in countries of origin, the desire to stay with Canadian partners or children, or the breakdown of family ties which dissuades the desire to return. Challenges of living without status include mental health struggles, financial strain, and barriers to service access. Interplays between factors driving status loss and experiences of those who live without status in Canada show that the state plays an important role in creating precarity through restrictive immigration and residency policies. Understandings the state’s role in the production of precarity may inform effective policy changes moving forward. In this qualitative study, researchers conducted interviews with 11 participants who had entered Canada through the Temporary Foreign Worker Program and who had since loss status. Findings show policy changes, abuse and exploitation by employers, language barriers, and misinformation and language gaps drive workers out of status. Once without status, people often remain in Canada because they are motivated by issues related to family. These can include the continued desire to bring family members to Canada, financial responsibilities for family members in countries of origin, the desire to stay with Canadian partners or children, or the breakdown of family ties which dissuades the desire to return. Challenges of living without status include mental health struggles, financial strain, and barriers to service access. Interplays between factors driving status loss and experiences of those who live without status in Canada show that the state plays an important role in creating precarity through restrictive immigration and residency policies. Understandings the state’s role in the production of precarity may inform effective policy changes moving forward.
This publication has no Abstract to dispaly

Immigrants tend to have lower screening rates than non-immigrants, and religious leaders may help close this gap. In particular, increased awareness of cancer and access to cancer screening is needed among immigrants facing barriers to care, such as Muslim immigrants in Alberta. Imams in Calgary were interviewed, and results found that most had cancer knowledge, but less knowledge about cancer screening. Imams were highly supportive of incorporating health messaging into their faith messaging, and using their role and status in the community to help increase screening rates and counter misunderstandings. Immigrants tend to have lower screening rates than non-immigrants, and religious leaders may help close this gap. In particular, increased awareness of cancer and access to cancer screening is needed among immigrants facing barriers to care, such as Muslim immigrants in Alberta. Imams in Calgary were interviewed, and results found that most had cancer knowledge, but less knowledge about cancer screening. Imams were highly supportive of incorporating health messaging into their faith messaging, and using their role and status in the community to help increase screening rates and counter misunderstandings.
This publication has no Abstract to dispaly

This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic. This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic.
This publication has no Abstract to dispaly