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 If you come across a link that is no longer active, please let us know and we can update it.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

The (un)caring experienced by racialized and/or ethnoculturally diverse residents in supportive living: A qualitative study

Racialized and/or ethnocultural minority older adults in supportive living settings may not have access to appropriate services and activities. Most supportive living facilities are mainstream (not specific to one group); however, culturally specific facilities are purpose-built to accommodate older adults from a particular group. Our objective was to describe the perspectives of diverse participants about access to culturally appropriate care, accessible services, and social and recreation activities in culturally specific and mainstream (non-specific) supportive living facilities. We conducted semi-structured interviews with 21 people (11 staff, 8 family members, 2 residents) from 7 supportive living homes (2 culturally specific and 5 mainstream) in Calgary or Edmonton, Alberta, Canada. We used a rapid qualitative inquiry approach to structure the data collection and analysis. Staff and family members described challenges in accessing culturally appropriate care in mainstream facilities. Family members expressed guilt and shame when their relative moved to supportive living, and they specifically described long waitlists for beds in culturally specific homes. Once in the facility, language barriers contributed to quality of care issues (e.g., delayed assessments) and challenges accessing recreation and social activities in both mainstream and culturally specific homes. Mainstream facilities often did not have appropriate food options and had limited supports for religious practices. Residents who had better English language proficiency had an easier transition to supportive living. Racialized and/or ethnoculturally diverse residents in mainstream supportive living facilities did not receive culturally appropriate care. Creating standalone facilities for every cultural group is not feasible; therefore, we must improve the care in mainstream facilities, including recruiting more diverse staff and integrating a wider range of recreation, religious services and food options. Racialized and/or ethnocultural minority older adults in supportive living settings may not have access to appropriate services and activities. Most supportive living facilities are mainstream (not specific to one group); however, culturally specific facilities are purpose-built to accommodate older adults from a particular group. Our objective was to describe the perspectives of diverse participants about access to culturally appropriate care, accessible services, and social and recreation activities in culturally specific and mainstream (non-specific) supportive living facilities. We conducted semi-structured interviews with 21 people (11 staff, 8 family members, 2 residents) from 7 supportive living homes (2 culturally specific and 5 mainstream) in Calgary or Edmonton, Alberta, Canada. We used a rapid qualitative inquiry approach to structure the data collection and analysis. Staff and family members described challenges in accessing culturally appropriate care in mainstream facilities. Family members expressed guilt and shame when their relative moved to supportive living, and they specifically described long waitlists for beds in culturally specific homes. Once in the facility, language barriers contributed to quality of care issues (e.g., delayed assessments) and challenges accessing recreation and social activities in both mainstream and culturally specific homes. Mainstream facilities often did not have appropriate food options and had limited supports for religious practices. Residents who had better English language proficiency had an easier transition to supportive living. Racialized and/or ethnoculturally diverse residents in mainstream supportive living facilities did not receive culturally appropriate care. Creating standalone facilities for every cultural group is not feasible; therefore, we must improve the care in mainstream facilities, including recruiting more diverse staff and integrating a wider range of recreation, religious services and food options.
This publication has no Abstract to dispaly

Immigrant women’s experiences of domestic violence in Canada: a qualitative file audit

Domestic violence (DV) experienced by immigrant women is a global health concern. Precarious immigration status, language barriers, and discrimination can lead to reluctance in seeking support. Is a non-profit charitable organization and support center for immigrant women. Participants in this study were immigrant women who attended Changing Together. The aim of this study is to illustrate immigrant women’s experiences of DV and identify the community services they access. Domestic violence (DV) experienced by immigrant women is a global health concern. Precarious immigration status, language barriers, and discrimination can lead to reluctance in seeking support. Is a non-profit charitable organization and support center for immigrant women. Participants in this study were immigrant women who attended Changing Together. The aim of this study is to illustrate immigrant women’s experiences of DV and identify the community services they access.
This publication has no Abstract to dispaly

Navigating biases and distrust of systems: American and Canadian intimate partner violence service providers’ experiences with trans and immigrant women clients

To date, very little is known about intimate partner violence (IPV) service providers’ experiences serving trans and immigrant women (IPV) survivors and their barriers in reporting and/or accessing formal services. Employing constructivist grounded theory, two vignettes were constructed – one featuring a trans woman and the other an immigrant woman, both seeking IPV services. American and Canadian IPV service providers responded to open-ended survey questions about both scenarios, resulting in several emergent themes including, but not limited to: service provider biases, shelter conflicts, and distrust of systems. Policy implications and future research are also addressed. To date, very little is known about intimate partner violence (IPV) service providers’ experiences serving trans and immigrant women (IPV) survivors and their barriers in reporting and/or accessing formal services. Employing constructivist grounded theory, two vignettes were constructed – one featuring a trans woman and the other an immigrant woman, both seeking IPV services. American and Canadian IPV service providers responded to open-ended survey questions about both scenarios, resulting in several emergent themes including, but not limited to: service provider biases, shelter conflicts, and distrust of systems. Policy implications and future research are also addressed.
This publication has no Abstract to dispaly

“We’re always looking at the dollars and cents”: The financial wellbeing of racialized older immigrants in Canada through the lens of service providers

Analyzing data from a focus group with service providers in the city of Calgary, Alberta, this article identifies the barriers to financial well-being among racialized older immigrants and newcomers. Structural barriers discussed included the ten-year and twenty-year dependency period, and experiences of structured dependency within intergenerational family units. Analyzing data from a focus group with service providers in the city of Calgary, Alberta, this article identifies the barriers to financial well-being among racialized older immigrants and newcomers. Structural barriers discussed included the ten-year and twenty-year dependency period, and experiences of structured dependency within intergenerational family units.
This publication has no Abstract to dispaly

Exploring socio-environmental effects on community health in Edmonton, Canada to understand older adult and immigrant risk in a changing climate

We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience. We investigated health risks associated with climate and air pollution hazards and community covariates to generate insights into the resilience of older adults and immigrants at the community level in a northern urban center in the Canadian prairies (i.e. Edmonton, AB). Communities with higher proportions of older adults were associated with increased cardiovascular, injury, mental, and respiratory health event rates. Notably, heat effects on injury rates impacted communities with higher percentages of older adults (Prevalence Rate Ratio (PRR) [95%CI] 1.110 [1.011, 1.219] at 25% ≥65 years). Ozone effects on cardiovascular event rates exhibited similar trends. Areas with higher percentages of immigrants generally had lower rates of health events. However, increasing diurnal temperature range became a risk factor for respiratory health rates where there were higher percentages of refugees (PRR 1.205 [1.004, 1.447] at 20%). Industrial emission effects on injury and respiratory health rates also amplified in areas with higher percentages of refugees (PRR 1.127 [1.058, 1.200]; 1.130 [1.050, 1.216] at 20%). Similar effects were observed for mental health event rates and total immigrants. Greater neighborhood material and social deprivation were significant risk factors for increased health event rates across outcomes. Future work should focus on disproportionately affected vulnerable populations to address community-level resilience.
This publication has no Abstract to dispaly

A qualitative exploration of immigrant Muslim older adults’ experiences and perceptions of physical activity

Physical activity is essential for healthy aging; however, there has been little exploration of physical activity in Muslim older immigrants in Canada. Over one million Canadians identify as Muslim, the majority is first-generation immigrants, with increasing cohorts entering older age. Interviews and focus groups on physical activity and healthy aging were conducted with 68 older adults and community members from South Asian, Arab, and African Muslim ethnocultural communities in Edmonton, AB. Participants emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. Four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active; (b) health factors: pain and health limitations; (c) social factors: culture, religion, and belonging; and (d) environmental factors: safety and accessibility. Physical activity is essential for healthy aging; however, there has been little exploration of physical activity in Muslim older immigrants in Canada. Over one million Canadians identify as Muslim, the majority is first-generation immigrants, with increasing cohorts entering older age. Interviews and focus groups on physical activity and healthy aging were conducted with 68 older adults and community members from South Asian, Arab, and African Muslim ethnocultural communities in Edmonton, AB. Participants emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. Four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active; (b) health factors: pain and health limitations; (c) social factors: culture, religion, and belonging; and (d) environmental factors: safety and accessibility.
This publication has no Abstract to dispaly

Older immigrant adults’ experiences and perceptions of physical activity

Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population. Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population.
This publication has no Abstract to dispaly

“Growing Old is not for the Weak of Heart”: Social isolation and loneliness in Muslim immigrant older adults in Canada

The increase in global migration means more immigrants are ageing in host countries with unique experiences and needs. Muslim immigrants in Canada are from diverse ethnocultural communities and experience unmet health and social needs in older age. A community-based participatory research project was conducted in Alberta, Canada, in 2017-2018 to understand the experiences and needs of healthy ageing in this population. Participants were asked about their experiences of growing old in Canada, unmet health and social needs, and community perspectives on healthy ageing. We identified two major themes: (a) intersections of exclusion: ageism, sexism, racism, and; (b) strategies for inclusion: local, national, transnational. Findings highlight both the vulnerability of Muslim immigrant older adults and their capacity for agency. The study findings point to the intersecting influences of exclusionary practices on social isolation and loneliness in immigrant older adults. They also call to adjust developing social policies and programs according to existing exclusionary practices to foster healthy ageing. The increase in global migration means more immigrants are ageing in host countries with unique experiences and needs. Muslim immigrants in Canada are from diverse ethnocultural communities and experience unmet health and social needs in older age. A community-based participatory research project was conducted in Alberta, Canada, in 2017-2018 to understand the experiences and needs of healthy ageing in this population. Participants were asked about their experiences of growing old in Canada, unmet health and social needs, and community perspectives on healthy ageing. We identified two major themes: (a) intersections of exclusion: ageism, sexism, racism, and; (b) strategies for inclusion: local, national, transnational. Findings highlight both the vulnerability of Muslim immigrant older adults and their capacity for agency. The study findings point to the intersecting influences of exclusionary practices on social isolation and loneliness in immigrant older adults. They also call to adjust developing social policies and programs according to existing exclusionary practices to foster healthy ageing.
This publication has no Abstract to dispaly

Understanding the Lived Experiences and Financial Realities of Older Immigrants

This article examines the financial literacy of older immigrants in Canada. Older immigrants experience multiple forms of financial exclusion rooted in the intersections between age, race, gender, immigration, and labour history. While the existing literature notes how immigrants are more likely to be unbanked because of structural barriers such as inaccessible services and language barriers, few studies have explored how older immigrants discuss their experiences and financial conditions. This paper explores the experiences of financial literacy among older immigrants in Calgary, Alberta through in-depth interviews and photographs taken by participants. We discuss the lived experiences and financial realities among older immigrants, how they perceive challenges to financial literacy as well as coping strategies. Themes focus on the ways in which histories of immigration and labour impact their financial security in later life. Photographs generated offer service providers and policy makers opportunities to think about and engage in interventions that better tackle issues of financial insecurity and inequality among older immigrants. This article examines the financial literacy of older immigrants in Canada. Older immigrants experience multiple forms of financial exclusion rooted in the intersections between age, race, gender, immigration, and labour history. While the existing literature notes how immigrants are more likely to be unbanked because of structural barriers such as inaccessible services and language barriers, few studies have explored how older immigrants discuss their experiences and financial conditions. This paper explores the experiences of financial literacy among older immigrants in Calgary, Alberta through in-depth interviews and photographs taken by participants. We discuss the lived experiences and financial realities among older immigrants, how they perceive challenges to financial literacy as well as coping strategies. Themes focus on the ways in which histories of immigration and labour impact their financial security in later life. Photographs generated offer service providers and policy makers opportunities to think about and engage in interventions that better tackle issues of financial insecurity and inequality among older immigrants.
This publication has no Abstract to dispaly

Connecting older Chinese people to mainstream services in Edmonton, Alberta, Canada

This article presents the issues and challenges facing older Chinese immigrants in accessing mainstream services in Edmonton, Alberta, in Western Canada. The awareness and access to mainstream services and information, perceptions of services, system improvements and use of social media are discussed. Barriers to services include: isolation, impacting physical and mental health; few multicultural services (barriers around translation and access to services); barriers around age and ability (accessibility); cost barriers. The article suggests several recommendations: culturally competent service provision by mainstream services (including removing cost barriers, improving translation and accessibility); more collaboration between ‘mainstream’ service providers and ethno-specific organizations; more consultation with Chinese community; greater accessibility to translation; increased funding for human resources and training. This article presents the issues and challenges facing older Chinese immigrants in accessing mainstream services in Edmonton, Alberta, in Western Canada. The awareness and access to mainstream services and information, perceptions of services, system improvements and use of social media are discussed. Barriers to services include: isolation, impacting physical and mental health; few multicultural services (barriers around translation and access to services); barriers around age and ability (accessibility); cost barriers. The article suggests several recommendations: culturally competent service provision by mainstream services (including removing cost barriers, improving translation and accessibility); more collaboration between ‘mainstream’ service providers and ethno-specific organizations; more consultation with Chinese community; greater accessibility to translation; increased funding for human resources and training.
This publication has no Abstract to dispaly
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