Research Library

Due to the ongoing conflict in Syria, approximately 50,000 Syrian refugees arrived in Canada between 2015 and 2020. Upon arrival, Syrians needed to find housing, employment, healthcare, and language training. They also had to address psychosocial needs, such as cultivating social supports and establishing a sense of safety, which are critical for mitigating trauma and stress related to resettlement. In March 2020, the global COVID-19 pandemic was declared, and disproportionately impacted refugees by compounding pre-existing and systemic health, social, and economic inequities. Refugees are identified as particularly vulnerable during the pandemic due to the precarious working, living, economic, and health conditions they often face. Only three Canadian studies to date have explored Syrian refugee experiences during COVID-19: one used quantitative methods, the other focused on postnatal women, and one explored housing stability. Therefore, there is a dearth of qualitative information regarding how Syrian refugees in Canada have been impacted by the pandemic, especially regarding their psychosocial adaptation during this period. This study explored the impact of the COVID-19 pandemic for Syrian refugees in Canada and identified supports needed, from the perspectives of Syrian refugees themselves. This study is embedded within a broader community-based participatory research project investigating psychosocial adaptation with the Syrian refugee community and used qualitative description and thematic analysis to examine semi-structured interviews conducted with 10 Syrian refugees. Due to the ongoing conflict in Syria, approximately 50,000 Syrian refugees arrived in Canada between 2015 and 2020. Upon arrival, Syrians needed to find housing, employment, healthcare, and language training. They also had to address psychosocial needs, such as cultivating social supports and establishing a sense of safety, which are critical for mitigating trauma and stress related to resettlement. In March 2020, the global COVID-19 pandemic was declared, and disproportionately impacted refugees by compounding pre-existing and systemic health, social, and economic inequities. Refugees are identified as particularly vulnerable during the pandemic due to the precarious working, living, economic, and health conditions they often face. Only three Canadian studies to date have explored Syrian refugee experiences during COVID-19: one used quantitative methods, the other focused on postnatal women, and one explored housing stability. Therefore, there is a dearth of qualitative information regarding how Syrian refugees in Canada have been impacted by the pandemic, especially regarding their psychosocial adaptation during this period. This study explored the impact of the COVID-19 pandemic for Syrian refugees in Canada and identified supports needed, from the perspectives of Syrian refugees themselves. This study is embedded within a broader community-based participatory research project investigating psychosocial adaptation with the Syrian refugee community and used qualitative description and thematic analysis to examine semi-structured interviews conducted with 10 Syrian refugees.
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The City of Edmonton is a diverse and constantly evolving city. As more newcomers move to the city, the need for specific language resources changes and organizations must adapt to these changes. Edmonton has many organizations that specifically assist newcomers with integrating into society. These organizations include Edmonton Immigrant Services Association (EISA), Islamic Family and Social Services Association (IFSSA), Action for Healthy Communities, Catholic Social Services and the Edmonton Mennonite Centre for Newcomers (EMCN), among others. Other organizations provide services to specific cultural groups, such as language and culture schools, which also assist newcomers. This thesis will discuss the research project “Mapping Spaces of Translation and Interpretation in Edmonton,” which mapped and documented organizations that make use of translation and interpretation to provide services for newcomers, immigrants, and refugees, within Edmonton and surrounding areas. The project sought to research the following two questions: 1) How do organizations within the city of Edmonton that provide services to newcomers utilize translation (text-to-text) or interpretation (spoken/verbal) to facilitate their services? 2) What challenges do these organizations face in using translation and interpretation while providing their services? The City of Edmonton is a diverse and constantly evolving city. As more newcomers move to the city, the need for specific language resources changes and organizations must adapt to these changes. Edmonton has many organizations that specifically assist newcomers with integrating into society. These organizations include Edmonton Immigrant Services Association (EISA), Islamic Family and Social Services Association (IFSSA), Action for Healthy Communities, Catholic Social Services and the Edmonton Mennonite Centre for Newcomers (EMCN), among others. Other organizations provide services to specific cultural groups, such as language and culture schools, which also assist newcomers. This thesis will discuss the research project “Mapping Spaces of Translation and Interpretation in Edmonton,” which mapped and documented organizations that make use of translation and interpretation to provide services for newcomers, immigrants, and refugees, within Edmonton and surrounding areas. The project sought to research the following two questions: 1) How do organizations within the city of Edmonton that provide services to newcomers utilize translation (text-to-text) or interpretation (spoken/verbal) to facilitate their services? 2) What challenges do these organizations face in using translation and interpretation while providing their services?
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Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue. Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue.
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Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage. Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage.
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The accessibility of domestic violence services for South Asian immigrant women in several Canadian cities (Calgary, Edmonton, Vancouver, Toronto, Montreal) is examined. There are challenges in seeking help for domestic violence in the South Asian community, which is highly unreported due to its private and personal nature. Main topics discussed are: 1) barriers that prevent South Asian immigrant women from seeking help, and 2) the current gaps in domestic violence services. Recommendations for domestic violence organizations to better address the needs of South Asian immigrant women are also included. The accessibility of domestic violence services for South Asian immigrant women in several Canadian cities (Calgary, Edmonton, Vancouver, Toronto, Montreal) is examined. There are challenges in seeking help for domestic violence in the South Asian community, which is highly unreported due to its private and personal nature. Main topics discussed are: 1) barriers that prevent South Asian immigrant women from seeking help, and 2) the current gaps in domestic violence services. Recommendations for domestic violence organizations to better address the needs of South Asian immigrant women are also included.
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Canada’s National Housing Strategy (2017) identifies LGBTQ2 people and newcomers (including refugees) as vulnerable groups within Canada’s housing system. Members of each group are known to experience significant barriers to housing in Canada. However, the unique experiences of LGBTQ refugees—who fall into both groups—have yet to be investigated. This thesis asks: To what extent are LGBTQ refugees able to access safe, stable and affordable housing in Alberta, Canada? Interviews and policy analysis found that LGBTQ refugees do not have adequate access to safe, stable and affordable housing in the province. They continue to experience significant barriers related to affordability, social housing supply, and discrimination, among other factors. Policy recommendations are also included in this thesis. Canada’s National Housing Strategy (2017) identifies LGBTQ2 people and newcomers (including refugees) as vulnerable groups within Canada’s housing system. Members of each group are known to experience significant barriers to housing in Canada. However, the unique experiences of LGBTQ refugees—who fall into both groups—have yet to be investigated. This thesis asks: To what extent are LGBTQ refugees able to access safe, stable and affordable housing in Alberta, Canada? Interviews and policy analysis found that LGBTQ refugees do not have adequate access to safe, stable and affordable housing in the province. They continue to experience significant barriers related to affordability, social housing supply, and discrimination, among other factors. Policy recommendations are also included in this thesis.
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Sport participation is popularly constructed as a key aspect of integration for newcomers into their new countries of residence. These claims, however, are critiqued by sport and migration researchers. While newcomer sport participation is receiving increasing scholarly interest, lived experiences of newcomers in introductory winter sport programmes and the (in)efficacy of such programmes remains underexplored. Winter sports hold a central place within Canadian culture and identity, making the intersection between winter sport, immigration, integration, and Canadian identity a timely topic of investigation. This thesis explored the realities of designing and implementing introductory winter sport programmes as well as the lived experiences of newcomer participants in Calgary, AB. First, six Canadian Intro to Sport programmes in Calgary involving newcomers were examined. Results from this study were incorporated into designing the WinSport Newcomers Programme (WNP) in WinSport Canada Olympic Park in Calgary, AB. The WNP is an intersectoral community partnership comprising sport administrators, settlement service practitioners from three separate organizations, and me. I adopted a qualitative case study research design to explore the lived experiences of WNP participants and their parents as well as the (in)efficacy of the WNP as an intersectoral community partnership. Results illuminated the value of winter sport participation for newcomers to Canada as well as various challenges facing the sustainability of newcomer winter sport participation. The WNP represents a maturing intersectoral community partnership that has excelled at introducing newcomers to Canadian winter sports. Yet, various weaknesses (e.g., collaborators negotiating job-related time pressures) are obstructing the collaboration’s effectiveness. Together, the results critique and identify shortcomings in newcomer introductory winter sport programmes, while also offering important insights into how newcomer introductory winter sport programmes may be designed to foster positive outcomes. Sport participation is popularly constructed as a key aspect of integration for newcomers into their new countries of residence. These claims, however, are critiqued by sport and migration researchers. While newcomer sport participation is receiving increasing scholarly interest, lived experiences of newcomers in introductory winter sport programmes and the (in)efficacy of such programmes remains underexplored. Winter sports hold a central place within Canadian culture and identity, making the intersection between winter sport, immigration, integration, and Canadian identity a timely topic of investigation. This thesis explored the realities of designing and implementing introductory winter sport programmes as well as the lived experiences of newcomer participants in Calgary, AB. First, six Canadian Intro to Sport programmes in Calgary involving newcomers were examined. Results from this study were incorporated into designing the WinSport Newcomers Programme (WNP) in WinSport Canada Olympic Park in Calgary, AB. The WNP is an intersectoral community partnership comprising sport administrators, settlement service practitioners from three separate organizations, and me. I adopted a qualitative case study research design to explore the lived experiences of WNP participants and their parents as well as the (in)efficacy of the WNP as an intersectoral community partnership. Results illuminated the value of winter sport participation for newcomers to Canada as well as various challenges facing the sustainability of newcomer winter sport participation. The WNP represents a maturing intersectoral community partnership that has excelled at introducing newcomers to Canadian winter sports. Yet, various weaknesses (e.g., collaborators negotiating job-related time pressures) are obstructing the collaboration’s effectiveness. Together, the results critique and identify shortcomings in newcomer introductory winter sport programmes, while also offering important insights into how newcomer introductory winter sport programmes may be designed to foster positive outcomes.
This publication has no Abstract to dispaly

The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
This publication has no Abstract to dispaly

People from South Sudan arrived in Edmonton as landed immigrants in the early 1990s from countries that hosted them as refugees from the Second Sudanese Civil War. Today, Edmonton is home to more than 5,000 people from South Sudan. Alberta alone houses almost 30,000, the largest South Sudanese Canadian community in the country. Here, many South Sudanese work in nursing homes and meat-packaging plants. This, alongside high COVID death rates in the community, language barriers, financial strain, and mental health stigma, resulted in Edmonton’s South Sudanese community being disproportionately affected by COVID-19. People from South Sudan arrived in Edmonton as landed immigrants in the early 1990s from countries that hosted them as refugees from the Second Sudanese Civil War. Today, Edmonton is home to more than 5,000 people from South Sudan. Alberta alone houses almost 30,000, the largest South Sudanese Canadian community in the country. Here, many South Sudanese work in nursing homes and meat-packaging plants. This, alongside high COVID death rates in the community, language barriers, financial strain, and mental health stigma, resulted in Edmonton’s South Sudanese community being disproportionately affected by COVID-19.
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This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions. This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions.
This publication has no Abstract to dispaly