Research Library

Thousands of refugee families are resettled across Canada each year, and many must navigate parenthood while simultaneously contending with resettlement challenges. Refugee women are primarily responsible for care work yet often face disproportionate barriers to information, resources, and access to health services. We leveraged a community-engaged research approach with several project partners to: i) explore the scope, nature, and extent of literature examining the influence of gender norms, roles, and expectations on health and wellbeing during resettlement; ii) explore women’s diverse conceptualizations of health and what it means to be healthy; iii) identify barriers and resilience factors for health and wellbeing during resettlement, including in the context of the COVID-19 pandemic; iv) explore women’s experiences of gender as a determinant of health during resettlement, specifically in the context of motherhood; and v) explore the role of participation in Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY), a home visiting program, in promoting health during resettlement. We conducted a scoping review, followed by surveys, in-depth interviews, and collage-building with refugee mothers (n=28) enrolled in the HIPPY program delivered by the Calgary Immigrant Women’s Association. Data were analyzed using a participatory inductive deductive thematic analysis. Our findings establish gender roles, norms, and expectations as important determinants of health, mediating experiences of other social determinants of health during resettlement. Participation in HIPPY promoted wellbeing during resettlement and the COVID-19 pandemic by mitigating social isolation and improving women’s access to information and resources for health and parenting in Canada. Thousands of refugee families are resettled across Canada each year, and many must navigate parenthood while simultaneously contending with resettlement challenges. Refugee women are primarily responsible for care work yet often face disproportionate barriers to information, resources, and access to health services. We leveraged a community-engaged research approach with several project partners to: i) explore the scope, nature, and extent of literature examining the influence of gender norms, roles, and expectations on health and wellbeing during resettlement; ii) explore women’s diverse conceptualizations of health and what it means to be healthy; iii) identify barriers and resilience factors for health and wellbeing during resettlement, including in the context of the COVID-19 pandemic; iv) explore women’s experiences of gender as a determinant of health during resettlement, specifically in the context of motherhood; and v) explore the role of participation in Multicultural Home Instruction for Parents of Preschool Youngsters (HIPPY), a home visiting program, in promoting health during resettlement. We conducted a scoping review, followed by surveys, in-depth interviews, and collage-building with refugee mothers (n=28) enrolled in the HIPPY program delivered by the Calgary Immigrant Women’s Association. Data were analyzed using a participatory inductive deductive thematic analysis. Our findings establish gender roles, norms, and expectations as important determinants of health, mediating experiences of other social determinants of health during resettlement. Participation in HIPPY promoted wellbeing during resettlement and the COVID-19 pandemic by mitigating social isolation and improving women’s access to information and resources for health and parenting in Canada.
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Resettlement for refugee youth in Canada presents multifaceted challenges, notably in integrating into existing social structures, including sports and physical activity (PA) programs. Sports and PA programs can play a crucial role in promoting physical and mental well-being, yet refugee youth often face lower participation rates compared to their Canadian-born counterparts. To address this gap, this study investigated the impact of a community-developed multi-sport program, the Calgary Catholic Immigration Society (CCIS) multi-sport program, on the physical literacy (PL) development and psychosocial well-being of young refugees in Calgary, AB, Canada. The program aimed to equip refugee youth with the tools to embrace sports and PA opportunities in their new environment, fostering physical well-being and a sense of belonging. A total of 16 refugee youth participants between the ages of 13-19 years old (Mean age = 16.00±1.75, n =14 males) were recruited for this study and were living in temporary housing (M = 1.19 months on arrival) while being assisted by CCIS during their resettlement period. The study employed mixed methods, including the PLAY-basic tool and a modified PLAY-self questionnaire, to assess program effects on various PL domains. Qualitative data from focus group interviews and an ethnographic approach provided further insights into the program’s broader impact on well-being and social health. Resettlement for refugee youth in Canada presents multifaceted challenges, notably in integrating into existing social structures, including sports and physical activity (PA) programs. Sports and PA programs can play a crucial role in promoting physical and mental well-being, yet refugee youth often face lower participation rates compared to their Canadian-born counterparts. To address this gap, this study investigated the impact of a community-developed multi-sport program, the Calgary Catholic Immigration Society (CCIS) multi-sport program, on the physical literacy (PL) development and psychosocial well-being of young refugees in Calgary, AB, Canada. The program aimed to equip refugee youth with the tools to embrace sports and PA opportunities in their new environment, fostering physical well-being and a sense of belonging. A total of 16 refugee youth participants between the ages of 13-19 years old (Mean age = 16.00±1.75, n =14 males) were recruited for this study and were living in temporary housing (M = 1.19 months on arrival) while being assisted by CCIS during their resettlement period. The study employed mixed methods, including the PLAY-basic tool and a modified PLAY-self questionnaire, to assess program effects on various PL domains. Qualitative data from focus group interviews and an ethnographic approach provided further insights into the program’s broader impact on well-being and social health.
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Croatian 2SLGBTQIA+ immigrant Tihana Radojcic shares her story of the changing political landscape in her home, immigrating to Calgary, and where Calgary needs to go in the future to be more supportive and friendly to the 2SLGBTQIA+ community. Croatian 2SLGBTQIA+ immigrant Tihana Radojcic shares her story of the changing political landscape in her home, immigrating to Calgary, and where Calgary needs to go in the future to be more supportive and friendly to the 2SLGBTQIA+ community.
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Over the last three decades, the number of students pursuing higher education outside of their country of citizenship (i.e. international students) has increased five-fold (The Organization for Economic Co-operation and Development, 2022). In that same period Canada has become a popular attraction of international students, such that it is houses to the third largest concentration of this group globally. International student tuition and discretionary spending serve as an important source of revenue for higher education institutions. Furthermore, federal, and provincial governments identify international students as a valued source of skilled immigrants. In a bid to ensure a steady influx of students, Canada has recently turned to countries in sub-Saharan Africa and the Caribbean – all regions where the population mostly identify as “Black” – as new source regions to target for intensified recruitment. Minimal research explores the integration experiences and daily lives of these students. Instead, studies employ monolithic categorizations, neglecting to analyze variations in racial/ethnic identification. To that end, the main research questions in this study are: (1) How do Black international students in Canada negotiate a sense of belonging amidst various forms of social inequality? and (2) In what ways are Black international students’ political proclivities shaping, or shaped by Canada’s political climate? I drew on an assorted mix of theoretical and methodological perspectives to answer these questions. The discussions in this study are based on semi-structured interviews with 40 research participants, all international students from sub-Saharan Africa and the Caribbean studying at a higher education institution across Alberta, Canada. In theorizing the study’s findings, I drew on an eclectic, interdisciplinary collection on scholarship such as international student mobility, Black politics, queer migration studies, and migration studies. What emerges from this approach is a detailed understanding of Black international students that accounts for the sociocultural reasons shaping their decision to study in Canada, relationship to Black-themed racial justice organizing/foregrounding, and navigation of queer identity making while managing the precarity of temporary legal status. Consequently, the project’s findings highlight the need to think of the respective populations “Black students” and “international students” as a heterogenous groups consisting of diverse viewpoints, experiences, and challenges. Over the last three decades, the number of students pursuing higher education outside of their country of citizenship (i.e. international students) has increased five-fold (The Organization for Economic Co-operation and Development, 2022). In that same period Canada has become a popular attraction of international students, such that it is houses to the third largest concentration of this group globally. International student tuition and discretionary spending serve as an important source of revenue for higher education institutions. Furthermore, federal, and provincial governments identify international students as a valued source of skilled immigrants. In a bid to ensure a steady influx of students, Canada has recently turned to countries in sub-Saharan Africa and the Caribbean – all regions where the population mostly identify as “Black” – as new source regions to target for intensified recruitment. Minimal research explores the integration experiences and daily lives of these students. Instead, studies employ monolithic categorizations, neglecting to analyze variations in racial/ethnic identification. To that end, the main research questions in this study are: (1) How do Black international students in Canada negotiate a sense of belonging amidst various forms of social inequality? and (2) In what ways are Black international students’ political proclivities shaping, or shaped by Canada’s political climate? I drew on an assorted mix of theoretical and methodological perspectives to answer these questions. The discussions in this study are based on semi-structured interviews with 40 research participants, all international students from sub-Saharan Africa and the Caribbean studying at a higher education institution across Alberta, Canada. In theorizing the study’s findings, I drew on an eclectic, interdisciplinary collection on scholarship such as international student mobility, Black politics, queer migration studies, and migration studies. What emerges from this approach is a detailed understanding of Black international students that accounts for the sociocultural reasons shaping their decision to study in Canada, relationship to Black-themed racial justice organizing/foregrounding, and navigation of queer identity making while managing the precarity of temporary legal status. Consequently, the project’s findings highlight the need to think of the respective populations “Black students” and “international students” as a heterogenous groups consisting of diverse viewpoints, experiences, and challenges.
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The immigrant population in Canada is rapidly increasing and projected to rise exponentially in the coming years. The immigrant population faces complex and diverse challenges when transitioning into a new country, and this occurrence may be uniquely experienced by youth, who are also navigating transitions in child development, most notably into adolescence. Embedded in a broader mixed methods pilot project, the aim of this thesis was to qualitatively investigate the impact of the Immigrant-based Physical Literacy for Youth (IPLAY) program on mental health and well-being. 21 Afghan refugee youth in Calgary, AB who participated in IPLAY were interviewed. Results indicated that youth held a holistic conceptualization of mental health, contrasting what is common practice in the field and literature. Such findings provide a rich tapestry of understanding into how newcomer youth define, understand, and experience mental health, and implications for stress management. The immigrant population in Canada is rapidly increasing and projected to rise exponentially in the coming years. The immigrant population faces complex and diverse challenges when transitioning into a new country, and this occurrence may be uniquely experienced by youth, who are also navigating transitions in child development, most notably into adolescence. Embedded in a broader mixed methods pilot project, the aim of this thesis was to qualitatively investigate the impact of the Immigrant-based Physical Literacy for Youth (IPLAY) program on mental health and well-being. 21 Afghan refugee youth in Calgary, AB who participated in IPLAY were interviewed. Results indicated that youth held a holistic conceptualization of mental health, contrasting what is common practice in the field and literature. Such findings provide a rich tapestry of understanding into how newcomer youth define, understand, and experience mental health, and implications for stress management.
This publication has no Abstract to dispaly

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.
This publication has no Abstract to dispaly

The sexual health needs of female immigrant adolescents in Canada have been largely unmet and have increased in magnitude over the last few years. For immigrant female adolescents of Pakistani descent, who are also racialized youth in Canada, the silence around issues of sexuality needs can affect their physical, emotional, and sexual health and well-being, and ability to reach their full potential. Evidence suggests that immigrant adolescents lack sexual and reproductive health knowledge and use fewer sexual health-related services and sex education resources than do non-immigrant youth. In Pakistani immigrant adolescents, this difference appears to be associated with sociocultural and religious practices. The overarching purpose of this dissertation is to contribute towards improving sexual health of female immigrant adolescents living in Canada. The purpose of this study was to qualitatively explore the experience of developing sexuality and its relationship to developing identity and well-being in middle- to late- female adolescents of Pakistani-descent, living in a large urban area in Alberta, Canada. This study sought to create space for dialogue and to explore the perceived cultural influence on issues of sexuality that often arise among individuals from different cultural backgrounds using the postmodern feminist lens. An art-based strategy was used to conduct research with 21 female adolescents who were of first- or second-generation Pakistani-descent. Data was collected using semi-structured interviews and having participants create a relevant timeline. The sexual health needs of female immigrant adolescents in Canada have been largely unmet and have increased in magnitude over the last few years. For immigrant female adolescents of Pakistani descent, who are also racialized youth in Canada, the silence around issues of sexuality needs can affect their physical, emotional, and sexual health and well-being, and ability to reach their full potential. Evidence suggests that immigrant adolescents lack sexual and reproductive health knowledge and use fewer sexual health-related services and sex education resources than do non-immigrant youth. In Pakistani immigrant adolescents, this difference appears to be associated with sociocultural and religious practices. The overarching purpose of this dissertation is to contribute towards improving sexual health of female immigrant adolescents living in Canada. The purpose of this study was to qualitatively explore the experience of developing sexuality and its relationship to developing identity and well-being in middle- to late- female adolescents of Pakistani-descent, living in a large urban area in Alberta, Canada. This study sought to create space for dialogue and to explore the perceived cultural influence on issues of sexuality that often arise among individuals from different cultural backgrounds using the postmodern feminist lens. An art-based strategy was used to conduct research with 21 female adolescents who were of first- or second-generation Pakistani-descent. Data was collected using semi-structured interviews and having participants create a relevant timeline.
This publication has no Abstract to dispaly

Current industrialized food systems have detrimental consequences for people and the planet. Relocalizing food systems offers one strategy to mitigate these harms; advocates point to opportunities for ecological, economic, and social benefits as reason to localize food production. However, the assumption that the local is inherently preferable to the global can lead academics, practitioners, and consumers into the local trap. With increasing ethnic diversity in Canada, the perception that local is inherently good and global is inherently bad can translate into defensive and exclusionary tendencies towards the food preferences and practices of newcomers, immigrants and refugees. While the literature identifies various manifestations of the local trap, it offers limited investigation of strategies that may overcome this pitfall. In contrast to defensive localism, alternative conceptualizations of scale may support action in favour of collaborative, inclusive, and diversity-receptive outcomes in food systems. Therefore, in this thesis, I aim to identify strategies that may include the food preferences and practices of newcomers while also addressing problematic aspects of industrial food systems. I also seek to understand the mechanisms and conceptualizations that enable such strategies. To accomplish this, 1) I completed a literature analysis to synthesize potential strategies and models and 2) empirically explored food practices and goals of the EthniCity Catering program (Centre for Newcomers) in Calgary, Alberta to illustrate the potential application of such strategies in a specific time and place. This thesis hopes to offer theoretical contributions to geographical discussions on scale in food systems as well as practical implications for food system practitioners. Current industrialized food systems have detrimental consequences for people and the planet. Relocalizing food systems offers one strategy to mitigate these harms; advocates point to opportunities for ecological, economic, and social benefits as reason to localize food production. However, the assumption that the local is inherently preferable to the global can lead academics, practitioners, and consumers into the local trap. With increasing ethnic diversity in Canada, the perception that local is inherently good and global is inherently bad can translate into defensive and exclusionary tendencies towards the food preferences and practices of newcomers, immigrants and refugees. While the literature identifies various manifestations of the local trap, it offers limited investigation of strategies that may overcome this pitfall. In contrast to defensive localism, alternative conceptualizations of scale may support action in favour of collaborative, inclusive, and diversity-receptive outcomes in food systems. Therefore, in this thesis, I aim to identify strategies that may include the food preferences and practices of newcomers while also addressing problematic aspects of industrial food systems. I also seek to understand the mechanisms and conceptualizations that enable such strategies. To accomplish this, 1) I completed a literature analysis to synthesize potential strategies and models and 2) empirically explored food practices and goals of the EthniCity Catering program (Centre for Newcomers) in Calgary, Alberta to illustrate the potential application of such strategies in a specific time and place. This thesis hopes to offer theoretical contributions to geographical discussions on scale in food systems as well as practical implications for food system practitioners.
This publication has no Abstract to dispaly

Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage. Miscarriage is the most common pregnancy complication affecting 1 in 4 pregnancies. The loss of a baby can seriously impact women’s physical and mental health, leading to traumatic disorders such as anxiety, depression, anger, self-blame, and self-harm. Women who receive support after their miscarriage are more likely to manage their mental health well. Despite this, research shows many women do not have access to the support they need after a miscarriage. Immigrant women have more difficulties accessing support due to communication barriers, cultural barriers, differences in their religion compared to their host country, and living far from family and support networks. The objective of this thesis project is to investigate the areas where immigrant women lack support and determine how the design of a digital platform can provide this support helping to improve women’s well-being after a miscarriage. Semi-structured interviews were conducted with experts in the fields of obstetrics/gynecology, psychology, grief counselling, and user experience design to better understand 1) The challenges women experience after having a miscarriage, 2) How immigrants’ experience with miscarriage is different from the Canadian experience, and 3) How the design of an application could help women better manage their health physically and mentally after having a miscarriage. In addition, a co-design session with experts was held to find the design solutions and recommendations for creating a digital platform. Lastly, the data analysis from the interviews, analysis of existing miscarriage applications, co-design session with experts and literature review were employed to develop a mobile application called Miscarriage Corner. The application aims to support immigrant women through their healing journey after a miscarriage. This thesis project explores the potential benefits of employing technology to improve the accessibility and usability of a mobile application to provide a support system for immigrant women who have had a miscarriage.
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