Research Library

This study examines stakeholders’ perspectives on the health and well-being of temporary foreign workers (TFWs) and their families in Alberta, Canada. Stakeholders involved in providing services to TFWs perceived that the workers experience (1) barriers in accessing mental health services, (2) mental health challenges, (3) family health challenges, (4) occupational health challenges, and (5) income and social status as a social determinant of health. Immigration and class status intersect to influence the health of this vulnerable population in Canada. This study examines stakeholders’ perspectives on the health and well-being of temporary foreign workers (TFWs) and their families in Alberta, Canada. Stakeholders involved in providing services to TFWs perceived that the workers experience (1) barriers in accessing mental health services, (2) mental health challenges, (3) family health challenges, (4) occupational health challenges, and (5) income and social status as a social determinant of health. Immigration and class status intersect to influence the health of this vulnerable population in Canada.
This publication has no Abstract to dispaly

Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians. Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians.
This publication has no Abstract to dispaly

This document provides questions for organizations to assess how well they are addressing organizational racism and anti-racism within their staff, mission, and clients. This document provides questions for organizations to assess how well they are addressing organizational racism and anti-racism within their staff, mission, and clients.
This publication has no Abstract to dispaly

IN 2007, THE ALBERTA GOVERNMENT and the Alberta construction industry developed a ten-year strategy to increase the participation of women, youth, Indigenous peoples, and immigrants in construction occupations. At the same time, construction employers began turning to temporary foreign workers (TFWS) as an alternative labour supply, and the number of TFWS working in Alberta construction jumped dramatically. This article examines the labour market effects of the influx of TFWS on employment rates of other marginalized groups in construction occupations. Drawing upon labour market segmentation theory, this study finds that the proportion of traditionally underrepresented workers in construction occupations was essentially unchanged over the study period. These groups of workers experienced higher-than-average employment volitility and remain a secondary source of labour supply. This study also finds that TFWS have become a new, hyperflexible source of secondary labour. The article discusses possible explanations for the findings and evaluates the effectiveness of the government’s ten-year strategy. IN 2007, THE ALBERTA GOVERNMENT and the Alberta construction industry developed a ten-year strategy to increase the participation of women, youth, Indigenous peoples, and immigrants in construction occupations. At the same time, construction employers began turning to temporary foreign workers (TFWS) as an alternative labour supply, and the number of TFWS working in Alberta construction jumped dramatically. This article examines the labour market effects of the influx of TFWS on employment rates of other marginalized groups in construction occupations. Drawing upon labour market segmentation theory, this study finds that the proportion of traditionally underrepresented workers in construction occupations was essentially unchanged over the study period. These groups of workers experienced higher-than-average employment volitility and remain a secondary source of labour supply. This study also finds that TFWS have become a new, hyperflexible source of secondary labour. The article discusses possible explanations for the findings and evaluates the effectiveness of the government’s ten-year strategy.
This publication has no Abstract to dispaly

Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches. Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches.
This publication has no Abstract to dispaly

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

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

In this paper, I illustrate how race and class hierarchies mark Filipino temporary foreign workers as foreign ‘others’. Because public spaces are structured in gendered and racialized ways, Filipino migrants have to carefully navigate public spaces to ensure their safety and create their own spaces of belonging that give them refuge against xenophobia. I argue further that the paradoxical discourses of multicultural inclusion and economic protectionism invoke the figure of the ‘good’ migrant and the ‘bad’ migrant. These, in turn, promote contradictory actions towards migrants, whose public acceptance hinge on wildly variable and changing notions of inclusion/ exclusion and economic acceptability. These lead to the passage of inconsistent policies where migrants are read as being ‘good’ one day, and as being ‘bad’ the next. In this paper, I illustrate how race and class hierarchies mark Filipino temporary foreign workers as foreign ‘others’. Because public spaces are structured in gendered and racialized ways, Filipino migrants have to carefully navigate public spaces to ensure their safety and create their own spaces of belonging that give them refuge against xenophobia. I argue further that the paradoxical discourses of multicultural inclusion and economic protectionism invoke the figure of the ‘good’ migrant and the ‘bad’ migrant. These, in turn, promote contradictory actions towards migrants, whose public acceptance hinge on wildly variable and changing notions of inclusion/ exclusion and economic acceptability. These lead to the passage of inconsistent policies where migrants are read as being ‘good’ one day, and as being ‘bad’ the next.
This publication has no Abstract to dispaly

Inequities in social determinants of health create a strain that may cause increased engagement in criminal behavior. Furthermore, immigrants may face greater inequities in social determinants than their Canadian-born counterparts. Personal experiences of adult, male immigrant ex-offenders in Alberta were examined to study various circumstances that contributed to their criminal behavior. The participants were in consensus that social determinants of health such as income, education, employment, stress and health risk behaviors have led them to commit crime. Increased research and intervention on risk factors, as well as creating targeted crime prevention programs, are recommended. Inequities in social determinants of health create a strain that may cause increased engagement in criminal behavior. Furthermore, immigrants may face greater inequities in social determinants than their Canadian-born counterparts. Personal experiences of adult, male immigrant ex-offenders in Alberta were examined to study various circumstances that contributed to their criminal behavior. The participants were in consensus that social determinants of health such as income, education, employment, stress and health risk behaviors have led them to commit crime. Increased research and intervention on risk factors, as well as creating targeted crime prevention programs, are recommended.
This publication has no Abstract to dispaly

This study sought to examine the challenges encountered by immigrant-serving agencies in meeting the health needs of temporary foreign workers and their families in one Canadian province. Some of the challenges that agencies face in delivering programs and services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers’ reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers. This study sought to examine the challenges encountered by immigrant-serving agencies in meeting the health needs of temporary foreign workers and their families in one Canadian province. Some of the challenges that agencies face in delivering programs and services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers’ reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers.
This publication has no Abstract to dispaly