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 If you come across a link that is no longer active, please let us know and we can update it.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

An ethnographic investigation of the maternity healthcare experience of immigrants in rural and urban Alberta, Canada

Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination. Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination.
This publication has no Abstract to dispaly

Is Universal Screening Necessary? Incidence of Tuberculosis among Tibetan Refugees Arriving in Calgary, Alberta

Canadian policy requires refugees with a history of tuberculosis (TB) or abnormal chest radiograph to be screened after arrival for TB. However, Tibetan refugees are screened, regardless of preimmigration assessment. We sought to determine the incidence of latent (LTBI) and active TB, as well as treatment-related outcomes and associations between preimmigration factors and TB infection among Tibetan refugees arriving in Calgary, Alberta. We found no associations between preimmigration factors and treatment completion. A case of active TB was detected and treated. Within this cohort, the case of active TB would have been detected through the usual postsurveillance process due to a history of TB and abnormal chest radiograph. Forty-nine percent had LTBI, compared to previously quoted rates of 97 percent. Tibetan refugees should be screened for TB in a similar manner to other refugees resettling in Canada. Canadian policy requires refugees with a history of tuberculosis (TB) or abnormal chest radiograph to be screened after arrival for TB. However, Tibetan refugees are screened, regardless of preimmigration assessment. We sought to determine the incidence of latent (LTBI) and active TB, as well as treatment-related outcomes and associations between preimmigration factors and TB infection among Tibetan refugees arriving in Calgary, Alberta. We found no associations between preimmigration factors and treatment completion. A case of active TB was detected and treated. Within this cohort, the case of active TB would have been detected through the usual postsurveillance process due to a history of TB and abnormal chest radiograph. Forty-nine percent had LTBI, compared to previously quoted rates of 97 percent. Tibetan refugees should be screened for TB in a similar manner to other refugees resettling in Canada.
This publication has no Abstract to dispaly

Capital, distinction, and racialized habitus: immigrant youth in the educational field

Chinese Canadian youth are usually represented as a model minority and are therefore rendered invisible in identity debates. This paper examines how racism affects the identity construction of Chinese youth in different school fields. Particularly, I raise and discuss a theoretical concept, racialized habitus, which is manifested as both intergroup exclusion and intragroup distinction. This study indicates the continuing significance of research on racism. It calls for challenging racism as an act of distinction, habitus, and action, as well as a discursive practice of discourse. Chinese Canadian youth are usually represented as a model minority and are therefore rendered invisible in identity debates. This paper examines how racism affects the identity construction of Chinese youth in different school fields. Particularly, I raise and discuss a theoretical concept, racialized habitus, which is manifested as both intergroup exclusion and intragroup distinction. This study indicates the continuing significance of research on racism. It calls for challenging racism as an act of distinction, habitus, and action, as well as a discursive practice of discourse.
This publication has no Abstract to dispaly

“If they tell me to get it, I’ll get it. If they don’t….”: Immunization decision-making processes of immigrant mothers

This paper aims to understand information-gathering and decision-making processes of immigrant mothers for scheduled childhood vaccines, vaccination during pregnancy, seasonal flu and pandemic vaccination. Our three main findings on information gathering and use in vaccination decisions were: 1) participants in all three communities passively received immunization information. Most mothers learned about vaccine practices exclusively from health care practitioners during scheduled visits. Social networks were primary sources of information in origin countries but were lost during immigration to Canada; 2) participants demonstrated universal trust in vaccines (i.e., no anti-vaccination sentiment). They were comfortable in receiving vaccines for themselves and their children, regardless of past adverse reactions; 3) participants’ recollection of the H1N1 vaccination campaign was almost nil, demonstrating the lack of reach of public health vaccination campaigns to designated priority groups (pregnant women and children) in Alberta. Our results highlight the limitations of Alberta’s current vaccination communication strategies in reaching immigrant women. When immigrant mothers receive vaccination information, our results indicate they will likely follow recommendations. However, our study shows that current communication strategies are not making this information accessible to immigrant women, which limits their ability to make informed vaccination decisions for themselves and their children. This paper aims to understand information-gathering and decision-making processes of immigrant mothers for scheduled childhood vaccines, vaccination during pregnancy, seasonal flu and pandemic vaccination. Our three main findings on information gathering and use in vaccination decisions were: 1) participants in all three communities passively received immunization information. Most mothers learned about vaccine practices exclusively from health care practitioners during scheduled visits. Social networks were primary sources of information in origin countries but were lost during immigration to Canada; 2) participants demonstrated universal trust in vaccines (i.e., no anti-vaccination sentiment). They were comfortable in receiving vaccines for themselves and their children, regardless of past adverse reactions; 3) participants’ recollection of the H1N1 vaccination campaign was almost nil, demonstrating the lack of reach of public health vaccination campaigns to designated priority groups (pregnant women and children) in Alberta. Our results highlight the limitations of Alberta’s current vaccination communication strategies in reaching immigrant women. When immigrant mothers receive vaccination information, our results indicate they will likely follow recommendations. However, our study shows that current communication strategies are not making this information accessible to immigrant women, which limits their ability to make informed vaccination decisions for themselves and their children.
This publication has no Abstract to dispaly

Insiders and outsiders: social change, deviant others, and sense of community in a boomtown

In the last decade, the city of Fort McMurray, Alberta has undergone significant social changes due to the rapid growth of the oilsands industry in and around the city. In this short period of time, Fort Murray’s population has more than doubled attracting migrants from all over Canada and internationally to fill labor shortages in the city. In the process, Fort McMurray has become a twenty-first century boomtown. This article examines how young people and (adult) key informants perceived disorder, crime, risk, and boomtown living. It was found that participants drew a sharp distinction between those who contributed to the community by making Fort McMurray a home (the insiders) and those who did not (the outsiders). Blame for many of the negative aspects (i.e., disorder, crime, and risks) that came along with boomtown living was attributed to these outsiders. In the last decade, the city of Fort McMurray, Alberta has undergone significant social changes due to the rapid growth of the oilsands industry in and around the city. In this short period of time, Fort Murray’s population has more than doubled attracting migrants from all over Canada and internationally to fill labor shortages in the city. In the process, Fort McMurray has become a twenty-first century boomtown. This article examines how young people and (adult) key informants perceived disorder, crime, risk, and boomtown living. It was found that participants drew a sharp distinction between those who contributed to the community by making Fort McMurray a home (the insiders) and those who did not (the outsiders). Blame for many of the negative aspects (i.e., disorder, crime, and risks) that came along with boomtown living was attributed to these outsiders.
This publication has no Abstract to dispaly

Two Multicultural Debates and the Lived Experiences of Chinese-Canadian Youth

This paper examines the lived experiences of Chinese-Canadian youth in Alberta in relation to two multiculturalism debates: multiculturalism as a politics of recognition and multiculturalism as a cohesive force. It focuses on three themes of their lived experiences, which include racial discrimination and stereotypes in school; biased media representation; and the relationship between ethnic language maintenance, sense of belonging and multiculturalism policy within a bilingual framework. Two findings are highlighted in this paper. First, the racism youth experienced at school and the racist discourse against Chinese-Canadian students found in Canadian media indicate that Chinese Canadians as racialized and ethnic minorities have not been recognized and treated as equal partners in social interactions with the White dominant group. The multicultural policy focus and task of addressing racism in the 1980s has yet to be finished despite current multicultural policy having a new focus. Second, multiculturalism within a bilingual framework is more an assimilating force than a divisive one. Given the separation of language rights and cultural rights as well as the strong linguistic and cultural assimilation forces in major Canadian institutions, it is less likely for Chinese-Canadian youth to maintain their ethnic language and culture. The main factor that affects their sense of belonging to Canada is the racism in Canadian society rather than the symbolic recognition of diversity that multiculturalism encourages. This paper examines the lived experiences of Chinese-Canadian youth in Alberta in relation to two multiculturalism debates: multiculturalism as a politics of recognition and multiculturalism as a cohesive force. It focuses on three themes of their lived experiences, which include racial discrimination and stereotypes in school; biased media representation; and the relationship between ethnic language maintenance, sense of belonging and multiculturalism policy within a bilingual framework. Two findings are highlighted in this paper. First, the racism youth experienced at school and the racist discourse against Chinese-Canadian students found in Canadian media indicate that Chinese Canadians as racialized and ethnic minorities have not been recognized and treated as equal partners in social interactions with the White dominant group. The multicultural policy focus and task of addressing racism in the 1980s has yet to be finished despite current multicultural policy having a new focus. Second, multiculturalism within a bilingual framework is more an assimilating force than a divisive one. Given the separation of language rights and cultural rights as well as the strong linguistic and cultural assimilation forces in major Canadian institutions, it is less likely for Chinese-Canadian youth to maintain their ethnic language and culture. The main factor that affects their sense of belonging to Canada is the racism in Canadian society rather than the symbolic recognition of diversity that multiculturalism encourages.
This publication has no Abstract to dispaly

La conciliation travail-études : défis et réalité pour les jeunes élèves africains noirs de Brooks

To meet their essential needs or those of their families, young black African immigrants from 15 to 24 years of age living in Brooks, Alberta, Canada, are trying to reconcile full-time night work with full-time school attendance. In most cases employers comply with the regulations on employment of children in Alberta, but no one can state with certainty that the age limit for this kind of employment is always observed. This pilot research examines the social impact of such work and study arrangements on young Francophone immigrants. To meet their essential needs or those of their families, young black African immigrants from 15 to 24 years of age living in Brooks, Alberta, Canada, are trying to reconcile full-time night work with full-time school attendance. In most cases employers comply with the regulations on employment of children in Alberta, but no one can state with certainty that the age limit for this kind of employment is always observed. This pilot research examines the social impact of such work and study arrangements on young Francophone immigrants.
This publication has no Abstract to dispaly

The Ethnic and National Identity of South Asian Immigrant Seniors Living in Edmonton, Canada

The Canadian population is aging and also becoming more ethnically diverse. This study examined differences in identities among South Asian seniors who immigrated at different life stages with different lengths of residency in Canada. We interviewed 161 immigrants of South Asian descent in Edmonton, Canada, aged 60 and older about their ethnic/national identity, transnational ties, cultural retention and practices, and participation in and concerns about life in Canada. Our findings show that women were more likely than men to see themselves as more South Asian than Canadian. Furthermore, logistic regression analysis showed that older age at immigration and low English-language proficiency were significant predictors of ethnic identity. These findings indicated the importance of language for ethnic and national (Canadian) identity and revealed that South Asian immigrant elders who came to Canada in later life tended to retain their ethnic identities, while immigrant elders who came to Canada earlier in life were more likely to have developed a bicultural identity that incorporated both ethnic and Canadian identity. Related to the notion of bicultural identity, strong transnational ties with the country of origin were associated with greater participation in Canadian society. The Canadian population is aging and also becoming more ethnically diverse. This study examined differences in identities among South Asian seniors who immigrated at different life stages with different lengths of residency in Canada. We interviewed 161 immigrants of South Asian descent in Edmonton, Canada, aged 60 and older about their ethnic/national identity, transnational ties, cultural retention and practices, and participation in and concerns about life in Canada. Our findings show that women were more likely than men to see themselves as more South Asian than Canadian. Furthermore, logistic regression analysis showed that older age at immigration and low English-language proficiency were significant predictors of ethnic identity. These findings indicated the importance of language for ethnic and national (Canadian) identity and revealed that South Asian immigrant elders who came to Canada in later life tended to retain their ethnic identities, while immigrant elders who came to Canada earlier in life were more likely to have developed a bicultural identity that incorporated both ethnic and Canadian identity. Related to the notion of bicultural identity, strong transnational ties with the country of origin were associated with greater participation in Canadian society.
This publication has no Abstract to dispaly

A Conceptual Model of the Retrospective Accounts of Chinese Adults Who Immigrated to Canada as Children

This phenomenological study explores the retrospective accounts of 11 Chinese immigrant adults (9 F, 2 M) who immigrated to Canada when they were children. Six categories and 31 themes were extracted during the analysis of the transcripts. The categories include: (a) Adjusting to a Different Culture; (b) Family; (c) Language; (d) Environment; (e) Friendships; and (f) Self and Identity. Counsellors need to be aware of the challenges faced by immigrant children in their new life in Canada, both inside as well as outside the school system. They need to learn about the cultural background of such children to understand the differences and potential conflicts and issues that these children may face in the process of adjustment. This phenomenological study explores the retrospective accounts of 11 Chinese immigrant adults (9 F, 2 M) who immigrated to Canada when they were children. Six categories and 31 themes were extracted during the analysis of the transcripts. The categories include: (a) Adjusting to a Different Culture; (b) Family; (c) Language; (d) Environment; (e) Friendships; and (f) Self and Identity. Counsellors need to be aware of the challenges faced by immigrant children in their new life in Canada, both inside as well as outside the school system. They need to learn about the cultural background of such children to understand the differences and potential conflicts and issues that these children may face in the process of adjustment.
This publication has no Abstract to dispaly

A Tuberculosis Screening and Chemoprophylaxis Project in Children from a High Risk Population in Edmonton, Alberta

Current recommendations for tuberculosis control are to screen high risk populations and provide chemoprophylaxis for those infected. In Edmonton, Alberta, one strategy has been to identify and provide TB skin tests to newly arrived immigrant school age children from TB endemic areas. The difficulty has been in identifying these children in the school population. This article describes a process tried in 1993–94 to find a better approach and to determine the outcome of a concentrated effort at screening and follow-up of this population. Using this method, 1,146 students were TB skin tested using 5tu PPD: 15% showed significant reactions (10mm), 89% were offered chemoprophylaxis, and 68% of those offered (84% of those accepting) completed 9 months of chemoprophylaxis. The success of this process was dependent on the dedicated follow-up provided by the specialty public health clinic devoted to the prevention and treatment of tuberculosis. Current recommendations for tuberculosis control are to screen high risk populations and provide chemoprophylaxis for those infected. In Edmonton, Alberta, one strategy has been to identify and provide TB skin tests to newly arrived immigrant school age children from TB endemic areas. The difficulty has been in identifying these children in the school population. This article describes a process tried in 1993–94 to find a better approach and to determine the outcome of a concentrated effort at screening and follow-up of this population. Using this method, 1,146 students were TB skin tested using 5tu PPD: 15% showed significant reactions (10mm), 89% were offered chemoprophylaxis, and 68% of those offered (84% of those accepting) completed 9 months of chemoprophylaxis. The success of this process was dependent on the dedicated follow-up provided by the specialty public health clinic devoted to the prevention and treatment of tuberculosis.
This publication has no Abstract to dispaly