Research Library

This research is on immigrant housing and homelessness, identifying the factors that explain immigrant housing vulnerability. The data collected from people accessing housing services in various cities of Alberta show that employment is an important predictor of positive housing situation among immigrants accessing housing supports. Moreover, living in a larger city, having a mental illness and being married were protective factors from living in a precarious housing situation. Addiction and being precariously employed were, however, associated with an increase in the risk of living in a precarious housing situation. This research is on immigrant housing and homelessness, identifying the factors that explain immigrant housing vulnerability. The data collected from people accessing housing services in various cities of Alberta show that employment is an important predictor of positive housing situation among immigrants accessing housing supports. Moreover, living in a larger city, having a mental illness and being married were protective factors from living in a precarious housing situation. Addiction and being precariously employed were, however, associated with an increase in the risk of living in a precarious housing situation.
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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

Canadian epidemiological data suggest an increasing number of HIV infections among people from HIV-endemic countries, including sub-Saharan Africa. The purpose of this paper is to study the lived experiences of African immigrants living with HIV in Canada. The researchers found several narrative threads related to: stigma, social, and family exclusion; as well as HIV illness as a complex personal, familial, and social experience. Also, narratives across different geographic and social spaces shaped the complex experience among African immigrants living with HIV in Canada. The intent of this research was to demonstrate a deeper understanding of lived experience, among African immigrants living with HIV in Canada. It is important to understand social factors and the experience of HIV-related stigma because such experiences impact access to health and social services, as well as health and social outcomes of immigrants living with HIV. Based on the findings of this study, further research is needed to: study more closely the familial contexts of African families affected by HIV in Canada; explore the social and political landscapes that impact the experience of HIV illness and related stigma in Canada, in the context of migration and settlement; and examine the relationship between these experiences and the health and social outcomes of African immigrants living with HIV in Canada. Canadian epidemiological data suggest an increasing number of HIV infections among people from HIV-endemic countries, including sub-Saharan Africa. The purpose of this paper is to study the lived experiences of African immigrants living with HIV in Canada. The researchers found several narrative threads related to: stigma, social, and family exclusion; as well as HIV illness as a complex personal, familial, and social experience. Also, narratives across different geographic and social spaces shaped the complex experience among African immigrants living with HIV in Canada. The intent of this research was to demonstrate a deeper understanding of lived experience, among African immigrants living with HIV in Canada. It is important to understand social factors and the experience of HIV-related stigma because such experiences impact access to health and social services, as well as health and social outcomes of immigrants living with HIV. Based on the findings of this study, further research is needed to: study more closely the familial contexts of African families affected by HIV in Canada; explore the social and political landscapes that impact the experience of HIV illness and related stigma in Canada, in the context of migration and settlement; and examine the relationship between these experiences and the health and social outcomes of African immigrants living with HIV in Canada.
This publication has no Abstract to dispaly

New immigrants generally arrive in Canada with a health advantage over their Canadian counterparts, but lose that advantage over time. Difficulties in acquiring a physician may contribute. Past studies relied on older data, and lacked control for many confounders and assessment of gender differences. We assessed the relationship between immigrant status and having a regular doctor among Canadian adults. New Canadian immigrants are less likely to have a regular doctor compared to non-immigrants, and should be targeted by policies and programs facilitating finding a doctor. New immigrants generally arrive in Canada with a health advantage over their Canadian counterparts, but lose that advantage over time. Difficulties in acquiring a physician may contribute. Past studies relied on older data, and lacked control for many confounders and assessment of gender differences. We assessed the relationship between immigrant status and having a regular doctor among Canadian adults. New Canadian immigrants are less likely to have a regular doctor compared to non-immigrants, and should be targeted by policies and programs facilitating finding a doctor.
This publication has no Abstract to dispaly

Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada. Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada.
This publication has no Abstract to dispaly

This research explores the value of the federally funded Local Immigration Partnership (LIP) as it expands to Alberta and other provinces across Canada. While labour market demands make the recruitment and retention of immigrants a serious policy problem in smaller, more isolated centres, the existing academic literature has highlighted the importance of local settlement support services. In smaller centres, these services, if they are available, are delivered by a range of federal, provincial and municipal government agencies, acting in partnership with a range of Non-Governmental Organizations. There has been concern that there is a lack of cohesion in this policy network, which is particularly problematic given the network’s vital role in delivering services. Academic research indicates that relevant community actors are not sufficiently connected on immigration issues, and the LIP program has been designed as an information-based policy instrument, providing funding to help organize networked service delivery more effectively – this is seen as a low-cost strategy for improving immigration support in smaller cities. Regions of Canada vary in their strengths and in their challenges, and the LIP program’s focus on enhancing existing immigration-sector networks seeks to account for these differences. This project presents a case study of Lloydminster, Alberta to test the potential applicability and receptivity of the LIP program in a rurally located, economically booming, small Western Canadian city. Lloydminster’s immigration-sector network has improved on its own over time; but organizations on the periphery still feel disconnected, which is negatively impacting immigrant integration. From the data collected through this project, it is clear that a Local Immigration Partnership has the potential to improve the network in Lloydminster, and that the relevant community actors see real benefits in this approach to immigration policy. This research explores the value of the federally funded Local Immigration Partnership (LIP) as it expands to Alberta and other provinces across Canada. While labour market demands make the recruitment and retention of immigrants a serious policy problem in smaller, more isolated centres, the existing academic literature has highlighted the importance of local settlement support services. In smaller centres, these services, if they are available, are delivered by a range of federal, provincial and municipal government agencies, acting in partnership with a range of Non-Governmental Organizations. There has been concern that there is a lack of cohesion in this policy network, which is particularly problematic given the network’s vital role in delivering services. Academic research indicates that relevant community actors are not sufficiently connected on immigration issues, and the LIP program has been designed as an information-based policy instrument, providing funding to help organize networked service delivery more effectively – this is seen as a low-cost strategy for improving immigration support in smaller cities. Regions of Canada vary in their strengths and in their challenges, and the LIP program’s focus on enhancing existing immigration-sector networks seeks to account for these differences. This project presents a case study of Lloydminster, Alberta to test the potential applicability and receptivity of the LIP program in a rurally located, economically booming, small Western Canadian city. Lloydminster’s immigration-sector network has improved on its own over time; but organizations on the periphery still feel disconnected, which is negatively impacting immigrant integration. From the data collected through this project, it is clear that a Local Immigration Partnership has the potential to improve the network in Lloydminster, and that the relevant community actors see real benefits in this approach to immigration policy.
This publication has no Abstract to dispaly

Provincial governments increasingly develop strategies that attract immigrants to settle in the Prairie Provinces. Although considerable research examines the role of settlement services in larger cities such as Toronto, Montreal, and Vancouver, there is less information regarding mid-sized cities. Increasingly, newcomers are moving to Manitoba and Alberta due to real or perceived economic opportunities. Unfortunately, some immigrants experience difficulties during their settlement process, and their varied needs create challenges for immigrant-serving organizations as they develop programs. This study explores how philosophies of empowerment influence service providers and their programs for working with professional newcomers searching for meaningful employment. Semi-structured interviews with 21 service providers in Edmonton and Winnipeg illustrate how tensions between competing notions of empowerment and neoliberal ideologies interact to guide how service providers assist immigrants. Although empowerment is a goal of service provision, limited funding and resources may constrain the advocacy role of organizations. Provincial governments increasingly develop strategies that attract immigrants to settle in the Prairie Provinces. Although considerable research examines the role of settlement services in larger cities such as Toronto, Montreal, and Vancouver, there is less information regarding mid-sized cities. Increasingly, newcomers are moving to Manitoba and Alberta due to real or perceived economic opportunities. Unfortunately, some immigrants experience difficulties during their settlement process, and their varied needs create challenges for immigrant-serving organizations as they develop programs. This study explores how philosophies of empowerment influence service providers and their programs for working with professional newcomers searching for meaningful employment. Semi-structured interviews with 21 service providers in Edmonton and Winnipeg illustrate how tensions between competing notions of empowerment and neoliberal ideologies interact to guide how service providers assist immigrants. Although empowerment is a goal of service provision, limited funding and resources may constrain the advocacy role of organizations.
This publication has no Abstract to dispaly

This paper examines the relationships between self-reported loneliness and living arrangements. A questionnaire with some open-ended questions was administered face-to-face in English, Hindi or Punjabi to a sample of 161 elderly South Asian immigrants 60 or more years of age living in Edmonton, Alberta, Canada in 2003. The majority of respondents said that they never felt lonely. More than one in three (37.3%) respondents indicated that they felt lonely occasionally, frequently or all of the time. Those living alone were significantly more likely to report feeling lonely at least occasionally than were those living with others, especially those living with their spouse in an extended family. The fact that South Asian immigrant seniors typically lived with others, often in an extended family with or without their spouse, and rarely lived alone protected them to some extent from loneliness. However, our findings showed that among those living with others, it was the amount of waking time spent alone at home and the quality of family relationships rather than living arrangement per se that significantly predicted self-reported loneliness. Nevertheless, living in a larger household was associated with spending less time alone. This paper examines the relationships between self-reported loneliness and living arrangements. A questionnaire with some open-ended questions was administered face-to-face in English, Hindi or Punjabi to a sample of 161 elderly South Asian immigrants 60 or more years of age living in Edmonton, Alberta, Canada in 2003. The majority of respondents said that they never felt lonely. More than one in three (37.3%) respondents indicated that they felt lonely occasionally, frequently or all of the time. Those living alone were significantly more likely to report feeling lonely at least occasionally than were those living with others, especially those living with their spouse in an extended family. The fact that South Asian immigrant seniors typically lived with others, often in an extended family with or without their spouse, and rarely lived alone protected them to some extent from loneliness. However, our findings showed that among those living with others, it was the amount of waking time spent alone at home and the quality of family relationships rather than living arrangement per se that significantly predicted self-reported loneliness. Nevertheless, living in a larger household was associated with spending less time alone.
This publication has no Abstract to dispaly

Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care. Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care.
This publication has no Abstract to dispaly

This paper explores the Canadian Temporary Foreign Worker Program (TFWP). Our case studies of temporary foreign workers in nursing and trades in Alberta suggest that the TFWP encourages low trust and sense of belonging among migrant workers and resistance from domestic workers because it promotes inequality and exclusion. The inability of most migrant workers to access settlement services, to bring families, to change employers, or to enroll in further education and training overtly discourages their integration into the local community. The TFWP also impacts the domestic workforce and citizenry by creating a new class of workers and non-citizens without the same rights. The dynamics observed at a workplace level predictably impact local communities and Canadian society overall: patterns of diversity are destabilized, values of fairness and equal opportunity are challenged, and norms of reciprocity are weakened. This paper explores the Canadian Temporary Foreign Worker Program (TFWP). Our case studies of temporary foreign workers in nursing and trades in Alberta suggest that the TFWP encourages low trust and sense of belonging among migrant workers and resistance from domestic workers because it promotes inequality and exclusion. The inability of most migrant workers to access settlement services, to bring families, to change employers, or to enroll in further education and training overtly discourages their integration into the local community. The TFWP also impacts the domestic workforce and citizenry by creating a new class of workers and non-citizens without the same rights. The dynamics observed at a workplace level predictably impact local communities and Canadian society overall: patterns of diversity are destabilized, values of fairness and equal opportunity are challenged, and norms of reciprocity are weakened.
This publication has no Abstract to dispaly