Research Library

Racialized, low-income, and migrant communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. This article is a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. Stakeholder respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). Suggested improvements include increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities. Racialized, low-income, and migrant communities in East and Northeast Calgary were disproportionately impacted by COVID-19, yet faced vaccine access barriers. This article is a formative evaluation of a low-barrier, community-engaged vaccine outreach clinic in Calgary, Alberta, Canada, on June 5–6, 2021. Stakeholder respondents felt the clinic was effective (99.2%), efficient (96.9%), patient-centered (92.3%), and safe (90.8%), and that the outreach model was scalable 94.6% (123/130). Suggested improvements include increased time for clinic planning and promotion, more multilingual staff, and further efforts to reduce accessibility barriers, such as priority check-in for people with disabilities. These findings support the value of community-engaged outreach to improve vaccine equity among other marginalized newcomer communities.
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Administrative data was used to study COVID-19 vaccine coverage in immigrants and refugees compared to the Canadian-born population. Broadly, immigrants and refugees (78.2%) had comparable vaccine coverage to Canadian-born individuals (76%). However, initiatives to improve vaccine coverage is needed for older immigrants, immigrants in rural areas, and immigrants from certain ethnicities. Administrative data was used to study COVID-19 vaccine coverage in immigrants and refugees compared to the Canadian-born population. Broadly, immigrants and refugees (78.2%) had comparable vaccine coverage to Canadian-born individuals (76%). However, initiatives to improve vaccine coverage is needed for older immigrants, immigrants in rural areas, and immigrants from certain ethnicities.
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This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts. This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts.
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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.
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This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic. This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic.
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Although Canada is recognized internationally as a leader in immigration policy, supports are not responsive to the traumatic experiences of many newcomers. Many mothers and children arriving in Canada are at elevated risk of homelessness. Individual and group interviews with 18 newcomer mothers with current or recent experiences with homelessness and with 16 service providers working in multiple sectors were conducted. Three main themes emerged: gendered and racialized pathways into homelessness; system failures, and pre- and post-migration trauma. This study revealed structural barriers rooted in preoccupation with economic success that negate and exacerbate the effects of violence and homelessness. The impacts of structural discrimination and violence are embedded in federal policy. It is critical to posit gender and culturally appropriate alternatives that focus on system issues. Although Canada is recognized internationally as a leader in immigration policy, supports are not responsive to the traumatic experiences of many newcomers. Many mothers and children arriving in Canada are at elevated risk of homelessness. Individual and group interviews with 18 newcomer mothers with current or recent experiences with homelessness and with 16 service providers working in multiple sectors were conducted. Three main themes emerged: gendered and racialized pathways into homelessness; system failures, and pre- and post-migration trauma. This study revealed structural barriers rooted in preoccupation with economic success that negate and exacerbate the effects of violence and homelessness. The impacts of structural discrimination and violence are embedded in federal policy. It is critical to posit gender and culturally appropriate alternatives that focus on system issues.
This publication has no Abstract to dispaly

This study investigated how refugees in Edmonton, Alberta descend into homelessness. We conducted interviews with 19 adult refugees from Afghanistan, Congo, Ethiopia, Iraq, Pakistan, Rwanda, Somalia, Sudan, and Syria. All of them experienced homelessness after their arrival. We also did focus groups with housing support workers. These conversations helped us to identify several types of critical incidents that can lead refugees to become homeless after migration. These incidents are: (a) abandonment by or conflict with their sponsor(s), (b) abandonment by settlement counsellors/housing case workers, (c) sudden rent increases, (d) discrimination by landlords or neighbors, and (e) property infestations. These incidents sometimes become paired with long waiting lists for subsidized housing and a lack of knowledge of Canada’s official languages and housing system. This combination create circumstances in which refugees are most likely to become homeless. This study also highlighted critical loopholes in immigration policy implementation. We argue that these loopholes need to be addressed as soon as possible to improve refugee housing outcomes. This study investigated how refugees in Edmonton, Alberta descend into homelessness. We conducted interviews with 19 adult refugees from Afghanistan, Congo, Ethiopia, Iraq, Pakistan, Rwanda, Somalia, Sudan, and Syria. All of them experienced homelessness after their arrival. We also did focus groups with housing support workers. These conversations helped us to identify several types of critical incidents that can lead refugees to become homeless after migration. These incidents are: (a) abandonment by or conflict with their sponsor(s), (b) abandonment by settlement counsellors/housing case workers, (c) sudden rent increases, (d) discrimination by landlords or neighbors, and (e) property infestations. These incidents sometimes become paired with long waiting lists for subsidized housing and a lack of knowledge of Canada’s official languages and housing system. This combination create circumstances in which refugees are most likely to become homeless. This study also highlighted critical loopholes in immigration policy implementation. We argue that these loopholes need to be addressed as soon as possible to improve refugee housing outcomes.
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This study endeavors to systematize the classification of communities where immigrants are destined to settle. It also explores the issue of spatial segmentation in two such places in Alberta—Edmonton and Calgary. In both metropolitan areas, ethnic spatial segmentation exists, but not at the same scale as in a large metropolis like Toronto. Both metropolitan areas still have a substantial population of established white Canadians who identify as Germans or Ukrainians, although most of them reside in rural parts of these two areas. However, the rest of the urban landscapes is a mix of the white Canadians and recently arrived visible minorities. This study endeavors to systematize the classification of communities where immigrants are destined to settle. It also explores the issue of spatial segmentation in two such places in Alberta—Edmonton and Calgary. In both metropolitan areas, ethnic spatial segmentation exists, but not at the same scale as in a large metropolis like Toronto. Both metropolitan areas still have a substantial population of established white Canadians who identify as Germans or Ukrainians, although most of them reside in rural parts of these two areas. However, the rest of the urban landscapes is a mix of the white Canadians and recently arrived visible minorities.
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The study explores the challenges faced by refugees and how social justice-oriented counselling can help them overcome these challenges. The research involved in-depth, semi-structured interviews with 20 refugees who had experienced homelessness. The findings reveal that refugees face multiple challenges, including language barriers, lack of social support, and limited access to resources. Social justice-oriented counselling was found to be effective in helping refugees overcome these challenges and find a better life. The study offers insights into how counselling can be tailored to meet the unique needs of refugees and promote social justice. The study explores the challenges faced by refugees and how social justice-oriented counselling can help them overcome these challenges. The research involved in-depth, semi-structured interviews with 20 refugees who had experienced homelessness. The findings reveal that refugees face multiple challenges, including language barriers, lack of social support, and limited access to resources. Social justice-oriented counselling was found to be effective in helping refugees overcome these challenges and find a better life. The study offers insights into how counselling can be tailored to meet the unique needs of refugees and promote social justice.
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This study explores the relationship between residential overcrowding among immigrants and hidden homelessness in Canada. It presents mixed evidence on the link between residential overcrowding and hidden homelessness, as well as reflections on unique avoidance strategies used by immigrant communities to keep their co-ethnics off the streets and out of homeless shelters. While the research does not focus specifically on Calgary and Edmonton, it includes data on these cities as part of a larger study on hidden homelessness in Canada. This may be of interest to policymakers, researchers, and advocates working to address homelessness and housing insecurity in these cities and beyond. This study explores the relationship between residential overcrowding among immigrants and hidden homelessness in Canada. It presents mixed evidence on the link between residential overcrowding and hidden homelessness, as well as reflections on unique avoidance strategies used by immigrant communities to keep their co-ethnics off the streets and out of homeless shelters. While the research does not focus specifically on Calgary and Edmonton, it includes data on these cities as part of a larger study on hidden homelessness in Canada. This may be of interest to policymakers, researchers, and advocates working to address homelessness and housing insecurity in these cities and beyond.
This publication has no Abstract to dispaly