Research Library

The perspective of immigrant communities on priorities and potential solutions to health care access has not been extensively researched. A research initiative that involved grassroots community members as producers of research priorities on primary care access issues is described in this article. Bangladeshi-Canadians living in Calgary, AB completed a survey where they ranked primary healthcare priorities. Lack of resources, lack of knowledge, health care cost, and workplace-related barriers were among the top-ranked topics identified as solution-oriented research priorities. Through partnerships and reciprocal learning, public input can increase insider perspectives to help develop interventions that align with the needs of community members. The perspective of immigrant communities on priorities and potential solutions to health care access has not been extensively researched. A research initiative that involved grassroots community members as producers of research priorities on primary care access issues is described in this article. Bangladeshi-Canadians living in Calgary, AB completed a survey where they ranked primary healthcare priorities. Lack of resources, lack of knowledge, health care cost, and workplace-related barriers were among the top-ranked topics identified as solution-oriented research priorities. Through partnerships and reciprocal learning, public input can increase insider perspectives to help develop interventions that align with the needs of community members.
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This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions. This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions.
This publication has no Abstract to dispaly

About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project. About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project.
This publication has no Abstract to dispaly

Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications. Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.
This publication has no Abstract to dispaly

African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities. African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities.
This publication has no Abstract to dispaly

Physical activity is essential for healthy aging; however, there has been little exploration of physical activity in Muslim older immigrants in Canada. Over one million Canadians identify as Muslim, the majority is first-generation immigrants, with increasing cohorts entering older age. Interviews and focus groups on physical activity and healthy aging were conducted with 68 older adults and community members from South Asian, Arab, and African Muslim ethnocultural communities in Edmonton, AB. Participants emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. Four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active; (b) health factors: pain and health limitations; (c) social factors: culture, religion, and belonging; and (d) environmental factors: safety and accessibility. Physical activity is essential for healthy aging; however, there has been little exploration of physical activity in Muslim older immigrants in Canada. Over one million Canadians identify as Muslim, the majority is first-generation immigrants, with increasing cohorts entering older age. Interviews and focus groups on physical activity and healthy aging were conducted with 68 older adults and community members from South Asian, Arab, and African Muslim ethnocultural communities in Edmonton, AB. Participants emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. Four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active; (b) health factors: pain and health limitations; (c) social factors: culture, religion, and belonging; and (d) environmental factors: safety and accessibility.
This publication has no Abstract to dispaly

Interviews were used to explore the experiences of immigrant parents in accessing Albertan healthcare services for their children. The findings highlight several challenges faced by immigrant families, including long wait times for health services, income inequity, and language barriers. The study emphasizes the importance of increasing the supply of health professionals, addressing income inequity, and providing trained interpreters to assist immigrant populations. Additionally, developing a therapeutic relationship with immigrants is identified as vital for improving access to healthcare. Interviews were used to explore the experiences of immigrant parents in accessing Albertan healthcare services for their children. The findings highlight several challenges faced by immigrant families, including long wait times for health services, income inequity, and language barriers. The study emphasizes the importance of increasing the supply of health professionals, addressing income inequity, and providing trained interpreters to assist immigrant populations. Additionally, developing a therapeutic relationship with immigrants is identified as vital for improving access to healthcare.
This publication has no Abstract to dispaly

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

Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population. Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population.
This publication has no Abstract to dispaly

The increase in global migration means more immigrants are ageing in host countries with unique experiences and needs. Muslim immigrants in Canada are from diverse ethnocultural communities and experience unmet health and social needs in older age. A community-based participatory research project was conducted in Alberta, Canada, in 2017-2018 to understand the experiences and needs of healthy ageing in this population. Participants were asked about their experiences of growing old in Canada, unmet health and social needs, and community perspectives on healthy ageing. We identified two major themes: (a) intersections of exclusion: ageism, sexism, racism, and; (b) strategies for inclusion: local, national, transnational. Findings highlight both the vulnerability of Muslim immigrant older adults and their capacity for agency. The study findings point to the intersecting influences of exclusionary practices on social isolation and loneliness in immigrant older adults. They also call to adjust developing social policies and programs according to existing exclusionary practices to foster healthy ageing. The increase in global migration means more immigrants are ageing in host countries with unique experiences and needs. Muslim immigrants in Canada are from diverse ethnocultural communities and experience unmet health and social needs in older age. A community-based participatory research project was conducted in Alberta, Canada, in 2017-2018 to understand the experiences and needs of healthy ageing in this population. Participants were asked about their experiences of growing old in Canada, unmet health and social needs, and community perspectives on healthy ageing. We identified two major themes: (a) intersections of exclusion: ageism, sexism, racism, and; (b) strategies for inclusion: local, national, transnational. Findings highlight both the vulnerability of Muslim immigrant older adults and their capacity for agency. The study findings point to the intersecting influences of exclusionary practices on social isolation and loneliness in immigrant older adults. They also call to adjust developing social policies and programs according to existing exclusionary practices to foster healthy ageing.
This publication has no Abstract to dispaly