Research Library

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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Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability. Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability.
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Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA. Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA.
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This study examined barriers that influence access to and use of mental health services by Black youth in Alberta. Interviews and conversation café-style focus groups with the youth highlighted key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths. This study examined barriers that influence access to and use of mental health services by Black youth in Alberta. Interviews and conversation café-style focus groups with the youth highlighted key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths.
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Evidence suggests that despite growing numbers of refugees entering Alberta each year, there may not be enough counsellors equipped to provide helping services. Within the counselling context, refugees are identified as at risk for developing complex psychological challenges, requiring culturally sensitive counselling that incorporates diverse culture and language differences. This case study explored how three Alberta-based mental health professionals provide helpful counselling services to refugees and how they prepared to attain competencies and relevant experiences required for providing appropriate, culturally sensitive interventions to refugees. Evidence suggests that despite growing numbers of refugees entering Alberta each year, there may not be enough counsellors equipped to provide helping services. Within the counselling context, refugees are identified as at risk for developing complex psychological challenges, requiring culturally sensitive counselling that incorporates diverse culture and language differences. This case study explored how three Alberta-based mental health professionals provide helpful counselling services to refugees and how they prepared to attain competencies and relevant experiences required for providing appropriate, culturally sensitive interventions to refugees.
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In this article, we reflect on a comprehensive community-engaged research approach that we undertook to identify the barriers to equitable primary care access among a South Asian (Bangladeshi) immigrant community in Canada. This article summarised the experience of our programme of research and describes our understanding of community-engaged research among an immigrant/racialised community that meaningfully interacts with the community. In this article, we reflect on a comprehensive community-engaged research approach that we undertook to identify the barriers to equitable primary care access among a South Asian (Bangladeshi) immigrant community in Canada. This article summarised the experience of our programme of research and describes our understanding of community-engaged research among an immigrant/racialised community that meaningfully interacts with the community.
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Drawing on in-depth interviews with 13 racialized immigrant women, this research explores experiences of using mental health services in Lethbridge, Alberta. The women’s narratives serve as a thread linking psychiatric, neoliberal, colonial, patriarchal, and other power relations. The treatments focused on the women’s concerns as individualized; the resulting prescription of antidepressants and psychotherapy required self-colonization to relieve their pain, complicating several women’s experiences of using mental health services. Some women found medical interventions beneficial to their wellbeing, while others resisted psychiatric knowledge at various points because of the embodied suffering they faced, and their reliance on conflicting cultural beliefs and healing systems. By analyzing these women’s experiences, I offer a rethinking of the biomedical conceptualization of mental illness as a natural and universally occurring pathology. Ultimately, I argue that current framings of mental illness obscure the intersectional power relations that played an important role in contributing to these women’s distress. Drawing on in-depth interviews with 13 racialized immigrant women, this research explores experiences of using mental health services in Lethbridge, Alberta. The women’s narratives serve as a thread linking psychiatric, neoliberal, colonial, patriarchal, and other power relations. The treatments focused on the women’s concerns as individualized; the resulting prescription of antidepressants and psychotherapy required self-colonization to relieve their pain, complicating several women’s experiences of using mental health services. Some women found medical interventions beneficial to their wellbeing, while others resisted psychiatric knowledge at various points because of the embodied suffering they faced, and their reliance on conflicting cultural beliefs and healing systems. By analyzing these women’s experiences, I offer a rethinking of the biomedical conceptualization of mental illness as a natural and universally occurring pathology. Ultimately, I argue that current framings of mental illness obscure the intersectional power relations that played an important role in contributing to these women’s distress.
This publication has no Abstract to dispaly

Studies on immigrant populations’ access to healthcare in Canada tend to focus on adults and usually concentrate on specific ethnic groups. This study sought to present the experiences of immigrant parents in Edmonton, AB when they access health services for their children focusing specifically on the various sources of information that they used to improve their children’s health. Fifty immigrant parents from Edmonton semi-structured interviews. We developed three main themes from the data: Accessing social networks for informational support, the role of professionals in accessing health care information, and navigating and evaluating information sources. The study demonstrates that immigrant families consulted various sources of information in order to meet their children’s healthcare needs. The most common source was the Internet followed by friends and family members, and health care professionals. Findings suggest that health information that is disseminated using the Internet needs to be made available in multiple languages to facilitate communication to persons who are not fluent in English nor French. Also, policy makers and health care professionals must increase focus on informal sources of health care information. Studies on immigrant populations’ access to healthcare in Canada tend to focus on adults and usually concentrate on specific ethnic groups. This study sought to present the experiences of immigrant parents in Edmonton, AB when they access health services for their children focusing specifically on the various sources of information that they used to improve their children’s health. Fifty immigrant parents from Edmonton semi-structured interviews. We developed three main themes from the data: Accessing social networks for informational support, the role of professionals in accessing health care information, and navigating and evaluating information sources. The study demonstrates that immigrant families consulted various sources of information in order to meet their children’s healthcare needs. The most common source was the Internet followed by friends and family members, and health care professionals. Findings suggest that health information that is disseminated using the Internet needs to be made available in multiple languages to facilitate communication to persons who are not fluent in English nor French. Also, policy makers and health care professionals must increase focus on informal sources of health care information.
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There remains an ongoing need to address not only the post-migration experiences of newcomers settling in Calgary but also to understand how systems that serve them perceive, make sense of, and contribute to these experiences. By hearing from those who work with newcomers within the institutional settings that support newcomers, we can begin to understand some complexities of newcomer integration. The purpose of this qualitative pilot study was to explore the perceptions that front-line workers hold regarding needs and experiences of newcomers. This study involved a series of eleven semi-structured interviews with workers at an immigrant-serving language-learning agency which were analyzed using thematic coding. The findings highlighted: front-line workers perception of their newcomer cli-ents’ identity in connection to language; the clients’ emotional burden and sense of belonging; and the challenges clients faced balancing everyday commitments. Moreover, this study explored the front-line worker’s role in cultural brokerage and promoting wellness. This study provided reason to value the practices and interpretations that front-line workers have of the newcomer experience due to the role they play in creating a sense of integration for newcom-ers. The interpretations that surfaced in this study sheds light on the complexity that both front-line workers and newcomers face and implies that further research and interventions are needed to ensure successful integration There remains an ongoing need to address not only the post-migration experiences of newcomers settling in Calgary but also to understand how systems that serve them perceive, make sense of, and contribute to these experiences. By hearing from those who work with newcomers within the institutional settings that support newcomers, we can begin to understand some complexities of newcomer integration. The purpose of this qualitative pilot study was to explore the perceptions that front-line workers hold regarding needs and experiences of newcomers. This study involved a series of eleven semi-structured interviews with workers at an immigrant-serving language-learning agency which were analyzed using thematic coding. The findings highlighted: front-line workers perception of their newcomer cli-ents’ identity in connection to language; the clients’ emotional burden and sense of belonging; and the challenges clients faced balancing everyday commitments. Moreover, this study explored the front-line worker’s role in cultural brokerage and promoting wellness. This study provided reason to value the practices and interpretations that front-line workers have of the newcomer experience due to the role they play in creating a sense of integration for newcom-ers. The interpretations that surfaced in this study sheds light on the complexity that both front-line workers and newcomers face and implies that further research and interventions are needed to ensure successful integration
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This paper examines the relationship between parents’ sense of coherence (SOC) and children’s oral health outcomes among newcomers (immigrants to Canada). Immigrant parents with children aged 1-12 years who lived in Canada for 10 years or less were recruited. Findings show that parent’s SOC was relatively low among newcomers and not associated with children’s oral health outcomes. This paper examines the relationship between parents’ sense of coherence (SOC) and children’s oral health outcomes among newcomers (immigrants to Canada). Immigrant parents with children aged 1-12 years who lived in Canada for 10 years or less were recruited. Findings show that parent’s SOC was relatively low among newcomers and not associated with children’s oral health outcomes.
This publication has no Abstract to dispaly