Research Library

Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care. Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care.
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There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. These results suggest that CenteringPregnancy® can recruit and retain a vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children. There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. These results suggest that CenteringPregnancy® can recruit and retain a vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children.
This publication has no Abstract to dispaly

Globally, the prevalence of anti-tuberculosis drug resistance has been increasing. This study sought to identify trends in multidrug-resistant tuberculosis (MDR-TB) among foreign-born persons in Alberta, a major immigrant-receiving province of Canada. Of the 2,234 foreign-born culture-positive TB cases in Alberta in 1982–2011, 27 had MDR-TB. Overall, MDR was associated with age <65 years, TB relapse/retreatment, and diagnosis and arrival in the last decade (2002–2011). Recent trends in the prevalence and clinical characteristics of foreign-born MDR-TB cases have important implications for TB case management in Canada. Early diagnosis of MDR-TB, using genotypic drug susceptibility testing, is suggested in foreign-born TB cases at increased risk of being MDR. Globally, the prevalence of anti-tuberculosis drug resistance has been increasing. This study sought to identify trends in multidrug-resistant tuberculosis (MDR-TB) among foreign-born persons in Alberta, a major immigrant-receiving province of Canada. Of the 2,234 foreign-born culture-positive TB cases in Alberta in 1982–2011, 27 had MDR-TB. Overall, MDR was associated with age <65 years, TB relapse/retreatment, and diagnosis and arrival in the last decade (2002–2011). Recent trends in the prevalence and clinical characteristics of foreign-born MDR-TB cases have important implications for TB case management in Canada. Early diagnosis of MDR-TB, using genotypic drug susceptibility testing, is suggested in foreign-born TB cases at increased risk of being MDR.
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In examining the economic integration of Chinese immigrants in Calgary and Edmonton, this study reveals that recent immigrants have encountered multi-faceted barriers, particularly in employment and language. Furthermore, they have experienced deskilling and devaluation of their prior learning and work experience after immigrating to Canada. As a consequence, many have suffered unemployment and underemployment, poor economic performance, and downward social mobility, which have adversely hindered their integration process. Immigrants’ negative experience can be attributed to a triple glass effect consisting of a glass gate, glass door, and glass ceiling. While a glass gate denies immigrants’ entrance to guarded professional communities, a glass door blocks immigrants’ access to professional employment at high-wage firms. It is the glass ceiling which prevents immigrants from moving up to management positions because of their ethnic and cultural differences. This study calls for the adoption of an inclusive framework that works toward recognitive justice in balancing freedom of mobility with recognition and full membership in Canada. In examining the economic integration of Chinese immigrants in Calgary and Edmonton, this study reveals that recent immigrants have encountered multi-faceted barriers, particularly in employment and language. Furthermore, they have experienced deskilling and devaluation of their prior learning and work experience after immigrating to Canada. As a consequence, many have suffered unemployment and underemployment, poor economic performance, and downward social mobility, which have adversely hindered their integration process. Immigrants’ negative experience can be attributed to a triple glass effect consisting of a glass gate, glass door, and glass ceiling. While a glass gate denies immigrants’ entrance to guarded professional communities, a glass door blocks immigrants’ access to professional employment at high-wage firms. It is the glass ceiling which prevents immigrants from moving up to management positions because of their ethnic and cultural differences. This study calls for the adoption of an inclusive framework that works toward recognitive justice in balancing freedom of mobility with recognition and full membership in Canada.
This publication has no Abstract to dispaly

Using ethnographic data, this study reports on the early sociocultural and economic experiences of the Bangladesh immigrant and non-immigrant families living in the Michener Park area in Edmonton, Alberta, Canada. Research findings show that newcomers experienced a wide range of social and economic constraints during their initial stage of sociocultural and economic adaptation to life in Edmonton. Lack of English language proficiency, Canadian job experience, or lack of Canadian education and training facilities, and nature of residency status in Canada led these newcomers to experience economic hardship in the earliest months of their new life in Canada. The aim of this research, therefore, was to examine: (a) why do these people come to Canada and what social and economic experiences have they had while living in Edmonton? (b) What barriers do they encounter that prevent them from obtaining their preferred job, how does this affect their household income and how do they manage to survive? This paper summarizes the responses of the newcomers who agreed to participate in this research project. The paper concludes with policy recommendations made by participants that could help newcomers overcome existing job barriers for the immigrant and non-immigrant families living in Edmonton. Using ethnographic data, this study reports on the early sociocultural and economic experiences of the Bangladesh immigrant and non-immigrant families living in the Michener Park area in Edmonton, Alberta, Canada. Research findings show that newcomers experienced a wide range of social and economic constraints during their initial stage of sociocultural and economic adaptation to life in Edmonton. Lack of English language proficiency, Canadian job experience, or lack of Canadian education and training facilities, and nature of residency status in Canada led these newcomers to experience economic hardship in the earliest months of their new life in Canada. The aim of this research, therefore, was to examine: (a) why do these people come to Canada and what social and economic experiences have they had while living in Edmonton? (b) What barriers do they encounter that prevent them from obtaining their preferred job, how does this affect their household income and how do they manage to survive? This paper summarizes the responses of the newcomers who agreed to participate in this research project. The paper concludes with policy recommendations made by participants that could help newcomers overcome existing job barriers for the immigrant and non-immigrant families living in Edmonton.
This publication has no Abstract to dispaly

In July, 2011, the Canadian Diabetes Association updated the 2008 clinical practice guidelines to include the use of glycated hemoglobin (A1C) for the diagnosis of diabetes mellitus type 2 (DM2) in adults. One of the caveats is that “A1C may be misleading in certain ethnicities…, and therefore its utility as a diagnostic tool in these populations is unclear.” Alberta is multicultural and General Practitioners (GPs) diagnose the majority of DM2. Alberta’s ethnic population: Canadian census data from 2006 (the latest available) indicated the top non-European ethnicities were First Nations, East and Southeast Asian, Chinese, South Asian and East Indian. Among visible minorities, non-First Nations groups also included Filipino and African. Use of glycated hemoglobin (A1C) to diagnose diabetes mellitus type 2 (DM2): First Nations, Asian and African ethnicities have A1Cs that are higher than those of European descent for a given glycemia, whereas Asian Indians have lower A1Cs. Thus, the present A1C cut-off will potentially over diagnose DM2 in the former populations, and under diagnose it in the latter. Thus, it is important for General Practitioners (GPs) not to rely solely on A1C for diagnosis of DM2. In July, 2011, the Canadian Diabetes Association updated the 2008 clinical practice guidelines to include the use of glycated hemoglobin (A1C) for the diagnosis of diabetes mellitus type 2 (DM2) in adults. One of the caveats is that “A1C may be misleading in certain ethnicities…, and therefore its utility as a diagnostic tool in these populations is unclear.” Alberta is multicultural and General Practitioners (GPs) diagnose the majority of DM2. Alberta’s ethnic population: Canadian census data from 2006 (the latest available) indicated the top non-European ethnicities were First Nations, East and Southeast Asian, Chinese, South Asian and East Indian. Among visible minorities, non-First Nations groups also included Filipino and African. Use of glycated hemoglobin (A1C) to diagnose diabetes mellitus type 2 (DM2): First Nations, Asian and African ethnicities have A1Cs that are higher than those of European descent for a given glycemia, whereas Asian Indians have lower A1Cs. Thus, the present A1C cut-off will potentially over diagnose DM2 in the former populations, and under diagnose it in the latter. Thus, it is important for General Practitioners (GPs) not to rely solely on A1C for diagnosis of DM2.
This publication has no Abstract to dispaly

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

Maternal alcohol consumption during pregnancy may potentially constitute a major public health concern in Canada. The present study assessed the prevalence and predictors of maternal alcohol consumption during pregnancy of women living in Canada from 2005-2006 who had a singleton live birth and whose child remained in their care 5-9 months following birth. The analysis shows that 10.8% of women drank alcohol at some point during their pregnancies. Drinking alcohol during pregnancy was significantly associated with several important factors including marital status, smoking status, reaction to the pregnancy and immigrant status. While being an immigrant to Canada appeared to confer a protective effect (immigrants were less likely to consume alcohol during pregnancy than Canadian women), women who have partners and smoked during pregnancy were significantly more likely to drink alcohol during their pregnancies. Perhaps most importantly, pregnant women who reported indifference or being unhappy/very unhappy in regards to their pregnancies exhibited an increased risk of drinking alcohol during their pregnancies. Maternal alcohol consumption during pregnancy may potentially constitute a major public health concern in Canada. The present study assessed the prevalence and predictors of maternal alcohol consumption during pregnancy of women living in Canada from 2005-2006 who had a singleton live birth and whose child remained in their care 5-9 months following birth. The analysis shows that 10.8% of women drank alcohol at some point during their pregnancies. Drinking alcohol during pregnancy was significantly associated with several important factors including marital status, smoking status, reaction to the pregnancy and immigrant status. While being an immigrant to Canada appeared to confer a protective effect (immigrants were less likely to consume alcohol during pregnancy than Canadian women), women who have partners and smoked during pregnancy were significantly more likely to drink alcohol during their pregnancies. Perhaps most importantly, pregnant women who reported indifference or being unhappy/very unhappy in regards to their pregnancies exhibited an increased risk of drinking alcohol during their pregnancies.
This publication has no Abstract to dispaly

Ethno-specific organizations are often criticized for threatening national unity, diluting Canadian identity, and promoting ghettoization and separatism. Drawing from two case studies, this article examines the role of Chinese ethnic organizations in responding to changing community needs in Edmonton and Calgary. The study results suggested that ethno-specific organizations can be an effective alternative in providing accessible and equitable social services for immigrants because they are more closely connected with and responsive to ethnic community needs. The study reveals the salience of ethnicity as both an important resource and a liability. On the one hand, ethnicity was utilized by the state as a way to mobilize ethnic political support to serve an ethnic-specific community; on the other hand, the same ethnicity also became a device for the state to legitimize its political agenda in multiculturizing ethno-specific organizations with an ultimate goal of assimilation. To build an inclusive society, it is imperative to treat ethno-specific organizations as an integral part of Canadian society and to adopt minority rights that recognize and accommodate the distinctive identities and needs of ethno-cultural groups and their ethnic communities. Ethno-specific organizations are often criticized for threatening national unity, diluting Canadian identity, and promoting ghettoization and separatism. Drawing from two case studies, this article examines the role of Chinese ethnic organizations in responding to changing community needs in Edmonton and Calgary. The study results suggested that ethno-specific organizations can be an effective alternative in providing accessible and equitable social services for immigrants because they are more closely connected with and responsive to ethnic community needs. The study reveals the salience of ethnicity as both an important resource and a liability. On the one hand, ethnicity was utilized by the state as a way to mobilize ethnic political support to serve an ethnic-specific community; on the other hand, the same ethnicity also became a device for the state to legitimize its political agenda in multiculturizing ethno-specific organizations with an ultimate goal of assimilation. To build an inclusive society, it is imperative to treat ethno-specific organizations as an integral part of Canadian society and to adopt minority rights that recognize and accommodate the distinctive identities and needs of ethno-cultural groups and their ethnic communities.
This publication has no Abstract to dispaly

In recent years the province of Alberta, Canada, has experienced exponential growth in the number of temporary foreign workers (TFWs). Although TFWs have the same worker rights as permanent residents and Canadian citizens, these rights are not always acknowledged; TFWs are subject to exploitation by recruiters and employers. TFWs with low English language skills can have limited access to information about their new communities and their rights as workers. Previous research has exposed the flaws of the temporary foreign worker program (TFWP) and the experiences of TFWs, but little is known about the ESL needs of TFWs in Alberta. This study explores the regulation of English language skills, the English language proficiency levels of TFWs and reasons for acquiring English language training (ELT), the accessibility of ELT in terms of options and barriers, and the role of the employer in facilitating or encouraging access to ELT. This study also addresses the extent to which the ESL needs of TFWs is currently being met. Ten employees of immigrant-serving agencies and Community Adult Learning Councils completed questionnaires and/or participated in interviews and one provincial government representative was interviewed. Participants worked directly with TFWs or the TFWP and were chosen to represent rural areas, small and large cities in Alberta. The data presented very diverse results, but suggest overall that the ESL needs of TFWs are not being met. Further research should be conducted to gain a greater understanding of how the ESL needs of TFWs could better be met. In recent years the province of Alberta, Canada, has experienced exponential growth in the number of temporary foreign workers (TFWs). Although TFWs have the same worker rights as permanent residents and Canadian citizens, these rights are not always acknowledged; TFWs are subject to exploitation by recruiters and employers. TFWs with low English language skills can have limited access to information about their new communities and their rights as workers. Previous research has exposed the flaws of the temporary foreign worker program (TFWP) and the experiences of TFWs, but little is known about the ESL needs of TFWs in Alberta. This study explores the regulation of English language skills, the English language proficiency levels of TFWs and reasons for acquiring English language training (ELT), the accessibility of ELT in terms of options and barriers, and the role of the employer in facilitating or encouraging access to ELT. This study also addresses the extent to which the ESL needs of TFWs is currently being met. Ten employees of immigrant-serving agencies and Community Adult Learning Councils completed questionnaires and/or participated in interviews and one provincial government representative was interviewed. Participants worked directly with TFWs or the TFWP and were chosen to represent rural areas, small and large cities in Alberta. The data presented very diverse results, but suggest overall that the ESL needs of TFWs are not being met. Further research should be conducted to gain a greater understanding of how the ESL needs of TFWs could better be met.
This publication has no Abstract to dispaly