Research Library

For vulnerable patients (immigrants or those with low income), it is crucial for pharmacists to be accessible to allow patients benefit from pharmacists’ advanced services, such as independent prescribing. This research examines the geographical relationship between Alberta pharmacists with Additional Prescribing Authorization (APA) and a neighbourhood’s proportion of vulnerable populations. Our research shows that high income areas estimated to have 0.44 more APA pharmacists. Similarly, areas with the highest number of recent immigrants were estimated to have 0.66 more APA pharmacists than other aggregated dissemination areas. A sizable proportion of the Alberta population still does not have access to a pharmacist with APA, and those with APA seem to concentrate in areas with higher income and higher proportions of the population who are immigrants. Future research should examine the utilization of expanded scope of practice in relation to the distribution of vulnerable populations. For vulnerable patients (immigrants or those with low income), it is crucial for pharmacists to be accessible to allow patients benefit from pharmacists’ advanced services, such as independent prescribing. This research examines the geographical relationship between Alberta pharmacists with Additional Prescribing Authorization (APA) and a neighbourhood’s proportion of vulnerable populations. Our research shows that high income areas estimated to have 0.44 more APA pharmacists. Similarly, areas with the highest number of recent immigrants were estimated to have 0.66 more APA pharmacists than other aggregated dissemination areas. A sizable proportion of the Alberta population still does not have access to a pharmacist with APA, and those with APA seem to concentrate in areas with higher income and higher proportions of the population who are immigrants. Future research should examine the utilization of expanded scope of practice in relation to the distribution of vulnerable populations.
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Investigations into immigrant resilience are now being called for in scholarly reviews of literature, policy, and practice related to immigrants, following decades in which the challenges they face in or pose to Western host societies took centre stage. Focusing on resilience not only recognizes immigrants’ strengths and contributions to their new homelands, but also creates a fertile landscape to explore possible pathways to optimize migration outcomes. The findings of focus group discussions with African immigrant stakeholders (service providers, community/religious leaders, and staff of policy-making bodies) in three Canadian cities align with this new emphasis. However, these findings also raise crucial questions about current conceptualizations of resilience applied to immigrants. Our thematic analysis indicates that African immigrants attach meanings, processes, and values to resilience that differ from conceptions of resilience in the scholarly literature. Their viewpoints and lived experiences presented below offer new understandings that prompt a re-evaluation of currently held assumptions about resilience rooted in Western individualistic notions about mental health. These assumptions, our study show, do not capture African immigrants’ settlement experiences and long-term adaptation to life in Western nations—as collectivist cultures. Investigations into immigrant resilience are now being called for in scholarly reviews of literature, policy, and practice related to immigrants, following decades in which the challenges they face in or pose to Western host societies took centre stage. Focusing on resilience not only recognizes immigrants’ strengths and contributions to their new homelands, but also creates a fertile landscape to explore possible pathways to optimize migration outcomes. The findings of focus group discussions with African immigrant stakeholders (service providers, community/religious leaders, and staff of policy-making bodies) in three Canadian cities align with this new emphasis. However, these findings also raise crucial questions about current conceptualizations of resilience applied to immigrants. Our thematic analysis indicates that African immigrants attach meanings, processes, and values to resilience that differ from conceptions of resilience in the scholarly literature. Their viewpoints and lived experiences presented below offer new understandings that prompt a re-evaluation of currently held assumptions about resilience rooted in Western individualistic notions about mental health. These assumptions, our study show, do not capture African immigrants’ settlement experiences and long-term adaptation to life in Western nations—as collectivist cultures.
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This study examined the challenges and critical psychosocial needs of Syrian refugee families with young children in Western Canada. It also looked at the role of cultural brokering in facilitating their psychosocial adaptation. Results reveal that Syrian families struggled with feeling safe and secure in Canada, adjusting to the changing roles in the family, and trying to find meaning in their lives. These struggles were attributed to families’ overall challenges navigating various domains of integration (i.e., health, social services, and education), resulting in a heavy reliance on cultural brokers for social linking and bonding activities, including connecting families to needed supports and helping family members build relationships with one another. This study provides evidence for the use of both of these frameworks in further studies involving Syrian refugee populations; they proved useful for understanding how families, over time, can develop necessary skills to engage on their own in linking activities with various Canadian institutions and bridging activities with communities at large. This study examined the challenges and critical psychosocial needs of Syrian refugee families with young children in Western Canada. It also looked at the role of cultural brokering in facilitating their psychosocial adaptation. Results reveal that Syrian families struggled with feeling safe and secure in Canada, adjusting to the changing roles in the family, and trying to find meaning in their lives. These struggles were attributed to families’ overall challenges navigating various domains of integration (i.e., health, social services, and education), resulting in a heavy reliance on cultural brokers for social linking and bonding activities, including connecting families to needed supports and helping family members build relationships with one another. This study provides evidence for the use of both of these frameworks in further studies involving Syrian refugee populations; they proved useful for understanding how families, over time, can develop necessary skills to engage on their own in linking activities with various Canadian institutions and bridging activities with communities at large.
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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.
This publication has no Abstract to dispaly

The article documents the settlement experiences of Syrian refugees in a major city in Alberta, Canada, in the first year of their resettlement. It then compares them across the three government and private sponsorship programs to understand which program is most effective in helping refugees settle and integrate in Canada. The findings suggest that all three programs were largely successful in bringing in Syrian refugees, from various asylum countries in the Middle East to safe places in Canada. However, the settlement experience of refugees varied after they arrived in Canada. Challenges in learning English and finding employment were paramount among all three refugee streams. Contrary to some academic literature, privately sponsored refugees faced resettlement challenges similar to their counterparts in the two other sponsorship streams. The article documents the settlement experiences of Syrian refugees in a major city in Alberta, Canada, in the first year of their resettlement. It then compares them across the three government and private sponsorship programs to understand which program is most effective in helping refugees settle and integrate in Canada. The findings suggest that all three programs were largely successful in bringing in Syrian refugees, from various asylum countries in the Middle East to safe places in Canada. However, the settlement experience of refugees varied after they arrived in Canada. Challenges in learning English and finding employment were paramount among all three refugee streams. Contrary to some academic literature, privately sponsored refugees faced resettlement challenges similar to their counterparts in the two other sponsorship streams.
This publication has no Abstract to dispaly

In January 2013, SSEC Canada Ltd. pled guilty to three charges under Alberta’s Occupational Health and Safety Act after two of its temporary foreign workers died and two more were seriously injured on the worksite. A fine of $1,225,000—the largest ever ordered in Alberta—was paid to the Alberta Law Foundation, which administered the funds to the Alberta Workers’ Health Centre to develop and provide the “New Alberta Workers program.” In this interview, Jared Matsunaga-Turnbull reflects on the program’s peer-to-peer Occupational Health and Safety workshops for new-to-Alberta workers to illustrate how “creative sentencing” (alternative method of prosecution) related to serious Occupational Health and Safety violation convictions can play out. He discusses what the team learned about the particular work and life context and related needs of new-to-Alberta workers that created challenges and prompted program changes throughout the three-year workshop period. Finally, Jared considers what is needed to meaningfully support new-to-Alberta workers going forward. In January 2013, SSEC Canada Ltd. pled guilty to three charges under Alberta’s Occupational Health and Safety Act after two of its temporary foreign workers died and two more were seriously injured on the worksite. A fine of $1,225,000—the largest ever ordered in Alberta—was paid to the Alberta Law Foundation, which administered the funds to the Alberta Workers’ Health Centre to develop and provide the “New Alberta Workers program.” In this interview, Jared Matsunaga-Turnbull reflects on the program’s peer-to-peer Occupational Health and Safety workshops for new-to-Alberta workers to illustrate how “creative sentencing” (alternative method of prosecution) related to serious Occupational Health and Safety violation convictions can play out. He discusses what the team learned about the particular work and life context and related needs of new-to-Alberta workers that created challenges and prompted program changes throughout the three-year workshop period. Finally, Jared considers what is needed to meaningfully support new-to-Alberta workers going forward.
This publication has no Abstract to dispaly

This study examines the occupational health and safety experiences of migrant workers employed as live-in caregivers in Fort McMurray, Alberta, Canada. We identified four categories of common occupational hazards, including fatigue, psychosocial stress, physical hazards, and exposure to harassment and abuse. These hazards are systemic and difficult to remedy because of systems and policy issues that include: debts to private recruiters, federal migration policies, precarious legal status, the volatile nature of the oil and gas economy, and the complex work conditions of working and living in their employers’ private homes. To address this issue, several changes need to be made: Occupational Health and Safety (OHS) education targeting caregivers needs to include a clear explanation of caregiver rights; employers of caregivers need to be educated about OHS; government OHS need to include information about anti-racist approaches; caregivers need to be added to the OHS Code; increased inspections of workplaces need to be performed; changes are needed to the Live-in Caregiver Program (LCP) at the federal level. This study examines the occupational health and safety experiences of migrant workers employed as live-in caregivers in Fort McMurray, Alberta, Canada. We identified four categories of common occupational hazards, including fatigue, psychosocial stress, physical hazards, and exposure to harassment and abuse. These hazards are systemic and difficult to remedy because of systems and policy issues that include: debts to private recruiters, federal migration policies, precarious legal status, the volatile nature of the oil and gas economy, and the complex work conditions of working and living in their employers’ private homes. To address this issue, several changes need to be made: Occupational Health and Safety (OHS) education targeting caregivers needs to include a clear explanation of caregiver rights; employers of caregivers need to be educated about OHS; government OHS need to include information about anti-racist approaches; caregivers need to be added to the OHS Code; increased inspections of workplaces need to be performed; changes are needed to the Live-in Caregiver Program (LCP) at the federal level.
This publication has no Abstract to dispaly

South Asians have a higher prevalence of early onset cardiovascular disease risk compared with other populations. Dietary intake is a factor that can affect the risk of developing a cardiovascular disease. Little is known about the dietary intake of South Asians in Alberta, thus the objective of the present study was to describe the dietary patterns among South Asians and their risks for cardiovascular diseases. Central obesity (70%), hypercholesterolemia (27%), and hypertension (14%) were predominant health conditions observed in the study participants. About 56% and 44% of participants obtained moderate and poor HEI (Healthy Eating Index) scores, respectively. The diet quality of the majority of participants was inadequate to meet macro- and micronutrient intake recommendations. The high prevalence of poor/moderate diet quality and pre-existing chronic health conditions across all body mass index groups is a cause for concern in this population. South Asians have a higher prevalence of early onset cardiovascular disease risk compared with other populations. Dietary intake is a factor that can affect the risk of developing a cardiovascular disease. Little is known about the dietary intake of South Asians in Alberta, thus the objective of the present study was to describe the dietary patterns among South Asians and their risks for cardiovascular diseases. Central obesity (70%), hypercholesterolemia (27%), and hypertension (14%) were predominant health conditions observed in the study participants. About 56% and 44% of participants obtained moderate and poor HEI (Healthy Eating Index) scores, respectively. The diet quality of the majority of participants was inadequate to meet macro- and micronutrient intake recommendations. The high prevalence of poor/moderate diet quality and pre-existing chronic health conditions across all body mass index groups is a cause for concern in this population.
This publication has no Abstract to dispaly

Most studies find that immigrant workers are at greater risk of workplace injury. Some studies suggest that the lost-time rate from work injuries for non-Canadian immigrants was close to double that for Alberta as a whole. Moreover, workers who move across the country to work seem to be at risk of the higher work-related injuries because of the nature of work they perform (i.e. oil and gas industry work). This study specifically focuses on the worker populations of two provinces – Newfoundland and Alberta. As evidence suggests, residents of Newfoundland often work in Alberta. Results: workers from out-of-province compared to residents of Alberta have different patterns of Workers’ Compensation Board claims. Residents of Alberta have a much higher proportion with claims resulting in short (1-30 days) lost time from work. Another finding – out-of-province workers tend not to report their injuries. Workers coming out of province are often threatened to be “black-listed” by contractors if they report work injuries. Most studies find that immigrant workers are at greater risk of workplace injury. Some studies suggest that the lost-time rate from work injuries for non-Canadian immigrants was close to double that for Alberta as a whole. Moreover, workers who move across the country to work seem to be at risk of the higher work-related injuries because of the nature of work they perform (i.e. oil and gas industry work). This study specifically focuses on the worker populations of two provinces – Newfoundland and Alberta. As evidence suggests, residents of Newfoundland often work in Alberta. Results: workers from out-of-province compared to residents of Alberta have different patterns of Workers’ Compensation Board claims. Residents of Alberta have a much higher proportion with claims resulting in short (1-30 days) lost time from work. Another finding – out-of-province workers tend not to report their injuries. Workers coming out of province are often threatened to be “black-listed” by contractors if they report work injuries.
This publication has no Abstract to dispaly

The aim of this study was to investigate the factors associated with the timing of the first prenatal ultrasound in Canada. 68.4% of Canadian women received an optimally timed first prenatal ultrasound, 27.4% received early ultrasounds and 4.3% received late ultrasound. Only 68% of Canadian women received an optimally timed prenatal ultrasound which was influenced by several factors including province of prenatal care, maternal age and country of birth, and an interaction effect between prenatal care provider and history of miscarriage. These findings establish a baseline of factors influencing the timing of prenatal ultrasound in Canada, which can be built upon by future studies. The aim of this study was to investigate the factors associated with the timing of the first prenatal ultrasound in Canada. 68.4% of Canadian women received an optimally timed first prenatal ultrasound, 27.4% received early ultrasounds and 4.3% received late ultrasound. Only 68% of Canadian women received an optimally timed prenatal ultrasound which was influenced by several factors including province of prenatal care, maternal age and country of birth, and an interaction effect between prenatal care provider and history of miscarriage. These findings establish a baseline of factors influencing the timing of prenatal ultrasound in Canada, which can be built upon by future studies.
This publication has no Abstract to dispaly