Please note, this is not an open access database or repository. We have focused on creating simple summaries of reports and articles that we have accessed through websites and academic journals, with a focus on key findings, so that even if a full report is not free to access you can reference it. When possible, we include a link to wherever the original document is hosted (which may or may not be open-access). If you come across a link that is no longer active, please let us know and we can update it. There are also some reports that will have been submitted directly to the project. In this case, these reports are uploaded directly with permission from the author or publisher. Any original documents found on this site are stored in Canada on our secure servers

Discrimination, Psychological Isolation, and Flight from School

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.
This publication has no Abstract to dispaly

Fewer losses in the cascade of care for latent tuberculosis with solo interferon-gamma release assay screening compared to sequential screening

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.
This publication has no Abstract to dispaly

Does Community Size Matter in the Settlement Process? The Experience of Syrian Refugees in Lethbridge in Alberta, Canada

The article documents refugee experience in the first year of their settlement in a small city in Canada and then explores whether the size of the community matters in the settlement processes. This is based on an extensive study of Syrian refugee settlement experiences in one large Canadian city (Edmonton) and one small Canadian city (Lethbridge). The findings argue that contrary to existing scholarly literature, small municipalities such as Lethbridge were more creative, nimble, and efficient in settling Syrian newcomers. In small cities, however, lack of denominational and non-denominational organizations to complement government assistance, the onset of compassionate fatigue among the city dwellers, and limited retention of newcomers due to limited employment opportunity are real threats to the settlement process immediately after newcomers’ arrival and in the long term. A more substantial role of municipal governments in the refugee resettlement process is recommended to offset the disproportionate burden settlement sector carries. The article documents refugee experience in the first year of their settlement in a small city in Canada and then explores whether the size of the community matters in the settlement processes. This is based on an extensive study of Syrian refugee settlement experiences in one large Canadian city (Edmonton) and one small Canadian city (Lethbridge). The findings argue that contrary to existing scholarly literature, small municipalities such as Lethbridge were more creative, nimble, and efficient in settling Syrian newcomers. In small cities, however, lack of denominational and non-denominational organizations to complement government assistance, the onset of compassionate fatigue among the city dwellers, and limited retention of newcomers due to limited employment opportunity are real threats to the settlement process immediately after newcomers’ arrival and in the long term. A more substantial role of municipal governments in the refugee resettlement process is recommended to offset the disproportionate burden settlement sector carries.
This publication has no Abstract to dispaly

Food insecurity among international post-secondary students studying on a Canadian campus: A qualitative description study

Enrollment of international post-secondary students is increasing across Canadian campuses. International post-secondary students may experience challenges in accessing nutritious foods that meet their dietary needs and food preferences. These challenges can pose negative impacts on their health, well-being, and academic achievement. Our aim was to describe international post-secondary students’ perceptions of (1) challenges to attaining food security and (2) consequences of food insecurity on the university experience. We conducted individual semi-structured interviews with 11 international post-secondary students at the University of Alberta who had food insecurity and who had requested emergency foodhampers from the on-campus food bank. Our results revealed the negative impacts that food insecurity can have on international post-secondary students. Findings underscore the imperative to minimize the occurrence of food insecurity while studying in Alberta, Canada by introducing and enhancing support systems on campus and in the community to enable food security. Enrollment of international post-secondary students is increasing across Canadian campuses. International post-secondary students may experience challenges in accessing nutritious foods that meet their dietary needs and food preferences. These challenges can pose negative impacts on their health, well-being, and academic achievement. Our aim was to describe international post-secondary students’ perceptions of (1) challenges to attaining food security and (2) consequences of food insecurity on the university experience. We conducted individual semi-structured interviews with 11 international post-secondary students at the University of Alberta who had food insecurity and who had requested emergency foodhampers from the on-campus food bank. Our results revealed the negative impacts that food insecurity can have on international post-secondary students. Findings underscore the imperative to minimize the occurrence of food insecurity while studying in Alberta, Canada by introducing and enhancing support systems on campus and in the community to enable food security.
This publication has no Abstract to dispaly

Immigrant Mothers’ Perspectives of Barriers and Facilitators in Accessing Mental Health Care for Their Children

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

Parenting challenges of African immigrants in Alberta, Canada

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

A qualitative exploration of immigrant Muslim older adults’ experiences and perceptions of physical activity

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

Older immigrant adults’ experiences and perceptions of physical activity

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

“Growing Old is not for the Weak of Heart”: Social isolation and loneliness in Muslim immigrant older adults in Canada

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

Quebec Health-Related Quality-of-Life Population Norms Using the EQ-5D-5L: Decomposition by Sociodemographic Data and Health Problems

The purpose of this study was to determine Quebec population norms from the questionnaire EQ-5D-5L (a self-assessed, health related, quality of life questionnaire). Among people who completed the questionnaire, those with lower scores were those who had a low or high body mass index; were smokers; were single, divorced, or widowed; had no children; were unemployed or sick; had lower education or lower annual income; and had a family or personal history of serious illness. Immigrants had higher scores. There was no difference in gender and urban or rural population. The score logically decreased with worsening health status. Similar results were observed for subjects’ satisfaction with their health or life. Subjects with lower scores were less willing to take risks. Subjects who declared they were affected by health problems presented significant lower utility scores (utility score reflects the level of physical, mental, and social functioning associated with a particular health state and the preference weight the general population gives to that health state). This is the first study to present utility score norms for EQ-5D-5L for the Quebec population. These results will be useful for comparison with quality-adjusted life-year studies to better interpret their results. Moreover, utility norms were provided for 21 health problems, which was rarely done. The purpose of this study was to determine Quebec population norms from the questionnaire EQ-5D-5L (a self-assessed, health related, quality of life questionnaire). Among people who completed the questionnaire, those with lower scores were those who had a low or high body mass index; were smokers; were single, divorced, or widowed; had no children; were unemployed or sick; had lower education or lower annual income; and had a family or personal history of serious illness. Immigrants had higher scores. There was no difference in gender and urban or rural population. The score logically decreased with worsening health status. Similar results were observed for subjects’ satisfaction with their health or life. Subjects with lower scores were less willing to take risks. Subjects who declared they were affected by health problems presented significant lower utility scores (utility score reflects the level of physical, mental, and social functioning associated with a particular health state and the preference weight the general population gives to that health state). This is the first study to present utility score norms for EQ-5D-5L for the Quebec population. These results will be useful for comparison with quality-adjusted life-year studies to better interpret their results. Moreover, utility norms were provided for 21 health problems, which was rarely done.
This publication has no Abstract to dispaly