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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The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth. The Canadian Society for Exercise Physiology (CSEP) Youth Physical Activity Guidelines are the national criterion standard for youth physical activity. Minimal research exists regarding CSEP Guideline adherence in immigrant youth despite this population’s significance in Canada. The purpose of this study was to foster an understanding of physical activity guideline adherence in Albertan immigrant youth. The study objectives were to determine Albertan immigrant youth’s adherence levels, barriers to adherence, recommendations to improve adherence, and the impact of the COVID-19 pandemic on adherence. A qualitative exploratory design was used. Purposive sampling from Edmonton community-agencies occurred to generate a sample of 6 community service-workers who have experience with Canadian immigrant youth and physical activity. Data collection occurred through virtual semi-structured interviews. Data analysis occurred via Braun and Clarke’s Six Thematic Analysis Steps. This study’s findings can optimize nursing health promotion efforts and organizational policies, inform health promotion protocols in nursing education, and guide further research that would enhance the breadth of current literature. Collectively, this study helps provide a foundation for promoting the health of Albertan immigrant youth.
This publication has no Abstract to dispaly

The Community Newcomer Needs Assessment is an opportunity for municipalities to learn about the strengths, weaknesses, and gaps of local services and supports for newcomers, and challenges the communities to develop a plan to address gaps and weaknesses; help municipalities assess challenges for newcomers provide information about the immigration process. Key strengths, weaknesses, and gaps in services and various challenges and opportunities for newcomers are identified in this report through the lens of the newcomer journey and the newcomer developing a sense of belonging. The Community Newcomer Needs Assessment is an opportunity for municipalities to learn about the strengths, weaknesses, and gaps of local services and supports for newcomers, and challenges the communities to develop a plan to address gaps and weaknesses; help municipalities assess challenges for newcomers provide information about the immigration process. Key strengths, weaknesses, and gaps in services and various challenges and opportunities for newcomers are identified in this report through the lens of the newcomer journey and the newcomer developing a sense of belonging.
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This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic. This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic.
This publication has no Abstract to dispaly

Research is lacking on the intersection between being trans or non-binary and a newcomer in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Reasons for immigration included: persecution, humanitarian claims, to access gender-affirming healthcare, employment, and/or education. Only 1 in 5 trans or non-binary newcomers accessed a settlement service within their first year in Canada. Trans or non-binary newcomers were 2x as likely to NOT have a primary healthcare provider than trans or non-binary second generation immigrants and trans or non-binary immigrants who have been in Canada for more than 5 years. Research is lacking on the intersection between being trans or non-binary and a newcomer in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Reasons for immigration included: persecution, humanitarian claims, to access gender-affirming healthcare, employment, and/or education. Only 1 in 5 trans or non-binary newcomers accessed a settlement service within their first year in Canada. Trans or non-binary newcomers were 2x as likely to NOT have a primary healthcare provider than trans or non-binary second generation immigrants and trans or non-binary immigrants who have been in Canada for more than 5 years.
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Rainbow Railroad, an organization that helps LGBTQ+ asylum-seekers get to a safe(r) country, calls upon the government to make 3 changes to the refugee system to create more pathways to safety for persecuted and displaced LGBTQ+ people. Rainbow Railroad, an organization that helps LGBTQ+ asylum-seekers get to a safe(r) country, calls upon the government to make 3 changes to the refugee system to create more pathways to safety for persecuted and displaced LGBTQ+ people.
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Edmonton and Calgary have gained the status of being friendly cities to LGBTQ+ newcomers. This was started by the Rainbow Refugee Program at the Edmonton Mennonite Centre for Newcomers; followed by the Centre for Newcomers, LGBTQ+ Refugee Centre Calgary, and End of the Rainbow Foundation in Calgary. The history of sexual orientation and gender identity and gender expression (SOGIE) refugees, the impact of the programs, and new barriers due to COVID-19 are discussed in this report. Edmonton and Calgary have gained the status of being friendly cities to LGBTQ+ newcomers. This was started by the Rainbow Refugee Program at the Edmonton Mennonite Centre for Newcomers; followed by the Centre for Newcomers, LGBTQ+ Refugee Centre Calgary, and End of the Rainbow Foundation in Calgary. The history of sexual orientation and gender identity and gender expression (SOGIE) refugees, the impact of the programs, and new barriers due to COVID-19 are discussed in this report.
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Research is lacking on the intersection between being trans or non-binary and a racialized immigrant in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Racialized trans or non-binary participants reported alarmingly high levels of discrimination, violence, assault, fear, and negative experiences with the police and legal system. Findings from this research apply to Canada in general. Research is lacking on the intersection between being trans or non-binary and a racialized immigrant in Canada. Alberta, in particular, is one of the top 4 provinces where the most trans or non-binary immigrants reside. Racialized trans or non-binary participants reported alarmingly high levels of discrimination, violence, assault, fear, and negative experiences with the police and legal system. Findings from this research apply to Canada in general.
This publication has no Abstract to dispaly

Sexual orientation and gender identity or expression (SOGIE) refugees face discriminatory and harsh experiences in the refugee claimant and hearing process in Canada. Additionally, SOGIE refugees face higher risks, barriers and vulnerability than some other refugee groups. After Bill C-31 (Protecting Canada’s Immigration Act) was passed in 2012, the Immigrant and Refugee Board of Canada (IRB) was responsible for determining which SOGIE refugee claims were ‘authentic’ or not, despite little knowledge on the 2SLGBTQ+ community. The IRB recently released guidelines to improve this practice. This policy brief describes the state of SOGIE refugees in Alberta and Canada, challenges the group faces, and the efficacy of the new guidelines for the SOGIE refugee claim process. Sexual orientation and gender identity or expression (SOGIE) refugees face discriminatory and harsh experiences in the refugee claimant and hearing process in Canada. Additionally, SOGIE refugees face higher risks, barriers and vulnerability than some other refugee groups. After Bill C-31 (Protecting Canada’s Immigration Act) was passed in 2012, the Immigrant and Refugee Board of Canada (IRB) was responsible for determining which SOGIE refugee claims were ‘authentic’ or not, despite little knowledge on the 2SLGBTQ+ community. The IRB recently released guidelines to improve this practice. This policy brief describes the state of SOGIE refugees in Alberta and Canada, challenges the group faces, and the efficacy of the new guidelines for the SOGIE refugee claim process.
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The CCIS New Pride Program Annual Evaluation Report provides an overview of the program’s activities and outputs, as well as feedback from clients. The report highlights successful workshops, presentations, and events held by the program, which aim to serve LGBTQ newcomers and create new resources and connections. The report also details the direct impact the program has had on clients’ lives, including increased access to services and improved mental health outcomes. Client feedback is included, providing insight into their experiences with the program and suggestions for future improvements. Overall, the report showcases the effectiveness of the New Pride Program in serving the LGBTQ newcomer community. The CCIS New Pride Program Annual Evaluation Report provides an overview of the program’s activities and outputs, as well as feedback from clients. The report highlights successful workshops, presentations, and events held by the program, which aim to serve LGBTQ newcomers and create new resources and connections. The report also details the direct impact the program has had on clients’ lives, including increased access to services and improved mental health outcomes. Client feedback is included, providing insight into their experiences with the program and suggestions for future improvements. Overall, the report showcases the effectiveness of the New Pride Program in serving the LGBTQ newcomer community.
This publication has no Abstract to dispaly