Research Library

As Canada and other high-income countries continue to welcome newcomers, this study aimed to 1) understand newcomer parents’ attitudes towards routine-childhood vaccinations (RCVs), and 2) identify barriers newcomer parents face when accessing RCVs in Alberta (Calgary, Edmonton and High River). Overall, parents in the focus groups were motivated and willing to vaccinate their children but experienced several barriers related to their capability and opportunity to access RCVs. Five main themes emerged: 1) lack of reputable information about RCVs, 2) language barriers when looking for information and asking questions about RCVs, 3) lack of access to a primary care provider (PCP), 4) lack of affordable and convenient transportation options, and 5) due to the COVID-19 pandemic, lack of available vaccine appointments. The findings highlight that several barriers faced by newcomer families ultimately stem from issues related to accessing information about RCVs and the challenges families face once at vaccination clinics, highlighting opportunities for health systems to better support newcomers in accessing RCVs. As Canada and other high-income countries continue to welcome newcomers, this study aimed to 1) understand newcomer parents’ attitudes towards routine-childhood vaccinations (RCVs), and 2) identify barriers newcomer parents face when accessing RCVs in Alberta (Calgary, Edmonton and High River). Overall, parents in the focus groups were motivated and willing to vaccinate their children but experienced several barriers related to their capability and opportunity to access RCVs. Five main themes emerged: 1) lack of reputable information about RCVs, 2) language barriers when looking for information and asking questions about RCVs, 3) lack of access to a primary care provider (PCP), 4) lack of affordable and convenient transportation options, and 5) due to the COVID-19 pandemic, lack of available vaccine appointments. The findings highlight that several barriers faced by newcomer families ultimately stem from issues related to accessing information about RCVs and the challenges families face once at vaccination clinics, highlighting opportunities for health systems to better support newcomers in accessing RCVs.
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Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue. Canadian refugee healthcare has been impacted by periodic upheavals including federal funding cuts, Syrian and Yazidi resettlement programs, and COVID-19. These upheavals will have undoubtedly led to changes in clinic use, shifts in clinic demographics, or clinic policy. Refugees are a vulnerable population with specific physical health, mental health, and social needs. One model of care that can address these needs is a specialized refugee health clinic. Understanding the impacts of recent upheavals on a specialized refugee health clinic’s utilization, its staff and clinicians is critical for future planning. We studied a specialized refugee health clinic in Calgary, AB from 2011 to 2020, across five time periods: Pre-Interim Federal Health Program (IFHP) Cuts (January 2011 – June 2012), IFHP Cuts (July 2012 – October 2015), Syrian Surge (November 2015- January 2017), Yazidi Period (February 2017 – February 2020), and COVID-19 (March 2020 – December 2020). We analyzed quantitative changes as well as conducted semi-structured interviews with clinic leadership. Utilization increased greatly over different policy changes and a pandemic, at a specialized refugee clinic over ten years. These upheavals challenged clinic leadership and providers to adapt. The stress of these upheavals negatively impacted staff wellness and patient care. Understanding how health and immigration policy changes affect care, especially at specialized refugee clinics, is critical for being able to anticipate and thrive through future upheavals as turmoil globally seems to continue.
This publication has no Abstract to dispaly

This qualitative study used basic interpretive inquiry to explore experiences of vicarious resilience among racialized and ethnically diverse mental health practitioners who have worked with resilient attempted genocide survivor clients within a counselling setting. Five self-identified racialized and ethnically diverse mental health practitioners participated in semistructured interviews regarding their experiences. This qualitative study used basic interpretive inquiry to explore experiences of vicarious resilience among racialized and ethnically diverse mental health practitioners who have worked with resilient attempted genocide survivor clients within a counselling setting. Five self-identified racialized and ethnically diverse mental health practitioners participated in semistructured interviews regarding their experiences.
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Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage. Two studies were completed as a part of this Master’s thesis. Study 1: Human papillomavirus vaccine coverage among immigrant children in Alberta: a population-based cohort study concluded that overall, immigrant children in Alberta had higher HPV vaccination coverage in comparison to non-immigrants, which is encouraging given some previous literature has suggested the opposite. This implies that efforts to increase vaccination rates among immigrant children may be having a positive impact. Among immigrants, routine immunization promotion strategies should be targeted to those living in rural residences and from North America, Oceania, and South America, in order to improve HPV vaccination coverage in this group even further. Study 2: Study 2: COVID-19 vaccine coverage among immigrants and refugees in Alberta: A population-based cross-sectional study concluded that high COVID-19 vaccination coverage among immigrant populations in Alberta is an encouraging outcome. However, continued efforts are needed to target public health interventions towards older immigrants, immigrants living in rural areas, and immigrants from specific continental backgrounds in order to improve COVID-19 vaccination coverage.
This publication has no Abstract to dispaly

Physical Literacy (PL) is foundational to the development of movement competencies, paired with the knowledge and motivation for regular physical activity. Among the more prominent gaps in the literature is the design and evaluation of programs that aim to increase PL within specific populations, such as new immigrants or refugee youth. The Immigrant-focused Physical Literacy for Youth (IPLAY) program is a 8-week PL program designed for new immigrant and refugee youth who have recently settled in Calgary, Alberta. IPLAY includes different sports and games targeted at participants’ confidence, competence, motivation, and knowledge and understanding. This article discusses the result of a study that evaluates the feasibility of the IPLAY as an intervention program for newcomers. Physical Literacy (PL) is foundational to the development of movement competencies, paired with the knowledge and motivation for regular physical activity. Among the more prominent gaps in the literature is the design and evaluation of programs that aim to increase PL within specific populations, such as new immigrants or refugee youth. The Immigrant-focused Physical Literacy for Youth (IPLAY) program is a 8-week PL program designed for new immigrant and refugee youth who have recently settled in Calgary, Alberta. IPLAY includes different sports and games targeted at participants’ confidence, competence, motivation, and knowledge and understanding. This article discusses the result of a study that evaluates the feasibility of the IPLAY as an intervention program for newcomers.
This publication has no Abstract to dispaly

Older Muslim immigrants experience multiple vulnerabilities living in Canada. This study explores the experiences of Muslim older adults in Edmonton, AB during the COVID-19 pandemic to identify ways to build community resilience. Three major themes were: 1) loneliness, 2) decreased access to resources for connection, 3) capacity limits on services. The COVID-19 pandemic exacerbated challenges associated with aging in the Muslim population and contributed to further marginalization, with mosques being sites of support during times of crises. Policymakers and service providers must explore ways of engaging mosque-based support systems in meeting the needs of older Muslim adults during pandemics. Older Muslim immigrants experience multiple vulnerabilities living in Canada. This study explores the experiences of Muslim older adults in Edmonton, AB during the COVID-19 pandemic to identify ways to build community resilience. Three major themes were: 1) loneliness, 2) decreased access to resources for connection, 3) capacity limits on services. The COVID-19 pandemic exacerbated challenges associated with aging in the Muslim population and contributed to further marginalization, with mosques being sites of support during times of crises. Policymakers and service providers must explore ways of engaging mosque-based support systems in meeting the needs of older Muslim adults during pandemics.
This publication has no Abstract to dispaly

The challenges faced by Muslim youth in Calgary, Vancouver and Toronto in developing a meaningful and stable identity in an era of global conflicts, collective surveillance, and suspicion are explored. The study focuses on the negotiation of belonging and citizenship among Canadian Muslim youth, who navigate multiple, complex, and hybrid identities. 5 major themes were identified: navigation of multiple identities, religious identity and spirituality, media portrayals of Muslims, claiming inclusion and belonging in the face of anti-Muslim racism, and recommendations for positive youth development. By listening to the voices of Canadian Muslim youth, policymakers, practitioners, Muslim communities, and organizations can develop strategies to support their development. The challenges faced by Muslim youth in Calgary, Vancouver and Toronto in developing a meaningful and stable identity in an era of global conflicts, collective surveillance, and suspicion are explored. The study focuses on the negotiation of belonging and citizenship among Canadian Muslim youth, who navigate multiple, complex, and hybrid identities. 5 major themes were identified: navigation of multiple identities, religious identity and spirituality, media portrayals of Muslims, claiming inclusion and belonging in the face of anti-Muslim racism, and recommendations for positive youth development. By listening to the voices of Canadian Muslim youth, policymakers, practitioners, Muslim communities, and organizations can develop strategies to support their development.
This publication has no Abstract to dispaly

Composing lives that have a sense of coherence is part of the identity making of refugee families and shapes their attempts for social inclusion. Their struggles for narrative coherence are shaped by the bumping places and tensions that they experience as their lives bump against dominant narratives that structure the policies and practices of many institutions including schools. Using narrative inquiry, we inquired into the experiences of three Syrian refugee families as they bumped against institutional policies and practices. Composing lives that have a sense of coherence is part of the identity making of refugee families and shapes their attempts for social inclusion. Their struggles for narrative coherence are shaped by the bumping places and tensions that they experience as their lives bump against dominant narratives that structure the policies and practices of many institutions including schools. Using narrative inquiry, we inquired into the experiences of three Syrian refugee families as they bumped against institutional policies and practices.
This publication has no Abstract to dispaly

Pediatric refugees face diverse health issues, including growth abnormalities, that can have serious long-term adverse health consequences for cognition, bone health, blood pressure, and more. In 2014, the terrorist group Daesh committed genocide against Yazidis, an ethnic and religious minority group in Iraq and Syria, displacing an estimated 200 000 people. The Canadian government resettled approximately 1500 Yazidi refugees between 2016 and 2017, prioritizing previously enslaved women and children. Many Yazidi children endured violence and prolonged starvation, yet the prevalence of growth abnormalities among them is unknown. We assessed growth indicators for resettled Yazidi and non–Yazidi pediatric refugees from Syria and Iraq. Pediatric refugees face diverse health issues, including growth abnormalities, that can have serious long-term adverse health consequences for cognition, bone health, blood pressure, and more. In 2014, the terrorist group Daesh committed genocide against Yazidis, an ethnic and religious minority group in Iraq and Syria, displacing an estimated 200 000 people. The Canadian government resettled approximately 1500 Yazidi refugees between 2016 and 2017, prioritizing previously enslaved women and children. Many Yazidi children endured violence and prolonged starvation, yet the prevalence of growth abnormalities among them is unknown. We assessed growth indicators for resettled Yazidi and non–Yazidi pediatric refugees from Syria and Iraq.
This publication has no Abstract to dispaly

Although the number of students attending university has been steadily increasing over the past 20 years, discrepancies remain across racialized student groups. Students who immigrate to Canada also face a number of barriers to university participation. However, few studies investigate variations in university participation across racialized immigrant student groups. We draw on an intersectional approach to analyze student data from the Toronto District School Board. We employ multilevel logistic regression to examine if there are interactive effects of being both racialized and having an immigrant status on confirming a university enrollment. Looking at self-identified race and immigrant status of students in combination reveals that there are important differences in the likelihood of confirming and offer of university admission between several self-identified racial categories, depending on if they were foreign-born. Although the number of students attending university has been steadily increasing over the past 20 years, discrepancies remain across racialized student groups. Students who immigrate to Canada also face a number of barriers to university participation. However, few studies investigate variations in university participation across racialized immigrant student groups. We draw on an intersectional approach to analyze student data from the Toronto District School Board. We employ multilevel logistic regression to examine if there are interactive effects of being both racialized and having an immigrant status on confirming a university enrollment. Looking at self-identified race and immigrant status of students in combination reveals that there are important differences in the likelihood of confirming and offer of university admission between several self-identified racial categories, depending on if they were foreign-born.
This publication has no Abstract to dispaly