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 If you come across a link that is no longer active, please let us know and we can update it.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

Immigrant physicians in Calgary

Immigrant doctors represent a significant portion of family physicians and specialists in Calgary. Even more could be certified to practice as doctors or in other related professions, but face high financial and regulatory barriers upon arriving. Facilitating their licensing to practice medicine would benefit them and all Calgarians. Immigrant doctors represent a significant portion of family physicians and specialists in Calgary. Even more could be certified to practice as doctors or in other related professions, but face high financial and regulatory barriers upon arriving. Facilitating their licensing to practice medicine would benefit them and all Calgarians.
This publication has no Abstract to dispaly

Intensified Exploitation and Mental Stress as Impacts of Changes to the Temporary Foreign Worker Program in Alberta, Canada

Effective policies are needed to address the issues of precarious status of migrant workers. The experience of migrant workers is highly structured by the policies and systems in destination countries. In Canada, policy changes have affected the experiences of migrants. We sought to examine the impact of changes to the Temporary Foreign Worker Program in 2015 on migrants in Alberta, one of Canada’s western provinces. The findings of our study reveal that the changes to the Temporary Foreign Worker Program in Canada in 2015 restricted the rights of these workers, intensified exploitation, and led to mental health strain for temporary foreign workers and their families. To attend to the marginal status of migrant workers, there is a need to broaden pathways to permanent resident status for low-wage temporary foreign workers in destination countries. Effective policies are needed to address the issues of precarious status of migrant workers. The experience of migrant workers is highly structured by the policies and systems in destination countries. In Canada, policy changes have affected the experiences of migrants. We sought to examine the impact of changes to the Temporary Foreign Worker Program in 2015 on migrants in Alberta, one of Canada’s western provinces. The findings of our study reveal that the changes to the Temporary Foreign Worker Program in Canada in 2015 restricted the rights of these workers, intensified exploitation, and led to mental health strain for temporary foreign workers and their families. To attend to the marginal status of migrant workers, there is a need to broaden pathways to permanent resident status for low-wage temporary foreign workers in destination countries.
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

Meeting the settlement and integration needs of highly skilled economic immigrants: The role of Gateway Alberta in enhancing newcomer settlement and integration services in Calgary

About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project. About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project.
This publication has no Abstract to dispaly

Understanding the Lived Experiences and Financial Realities of Older Immigrants

This article examines the financial literacy of older immigrants in Canada. Older immigrants experience multiple forms of financial exclusion rooted in the intersections between age, race, gender, immigration, and labour history. While the existing literature notes how immigrants are more likely to be unbanked because of structural barriers such as inaccessible services and language barriers, few studies have explored how older immigrants discuss their experiences and financial conditions. This paper explores the experiences of financial literacy among older immigrants in Calgary, Alberta through in-depth interviews and photographs taken by participants. We discuss the lived experiences and financial realities among older immigrants, how they perceive challenges to financial literacy as well as coping strategies. Themes focus on the ways in which histories of immigration and labour impact their financial security in later life. Photographs generated offer service providers and policy makers opportunities to think about and engage in interventions that better tackle issues of financial insecurity and inequality among older immigrants. This article examines the financial literacy of older immigrants in Canada. Older immigrants experience multiple forms of financial exclusion rooted in the intersections between age, race, gender, immigration, and labour history. While the existing literature notes how immigrants are more likely to be unbanked because of structural barriers such as inaccessible services and language barriers, few studies have explored how older immigrants discuss their experiences and financial conditions. This paper explores the experiences of financial literacy among older immigrants in Calgary, Alberta through in-depth interviews and photographs taken by participants. We discuss the lived experiences and financial realities among older immigrants, how they perceive challenges to financial literacy as well as coping strategies. Themes focus on the ways in which histories of immigration and labour impact their financial security in later life. Photographs generated offer service providers and policy makers opportunities to think about and engage in interventions that better tackle issues of financial insecurity and inequality among older immigrants.
This publication has no Abstract to dispaly

Strategizing to Strengthen Social Inclusion: The Agency of Black African Immigrant Youth in Alberta, Canada

This article analyzes perspectives and strategies through which Black African immigrant youth in Calgary, Alberta, promote their social inclusion in Canadian society. This article stresses the agency and resilience among Black African youth in Calgary. Overall, the findings emphasize that Black African immigrant youths’ sense and strategies of inclusion are rooted in their ethnic group and religious associations. Specifically, participants identified 1) spaces of safety, 2) empowerment initiatives, and 3) support through social networks that made their sense of inclusion meaningful. The analysis of the agency of Black African youth illuminates the strength and power of the youth and their respective communities. Finding themselves in a new environment and context, they drew on continuous, centuries-long cultural knowledge and strategies to adapt to change. Not only are they coping, but they are also thriving and teaching and sharing their heritage and humanistic values with various peoples and cultures. This article analyzes perspectives and strategies through which Black African immigrant youth in Calgary, Alberta, promote their social inclusion in Canadian society. This article stresses the agency and resilience among Black African youth in Calgary. Overall, the findings emphasize that Black African immigrant youths’ sense and strategies of inclusion are rooted in their ethnic group and religious associations. Specifically, participants identified 1) spaces of safety, 2) empowerment initiatives, and 3) support through social networks that made their sense of inclusion meaningful. The analysis of the agency of Black African youth illuminates the strength and power of the youth and their respective communities. Finding themselves in a new environment and context, they drew on continuous, centuries-long cultural knowledge and strategies to adapt to change. Not only are they coping, but they are also thriving and teaching and sharing their heritage and humanistic values with various peoples and cultures.
This publication has no Abstract to dispaly

The availability of pharmacists with Additional Prescribing Authorization in relation to the distribution of vulnerable populations – A cross-sectional study

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.
This publication has no Abstract to dispaly

“You Can’t Solve Precarity With Precarity.” The New Alberta Workers Program: An Interview With Jared Matsunaga-Turnbull, Executive Director of the Alberta Workers’ Health Centre

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

Occupational Health and Safety for Migrant Domestic Workers in Canada: Dimensions of (Im)mobility

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

Cultural Brokering with Syrian Refugee Families with Young Children: An Exploration of Challenges and Best Practices in Psychosocial Adaptation

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.
This publication has no Abstract to dispaly