Research Library

This research focused on understanding the integration and settlement of Syrian children and youth in Winnipeg and Calgary. The goals were to understand how communities and schools might better support integration, the unique psychosocial and academic needs of Syrian refugees, and how schools can support reciprocal learning among refugee, immigrant, and Canadian-born students. Findings revealedthatmany refugees experience triple trauma as a result of forced migration, having experienced trauma in their country of origin, during transition, and again upon resettlement in Canada. Further challenges includeddifficulties in acquiring a new language, interrupted schooling, lack of resources for teachers who felt unprepared for the complexities of student needs, and racism and discrimination experienced by youth trying to integrate with their Canadian peers. The project reveals many gaps in programs and services and highlights the need for a coordinated approach among the different stakeholders in the refugee settlement and integration process. This research focused on understanding the integration and settlement of Syrian children and youth in Winnipeg and Calgary. The goals were to understand how communities and schools might better support integration, the unique psychosocial and academic needs of Syrian refugees, and how schools can support reciprocal learning among refugee, immigrant, and Canadian-born students. Findings revealedthatmany refugees experience triple trauma as a result of forced migration, having experienced trauma in their country of origin, during transition, and again upon resettlement in Canada. Further challenges includeddifficulties in acquiring a new language, interrupted schooling, lack of resources for teachers who felt unprepared for the complexities of student needs, and racism and discrimination experienced by youth trying to integrate with their Canadian peers. The project reveals many gaps in programs and services and highlights the need for a coordinated approach among the different stakeholders in the refugee settlement and integration process.
This publication has no Abstract to dispaly

Difficult migration journeys and challenges in leaving one country and adapting to another are detrimental to immigrants’ mental health. Often these life stressors are coupled with a lack of adequate support which makes the adaptation process even more challenging. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers’ perceptions of access to and use of mental health services for immigrants and refugees in Alberta. Barriers to access and use of mental health services include language barriers, cultural interpretations of mental health, stigma around mental illness, and fear of negative repercussions when living with a mental illness. Strategies to improve mental health service delivery include developing community-based services, attending to financial barriers, training immigrant service providers on mental health, enhancing collaboration across sectors in mental health service delivery, and advancing the role of interpreters and cultural brokers. Overall, immigrant service providers present a nuanced view of the complex and inter-related barriers immigrants and refugees experience and identify potential approaches to enhancing mental health service delivery. Difficult migration journeys and challenges in leaving one country and adapting to another are detrimental to immigrants’ mental health. Often these life stressors are coupled with a lack of adequate support which makes the adaptation process even more challenging. One area of support is access to and use of mental health services to prevent and address mental health concerns. Immigrant service providers in Canada support the integration and overall well-being of newcomers. This study focuses on immigrant service providers’ perceptions of access to and use of mental health services for immigrants and refugees in Alberta. Barriers to access and use of mental health services include language barriers, cultural interpretations of mental health, stigma around mental illness, and fear of negative repercussions when living with a mental illness. Strategies to improve mental health service delivery include developing community-based services, attending to financial barriers, training immigrant service providers on mental health, enhancing collaboration across sectors in mental health service delivery, and advancing the role of interpreters and cultural brokers. Overall, immigrant service providers present a nuanced view of the complex and inter-related barriers immigrants and refugees experience and identify potential approaches to enhancing mental health service delivery.
This publication has no Abstract to dispaly

This study examined the barriers and facilitators to community belonging for immigrants in Alberta, Canada. Participants discuss two forms of community belonging in this study: (a) belonging to an ethnocultural group; and (b) belonging within mainstream Canadian society. Barriers to mainstream community belonging for immigrants include employment barriers, language barriers, and discrimination. Recent immigrants often experience a sense of belonging to their ethnic group within the host country before feeling connected to others in their local geographic community. A major factor contributing to this trend is the lack of ethnocultural diversity in local community organizations in the areas where immigrants live. Immigrant service agencies and religious institutions compensate for this deficiency through creating avenues for social connection within and across ethnocultural groups and to mainstream Canadian society. Thus local community organizations should address issues of ethnocultural diversity and discrimination to improve the mental health of immigrants by fostering community belonging. Supporting programs in immigrant service agencies and religious institutions to increase social participation and engagement would, also, help strengthen community belonging and improve immigrant mental health. This study examined the barriers and facilitators to community belonging for immigrants in Alberta, Canada. Participants discuss two forms of community belonging in this study: (a) belonging to an ethnocultural group; and (b) belonging within mainstream Canadian society. Barriers to mainstream community belonging for immigrants include employment barriers, language barriers, and discrimination. Recent immigrants often experience a sense of belonging to their ethnic group within the host country before feeling connected to others in their local geographic community. A major factor contributing to this trend is the lack of ethnocultural diversity in local community organizations in the areas where immigrants live. Immigrant service agencies and religious institutions compensate for this deficiency through creating avenues for social connection within and across ethnocultural groups and to mainstream Canadian society. Thus local community organizations should address issues of ethnocultural diversity and discrimination to improve the mental health of immigrants by fostering community belonging. Supporting programs in immigrant service agencies and religious institutions to increase social participation and engagement would, also, help strengthen community belonging and improve immigrant mental health.
This publication has no Abstract to dispaly

Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ healthcare choices with the first five to ten years of arrival in Calgary, Alberta. This research used a qualitative naturalistic approach with ten Ghanaian adult immigrants. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong supportive system to facilitate better health choices and encourage health care service use among recent newcomers. Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ healthcare choices with the first five to ten years of arrival in Calgary, Alberta. This research used a qualitative naturalistic approach with ten Ghanaian adult immigrants. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong supportive system to facilitate better health choices and encourage health care service use among recent newcomers.
This publication has no Abstract to dispaly

Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ health care choices with the first five to ten years of arrival in Calgary, Alberta. This research used a qualitative naturalistic approach with ten Ghanaian adult immigrants. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong support system to facilitate better health choices and encourage health care service use among recent newcomers Many African immigrants moving to Canada tend to experience deterioration of health with time in their host country due to the influence of multiple factors on their health care decisions. The purpose of this study was to understand the problems and decision dynamics relevant to Ghanaian adult immigrants’ health care choices with the first five to ten years of arrival in Calgary, Alberta. This research used a qualitative naturalistic approach with ten Ghanaian adult immigrants. Thematic analysis revealed that participants’ healthcare choices were influenced by their pre-and post-migration experiences, which informed their pathways to care. Participants provided insights about tensions among themselves and with health providers in making healthcare choices as they settled in a new environment. Further, there is a need to provide health education programs and a strong support system to facilitate better health choices and encourage health care service use among recent newcomers
This publication has no Abstract to dispaly

This article discusses how the migrants with no or irregular migration status engaged in various strategies to survive while they were going through uncertain legal status in Alberta, Canada. This article shows that often the compromised legal status happens because of immigration policy developments and other factors outside of temporary foreign workers’ control. Nevertheless, although participants of this study recount experiencing high amounts of stress because of their situations, the role played by cognitive processes, which include imagining, strategizing, and what I call “inter-provincial legal consciousness”, allowed them to deal with this experience and reclaim agency over their lives. These processes allowed them to build communities and networks of support and to imagine potential life paths in other provinces through other provinces’ provincial nominee programmes. This article discusses how the migrants with no or irregular migration status engaged in various strategies to survive while they were going through uncertain legal status in Alberta, Canada. This article shows that often the compromised legal status happens because of immigration policy developments and other factors outside of temporary foreign workers’ control. Nevertheless, although participants of this study recount experiencing high amounts of stress because of their situations, the role played by cognitive processes, which include imagining, strategizing, and what I call “inter-provincial legal consciousness”, allowed them to deal with this experience and reclaim agency over their lives. These processes allowed them to build communities and networks of support and to imagine potential life paths in other provinces through other provinces’ provincial nominee programmes.
This publication has no Abstract to dispaly

East African (EA) women are a subpopulation who are at very high risk for gestational diabetes (GDM) and poor obstetric outcomes, but little is known about the care experiences of this understudied group. The objective of this study was to document the impact of a diagnosis of GDM and the perceptions of diabetes care among EA immigrant women. EA immigrant women had varied experiences related to GDM. Thematic analysis revealed the negative impact of GDM diagnoses on women, including the burdens of self-care, fear, community influences and cultural and financial barriers. The positive impacts of the experience of diagnosis noted were primarily in the empowerment to make healthful behaviour changes. Study findings point to the need for more context-specific and culturally appropriate support and care. Diagnoses of GDM extended beyond the individuals affected and impacted their families culturally, psychologically and financially. Addressing the emergent themes during pregnancy is imperative to improving care providers’ engagement with EA immigrant women in postpartum diabetes screening activities and beyond. The findings of this study contain elements transferable to other immigrant groups in similar socioecologic contexts. East African (EA) women are a subpopulation who are at very high risk for gestational diabetes (GDM) and poor obstetric outcomes, but little is known about the care experiences of this understudied group. The objective of this study was to document the impact of a diagnosis of GDM and the perceptions of diabetes care among EA immigrant women. EA immigrant women had varied experiences related to GDM. Thematic analysis revealed the negative impact of GDM diagnoses on women, including the burdens of self-care, fear, community influences and cultural and financial barriers. The positive impacts of the experience of diagnosis noted were primarily in the empowerment to make healthful behaviour changes. Study findings point to the need for more context-specific and culturally appropriate support and care. Diagnoses of GDM extended beyond the individuals affected and impacted their families culturally, psychologically and financially. Addressing the emergent themes during pregnancy is imperative to improving care providers’ engagement with EA immigrant women in postpartum diabetes screening activities and beyond. The findings of this study contain elements transferable to other immigrant groups in similar socioecologic contexts.
This publication has no Abstract to dispaly

Child discipline remains a topic of public health interest across the globe. Despite this enduring interest, very little is known about the child disciplinary practices of African immigrants in Canada. This paper explores the disciplinary practices of African immigrant parents in Alberta, a Canadian province with a recent surge in the population of African immigrants. As members of the African immigrant community, we were deeply immersed in the research settings, which afforded us the opportunity to collect observational data in the form of reflexive notes. We found that African immigrant parents used corporal discipline (i.e. spanking and pinching, and more severe practices as kicking and slapping), persuasive discipline (i.e. timeouts and withdrawal of privileges, positive reinforcement techniques, such as the use of rewards), and a hybrid of the two. They also used emerging practices involving transnational fostering (fostering chronically misbehaving children to relatives and friends in Africa) and emotional isolation of children who persistently misbehaved. These practices, in their totality, appeared to be influenced by parents’ cultural backgrounds, as well as their interactions with Canadian educational system. We present theoretical, policy, and service implications of our findings, including a recommendation to incorporate sociocultural dimensions of child discipline into Canadian child welfare policies and practices. Child discipline remains a topic of public health interest across the globe. Despite this enduring interest, very little is known about the child disciplinary practices of African immigrants in Canada. This paper explores the disciplinary practices of African immigrant parents in Alberta, a Canadian province with a recent surge in the population of African immigrants. As members of the African immigrant community, we were deeply immersed in the research settings, which afforded us the opportunity to collect observational data in the form of reflexive notes. We found that African immigrant parents used corporal discipline (i.e. spanking and pinching, and more severe practices as kicking and slapping), persuasive discipline (i.e. timeouts and withdrawal of privileges, positive reinforcement techniques, such as the use of rewards), and a hybrid of the two. They also used emerging practices involving transnational fostering (fostering chronically misbehaving children to relatives and friends in Africa) and emotional isolation of children who persistently misbehaved. These practices, in their totality, appeared to be influenced by parents’ cultural backgrounds, as well as their interactions with Canadian educational system. We present theoretical, policy, and service implications of our findings, including a recommendation to incorporate sociocultural dimensions of child discipline into Canadian child welfare policies and practices.
This publication has no Abstract to dispaly

Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Results: Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy, breastfeeding and baby care. Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life. Hence, group prenatal care provides a positive experience and improves information exchange among vulnerable populations. Programs interested in engaging, educating and empowering vulnerable pregnant women may benefit from implementation of group care. Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Results: Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy, breastfeeding and baby care. Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life. Hence, group prenatal care provides a positive experience and improves information exchange among vulnerable populations. Programs interested in engaging, educating and empowering vulnerable pregnant women may benefit from implementation of group care.
This publication has no Abstract to dispaly

This article presents the issues and challenges facing older Chinese immigrants in accessing mainstream services in Edmonton, Alberta, in Western Canada. The awareness and access to mainstream services and information, perceptions of services, system improvements and use of social media are discussed. Barriers to services include: isolation, impacting physical and mental health; few multicultural services (barriers around translation and access to services); barriers around age and ability (accessibility); cost barriers. The article suggests several recommendations: culturally competent service provision by mainstream services (including removing cost barriers, improving translation and accessibility); more collaboration between ‘mainstream’ service providers and ethno-specific organizations; more consultation with Chinese community; greater accessibility to translation; increased funding for human resources and training. This article presents the issues and challenges facing older Chinese immigrants in accessing mainstream services in Edmonton, Alberta, in Western Canada. The awareness and access to mainstream services and information, perceptions of services, system improvements and use of social media are discussed. Barriers to services include: isolation, impacting physical and mental health; few multicultural services (barriers around translation and access to services); barriers around age and ability (accessibility); cost barriers. The article suggests several recommendations: culturally competent service provision by mainstream services (including removing cost barriers, improving translation and accessibility); more collaboration between ‘mainstream’ service providers and ethno-specific organizations; more consultation with Chinese community; greater accessibility to translation; increased funding for human resources and training.
This publication has no Abstract to dispaly