Refugee decisions to vaccinate for COVID-19 are a complex interplay of factors which include individual perceptions, access barriers, trust, and COVID-19 specific factors, which contribute to lower vaccine uptake. To address this, the WHO calls for localized solutions to increase COVID-19 vaccine uptake for refugees and evidence to inform future vaccination efforts. However, limited evidence engages directly with refugees about their experiences with COVID-19 vaccinations. To address this gap, researchers conducted qualitative interviews (N = 61) with refugees (n = 45), sponsors of refugees (n = 3), and key informants (n = 13) connected to local COVID-19 vaccination efforts for refugees in Calgary. Thematic analysis was conducted to synthesize themes related to vaccine perspectives, vaccination experiences, and patient intersections with policies and systems. Findings reveal that refugees benefit from ample services that are delivered at various stages, that are not solely related to vaccinations, and which create multiple positive touch points with health and immigration systems. This builds trust and vaccine confidence and promotes COVID-19 vaccine uptake. Despite multiple factors affecting vaccination decisions, a key reason for vaccination was timely and credible information delivered through trusted intermediaries and in an environment that addressed refugee needs and concerns. As refugees placed trust and relationships at the core of decision-making and vaccination, it is recommended that healthcare systems work through trust and relationships to reach refugees. This can be targeted through culturally responsive healthcare delivery that meets patients where they are, including barrier reduction measures such as translation and on-site vaccinations, and educational and outreach partnerships with private groups, community organizations and leaders. Refugee decisions to vaccinate for COVID-19 are a complex interplay of factors which include individual perceptions, access barriers, trust, and COVID-19 specific factors, which contribute to lower vaccine uptake. To address this, the WHO calls for localized solutions to increase COVID-19 vaccine uptake for refugees and evidence to inform future vaccination efforts. However, limited evidence engages directly with refugees about their experiences with COVID-19 vaccinations. To address this gap, researchers conducted qualitative interviews (N = 61) with refugees (n = 45), sponsors of refugees (n = 3), and key informants (n = 13) connected to local COVID-19 vaccination efforts for refugees in Calgary. Thematic analysis was conducted to synthesize themes related to vaccine perspectives, vaccination experiences, and patient intersections with policies and systems. Findings reveal that refugees benefit from ample services that are delivered at various stages, that are not solely related to vaccinations, and which create multiple positive touch points with health and immigration systems. This builds trust and vaccine confidence and promotes COVID-19 vaccine uptake. Despite multiple factors affecting vaccination decisions, a key reason for vaccination was timely and credible information delivered through trusted intermediaries and in an environment that addressed refugee needs and concerns. As refugees placed trust and relationships at the core of decision-making and vaccination, it is recommended that healthcare systems work through trust and relationships to reach refugees. This can be targeted through culturally responsive healthcare delivery that meets patients where they are, including barrier reduction measures such as translation and on-site vaccinations, and educational and outreach partnerships with private groups, community organizations and leaders.
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The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn. The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn.
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Sport participation is popularly constructed as an effective means for welcoming newcomers into their new country of residence, despite these claims being critiqued by sport scholars. In this study, we critically interrogated Intro to Sport programmes as one approach for welcoming newcomers into the Canadian sport system using Green’s normative theory of sport development to inform our work. Twenty qualitative interviews were conducted with programme administrators, instructors, and parents of newcomer programme participants representing six Intro to Sport programmes. Using thematic analysis, two overarching themes were determined: (1) toward inclusion: negotiating sport participation; and (2) sustainability. We explored how various sport participation barriers were managed towards promoting inclusion across the programmes as well as the pervasiveness of intersectoral community partnerships. We provided a nuanced discussion of the socio-cultural and contextual considerations surrounding Intro to Sport programmes for newcomers, insights that can inform sport development research and practice moving forward. We also offer suggestions to sport administrators involved in Intro to Sport programmes for newcomers and future research directions. Sport participation is popularly constructed as an effective means for welcoming newcomers into their new country of residence, despite these claims being critiqued by sport scholars. In this study, we critically interrogated Intro to Sport programmes as one approach for welcoming newcomers into the Canadian sport system using Green’s normative theory of sport development to inform our work. Twenty qualitative interviews were conducted with programme administrators, instructors, and parents of newcomer programme participants representing six Intro to Sport programmes. Using thematic analysis, two overarching themes were determined: (1) toward inclusion: negotiating sport participation; and (2) sustainability. We explored how various sport participation barriers were managed towards promoting inclusion across the programmes as well as the pervasiveness of intersectoral community partnerships. We provided a nuanced discussion of the socio-cultural and contextual considerations surrounding Intro to Sport programmes for newcomers, insights that can inform sport development research and practice moving forward. We also offer suggestions to sport administrators involved in Intro to Sport programmes for newcomers and future research directions.
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African immigrant women are underrepresented in health research on maternal mental health. Thus, there is a need to highlight successful recruitment strategies to engage African women in health-oriented research. This study highlights the importance of utilizing multiple recruitment strategies to successfully meet the desired sample size for a survey study. African immigrant women are underrepresented in health research on maternal mental health. Thus, there is a need to highlight successful recruitment strategies to engage African women in health-oriented research. This study highlights the importance of utilizing multiple recruitment strategies to successfully meet the desired sample size for a survey study.
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This paper examines the relationship between parents’ sense of coherence (SOC) and children’s oral health outcomes among newcomers (immigrants to Canada). Immigrant parents with children aged 1-12 years who lived in Canada for 10 years or less were recruited. Findings show that parent’s SOC was relatively low among newcomers and not associated with children’s oral health outcomes. This paper examines the relationship between parents’ sense of coherence (SOC) and children’s oral health outcomes among newcomers (immigrants to Canada). Immigrant parents with children aged 1-12 years who lived in Canada for 10 years or less were recruited. Findings show that parent’s SOC was relatively low among newcomers and not associated with children’s oral health outcomes.
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This study sought to determine the role pedagogical love can play in the emotional experience of (Arabic-speaking) refugee families in Calgary, Canada, as they engaged with the public education system at the Grade 4–12 level. This study sought to determine the role pedagogical love can play in the emotional experience of (Arabic-speaking) refugee families in Calgary, Canada, as they engaged with the public education system at the Grade 4–12 level.
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In this article, we reflect on a comprehensive community-engaged research approach that we undertook to identify the barriers to equitable primary care access among a South Asian (Bangladeshi) immigrant community in Canada. This article summarised the experience of our programme of research and describes our understanding of community-engaged research among an immigrant/racialised community that meaningfully interacts with the community. In this article, we reflect on a comprehensive community-engaged research approach that we undertook to identify the barriers to equitable primary care access among a South Asian (Bangladeshi) immigrant community in Canada. This article summarised the experience of our programme of research and describes our understanding of community-engaged research among an immigrant/racialised community that meaningfully interacts with the community.
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South Asian immigrant youth (SAIY) confront challenges like racial discrimination, stigma, and acculturative stress due to their marginalised identities. Limited research exists on the barriers they face adjusting to Canadian life. Our findings underscore the varied experiences of SAIY in Edmonton, Alberta, highlighting the need for better accessibility to social and healthcare services. South Asian immigrant youth (SAIY) confront challenges like racial discrimination, stigma, and acculturative stress due to their marginalised identities. Limited research exists on the barriers they face adjusting to Canadian life. Our findings underscore the varied experiences of SAIY in Edmonton, Alberta, highlighting the need for better accessibility to social and healthcare services.
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This research examines everyday place-based experiences of settlement sociability among racialized immigrants based on the understanding that racial matters are spatial matters. Findings indicate that racialized immigrants felt comfortable in “de-racialized” spaces, where they were temporarily relieved from their ethnic visibility and a sense of being out of place. They were uncomfortable in areas that triggered “racialized insecurity,” where they felt vulnerable because of their racialized identity. The findings of this research call attention to the need for a closer inspection of how places of immigrant settlement and race are inextricably linked. The promotion of settlement sociability needs to go beyond physical proximity to social closeness, valuing co-ethnicity and cultural familiarity, especially in the initial stage of settlement. This research examines everyday place-based experiences of settlement sociability among racialized immigrants based on the understanding that racial matters are spatial matters. Findings indicate that racialized immigrants felt comfortable in “de-racialized” spaces, where they were temporarily relieved from their ethnic visibility and a sense of being out of place. They were uncomfortable in areas that triggered “racialized insecurity,” where they felt vulnerable because of their racialized identity. The findings of this research call attention to the need for a closer inspection of how places of immigrant settlement and race are inextricably linked. The promotion of settlement sociability needs to go beyond physical proximity to social closeness, valuing co-ethnicity and cultural familiarity, especially in the initial stage of settlement.
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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.
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