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 If you come across a link that is no longer active, please let us know and we can update it.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

An ethnographic investigation of the maternity healthcare experience of immigrants in rural and urban Alberta, Canada

Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination. Canada is among the top immigrant-receiving nations in the world. The aims of the study were to (1) create a new understanding of the processes that disadvantage immigrants in maternity healthcare, and (2) propose changes that might improve maternity experiences and outcomes for immigrant women in Canada. The findings indicate that (a) communication difficulties, (b) lack of information, (c) lack of social support (isolation), (d) cultural beliefs, e) inadequate healthcare services, and (f) cost of medicine/services represent potential barriers to the access to and navigation of maternity services by immigrant women in Canada. Having successfully accessed and navigated services, immigrant women often face additional challenges that influence their level of satisfaction and quality of care. These challenges include lack of understanding of the informed consent process, lack of regard by professionals for confidential patient information, short consultation times, short hospital stays, perceived discrimination/stereotyping, and culture shock. Although health service organizations and policies strive for universality and equality in service provision, personal and organizational barriers can limit care access, adequacy, and acceptability for immigrant women. A holistic healthcare approach must include health informational packages available in different languages/media. Health care professionals who care for diverse populations must be provided with training in cultural competence, and monitoring and evaluation programs to ameliorate personal and systemic discrimination.
This publication has no Abstract to dispaly

“Cancelled Dreams”: Family Reunification and Shifting Canadian Immigration Policy

This article documents the impact of recently introduced restrictive family reunification policies on immigrants living in Canada today. Since 2008, Canadian immigration policy has changed dramatically with renewed neoliberal emphasis on economic immigrants and labor-market integration (younger, high-skilled immigrants with strong English or French language skills are prioritized over other groups of newcomers). This led to making the process of reuniting families more difficult and expensive. This article explores the impact of this policy shift on immigrant families and on immigrant women and children in particular. This article argues that there are profound human costs to limiting family reunification; these costs are disproportionately borne by immigrant women (who tend to take addition responsibilities of child care) and ultimately impact immigrant integration and belonging. This article documents the impact of recently introduced restrictive family reunification policies on immigrants living in Canada today. Since 2008, Canadian immigration policy has changed dramatically with renewed neoliberal emphasis on economic immigrants and labor-market integration (younger, high-skilled immigrants with strong English or French language skills are prioritized over other groups of newcomers). This led to making the process of reuniting families more difficult and expensive. This article explores the impact of this policy shift on immigrant families and on immigrant women and children in particular. This article argues that there are profound human costs to limiting family reunification; these costs are disproportionately borne by immigrant women (who tend to take addition responsibilities of child care) and ultimately impact immigrant integration and belonging.
This publication has no Abstract to dispaly

Rural Homelessness in Western Canada: Lessons Learned from Diverse Communities

Until recently, there was little acknowledgement that homelessness existed in rural areas in Canada. In order to understand the dynamics of homelessness in rural Alberta, we conducted interviews with service providers and other key stakeholders across Alberta. We examined homelessness dynamics and responses to rural homelessness in 20 rural communities across the province. Across all of the communities in the study, homelessness was reported however, the magnitude of the issue and its dynamics were distinct depending on the local contexts. We also identified several themes which serve as descriptors of rural homelessness issues. We note a number of recommendations emerging from this data which are aimed at building on the experiences, capacities, and strengths of rural communities. Until recently, there was little acknowledgement that homelessness existed in rural areas in Canada. In order to understand the dynamics of homelessness in rural Alberta, we conducted interviews with service providers and other key stakeholders across Alberta. We examined homelessness dynamics and responses to rural homelessness in 20 rural communities across the province. Across all of the communities in the study, homelessness was reported however, the magnitude of the issue and its dynamics were distinct depending on the local contexts. We also identified several themes which serve as descriptors of rural homelessness issues. We note a number of recommendations emerging from this data which are aimed at building on the experiences, capacities, and strengths of rural communities.
This publication has no Abstract to dispaly

Immigrant status and having a regular medical doctor among Canadian adults

New immigrants generally arrive in Canada with a health advantage over their Canadian counterparts, but lose that advantage over time. Difficulties in acquiring a physician may contribute. Past studies relied on older data, and lacked control for many confounders and assessment of gender differences. We assessed the relationship between immigrant status and having a regular doctor among Canadian adults. New Canadian immigrants are less likely to have a regular doctor compared to non-immigrants, and should be targeted by policies and programs facilitating finding a doctor. New immigrants generally arrive in Canada with a health advantage over their Canadian counterparts, but lose that advantage over time. Difficulties in acquiring a physician may contribute. Past studies relied on older data, and lacked control for many confounders and assessment of gender differences. We assessed the relationship between immigrant status and having a regular doctor among Canadian adults. New Canadian immigrants are less likely to have a regular doctor compared to non-immigrants, and should be targeted by policies and programs facilitating finding a doctor.
This publication has no Abstract to dispaly

Understanding Job Status Decline among Newcomers to Canada

Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada. Problems related to the recognition of skills and education acquired by immigrants abroad and their ability to translate them into similar work and income in Canada are well-known. This paper attempts to quantify, insofar as possible the mismatch between education and skills attained abroad by comparing pre-arrival and post-arrival job statuses amongst newcomers to Canada who have been in the country for five years or less. Our results reveal that there is, in fact, a significant decline in job status for newcomers, which is influenced by province of residence, place of education attainment, and length of time in Canada.
This publication has no Abstract to dispaly

Is Universal Screening Necessary? Incidence of Tuberculosis among Tibetan Refugees Arriving in Calgary, Alberta

Canadian policy requires refugees with a history of tuberculosis (TB) or abnormal chest radiograph to be screened after arrival for TB. However, Tibetan refugees are screened, regardless of preimmigration assessment. We sought to determine the incidence of latent (LTBI) and active TB, as well as treatment-related outcomes and associations between preimmigration factors and TB infection among Tibetan refugees arriving in Calgary, Alberta. We found no associations between preimmigration factors and treatment completion. A case of active TB was detected and treated. Within this cohort, the case of active TB would have been detected through the usual postsurveillance process due to a history of TB and abnormal chest radiograph. Forty-nine percent had LTBI, compared to previously quoted rates of 97 percent. Tibetan refugees should be screened for TB in a similar manner to other refugees resettling in Canada. Canadian policy requires refugees with a history of tuberculosis (TB) or abnormal chest radiograph to be screened after arrival for TB. However, Tibetan refugees are screened, regardless of preimmigration assessment. We sought to determine the incidence of latent (LTBI) and active TB, as well as treatment-related outcomes and associations between preimmigration factors and TB infection among Tibetan refugees arriving in Calgary, Alberta. We found no associations between preimmigration factors and treatment completion. A case of active TB was detected and treated. Within this cohort, the case of active TB would have been detected through the usual postsurveillance process due to a history of TB and abnormal chest radiograph. Forty-nine percent had LTBI, compared to previously quoted rates of 97 percent. Tibetan refugees should be screened for TB in a similar manner to other refugees resettling in Canada.
This publication has no Abstract to dispaly

Policy and Management Recommendations Informed by the Health Benefits of Visitor Experiences in Alberta’s Protected Areas

Leisure in parks and other forms of protected areas are connected to an individual’s health and well-being. Findings show that anticipated human health and well-being benefits were a major factor motivating individuals decision to visit a park or protected area. However, there was a negative correlation between age and each of the perceived benefits, indicating that older visitors were less motivated to visit protected areas. Interestingly, health motivations and benefits (or outcomes) were correlated highly with nature relatedness, meaning the more connected one is to nature, the greater the motivation to visit parks and the greater the health and well-being benefits received from park experiences. Overall, this study represents the largest examination of the human health and well-being benefits associated with visitor experiences in a Canadian protected areas context. The results substantiate the need for park organizations to better understand the “service provider” “client” relationship from a human health and well-being perspective so that integrated policies and visitor experience programs can be developed or enhanced where appropriate. Leisure in parks and other forms of protected areas are connected to an individual’s health and well-being. Findings show that anticipated human health and well-being benefits were a major factor motivating individuals decision to visit a park or protected area. However, there was a negative correlation between age and each of the perceived benefits, indicating that older visitors were less motivated to visit protected areas. Interestingly, health motivations and benefits (or outcomes) were correlated highly with nature relatedness, meaning the more connected one is to nature, the greater the motivation to visit parks and the greater the health and well-being benefits received from park experiences. Overall, this study represents the largest examination of the human health and well-being benefits associated with visitor experiences in a Canadian protected areas context. The results substantiate the need for park organizations to better understand the “service provider” “client” relationship from a human health and well-being perspective so that integrated policies and visitor experience programs can be developed or enhanced where appropriate.
This publication has no Abstract to dispaly

Mental well-being and quality-of-life benefits of inclusion in nature for adults with disabilities and their caregivers

The benefits of green space and nature experiences are increasingly being recognised and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta in Western Canada. This study was designed to examine the influence of two such government supported nature interventions, including day trips and a more extensive weekend or week-long nature experience, on mental well-being outcomes. Findings show a positive trend towards improved depression markers, greater health satisfaction, improved social relationships (in particular, love and friendship), as well as satisfaction with a sense of community and experiences of helping. The benefits of green space and nature experiences are increasingly being recognised and translated into public health policy and practice. Alongside this trend, inclusion of all people into parks and nature has been an important area of parks and recreation practice. Nature inclusion for those with disabilities, youth, seniors and immigrants has become a focus of Alberta in Western Canada. This study was designed to examine the influence of two such government supported nature interventions, including day trips and a more extensive weekend or week-long nature experience, on mental well-being outcomes. Findings show a positive trend towards improved depression markers, greater health satisfaction, improved social relationships (in particular, love and friendship), as well as satisfaction with a sense of community and experiences of helping.
This publication has no Abstract to dispaly

Capital, distinction, and racialized habitus: immigrant youth in the educational field

Chinese Canadian youth are usually represented as a model minority and are therefore rendered invisible in identity debates. This paper examines how racism affects the identity construction of Chinese youth in different school fields. Particularly, I raise and discuss a theoretical concept, racialized habitus, which is manifested as both intergroup exclusion and intragroup distinction. This study indicates the continuing significance of research on racism. It calls for challenging racism as an act of distinction, habitus, and action, as well as a discursive practice of discourse. Chinese Canadian youth are usually represented as a model minority and are therefore rendered invisible in identity debates. This paper examines how racism affects the identity construction of Chinese youth in different school fields. Particularly, I raise and discuss a theoretical concept, racialized habitus, which is manifested as both intergroup exclusion and intragroup distinction. This study indicates the continuing significance of research on racism. It calls for challenging racism as an act of distinction, habitus, and action, as well as a discursive practice of discourse.
This publication has no Abstract to dispaly

The dynamics of union responses to migrant workers in Canada

This study examines how five unions in the Canadian province of Alberta responded to a sudden influx of temporary foreign workers (TFWs) the mid-2000s. The authors find three types of response to the new TFW members: resistive, facilitative and active. (1) resistive response, which stems from unions’ unwillingness to advocate for TFWs as a part of the union membership and to acknolwedge thier economic vulnerabilities; (2) facilitative response, which is indicated by unions assisting emplyers to hire TFWs even if TFWs are viewed undesirable. This is a strategically advantageous response for unions because cooperation with the employer ‘maintains a steady labour supply to keep projects moving and members employed’; (3) and active response, which is marked by genuine efforts by unions to confront employers and advocate for TFWs’ vulnerability and unique legal status. Furthermore, these responses were dynamic and changing over time. The different responses are best explained not by the unions’ institutional context, but by internal factors shaping each union’s response. This study examines how five unions in the Canadian province of Alberta responded to a sudden influx of temporary foreign workers (TFWs) the mid-2000s. The authors find three types of response to the new TFW members: resistive, facilitative and active. (1) resistive response, which stems from unions’ unwillingness to advocate for TFWs as a part of the union membership and to acknolwedge thier economic vulnerabilities; (2) facilitative response, which is indicated by unions assisting emplyers to hire TFWs even if TFWs are viewed undesirable. This is a strategically advantageous response for unions because cooperation with the employer ‘maintains a steady labour supply to keep projects moving and members employed’; (3) and active response, which is marked by genuine efforts by unions to confront employers and advocate for TFWs’ vulnerability and unique legal status. Furthermore, these responses were dynamic and changing over time. The different responses are best explained not by the unions’ institutional context, but by internal factors shaping each union’s response.
This publication has no Abstract to dispaly