Research Library

This study examined barriers that influence access to and use of mental health services by Black youth in Alberta. Interviews and conversation café-style focus groups with the youth highlighted key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths. This study examined barriers that influence access to and use of mental health services by Black youth in Alberta. Interviews and conversation café-style focus groups with the youth highlighted key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths.
This publication has no Abstract to dispaly

Studies on immigrant populations’ access to healthcare in Canada tend to focus on adults and usually concentrate on specific ethnic groups. This study sought to present the experiences of immigrant parents in Edmonton, AB when they access health services for their children focusing specifically on the various sources of information that they used to improve their children’s health. Fifty immigrant parents from Edmonton semi-structured interviews. We developed three main themes from the data: Accessing social networks for informational support, the role of professionals in accessing health care information, and navigating and evaluating information sources. The study demonstrates that immigrant families consulted various sources of information in order to meet their children’s healthcare needs. The most common source was the Internet followed by friends and family members, and health care professionals. Findings suggest that health information that is disseminated using the Internet needs to be made available in multiple languages to facilitate communication to persons who are not fluent in English nor French. Also, policy makers and health care professionals must increase focus on informal sources of health care information. Studies on immigrant populations’ access to healthcare in Canada tend to focus on adults and usually concentrate on specific ethnic groups. This study sought to present the experiences of immigrant parents in Edmonton, AB when they access health services for their children focusing specifically on the various sources of information that they used to improve their children’s health. Fifty immigrant parents from Edmonton semi-structured interviews. We developed three main themes from the data: Accessing social networks for informational support, the role of professionals in accessing health care information, and navigating and evaluating information sources. The study demonstrates that immigrant families consulted various sources of information in order to meet their children’s healthcare needs. The most common source was the Internet followed by friends and family members, and health care professionals. Findings suggest that health information that is disseminated using the Internet needs to be made available in multiple languages to facilitate communication to persons who are not fluent in English nor French. Also, policy makers and health care professionals must increase focus on informal sources of health care information.
This publication has no Abstract to dispaly

Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population. Clinical guidelines support exercise in managing osteoarthritis. Physical activity in immigrants is affected by migration-related factors: acculturation, stress associated with settling in a new country, physical environments, and availability of resources. Other challenges are: competing time demands, cultural norms and behaviours, motivation and lack of peer support. Adult physical inactivity rates are high in Muslim majority countries, especially for Arab Muslims and Muslim women. Barriers to Muslim women participating in leisure physical activity, for example, include gendered norms of behavior, religious interpretations of women’s participation in sports, lack of access to gender-segregated spaces, lack of social support, lack of education on physical activity and competing social obligations. Participants of this research emphasized the importance of physical activity in older age and prioritized the need for physical activity programs. The four themes highlight Muslim older immigrants’ perspectives on physical activity in Canada: (a) values and approaches to staying active, (b) health factors: pain and health limitations, (c) social factors: culture, religion and belonging; and (d) environmental factors: safety and accessibility. Lack of effective strategies for pain management was a major concern for many participants and hindered their ability to engage in both daily living activities and more strenuous forms of exercise and recreation activities. Physical activity in older age is valued by older Muslim immigrants but financial, cultural, and environmental barriers to physical activity warrant intervention. One avenue of promoting physical activity in Muslim older immigrants is the development of local, accessible, and culturally sensitive programming that address both the physical activity, education, and socialization needs of this population.
This publication has no Abstract to dispaly

The increase in global migration means more immigrants are ageing in host countries with unique experiences and needs. Muslim immigrants in Canada are from diverse ethnocultural communities and experience unmet health and social needs in older age. A community-based participatory research project was conducted in Alberta, Canada, in 2017-2018 to understand the experiences and needs of healthy ageing in this population. Participants were asked about their experiences of growing old in Canada, unmet health and social needs, and community perspectives on healthy ageing. We identified two major themes: (a) intersections of exclusion: ageism, sexism, racism, and; (b) strategies for inclusion: local, national, transnational. Findings highlight both the vulnerability of Muslim immigrant older adults and their capacity for agency. The study findings point to the intersecting influences of exclusionary practices on social isolation and loneliness in immigrant older adults. They also call to adjust developing social policies and programs according to existing exclusionary practices to foster healthy ageing. The increase in global migration means more immigrants are ageing in host countries with unique experiences and needs. Muslim immigrants in Canada are from diverse ethnocultural communities and experience unmet health and social needs in older age. A community-based participatory research project was conducted in Alberta, Canada, in 2017-2018 to understand the experiences and needs of healthy ageing in this population. Participants were asked about their experiences of growing old in Canada, unmet health and social needs, and community perspectives on healthy ageing. We identified two major themes: (a) intersections of exclusion: ageism, sexism, racism, and; (b) strategies for inclusion: local, national, transnational. Findings highlight both the vulnerability of Muslim immigrant older adults and their capacity for agency. The study findings point to the intersecting influences of exclusionary practices on social isolation and loneliness in immigrant older adults. They also call to adjust developing social policies and programs according to existing exclusionary practices to foster healthy ageing.
This publication has no Abstract to dispaly

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

Following migration from Schistosoma and Strongyloides endemic to non-endemic regions (i.e. Canada), people remain at high risk for complications from these chronic infections. HIV co-infected persons are particularly vulnerable to the serious and potentially fatal consequences of untreated helminth infection. While general screening guidelines exist for parasitic infection screening in immigrant populations, they remain silent on HIV positive populations. This study assessed the seroprevalence, epidemiology and laboratory characteristics of these two parasitic infections in a non-endemic setting in an immigrant/refugee HIV positive community. We argue that routine parasite screening should be included as part of standard HIV care in non-endemic areas. Following migration from Schistosoma and Strongyloides endemic to non-endemic regions (i.e. Canada), people remain at high risk for complications from these chronic infections. HIV co-infected persons are particularly vulnerable to the serious and potentially fatal consequences of untreated helminth infection. While general screening guidelines exist for parasitic infection screening in immigrant populations, they remain silent on HIV positive populations. This study assessed the seroprevalence, epidemiology and laboratory characteristics of these two parasitic infections in a non-endemic setting in an immigrant/refugee HIV positive community. We argue that routine parasite screening should be included as part of standard HIV care in non-endemic areas.
This publication has no Abstract to dispaly

This article looks at strategies of resistance that Sub-Saharan Africans employ while adapting to Canadian environment. We assert that the refugees engage in numerous economic, sociopolitical and cultural transnational activities. Their initiatives benefit the refugees themselves and the sending and receiving countries. They serve as anti-racism and development tools against the backdrop of racism that they endure in Canada, the trauma of war and displacement, as well as war-related destruction in the sending country. They also strengthen awareness and better understanding of multiculturalism among Canadians. In the process, the subjects drew on scarce resources and overcame atrocious difficulties in order to improve their lives and create uplifting stories and actions. Though transnational migration also generates problematic impacts, these barriers could be overcome if the benefits of transnational migration are extended. Thus, we draw on the subjects’ resilience to expand conceptions about transnational migration in order to turn it into a most fruitful avenue in the twenty-first century. This article looks at strategies of resistance that Sub-Saharan Africans employ while adapting to Canadian environment. We assert that the refugees engage in numerous economic, sociopolitical and cultural transnational activities. Their initiatives benefit the refugees themselves and the sending and receiving countries. They serve as anti-racism and development tools against the backdrop of racism that they endure in Canada, the trauma of war and displacement, as well as war-related destruction in the sending country. They also strengthen awareness and better understanding of multiculturalism among Canadians. In the process, the subjects drew on scarce resources and overcame atrocious difficulties in order to improve their lives and create uplifting stories and actions. Though transnational migration also generates problematic impacts, these barriers could be overcome if the benefits of transnational migration are extended. Thus, we draw on the subjects’ resilience to expand conceptions about transnational migration in order to turn it into a most fruitful avenue in the twenty-first century.
This publication has no Abstract to dispaly

The ability to communicate in the dominant language of the host society is essential to the short- and long-term integration of all newcomers. Research has shown that experiencing trauma may affect the speed at which a new language is learned by some newcomers. Other research shows that pre-arrival education has an influence on the language learning abilities of newcomers. Unfortunately, there is little research on the two issues and how they may combine to affect language learning among refugees. Our paper addresses the following question: How does pre-arrival education and trauma influence the ability of refugee women to learn a new language? Through narrative interviews with 35 newly arrived Yazidis in Toronto, Calgary, London and Winnipeg, we examine refugee women’s experience learning English from their point of view. Our evidence supports the idea that increasing support for timely access to address trauma, more funded time in Stage One language learning, and additional educational supports may accelerate the integration process. The ability to communicate in the dominant language of the host society is essential to the short- and long-term integration of all newcomers. Research has shown that experiencing trauma may affect the speed at which a new language is learned by some newcomers. Other research shows that pre-arrival education has an influence on the language learning abilities of newcomers. Unfortunately, there is little research on the two issues and how they may combine to affect language learning among refugees. Our paper addresses the following question: How does pre-arrival education and trauma influence the ability of refugee women to learn a new language? Through narrative interviews with 35 newly arrived Yazidis in Toronto, Calgary, London and Winnipeg, we examine refugee women’s experience learning English from their point of view. Our evidence supports the idea that increasing support for timely access to address trauma, more funded time in Stage One language learning, and additional educational supports may accelerate the integration process.
This publication has no Abstract to dispaly

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

The health and wellbeing of African children and families, as an emerging demographic, is of interest and concern to various stakeholders in Canada. Yet, few studies have examined how parents and other members of the African community perceive the concept of mental health. This paper examines the perceptions of mental health of African community members concerning parenting children of African heritage. Findings show that linguistic differences, cultural beliefs, and life experiences play a role in how African immigrants living within the Canadian context view mental health and mental health difficulties. African immigrant parents struggle with the tension of holding traditional cultural views of wellness in an environment where structures and services are centred around Western notions of mental health and illness and the potential impact this can have on their parenting practices and children’s mental health. Recommendations for resolving conflicts relating to mental health perceptions are discussed to enhance service access and provision among African immigrant families in Canada and other Western countries. The health and wellbeing of African children and families, as an emerging demographic, is of interest and concern to various stakeholders in Canada. Yet, few studies have examined how parents and other members of the African community perceive the concept of mental health. This paper examines the perceptions of mental health of African community members concerning parenting children of African heritage. Findings show that linguistic differences, cultural beliefs, and life experiences play a role in how African immigrants living within the Canadian context view mental health and mental health difficulties. African immigrant parents struggle with the tension of holding traditional cultural views of wellness in an environment where structures and services are centred around Western notions of mental health and illness and the potential impact this can have on their parenting practices and children’s mental health. Recommendations for resolving conflicts relating to mental health perceptions are discussed to enhance service access and provision among African immigrant families in Canada and other Western countries.
This publication has no Abstract to dispaly