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 If you come across a link that is no longer active, please let us know and we can update it.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

African immigrant parents’ perspectives on the factors influencing their children’s mental health

African immigrant children experience some of the poorest mental health outcomes in Canada, yet limited research on their menta health determinants exist. This study explored parents’ perspectives of the factors influencing the mental health of African immigrant children in Alberta, Canada. Parents identified racial discrimination, limited mental health awareness, limited access to mental health supports, changing family dynamics, parental absenteeism, and unresolved pre-migration trauma as factors influencing their children’s mental health. These factors were perceived as contributing to children’s experiences of material deprivation, social problems, and emotional difficulties. The findings suggest that interventions to enhance the mental health of African immigrant children must target transformation of the family, community, and cultural systems within which their lives are embedded, as well as the policies and institutions that produce and reproduce child mental health vulnerabilities. African immigrant children experience some of the poorest mental health outcomes in Canada, yet limited research on their menta health determinants exist. This study explored parents’ perspectives of the factors influencing the mental health of African immigrant children in Alberta, Canada. Parents identified racial discrimination, limited mental health awareness, limited access to mental health supports, changing family dynamics, parental absenteeism, and unresolved pre-migration trauma as factors influencing their children’s mental health. These factors were perceived as contributing to children’s experiences of material deprivation, social problems, and emotional difficulties. The findings suggest that interventions to enhance the mental health of African immigrant children must target transformation of the family, community, and cultural systems within which their lives are embedded, as well as the policies and institutions that produce and reproduce child mental health vulnerabilities.
This publication has no Abstract to dispaly

Promoting health literacy about cancer screening among Muslim immigrants in Canada: Perspectives of Imams on the role they can play in community

Immigrants tend to have lower screening rates than non-immigrants, and religious leaders may help close this gap. In particular, increased awareness of cancer and access to cancer screening is needed among immigrants facing barriers to care, such as Muslim immigrants in Alberta. Imams in Calgary were interviewed, and results found that most had cancer knowledge, but less knowledge about cancer screening. Imams were highly supportive of incorporating health messaging into their faith messaging, and using their role and status in the community to help increase screening rates and counter misunderstandings. Immigrants tend to have lower screening rates than non-immigrants, and religious leaders may help close this gap. In particular, increased awareness of cancer and access to cancer screening is needed among immigrants facing barriers to care, such as Muslim immigrants in Alberta. Imams in Calgary were interviewed, and results found that most had cancer knowledge, but less knowledge about cancer screening. Imams were highly supportive of incorporating health messaging into their faith messaging, and using their role and status in the community to help increase screening rates and counter misunderstandings.
This publication has no Abstract to dispaly

Actions needed to promote health equity and the mental health of Canada’s Black refugees

Healthcare access and mental health challenges faced by Black refugees in Calgary and Edmonton, AB were explored. Language barriers, cultural differences, and a lack of trust in the healthcare system were major obstacles to accessing care. Successful programs and initiatives implemented in other countries to promote health equity among refugee populations are highlighted. Overall, the importance of taking a holistic approach to addressing the mental health needs of Black refugees in Canada is emphasized. Healthcare access and mental health challenges faced by Black refugees in Calgary and Edmonton, AB were explored. Language barriers, cultural differences, and a lack of trust in the healthcare system were major obstacles to accessing care. Successful programs and initiatives implemented in other countries to promote health equity among refugee populations are highlighted. Overall, the importance of taking a holistic approach to addressing the mental health needs of Black refugees in Canada is emphasized.
This publication has no Abstract to dispaly

Patient-reported experiences in primary health care access of Nepalese immigrant women in Canada

Accessible primary health care is essential for the health of immigrant populations in Canada. This study explored barriers to accessing care among a relatively less studied immigrant population group, Nepalese immigrant women, which will help effectively shape public policy and improve access to primary health care for the wider immigrant population in Canada. Community-engaged focus groups were conducted in Calgary, AB. The focus groups identified long wait times as a major barrier to receiving PHC services, along with lack of proficiency in English, lack of access to medical records, competing responsibilities and unfamiliarity with the Canadian healthcare system. Accessible primary health care is essential for the health of immigrant populations in Canada. This study explored barriers to accessing care among a relatively less studied immigrant population group, Nepalese immigrant women, which will help effectively shape public policy and improve access to primary health care for the wider immigrant population in Canada. Community-engaged focus groups were conducted in Calgary, AB. The focus groups identified long wait times as a major barrier to receiving PHC services, along with lack of proficiency in English, lack of access to medical records, competing responsibilities and unfamiliarity with the Canadian healthcare system.
This publication has no Abstract to dispaly

Immigrant healthcare experiences and impacts during COVID-19: A cross-sectional study in Alberta, Canada

This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic. This cross-sectional study examines the healthcare experiences of Albertans during the COVID-19 pandemic, with a focus on comparing experiences between those born in and outside Canada. The study collected 10,175 surveys in October 2020, with nearly 10% of respondents reporting their status as born outside Canada. The study found that foreign-born Albertans experienced more delays in care and had less access to healthcare services than Canadian-born Albertans. The study highlights the need for policy and practice changes to address the healthcare disparities faced by immigrant populations during the pandemic.
This publication has no Abstract to dispaly

Caring during the COVID-19 crisis: Intersectional exclusion of immigrant women health care aides in Canadian long-term care

This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts. This community-based research study provides new data collected from 25 in-depth individual interviews with immigrant women HCAs who were working in LTC in Calgary, Alberta between January 1 and March 30, 2021. The data, analysed through the lens of intersectional exclusion, highlight how the pandemic has impacted the working lives of immigrant women employed in LTC facilities on a daily basis, as well as their suggestions for enhancing their safety and employment conditions. Two key themes emerged during the process of data analysis: (a) HCA experiences of economic exclusion and workplace precarity—many of which pre-dated the pandemic but have been exacerbated by current policies and practices that prioritize profits over quality of community care, and (b) experiences of broader social exclusion, many of which are tied to being considered “just HCAs” who are doing “immigrant’s work”, rather than including HCAs in broader conversations about how to reform and improve the LTC sector for future. Concluding thoughts discuss how to improve policy to support low wage workers within LTC in order to address intersectional inequalities and to better support front-line care workers during current and future health pandemic recovery efforts.
This publication has no Abstract to dispaly

Discrimination, Psychological Isolation, and Flight from School

Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability. Discrimination negatively impacts students’ ability to adapt to and deal with the educational stressors of a new environment. When students experience discrimination, their options are to fight, fawn, or flee—that is, skip school. Results show that experiences of discrimination and psychological isolation are significant predictors of truancy (skipping school). I also find support for the effects of length of residency, paid employment, and participation in voluntary activities on increasing truancy, suggesting the importance of acculturation, socio-economic status, and time availability.
This publication has no Abstract to dispaly

Fewer losses in the cascade of care for latent tuberculosis with solo interferon-gamma release assay screening compared to sequential screening

Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA. Refugees are at increased risk of developing tuberculosis (TB) soon after resettlement. Targeting high-risk populations for latent tuberculosis infection (LTBI) screening and treatment is an important measure towards eliminating TB in low incidence countries, however, there are low rates of screening and treatment completion in the LTBI cascade of care. The authors hypothesized that an interferon-gamma release assay (IGRA) screening strategy would lead to a higher proportion of refugees completing LTBI screening and treatment, compared to sequential screening with tuberculin skin test (TST) and confirmatory IGRA.
This publication has no Abstract to dispaly

Integration Experiences of Newcomers Across the Prairies: Untangling Perceived Dichotomy Between Immigrants and New-to-Towns

Despite the lack of a shared definition of integration, this concept word addresses the physical, psychological, and social progress of newcomers, and more. Newcomers are both immigrants and new-to-town individuals, meaning those who have relocated within Canada from other provinces or regions. By exploring literature and lived experiences, this research examines how accurately models of integration reflect and represent the views and experiences of newcomers. Our qualitative case study uses thematic coding of in-depth interviews with newcomers and settlement organizations. Results suggest that models and factors of integration do not fully or effectively reflect the process and desires of newcomers. Though new-to-town individuals possess advantages in their relocation process (e.g., not having to learn a new language or build a cultural foundation in their new location), they do not meet nor do they aspire to meet all the various factors and considerations of integration included in the models. Newcomers seek first to meet their own core needs followed by self-directed needs. In this article, an acculturation model is put forward that encompasses dynamics of individual newcomers’ peculiarities of circumstances. The conclusion is two-fold: Newcomers place priority on immediate core needs and strive to meet other needs leading to place attachment; and their sense of belonging can be brought into question with experiences of discrimination and racism. Despite the lack of a shared definition of integration, this concept word addresses the physical, psychological, and social progress of newcomers, and more. Newcomers are both immigrants and new-to-town individuals, meaning those who have relocated within Canada from other provinces or regions. By exploring literature and lived experiences, this research examines how accurately models of integration reflect and represent the views and experiences of newcomers. Our qualitative case study uses thematic coding of in-depth interviews with newcomers and settlement organizations. Results suggest that models and factors of integration do not fully or effectively reflect the process and desires of newcomers. Though new-to-town individuals possess advantages in their relocation process (e.g., not having to learn a new language or build a cultural foundation in their new location), they do not meet nor do they aspire to meet all the various factors and considerations of integration included in the models. Newcomers seek first to meet their own core needs followed by self-directed needs. In this article, an acculturation model is put forward that encompasses dynamics of individual newcomers’ peculiarities of circumstances. The conclusion is two-fold: Newcomers place priority on immediate core needs and strive to meet other needs leading to place attachment; and their sense of belonging can be brought into question with experiences of discrimination and racism.
This publication has no Abstract to dispaly

Hiding for survival: Highlighting the lived experiences of precarity and labor abuse among Filipino non-status migrants in Canada

Non-status migrants are individuals who do not hold a valid immigration document or official status to stay in Canada. This case study in Calgary, AB conducted interviews on the experiences of non-status Filipino migrants seeking access to health, social, and community services. Challenges and risks to accessing services are discussed. Non-status migrants are individuals who do not hold a valid immigration document or official status to stay in Canada. This case study in Calgary, AB conducted interviews on the experiences of non-status Filipino migrants seeking access to health, social, and community services. Challenges and risks to accessing services are discussed.
This publication has no Abstract to dispaly