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 If you come across a link that is no longer active, please let us know and we can update it.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

Diet quality and risk factors for cardiovascular disease among South Asians in Alberta

South Asians have a higher prevalence of early onset cardiovascular disease risk compared with other populations. Dietary intake is a factor that can affect the risk of developing a cardiovascular disease. Little is known about the dietary intake of South Asians in Alberta, thus the objective of the present study was to describe the dietary patterns among South Asians and their risks for cardiovascular diseases. Central obesity (70%), hypercholesterolemia (27%), and hypertension (14%) were predominant health conditions observed in the study participants. About 56% and 44% of participants obtained moderate and poor HEI (Healthy Eating Index) scores, respectively. The diet quality of the majority of participants was inadequate to meet macro- and micronutrient intake recommendations. The high prevalence of poor/moderate diet quality and pre-existing chronic health conditions across all body mass index groups is a cause for concern in this population. South Asians have a higher prevalence of early onset cardiovascular disease risk compared with other populations. Dietary intake is a factor that can affect the risk of developing a cardiovascular disease. Little is known about the dietary intake of South Asians in Alberta, thus the objective of the present study was to describe the dietary patterns among South Asians and their risks for cardiovascular diseases. Central obesity (70%), hypercholesterolemia (27%), and hypertension (14%) were predominant health conditions observed in the study participants. About 56% and 44% of participants obtained moderate and poor HEI (Healthy Eating Index) scores, respectively. The diet quality of the majority of participants was inadequate to meet macro- and micronutrient intake recommendations. The high prevalence of poor/moderate diet quality and pre-existing chronic health conditions across all body mass index groups is a cause for concern in this population.
This publication has no Abstract to dispaly

“When You See Nature, Nature Give You Something Inside”: The Role of Nature-based Leisure in Fostering Refugee Well-being in Canada

This study investigated the impacts of nature-based leisure on the well-being of refugees in Canada. We explored how the experiences of a two-day winter camping in northern Alberta affected refugees’ well-being. Participants, from three African countries, and Iran, welcomed an opportunity to be away in a natural setting, to connect with others, to learn new activities, involve their families, and as a distraction from their daily lives. Refugees acknowledged the welcoming efforts of the social services and parks agencies in bolstering their confidence and well-being. Refugees’ experiences underscored both the importance of access to nature-based leisure in mitigating stress, and host societies’ attitudes toward newcomers in fostering their well-being. Our findings suggest that developing nature-based leisure opportunities for refugees may promote their well-being and sense of belonging. This study investigated the impacts of nature-based leisure on the well-being of refugees in Canada. We explored how the experiences of a two-day winter camping in northern Alberta affected refugees’ well-being. Participants, from three African countries, and Iran, welcomed an opportunity to be away in a natural setting, to connect with others, to learn new activities, involve their families, and as a distraction from their daily lives. Refugees acknowledged the welcoming efforts of the social services and parks agencies in bolstering their confidence and well-being. Refugees’ experiences underscored both the importance of access to nature-based leisure in mitigating stress, and host societies’ attitudes toward newcomers in fostering their well-being. Our findings suggest that developing nature-based leisure opportunities for refugees may promote their well-being and sense of belonging.
This publication has no Abstract to dispaly

Factors associated with the timing of the first prenatal ultrasound in Canada

The aim of this study was to investigate the factors associated with the timing of the first prenatal ultrasound in Canada. 68.4% of Canadian women received an optimally timed first prenatal ultrasound, 27.4% received early ultrasounds and 4.3% received late ultrasound. Only 68% of Canadian women received an optimally timed prenatal ultrasound which was influenced by several factors including province of prenatal care, maternal age and country of birth, and an interaction effect between prenatal care provider and history of miscarriage. These findings establish a baseline of factors influencing the timing of prenatal ultrasound in Canada, which can be built upon by future studies. The aim of this study was to investigate the factors associated with the timing of the first prenatal ultrasound in Canada. 68.4% of Canadian women received an optimally timed first prenatal ultrasound, 27.4% received early ultrasounds and 4.3% received late ultrasound. Only 68% of Canadian women received an optimally timed prenatal ultrasound which was influenced by several factors including province of prenatal care, maternal age and country of birth, and an interaction effect between prenatal care provider and history of miscarriage. These findings establish a baseline of factors influencing the timing of prenatal ultrasound in Canada, which can be built upon by future studies.
This publication has no Abstract to dispaly

Prevalence of Known Risk Factors for Type 2 Diabetes Mellitus in Multiethnic Urban Youth in Edmonton: Findings From the WHY ACT NOW Project

The Canadian Diabetes Risk Assessment Questionnaire (CANRISK) is a validated, evidence-based, self-administered tool to assess the risk for type 2 diabetes mellitus in multiethnic Canadian adults. Identifying individuals at high risk for type 2 diabetes allows early intervention that improves modifiable risk factors. This study examined the risk factors for type 2 diabetes in multiethnic urban youth in Edmonton, Alberta. Almost 25% of the participating multiethnic youth 11 to 23 years of age scored in the moderate or high category of CANRISK. The most prevalent risk factors were ethnicity, followed by physical inactivity, overweight or obesity and low fruit and vegetable consumption. A validated type 2 diabetes screening tool for youth as well as culturally appropriate, evidence-based and multidisciplinary diet and lifestyle interventions aiming to improve modifiable type 2 diabetes risk factors in multiethnic youth, particularly targeting socioeconomically disadvantaged and immigrant children and youth, should be developed, implemented and evaluated. The Canadian Diabetes Risk Assessment Questionnaire (CANRISK) is a validated, evidence-based, self-administered tool to assess the risk for type 2 diabetes mellitus in multiethnic Canadian adults. Identifying individuals at high risk for type 2 diabetes allows early intervention that improves modifiable risk factors. This study examined the risk factors for type 2 diabetes in multiethnic urban youth in Edmonton, Alberta. Almost 25% of the participating multiethnic youth 11 to 23 years of age scored in the moderate or high category of CANRISK. The most prevalent risk factors were ethnicity, followed by physical inactivity, overweight or obesity and low fruit and vegetable consumption. A validated type 2 diabetes screening tool for youth as well as culturally appropriate, evidence-based and multidisciplinary diet and lifestyle interventions aiming to improve modifiable type 2 diabetes risk factors in multiethnic youth, particularly targeting socioeconomically disadvantaged and immigrant children and youth, should be developed, implemented and evaluated.
This publication has no Abstract to dispaly

Refugee Student Integration: A Focus on Settlement, Education, and Psychosocial Support

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

“I Belong to Nowhere”: Syrian Refugee Children’s Perspectives on School Integration

Since 2011, the armed conflict that began in the Syrian Arab Republic has displaced an estimated 12 million Syrians, forcing them to seek refuge in various countries around the world. Over half of those people are children. Education is key to integration of refugee children and is considered critical in bringing back a sense of normalcy, routine, as well as emotional and social well-being in their lives. In Canada, integration of Syrian refugee children in the public school system has, therefore, been identified as one of the vital aspects of their settlement needs. This article examines the challenges experienced by newly arrived Syrian refugee children as they struggle to integrate to the Canadian school system. Our research shows that Syrian refugee children not only find it difficult to make friends with local students but are also subjected to constant bullying and racism that affect their sense of belonging and connection. Making the views of these students explicit, we hope to provide a starting point for not only understanding their experiences in more detail, but also for developing educational strategies, resources and policies that might best meet the needs of these students and future refugee children and youth. Since 2011, the armed conflict that began in the Syrian Arab Republic has displaced an estimated 12 million Syrians, forcing them to seek refuge in various countries around the world. Over half of those people are children. Education is key to integration of refugee children and is considered critical in bringing back a sense of normalcy, routine, as well as emotional and social well-being in their lives. In Canada, integration of Syrian refugee children in the public school system has, therefore, been identified as one of the vital aspects of their settlement needs. This article examines the challenges experienced by newly arrived Syrian refugee children as they struggle to integrate to the Canadian school system. Our research shows that Syrian refugee children not only find it difficult to make friends with local students but are also subjected to constant bullying and racism that affect their sense of belonging and connection. Making the views of these students explicit, we hope to provide a starting point for not only understanding their experiences in more detail, but also for developing educational strategies, resources and policies that might best meet the needs of these students and future refugee children and youth.
This publication has no Abstract to dispaly

Sense of community belonging among immigrants: perspective of immigrant service providers

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

Access and utilization of mental health services for immigrants and refugees: Perspectives of immigrant service providers

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

Decolonising dominant knowledge constructions in the education of immigrant youth in Canada

This paper looks at how Canadian public schools present knowledge to students. This study finds that some teachers have biased knowledge and tend to racialize their students. They also tend to devalue the indigenous knowledges that immigrant youth bring to the classroom. They also reproduce anti-immigrant discourses and reinforced racial hierarchies in Canadian society. As a consequence, this affects how immigrant students identify themselves. It also negatively affects their sense of belonging in Canada. This article argues that Canadian schools need to create decolonized educational environments. This will change teacher’s interactions with immigrant students and eliminate the harm perpetuated by colonial discourses. This paper looks at how Canadian public schools present knowledge to students. This study finds that some teachers have biased knowledge and tend to racialize their students. They also tend to devalue the indigenous knowledges that immigrant youth bring to the classroom. They also reproduce anti-immigrant discourses and reinforced racial hierarchies in Canadian society. As a consequence, this affects how immigrant students identify themselves. It also negatively affects their sense of belonging in Canada. This article argues that Canadian schools need to create decolonized educational environments. This will change teacher’s interactions with immigrant students and eliminate the harm perpetuated by colonial discourses.
This publication has no Abstract to dispaly

Understanding the Experiences of East African Immigrant Women With Gestational Diabetes Mellitus

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