Research Library

Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians. Uninsured maternity patients comprise a small but complex group of patients and include marginalized Canadians, undocumented immigrants, visitors, and non-Canadians seeking health care and/ or citizenship for their newborn. This study found a trend of uninsured deliveries in Calgary that is accounted for by non-Canadian patients. Midwives and physicians agree on provision of emergency care but not preventive care. Across medical specialties, fewer caregivers felt obliged to care for non-Canadian patients seeking citizenship for their newborn. Among physicians, 61% were aware of the Canadian Medical Protective Association’s guidelines on liability coverage for non-Canadian patients, and only 28% consistently protected themselves legally. There is large variation regarding whether physicians bill for services when the patient is uninsured. In Calgary, the study observed an increase in numbers of uninsured maternity patients. Differing ethical perspectives on the care of these patients may lead to conflict within health care teams because of differences on ethical perspectives of care among team members. Health care providers require education to understand the implications and challenges of obstetrical care of non-Canadians.
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Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches. Skilled workers and their dependents are the largest group of economic immigrants in Canada. Their labour market integration is critical for immigrant well-being as well as host country economic productivity. However, immigrant professionals face significant barriers to workplace integration, including unfamiliarity with workplace norms and practices. Participants of this study described challenges related to workplace communication and interactions, adaptation to new workplace cultures, recognition of qualifications and experience, and professional outcomes. They identified general professional values, skills, and capacities, and communication and relationships perceived as essential for workplace integration. Strategies for supporting workplace integration included continuing learning and education, training on cultural diversity and workplace skills, professional field experience, and professional mentorship. These findings have implications for practice and policies facilitating the workplace integration of immigrant professionals in Canada, including training and mentorship approaches.
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Objectives: The increasing cost of clinical laboratory testing is a challenge in our health care system. This study calculates the annual clinical laboratory test costs. Results: While more women received laboratory testing (58.4%), men had slightly higher testing costs per capita. Except for Chinese, visible minority and Aboriginal populations had higher testing costs. There was an inverse correlation between testing cost and household income. Higher costs were found in those without postsecondary education and the unemployed. Furthermore, another factor that affect the costs is where patients live and access healthcare. Conclusions: Laboratory costs are different depending on social and economic background of patients. Objectives: The increasing cost of clinical laboratory testing is a challenge in our health care system. This study calculates the annual clinical laboratory test costs. Results: While more women received laboratory testing (58.4%), men had slightly higher testing costs per capita. Except for Chinese, visible minority and Aboriginal populations had higher testing costs. There was an inverse correlation between testing cost and household income. Higher costs were found in those without postsecondary education and the unemployed. Furthermore, another factor that affect the costs is where patients live and access healthcare. Conclusions: Laboratory costs are different depending on social and economic background of patients.
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International migrants experience first-hand differences between countries in terms of the social meanings, spatial regulation and prevalence of smoking. This research centred on the smoking-related perceptions, experiences and behaviours of recent migrants from China to Canada. Participants of this study observed that smoking remains almost ubiquitous in China due to ineffective spatial restrictions and the social importance of smoking among men. By contrast, smoking bans in Canada were perceived as effective due to widespread compliance and expectations of enforcement. They were conscious that male smoking was both less prevalent and less socially valued in Canada; conversely, female smoking was perceived as more accepted in Canada than in China. There was broad agreement that smoking was tolerated in Canada, provided it occurred in appropriate places. Complying with widespread spatial restrictions brought about changes in smokers’ behaviours: they smoked less often and consumed fewer cigarettes. Because smoking was more difficult to perform, participants thought the Canadian context supported quitting. Non-smokers were enthusiastic about smoke-free environments in Canada and had become acculturated to air that did not smell of smoke. These findings affirm the importance of comprehensive smoking bans, backed by enforcement, in contributing to the denormalisation of smoking and the protection of non-smokers. International migrants experience first-hand differences between countries in terms of the social meanings, spatial regulation and prevalence of smoking. This research centred on the smoking-related perceptions, experiences and behaviours of recent migrants from China to Canada. Participants of this study observed that smoking remains almost ubiquitous in China due to ineffective spatial restrictions and the social importance of smoking among men. By contrast, smoking bans in Canada were perceived as effective due to widespread compliance and expectations of enforcement. They were conscious that male smoking was both less prevalent and less socially valued in Canada; conversely, female smoking was perceived as more accepted in Canada than in China. There was broad agreement that smoking was tolerated in Canada, provided it occurred in appropriate places. Complying with widespread spatial restrictions brought about changes in smokers’ behaviours: they smoked less often and consumed fewer cigarettes. Because smoking was more difficult to perform, participants thought the Canadian context supported quitting. Non-smokers were enthusiastic about smoke-free environments in Canada and had become acculturated to air that did not smell of smoke. These findings affirm the importance of comprehensive smoking bans, backed by enforcement, in contributing to the denormalisation of smoking and the protection of non-smokers.
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In this paper, I illustrate how race and class hierarchies mark Filipino temporary foreign workers as foreign ‘others’. Because public spaces are structured in gendered and racialized ways, Filipino migrants have to carefully navigate public spaces to ensure their safety and create their own spaces of belonging that give them refuge against xenophobia. I argue further that the paradoxical discourses of multicultural inclusion and economic protectionism invoke the figure of the ‘good’ migrant and the ‘bad’ migrant. These, in turn, promote contradictory actions towards migrants, whose public acceptance hinge on wildly variable and changing notions of inclusion/ exclusion and economic acceptability. These lead to the passage of inconsistent policies where migrants are read as being ‘good’ one day, and as being ‘bad’ the next. In this paper, I illustrate how race and class hierarchies mark Filipino temporary foreign workers as foreign ‘others’. Because public spaces are structured in gendered and racialized ways, Filipino migrants have to carefully navigate public spaces to ensure their safety and create their own spaces of belonging that give them refuge against xenophobia. I argue further that the paradoxical discourses of multicultural inclusion and economic protectionism invoke the figure of the ‘good’ migrant and the ‘bad’ migrant. These, in turn, promote contradictory actions towards migrants, whose public acceptance hinge on wildly variable and changing notions of inclusion/ exclusion and economic acceptability. These lead to the passage of inconsistent policies where migrants are read as being ‘good’ one day, and as being ‘bad’ the next.
This publication has no Abstract to dispaly

IN 2007, THE ALBERTA GOVERNMENT and the Alberta construction industry developed a ten-year strategy to increase the participation of women, youth, Indigenous peoples, and immigrants in construction occupations. At the same time, construction employers began turning to temporary foreign workers (TFWS) as an alternative labour supply, and the number of TFWS working in Alberta construction jumped dramatically. This article examines the labour market effects of the influx of TFWS on employment rates of other marginalized groups in construction occupations. Drawing upon labour market segmentation theory, this study finds that the proportion of traditionally underrepresented workers in construction occupations was essentially unchanged over the study period. These groups of workers experienced higher-than-average employment volitility and remain a secondary source of labour supply. This study also finds that TFWS have become a new, hyperflexible source of secondary labour. The article discusses possible explanations for the findings and evaluates the effectiveness of the government’s ten-year strategy. IN 2007, THE ALBERTA GOVERNMENT and the Alberta construction industry developed a ten-year strategy to increase the participation of women, youth, Indigenous peoples, and immigrants in construction occupations. At the same time, construction employers began turning to temporary foreign workers (TFWS) as an alternative labour supply, and the number of TFWS working in Alberta construction jumped dramatically. This article examines the labour market effects of the influx of TFWS on employment rates of other marginalized groups in construction occupations. Drawing upon labour market segmentation theory, this study finds that the proportion of traditionally underrepresented workers in construction occupations was essentially unchanged over the study period. These groups of workers experienced higher-than-average employment volitility and remain a secondary source of labour supply. This study also finds that TFWS have become a new, hyperflexible source of secondary labour. The article discusses possible explanations for the findings and evaluates the effectiveness of the government’s ten-year strategy.
This publication has no Abstract to dispaly

Given the Canadian government’s focus on refugee resettlement in light of global crises, many schools are receiving increased enrolment of students who have experienced the trauma associated with living in, and fleeing from, regions experiencing armed conflict. The authors assert that given the numbers of such students entering Calgarian classrooms, it is important that educators have at least some knowledge of trauma-informed teaching practice. While acknowledging the challenges inherent in trauma-informed teaching practice, the article encourages a move away from a deficit perspective on children from refugee backgrounds, toward one of hope, befitting the resiliency such children bring to their new country. Given the Canadian government’s focus on refugee resettlement in light of global crises, many schools are receiving increased enrolment of students who have experienced the trauma associated with living in, and fleeing from, regions experiencing armed conflict. The authors assert that given the numbers of such students entering Calgarian classrooms, it is important that educators have at least some knowledge of trauma-informed teaching practice. While acknowledging the challenges inherent in trauma-informed teaching practice, the article encourages a move away from a deficit perspective on children from refugee backgrounds, toward one of hope, befitting the resiliency such children bring to their new country.
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Inequities in social determinants of health create a strain that may cause increased engagement in criminal behavior. Furthermore, immigrants may face greater inequities in social determinants than their Canadian-born counterparts. Personal experiences of adult, male immigrant ex-offenders in Alberta were examined to study various circumstances that contributed to their criminal behavior. The participants were in consensus that social determinants of health such as income, education, employment, stress and health risk behaviors have led them to commit crime. Increased research and intervention on risk factors, as well as creating targeted crime prevention programs, are recommended. Inequities in social determinants of health create a strain that may cause increased engagement in criminal behavior. Furthermore, immigrants may face greater inequities in social determinants than their Canadian-born counterparts. Personal experiences of adult, male immigrant ex-offenders in Alberta were examined to study various circumstances that contributed to their criminal behavior. The participants were in consensus that social determinants of health such as income, education, employment, stress and health risk behaviors have led them to commit crime. Increased research and intervention on risk factors, as well as creating targeted crime prevention programs, are recommended.
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When re-establishing their lives in Canada, international migrants with dependent children regularly encounter dramatically different conditions for family life. The parents’ employment situation, the limited availability of extended kin to help with child rearing, and a multicultural and relatively more permissive social environment, all of these invite or even demand changes in newcomers’ family practices. Yet, more information is needed about the ways in which skilled immigrants negotiate the changed conditions for work and family life in this country, and the impact this has on family dynamics during settlement. This study explores how coming to Canada impacted participants’ situations of paid work, parenting practices, and familial gender relations. Findings suggest that strained economic and social resources often limited the extent to which mothers and fathers were able to maintain an organization of family life similar to what they had established in their country of origin. However, while in some cases, shifts in family formation caused heightened levels of stress and strain and further entrenched the doing of conventional gender roles, in others, changed conditions acted as a catalyst for positive change. When re-establishing their lives in Canada, international migrants with dependent children regularly encounter dramatically different conditions for family life. The parents’ employment situation, the limited availability of extended kin to help with child rearing, and a multicultural and relatively more permissive social environment, all of these invite or even demand changes in newcomers’ family practices. Yet, more information is needed about the ways in which skilled immigrants negotiate the changed conditions for work and family life in this country, and the impact this has on family dynamics during settlement. This study explores how coming to Canada impacted participants’ situations of paid work, parenting practices, and familial gender relations. Findings suggest that strained economic and social resources often limited the extent to which mothers and fathers were able to maintain an organization of family life similar to what they had established in their country of origin. However, while in some cases, shifts in family formation caused heightened levels of stress and strain and further entrenched the doing of conventional gender roles, in others, changed conditions acted as a catalyst for positive change.
This publication has no Abstract to dispaly

The aim of this study is to assess the oral health of the children of refugees and immigrants (“newcomers”). We also seek to understand the barriers to appropriate oral health care and use of dental services. Finally, we look into clinical and behavioural interventions for this population in North America. In general, children of newcomers exhibit poorer oral health compared with their non-newcomer peers. This population faces language, cultural and financial barriers that, consequently, limit their access to and use of dental services. Intervention programs, such as educational courses and counseling, targeting newcomer parents or their children are helpful in improving the oral health status of immigrant children. The disparity in dental caries between children of newcomers and their peers can be reduced by improving their parents’ literacy in the official language(s) and educating parents regarding good oral health practices. An appropriate oral health policy remains crucial for marginalized populations in general and newcomer children in particular. The aim of this study is to assess the oral health of the children of refugees and immigrants (“newcomers”). We also seek to understand the barriers to appropriate oral health care and use of dental services. Finally, we look into clinical and behavioural interventions for this population in North America. In general, children of newcomers exhibit poorer oral health compared with their non-newcomer peers. This population faces language, cultural and financial barriers that, consequently, limit their access to and use of dental services. Intervention programs, such as educational courses and counseling, targeting newcomer parents or their children are helpful in improving the oral health status of immigrant children. The disparity in dental caries between children of newcomers and their peers can be reduced by improving their parents’ literacy in the official language(s) and educating parents regarding good oral health practices. An appropriate oral health policy remains crucial for marginalized populations in general and newcomer children in particular.
This publication has no Abstract to dispaly