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 If you come across a link that is no longer active, please let us know and we can update it.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

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

Transnationalism, parenting, and child disciplinary practices of African immigrants in Alberta, Canada

Child discipline remains a topic of public health interest across the globe. Despite this enduring interest, very little is known about the child disciplinary practices of African immigrants in Canada. This paper explores the disciplinary practices of African immigrant parents in Alberta, a Canadian province with a recent surge in the population of African immigrants. As members of the African immigrant community, we were deeply immersed in the research settings, which afforded us the opportunity to collect observational data in the form of reflexive notes. We found that African immigrant parents used corporal discipline (i.e. spanking and pinching, and more severe practices as kicking and slapping), persuasive discipline (i.e. timeouts and withdrawal of privileges, positive reinforcement techniques, such as the use of rewards), and a hybrid of the two. They also used emerging practices involving transnational fostering (fostering chronically misbehaving children to relatives and friends in Africa) and emotional isolation of children who persistently misbehaved. These practices, in their totality, appeared to be influenced by parents’ cultural backgrounds, as well as their interactions with Canadian educational system. We present theoretical, policy, and service implications of our findings, including a recommendation to incorporate sociocultural dimensions of child discipline into Canadian child welfare policies and practices. Child discipline remains a topic of public health interest across the globe. Despite this enduring interest, very little is known about the child disciplinary practices of African immigrants in Canada. This paper explores the disciplinary practices of African immigrant parents in Alberta, a Canadian province with a recent surge in the population of African immigrants. As members of the African immigrant community, we were deeply immersed in the research settings, which afforded us the opportunity to collect observational data in the form of reflexive notes. We found that African immigrant parents used corporal discipline (i.e. spanking and pinching, and more severe practices as kicking and slapping), persuasive discipline (i.e. timeouts and withdrawal of privileges, positive reinforcement techniques, such as the use of rewards), and a hybrid of the two. They also used emerging practices involving transnational fostering (fostering chronically misbehaving children to relatives and friends in Africa) and emotional isolation of children who persistently misbehaved. These practices, in their totality, appeared to be influenced by parents’ cultural backgrounds, as well as their interactions with Canadian educational system. We present theoretical, policy, and service implications of our findings, including a recommendation to incorporate sociocultural dimensions of child discipline into Canadian child welfare policies and practices.
This publication has no Abstract to dispaly

Digital preservation, social history, and the Quon Sang Lung Laundry building: a case study from Fort Macleod, Alberta, Canada

Social history focuses on understanding the everyday lives of ordinary people. The ethnic minorities that made up immigrant communities in North American towns and cities during the late nineteenth and early twentieth centuries have been of particular interest to social historians. However, language barriers and low rates of literacy often limit the number of first person accounts written by people who belonged to such communities. This paper explores how terrestrial laser scanning (TLS) and 3D reconstructive modeling of heritage buildings can provide new insights into the social history of Chinese immigrants in Alberta during the nineteenth and early twentieth centuries. These technologies were used to rapidly and accurately document the Quon Sang Lung Laundry shop in Fort Macleod, Alberta, prior to its scheduled demolition. The resulting digital data sets were used to construct detailed architectural plans of the building, as well as photorealistic 3D reconstructions of the shop, as it would have appeared at different points in history. The resulting point clouds were further explored to detect and extract evidence of the lived experiences of its occupants. For example, the conflicts and tensions surrounding Chinese laundries, and the discriminatory bylaws that resulted, may be subtly reflected in specific architectural details of the laundry shop, such as evidence for the presence of walls no longer standing. The ability to return to accurate digital models, over and over again, provides unique opportunities to construct social histories of buildings long after they are gone. Social history focuses on understanding the everyday lives of ordinary people. The ethnic minorities that made up immigrant communities in North American towns and cities during the late nineteenth and early twentieth centuries have been of particular interest to social historians. However, language barriers and low rates of literacy often limit the number of first person accounts written by people who belonged to such communities. This paper explores how terrestrial laser scanning (TLS) and 3D reconstructive modeling of heritage buildings can provide new insights into the social history of Chinese immigrants in Alberta during the nineteenth and early twentieth centuries. These technologies were used to rapidly and accurately document the Quon Sang Lung Laundry shop in Fort Macleod, Alberta, prior to its scheduled demolition. The resulting digital data sets were used to construct detailed architectural plans of the building, as well as photorealistic 3D reconstructions of the shop, as it would have appeared at different points in history. The resulting point clouds were further explored to detect and extract evidence of the lived experiences of its occupants. For example, the conflicts and tensions surrounding Chinese laundries, and the discriminatory bylaws that resulted, may be subtly reflected in specific architectural details of the laundry shop, such as evidence for the presence of walls no longer standing. The ability to return to accurate digital models, over and over again, provides unique opportunities to construct social histories of buildings long after they are gone.
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

The Use of Human Capital and Limitations of Social Capital in Advancing Economic Security among Immigrant Women Living in Central Alberta, Canada

This paper focuses on experiences of settlement and seeking employment of immigrant women in Central Alberta. The study shows that immigrant women tend to rely on their family, ethnic, and religious networks to “survive” in the first stages of settlement, as well as when seeking employment. However, the support that they can receive from their social networks is limited because: (1) their family and friends themselves often lack economic resources; (2) their non-Canadian skills and credential are not always recognized by employers; (3) they have low income and have difficulty accessing training and educational programs that may be recognized by Canadian employers; (4) they are burdened by childcare; (5) some experience language barrier that affect their confidence and mental health. This paper focuses on experiences of settlement and seeking employment of immigrant women in Central Alberta. The study shows that immigrant women tend to rely on their family, ethnic, and religious networks to “survive” in the first stages of settlement, as well as when seeking employment. However, the support that they can receive from their social networks is limited because: (1) their family and friends themselves often lack economic resources; (2) their non-Canadian skills and credential are not always recognized by employers; (3) they have low income and have difficulty accessing training and educational programs that may be recognized by Canadian employers; (4) they are burdened by childcare; (5) some experience language barrier that affect their confidence and mental health.
This publication has no Abstract to dispaly

Vulnerable Women’s Perceptions of Individual Versus Group Prenatal Care: Results of a Cross-Sectional Survey

Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Results: Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy, breastfeeding and baby care. Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life. Hence, group prenatal care provides a positive experience and improves information exchange among vulnerable populations. Programs interested in engaging, educating and empowering vulnerable pregnant women may benefit from implementation of group care. Vulnerable pregnant women (e.g. women with low socio-economic status or recent immigrants) are less likely to receive adequate prenatal care or to attend perinatal education classes. CenteringPregnancy (CP) is a model of group prenatal care which combines assessment, education and support. This study aimed to assess patient experience among vulnerable women in group prenatal care compared to individual care. Results: Women in CP were younger, more likely to be single and having their first baby than women in individual care. Women in CP were significantly more likely to report having received enough information on exercise during pregnancy, breastfeeding and baby care. Women in CP were more likely to report that they felt their prenatal care providers were interested in how the pregnancy was affecting their life. Hence, group prenatal care provides a positive experience and improves information exchange among vulnerable populations. Programs interested in engaging, educating and empowering vulnerable pregnant women may benefit from implementation of group care.
This publication has no Abstract to dispaly

Nurturing maternal health in the midst of difficult life circumstances: a qualitative study of women and providers connected to a community-based perinatal program

Many socioecological and structural factors affect women’s diets, physical activity, and her access and receptivity to perinatal care. We sought to explore women’s and providers’ perceptions and experiences of health in the pre- and post-natal period while facing difficult life circumstances, and accessing a community-based program partially funded by Canada Prenatal Nutrition Program (CPNP) in Alberta, Canada. Women perceived eating healthy foods, taking prenatal vitamins, and being physically active as key health behaviours during pregnancy and postpartum. However, they were commonly coping with many difficult life circumstances, and faced health barriers for themselves and their babies. These barriers included pregnancy or birth complications, family and spousal issues, financial difficulties, and living rurally. On the other hand, women and providers identified many aspects of the community-based program that addressed the burden of adversities as enablers to better health during pregnancy and postpartum. Community-based programs have an important role in alleviating some of the burden of coping with difficult life circumstances for women. With such potential, community-based programs need to be well supported through policies. Policies supporting these programs, and ensuring adequate funding, can enable more equitable services to rural women and truly promote maternal health during pregnancy and postpartum. Many socioecological and structural factors affect women’s diets, physical activity, and her access and receptivity to perinatal care. We sought to explore women’s and providers’ perceptions and experiences of health in the pre- and post-natal period while facing difficult life circumstances, and accessing a community-based program partially funded by Canada Prenatal Nutrition Program (CPNP) in Alberta, Canada. Women perceived eating healthy foods, taking prenatal vitamins, and being physically active as key health behaviours during pregnancy and postpartum. However, they were commonly coping with many difficult life circumstances, and faced health barriers for themselves and their babies. These barriers included pregnancy or birth complications, family and spousal issues, financial difficulties, and living rurally. On the other hand, women and providers identified many aspects of the community-based program that addressed the burden of adversities as enablers to better health during pregnancy and postpartum. Community-based programs have an important role in alleviating some of the burden of coping with difficult life circumstances for women. With such potential, community-based programs need to be well supported through policies. Policies supporting these programs, and ensuring adequate funding, can enable more equitable services to rural women and truly promote maternal health during pregnancy and postpartum.
This publication has no Abstract to dispaly

Caring for pregnant refugee women in a turbulent policy landscape: perspectives of health care professionals in Calgary, Alberta

Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources. Female refugees can be a vulnerable population, often having suffered through traumatic events that pose risks to their health, especially during pregnancy. Pregnancy can be an entry point into the health care system, providing health care professionals the opportunity to gain women’s trust, connect refugees with resources, and optimize the health of mother and child. Policies surrounding the provision and funding of health care services to refugees can impact access to and quality of care. The aim of our study was to understand the experiences of health care professionals caring for pregnant refugee women in Calgary, AB. Health care providers described several barriers when caring for pregnant refugees, including language barriers, difficulty navigating the health care system, and cultural barriers such as managing traditional gender dynamics, only wanting a female provider and differences in medical practices. Providers managed these barriers through using a team-based approach to care, coordinating the patient’s care with other services, and addressing both the medical and social needs of the patient. The federal funding cuts added additional challenges, as many refugees were left without adequate health coverage and the system was complicated to understand. Health care providers developed creative strategies to maximize coverage for their patients including paying out of pocket or relying on donations to care for uninsured refugees. Finally, the recent Syrian refugee influx has increased the demand on service providers and further strained already limited resources.
This publication has no Abstract to dispaly

The Settlement Experiences of Syrian Newcomers in Alberta: Social Connections and Interactions

Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion. Syrian refugees resettling in Alberta face complex integration challenges. Social connections are a key foundation to successful integration. The goal of this study was to better understand the nature of social networks, social support and social capital among Syrian refugees arriving in Alberta in 2015 and in 2016. The study also focused on comparing the resettlement experience of refugees from larger centers and small centers in Alberta, differentiating the experience of government assisted refugees (GARs), privately sponsored refugees (PSRs) and blended visa office referred (BVOR) refugees. The study found that social relationships are crucial to settlement and integration. The importance of ethno-cultural communities, sponsors and community organizations in settlement and integration is discussed. Overall, the study found that while newcomers were making friends and building ties, these were still nebulous and largely focused on settlement needs or linking to socio-cultural community. GARs had stronger links to settlement agencies as compared to PSRs who were more closely linked to community networks. Refugees in smaller centers reported a higher level of belonging and reported more engagement with settlement or community organizations, but had lower rates of participation in recreation or religious activities. While most participants experienced a certain sense of belonging to Canada, they simultaneously felt challenged while managing settlement concerns and combatting racism and social exclusion.
This publication has no Abstract to dispaly