Research Library

The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn. The World Health Organization stresses the need for tailored COVID-19 models of vaccination to meet the needs of diverse populations and ultimately reach high rates of vaccination. However, little evidence exists on how COVID-19 models of vaccination operated in the novel context of the pandemic, how vulnerable populations, such as refugees, experience COVID-19 vaccination systems in high-income countries, and what lessons may be learned from vaccination efforts with vulnerable populations. To address this gap, this study explored COVID-19 vaccine delivery models available to newcomer refugees and immigrants, and refugee experiences across diferent COVID-19 vaccine delivery models in Calgary, Canada, and surrounding area in 2021 and 2022, to understand the barriers, strengths, and strategies of models to support access to COVID-19 vaccination for newcomer refugees and immigrants. Structured interviews with Government Assisted Refugees (n=39), and semistructured interviews with Privately Sponsored Refugees (n=6), private refugee sponsors (n=3), and stakeholders involved in vaccination systems (n=13) were conducted in 2022. Thematic analysis was conducted to draw out themes related to barriers, strengths, and strategies of vaccine delivery models and the intersections with patient experiences. Newcomer refugee and immigrant focused vaccination models and strategies were explored. They demonstrated how partnerships between organizations, multi-pronged approaches, and culturally responsive services were crucial to navigate ongoing and emergent factors, such as vaccine hesitancy, mandates, and other determinants of under-vaccination. Many vaccination models presented through interviews were not specific to refugees and included immigrants, temporary residents, ethnocultural community members, and other vulnerable populations in their design. Increasing COVID-19 vaccine uptake for newcomer refugees and immigrants, is complex and requires trust, ongoing information provision, and local partnerships to address ongoing and emerging factors. Three key policy implications were drawn.
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Sport participation is popularly constructed as an effective means for welcoming newcomers into their new country of residence, despite these claims being critiqued by sport scholars. In this study, we critically interrogated Intro to Sport programmes as one approach for welcoming newcomers into the Canadian sport system using Green’s normative theory of sport development to inform our work. Twenty qualitative interviews were conducted with programme administrators, instructors, and parents of newcomer programme participants representing six Intro to Sport programmes. Using thematic analysis, two overarching themes were determined: (1) toward inclusion: negotiating sport participation; and (2) sustainability. We explored how various sport participation barriers were managed towards promoting inclusion across the programmes as well as the pervasiveness of intersectoral community partnerships. We provided a nuanced discussion of the socio-cultural and contextual considerations surrounding Intro to Sport programmes for newcomers, insights that can inform sport development research and practice moving forward. We also offer suggestions to sport administrators involved in Intro to Sport programmes for newcomers and future research directions. Sport participation is popularly constructed as an effective means for welcoming newcomers into their new country of residence, despite these claims being critiqued by sport scholars. In this study, we critically interrogated Intro to Sport programmes as one approach for welcoming newcomers into the Canadian sport system using Green’s normative theory of sport development to inform our work. Twenty qualitative interviews were conducted with programme administrators, instructors, and parents of newcomer programme participants representing six Intro to Sport programmes. Using thematic analysis, two overarching themes were determined: (1) toward inclusion: negotiating sport participation; and (2) sustainability. We explored how various sport participation barriers were managed towards promoting inclusion across the programmes as well as the pervasiveness of intersectoral community partnerships. We provided a nuanced discussion of the socio-cultural and contextual considerations surrounding Intro to Sport programmes for newcomers, insights that can inform sport development research and practice moving forward. We also offer suggestions to sport administrators involved in Intro to Sport programmes for newcomers and future research directions.
This publication has no Abstract to dispaly

African immigrant women are underrepresented in health research on maternal mental health. Thus, there is a need to highlight successful recruitment strategies to engage African women in health-oriented research. This study highlights the importance of utilizing multiple recruitment strategies to successfully meet the desired sample size for a survey study. African immigrant women are underrepresented in health research on maternal mental health. Thus, there is a need to highlight successful recruitment strategies to engage African women in health-oriented research. This study highlights the importance of utilizing multiple recruitment strategies to successfully meet the desired sample size for a survey study.
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This paper examines the relationship between parents’ sense of coherence (SOC) and children’s oral health outcomes among newcomers (immigrants to Canada). Immigrant parents with children aged 1-12 years who lived in Canada for 10 years or less were recruited. Findings show that parent’s SOC was relatively low among newcomers and not associated with children’s oral health outcomes. This paper examines the relationship between parents’ sense of coherence (SOC) and children’s oral health outcomes among newcomers (immigrants to Canada). Immigrant parents with children aged 1-12 years who lived in Canada for 10 years or less were recruited. Findings show that parent’s SOC was relatively low among newcomers and not associated with children’s oral health outcomes.
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In this article, we reflect on a comprehensive community-engaged research approach that we undertook to identify the barriers to equitable primary care access among a South Asian (Bangladeshi) immigrant community in Canada. This article summarised the experience of our programme of research and describes our understanding of community-engaged research among an immigrant/racialised community that meaningfully interacts with the community. In this article, we reflect on a comprehensive community-engaged research approach that we undertook to identify the barriers to equitable primary care access among a South Asian (Bangladeshi) immigrant community in Canada. This article summarised the experience of our programme of research and describes our understanding of community-engaged research among an immigrant/racialised community that meaningfully interacts with the community.
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Available evidence in Canada suggests children born to immigrants face a greater risk of poor mental health outcomes. However, these comparisons often mask important ethno-racial differences in mental health risks and outcomes among immigrant populations. Recent evidence suggests African immigrant children have some of the poorest social and mental health outcomes in Canada. Despite this awareness, research has yet to identify community-based strategies for addressing the stressors underpinning such outcomes. This study used data obtained from focus groups with African immigrant parents in Edmonton, AB and surrounding towns to identify child mental health stressors and child mental health promotion strategies in the African immigrant community. Available evidence in Canada suggests children born to immigrants face a greater risk of poor mental health outcomes. However, these comparisons often mask important ethno-racial differences in mental health risks and outcomes among immigrant populations. Recent evidence suggests African immigrant children have some of the poorest social and mental health outcomes in Canada. Despite this awareness, research has yet to identify community-based strategies for addressing the stressors underpinning such outcomes. This study used data obtained from focus groups with African immigrant parents in Edmonton, AB and surrounding towns to identify child mental health stressors and child mental health promotion strategies in the African immigrant community.
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This study sought to examine the challenges encountered by immigrant-serving agencies in meeting the health needs of temporary foreign workers and their families in one Canadian province. Some of the challenges that agencies face in delivering programs and services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers’ reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers. This study sought to examine the challenges encountered by immigrant-serving agencies in meeting the health needs of temporary foreign workers and their families in one Canadian province. Some of the challenges that agencies face in delivering programs and services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers’ reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers.
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African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities. African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, this issue has not been properly researched. In this paper, we examine parenting challenges among a sample of African immigrant parents in Alberta, Canada. We discovered main parenting challenges, organized around six overarching themes. Specifically, African immigrant parents deal with cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. Thus the state policy regarding child protection needs to change, and social service organization need to tailor their programmes to cultural specificities of African communities.
This publication has no Abstract to dispaly

Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications. Data on immigrant and refugees’ access to services in Canada does not typically focus on children. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators (things that help) for mental health care for their children in Edmonton, Alberta, Canada. Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.
This publication has no Abstract to dispaly

What can be learned about the healthcare access of undocumented workers? How can health equity be advanced through sensitivity to the process of precaritization and the precarities informing their lives? Thailand and Spain are the only countries in the world that offer the same healthcare access to undocumented migrants as citizens. Most European countries only offer emergency services: France, the Netherlands, Portugal, Spain, and Switzerland allow undocumented migrants to access similar services to citizens if they meet conditions (proof of identity; length of residence in the country). European cities such as Ghent, Frankfurt, and Dusseldorf, offer barrier-free healthcare. Throughout the USA, Federally Qualified Health Centers support care to the uninsured regardless of immigration status. In Canada, Ontario and Quebec, provide a base level of healthcare access to undocumented migrants, and a small number of stand-alone community-based clinics offer additional care and specialized services. To promote healthcare for undocumented migrants in Alberta, barrier-free access to vaccination, COVID-19 treatment, and proof of vaccinations are essential, but an equity lens to healthcare service— informed by analytic understanding and robust approach to precaritization as a social determinant, is most needed. What can be learned about the healthcare access of undocumented workers? How can health equity be advanced through sensitivity to the process of precaritization and the precarities informing their lives? Thailand and Spain are the only countries in the world that offer the same healthcare access to undocumented migrants as citizens. Most European countries only offer emergency services: France, the Netherlands, Portugal, Spain, and Switzerland allow undocumented migrants to access similar services to citizens if they meet conditions (proof of identity; length of residence in the country). European cities such as Ghent, Frankfurt, and Dusseldorf, offer barrier-free healthcare. Throughout the USA, Federally Qualified Health Centers support care to the uninsured regardless of immigration status. In Canada, Ontario and Quebec, provide a base level of healthcare access to undocumented migrants, and a small number of stand-alone community-based clinics offer additional care and specialized services. To promote healthcare for undocumented migrants in Alberta, barrier-free access to vaccination, COVID-19 treatment, and proof of vaccinations are essential, but an equity lens to healthcare service— informed by analytic understanding and robust approach to precaritization as a social determinant, is most needed.
This publication has no Abstract to dispaly