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 If you come across a link that is no longer active, please let us know and we can update it.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

Exploring Sociocultural Factors During Pregnancy and Postpartum among African-immigrant Women within the Context of a Community-Based Organization

Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada. Low socioeconomic status, language difficulties and sociocultural barriers can negatively affect many aspects of a healthy pregnancy, including dietary practices. Various life adversities (e.g., poverty), in the absence of women’s family circle created a sense of isolation and increased stress, which were heightened by pregnancy and postpartum. African-immigrant women discussed that in their home countries regardless of their socioeconomic status they felt supported in pregnancy and postpartum as their kinship provided them with “everything they needed” to be healthy. This included nutritious foods, physical activity opportunities, and adequate time for rest. Once in Canada, without sufficient social support, it becomes extremely challenging to be healthy during pregnancy and postpartum. However, women described that services and supports offered through MCHB (Multicultural Health Brokers Co-operatie) (e.g., childcare, cooking classes) facilitated a healthy pregnancy and postpartum. Community-based organizations (CBOs) appear to foster a sense of kinship women often miss when they immigrate to a new country and become pregnant. Policies that support CBOs, and ensure adequate funding, will enable continuing services that can assist immigrant women in being healthier during pregnancy and postpartum in Canada.
This publication has no Abstract to dispaly

Living arrangements and loneliness of South Asian immigrant seniors in Edmonton, Canada

This paper examines the relationships between self-reported loneliness and living arrangements. A questionnaire with some open-ended questions was administered face-to-face in English, Hindi or Punjabi to a sample of 161 elderly South Asian immigrants 60 or more years of age living in Edmonton, Alberta, Canada in 2003. The majority of respondents said that they never felt lonely. More than one in three (37.3%) respondents indicated that they felt lonely occasionally, frequently or all of the time. Those living alone were significantly more likely to report feeling lonely at least occasionally than were those living with others, especially those living with their spouse in an extended family. The fact that South Asian immigrant seniors typically lived with others, often in an extended family with or without their spouse, and rarely lived alone protected them to some extent from loneliness. However, our findings showed that among those living with others, it was the amount of waking time spent alone at home and the quality of family relationships rather than living arrangement per se that significantly predicted self-reported loneliness. Nevertheless, living in a larger household was associated with spending less time alone. This paper examines the relationships between self-reported loneliness and living arrangements. A questionnaire with some open-ended questions was administered face-to-face in English, Hindi or Punjabi to a sample of 161 elderly South Asian immigrants 60 or more years of age living in Edmonton, Alberta, Canada in 2003. The majority of respondents said that they never felt lonely. More than one in three (37.3%) respondents indicated that they felt lonely occasionally, frequently or all of the time. Those living alone were significantly more likely to report feeling lonely at least occasionally than were those living with others, especially those living with their spouse in an extended family. The fact that South Asian immigrant seniors typically lived with others, often in an extended family with or without their spouse, and rarely lived alone protected them to some extent from loneliness. However, our findings showed that among those living with others, it was the amount of waking time spent alone at home and the quality of family relationships rather than living arrangement per se that significantly predicted self-reported loneliness. Nevertheless, living in a larger household was associated with spending less time alone.
This publication has no Abstract to dispaly

An ethnographic study of communication challenges in maternity care for immigrant women in rural Alberta

Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care. Many immigrant and ethno-cultural groups in Canada face substantial barriers to accessing health care including language barriers. This study identified the nature of communication difficulties in maternity services from the perspectives of immigrant women, health care providers and social service providers in a small city in southern Alberta, Canada. We identified four main themes including verbal communication, unshared meaning, non-verbal communication to build relationships, and trauma, culture and open communication. Communication difficulties extended beyond matters of language competency to those encompassing non-verbal communication and its relation to shared meaning as well as the interplay of underlying pre-migration history and cultural factors which affect open communication, accessible health care and perhaps also maternal outcomes. Communication challenges may be experienced by all parties, yet those within health care management and professional bodies are responsible to ensure that providers are equipped with the skills necessary to facilitate culturally appropriate care.
This publication has no Abstract to dispaly

Migrant Workers and the Problem of Social Cohesion in Canada

This paper explores the Canadian Temporary Foreign Worker Program (TFWP). Our case studies of temporary foreign workers in nursing and trades in Alberta suggest that the TFWP encourages low trust and sense of belonging among migrant workers and resistance from domestic workers because it promotes inequality and exclusion. The inability of most migrant workers to access settlement services, to bring families, to change employers, or to enroll in further education and training overtly discourages their integration into the local community. The TFWP also impacts the domestic workforce and citizenry by creating a new class of workers and non-citizens without the same rights. The dynamics observed at a workplace level predictably impact local communities and Canadian society overall: patterns of diversity are destabilized, values of fairness and equal opportunity are challenged, and norms of reciprocity are weakened. This paper explores the Canadian Temporary Foreign Worker Program (TFWP). Our case studies of temporary foreign workers in nursing and trades in Alberta suggest that the TFWP encourages low trust and sense of belonging among migrant workers and resistance from domestic workers because it promotes inequality and exclusion. The inability of most migrant workers to access settlement services, to bring families, to change employers, or to enroll in further education and training overtly discourages their integration into the local community. The TFWP also impacts the domestic workforce and citizenry by creating a new class of workers and non-citizens without the same rights. The dynamics observed at a workplace level predictably impact local communities and Canadian society overall: patterns of diversity are destabilized, values of fairness and equal opportunity are challenged, and norms of reciprocity are weakened.
This publication has no Abstract to dispaly

Language Skills, Profiles, and Prospects among International Newcomers to Edmonton, Alberta

This article aims to build both community and scholarly knowledge of skills, aspirations, needs, and characteristics of the international newcomer adult population in Edmonton. It highlights the Canadian Language Benchmarks (CLB) test scores, socio-demographic profiles, as well as goals and plans among adult immigrants and refugee clients of the Language Assessment, Referral, and Counselling Centre (LARCC) in Edmonton, Alberta. LARCC includes both provincially and federally funded programs. It provides immigrants and refugees with a recognized assessment of their current level of English language proficiency; knowledge of local options and resources for relevant English language and occupational training; and helps newcomers explore their educational and career goals/opportunities. This article is largely practical rather than theoretical, presenting a practitioners’ perspective into how to better enhance the benefits of immigration for immigrants, in particular, and for the larger society as a whole. As such, following an empirical discussion, we outline several suggestions: (1) community partners to collaborate in order to “create the networks and pathways that lead to substantive labour market success for the majority of newcomers; (2) increase in social, business, and employment networking opportunities for immigrants; more support for immigrants on-the-job language and occupational skills development, including intercultural or transcultural skill development for established worker and newcomers alike; (3) “language and occupational training opportunities need to be more immediately linked to employers” This article aims to build both community and scholarly knowledge of skills, aspirations, needs, and characteristics of the international newcomer adult population in Edmonton. It highlights the Canadian Language Benchmarks (CLB) test scores, socio-demographic profiles, as well as goals and plans among adult immigrants and refugee clients of the Language Assessment, Referral, and Counselling Centre (LARCC) in Edmonton, Alberta. LARCC includes both provincially and federally funded programs. It provides immigrants and refugees with a recognized assessment of their current level of English language proficiency; knowledge of local options and resources for relevant English language and occupational training; and helps newcomers explore their educational and career goals/opportunities. This article is largely practical rather than theoretical, presenting a practitioners’ perspective into how to better enhance the benefits of immigration for immigrants, in particular, and for the larger society as a whole. As such, following an empirical discussion, we outline several suggestions: (1) community partners to collaborate in order to “create the networks and pathways that lead to substantive labour market success for the majority of newcomers; (2) increase in social, business, and employment networking opportunities for immigrants; more support for immigrants on-the-job language and occupational skills development, including intercultural or transcultural skill development for established worker and newcomers alike; (3) “language and occupational training opportunities need to be more immediately linked to employers”
This publication has no Abstract to dispaly

“Teaching Somebody to Fish”: Implications for Immigrant-Serving Organizations and Employment in Edmonton and Winnipeg

Provincial governments increasingly develop strategies that attract immigrants to settle in the Prairie Provinces. Although considerable research examines the role of settlement services in larger cities such as Toronto, Montreal, and Vancouver, there is less information regarding mid-sized cities. Increasingly, newcomers are moving to Manitoba and Alberta due to real or perceived economic opportunities. Unfortunately, some immigrants experience difficulties during their settlement process, and their varied needs create challenges for immigrant-serving organizations as they develop programs. This study explores how philosophies of empowerment influence service providers and their programs for working with professional newcomers searching for meaningful employment. Semi-structured interviews with 21 service providers in Edmonton and Winnipeg illustrate how tensions between competing notions of empowerment and neoliberal ideologies interact to guide how service providers assist immigrants. Although empowerment is a goal of service provision, limited funding and resources may constrain the advocacy role of organizations. Provincial governments increasingly develop strategies that attract immigrants to settle in the Prairie Provinces. Although considerable research examines the role of settlement services in larger cities such as Toronto, Montreal, and Vancouver, there is less information regarding mid-sized cities. Increasingly, newcomers are moving to Manitoba and Alberta due to real or perceived economic opportunities. Unfortunately, some immigrants experience difficulties during their settlement process, and their varied needs create challenges for immigrant-serving organizations as they develop programs. This study explores how philosophies of empowerment influence service providers and their programs for working with professional newcomers searching for meaningful employment. Semi-structured interviews with 21 service providers in Edmonton and Winnipeg illustrate how tensions between competing notions of empowerment and neoliberal ideologies interact to guide how service providers assist immigrants. Although empowerment is a goal of service provision, limited funding and resources may constrain the advocacy role of organizations.
This publication has no Abstract to dispaly

Insiders and outsiders: social change, deviant others, and sense of community in a boomtown

In the last decade, the city of Fort McMurray, Alberta has undergone significant social changes due to the rapid growth of the oilsands industry in and around the city. In this short period of time, Fort Murray’s population has more than doubled attracting migrants from all over Canada and internationally to fill labor shortages in the city. In the process, Fort McMurray has become a twenty-first century boomtown. This article examines how young people and (adult) key informants perceived disorder, crime, risk, and boomtown living. It was found that participants drew a sharp distinction between those who contributed to the community by making Fort McMurray a home (the insiders) and those who did not (the outsiders). Blame for many of the negative aspects (i.e., disorder, crime, and risks) that came along with boomtown living was attributed to these outsiders. In the last decade, the city of Fort McMurray, Alberta has undergone significant social changes due to the rapid growth of the oilsands industry in and around the city. In this short period of time, Fort Murray’s population has more than doubled attracting migrants from all over Canada and internationally to fill labor shortages in the city. In the process, Fort McMurray has become a twenty-first century boomtown. This article examines how young people and (adult) key informants perceived disorder, crime, risk, and boomtown living. It was found that participants drew a sharp distinction between those who contributed to the community by making Fort McMurray a home (the insiders) and those who did not (the outsiders). Blame for many of the negative aspects (i.e., disorder, crime, and risks) that came along with boomtown living was attributed to these outsiders.
This publication has no Abstract to dispaly

Navigating maternity health care: a survey of the Canadian prairie newcomer experience

Immigration to Canada has significantly increased in recent years, particularly in the Prairie Provinces. There is evidence that pregnant newcomer women often encounter challenges when attempting to navigate the health system. Our aim was to explore newcomer women’s experiences in Canada regarding pregnancy, delivery and postpartum care and to assess the degree to which Canada provides equitable access to pregnancy and delivery services. Newcomers were more likely to be university graduates, but had lower incomes than Canadian-born women. Although newcomers residing in Prairie Provinces receive adequate maternity care, improvements are needed with respect to provision of information related to postpartum depression and informed choice around the need for C-sections. Immigration to Canada has significantly increased in recent years, particularly in the Prairie Provinces. There is evidence that pregnant newcomer women often encounter challenges when attempting to navigate the health system. Our aim was to explore newcomer women’s experiences in Canada regarding pregnancy, delivery and postpartum care and to assess the degree to which Canada provides equitable access to pregnancy and delivery services. Newcomers were more likely to be university graduates, but had lower incomes than Canadian-born women. Although newcomers residing in Prairie Provinces receive adequate maternity care, improvements are needed with respect to provision of information related to postpartum depression and informed choice around the need for C-sections.
This publication has no Abstract to dispaly

“I have to do what I believe”: Sudanese women’s beliefs and resistance to hegemonic practices at home and during experiences of maternity care in Canada

Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care. Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care.
This publication has no Abstract to dispaly

Comparing CenteringPregnancy® to standard prenatal care plus prenatal education

There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. These results suggest that CenteringPregnancy® can recruit and retain a vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children. There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. These results suggest that CenteringPregnancy® can recruit and retain a vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children.
This publication has no Abstract to dispaly