Research Library

The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy. The entire healthcare system, including primary healthcare (PHC) services, has been disrupted since the onset of the COVID-19 pandemic. As the crisis threatens all citizens significantly, further barriers to accessing care exist for those who are most vulnerable, experience marginalization, and have pre-existing challenges. We aimed to explore immigrants’ lived experiences in accessing and receiving PHC services during the pandemic. A multiphase mixed-methods study using a sequential explanatory design was employed. The first study includes a systematic review that synthesizes the evidence on the experiences that immigrant patients have receiving PHC. Study two provides insights from a recently employed “COVID-19 Experiences and Impacts Survey” data and compares the experiences of Albertans that were born in and outside Canada. Descriptive statistics and multivariable logistic regression were performed, using STATA. The third study is a qualitative inquiry that aims to gain a deeper understanding of the newcomers’ (living in Canada ≤5 years) and providers’ experiences in PHC during the pandemic. A thematic analysis was applied, using NVivo software. Immigrants reported many challenges in accessing and receiving PHC, and these challenges have been increased since the COVID-19 pandemic. The results of this thesis yielded six recommendations that can inform PHC quality improvement initiatives and PHC policy.
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This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions. This thesis examined the narrative abilities of bilingual, English L2 newcomer and immigrant children with Autism Spectrum Disorder (ASD), Developmental Language Disorder (DLD) and Typical Development (TD). Compared to the monolingual research, there have been fewer studies examining narratives in clinical bilingual groups, especially bilinguals with ASD, and no study so far has compared bilinguals with ASD to bilinguals with DLD. This thesis asked: (1) Is macrostructure an area of weakness in DLD? (2) Do children with ASD experience difficulties with structural language, i.e., morphology and syntax? (3) Are narrative skills requiring perspective-taking abilities equally vulnerable in ASD and DLD? (4) Do bilinguals with ASD and DLD use the second language input they receive to the same as bilinguals with TD? Identified differences between newcomer children with ASD, DLD or TD can be utilized to create tailored interventions.
This publication has no Abstract to dispaly

About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project. About one in five Canadians is a former immigrant. In 2019, Canada welcomed over 340,000 permanent residents, 43,000 of whom came to Alberta.2 Starting in 2021, Canada proposes an ambitious plan to welcome even more permanent residents to Canada, increasing Canada’s population by more than 1 per cent every year for the next three years. Newcomers are an integral part of Canada; they support the local economy in towns and cities across the country by filling employment gaps and contributing their knowledge, skills and experiences to the community. Educated, skilled economic newcomers allow Canada to build its future economic capacity to address a shrinking labour force in the country. To help newcomers integrate in Canada, achieve their full potential and participate in the labour market and in society, the Government of Canada supports newcomers through settlement and integration services. The Settlement Program is characterized by a public-private partnership between the Department of Immigration, Refugees and Citizenship Canada (IRCC), provinces and territories, municipalities and many partner organizations. Settlement services are delivered by a network of local organizations and service providers to all newcomers arriving in Canada, removing barriers to their full participation in life and work in Canada and providing them with the tools needed for a smooth and fast integration into their new home – Canada. To evaluate the success of its Settlement Program, the IRCC developed a Performance Measurement Strategy. The Strategy outlines some immediate and intermediate desired outcomes of newcomer settlement and integration, including newcomers’ labour market participation and income, their ability to use the official languages, their uptake of services, participation in the community and the program’s ability to meet and adapt to their needs. To measure the level of integration by newcomers and estimate the direct and measurable outputs of program delivery, the government often uses proxy variables (such as service uptake, naturalization rate, labour market indicators and newcomers’ own sense of belonging). The introduction of Express Entry system in 2015 changed the way Canada selects immigrants. Canada now prioritizes younger, educated individuals with work experience, strong English or French language skills and the ability to integrate in Canada. These immigrants have high human capital (intangible personal attributes such as knowledge, skills, training and experience). These highly-educated skilled economic newcomers prioritize employment integration above all in the hopes of putting their knowledge, education and skills into use upon arrival in Canada. However, once in Canada, many skilled economic immigrants struggle to quickly and effectively integrate economically. This varied economic integration occurs in part because Canada’s Settlement Program is slow to respond to the needs of high skilled economic immigrants. Additional opportunities of on-the job training and improvements to the system of professional accreditation would allow newcomers to contribute their knowledge and skills to the Canadian society while enhancing their skills and easing their integration. To achieve this, settlement services must be made more accessible for all types of newcomers by offering services much sooner in the immigration process and expanding the eligibility criteria for services beyond permanent residents to include temporary residents and naturalized Canadians. To understand newcomer integration from a local perspective, I address settlement and integration services in Calgary, Alberta. As a result of the COVID-19 pandemic and a cooling off of the natural resources market, the city is experiencing unemployment levels much higher than the national average. Newcomers in Calgary are especially impacted by the recession as they tend to experience higher rates of unemployment and underemployment. With the economy predicted to be sluggish for the next few years, settlement programs are more important than ever, especially as the Government of Canada prepares to welcome over 400,000 of newcomers annually until at least 2023, some of whom will arrive in Calgary. Afterwards, I also give a preliminary overview and evaluation of the Alberta Gateway Project.
This publication has no Abstract to dispaly

Canada is commended as a country that celebrates multicultural diversity; however, literature suggests that this may not universally be the case for individual Canadians. This research study utilizes the Social Dominance Orientation 7 scale (SDO7 scale) as well as an Immigrant Attitudes Measure with undergraduate students attending a university in Southern Alberta. Questionnaires and interviews were used to achieve the purpose of this research study: to examine the socio-demographic factors, perceptions, and beliefs held by Canadian-born undergraduate students attending a university in Southern Alberta and how these elements may influence SDO and attitudes held about immigrants by these students. Using thematic analysis, six themes were established from the interviews and non-parametric statistical testing was used to establish relationships between variables. As both a member of the Canadian host society and a second-generation immigrant, the researcher also uses journaling to report personal reflections gleaned during the interview process. Canada is commended as a country that celebrates multicultural diversity; however, literature suggests that this may not universally be the case for individual Canadians. This research study utilizes the Social Dominance Orientation 7 scale (SDO7 scale) as well as an Immigrant Attitudes Measure with undergraduate students attending a university in Southern Alberta. Questionnaires and interviews were used to achieve the purpose of this research study: to examine the socio-demographic factors, perceptions, and beliefs held by Canadian-born undergraduate students attending a university in Southern Alberta and how these elements may influence SDO and attitudes held about immigrants by these students. Using thematic analysis, six themes were established from the interviews and non-parametric statistical testing was used to establish relationships between variables. As both a member of the Canadian host society and a second-generation immigrant, the researcher also uses journaling to report personal reflections gleaned during the interview process.
This publication has no Abstract to dispaly

Using PhotoVoice, this research explored the settlement experiences of refugee youth who have exited high school and are in a program designed by an Albertan school board to support their language and academic needs. Newcomer youth encounter profound academic and social stresses as they attempt to create a new identity and sense of belonging in their new home. This project examined what it means for refugee youth to recuperate a place of belonging. By focusing on the notion of belonging rather than barriers to settlement, the findings revealed that at the core of the youth’s efforts, connecting to people, especially in school, in addition to connecting to the natural world, fostered feelings of well-being and belonging. Educational implications include recommendations for schools and teachers supporting newcomer youth. Using PhotoVoice, this research explored the settlement experiences of refugee youth who have exited high school and are in a program designed by an Albertan school board to support their language and academic needs. Newcomer youth encounter profound academic and social stresses as they attempt to create a new identity and sense of belonging in their new home. This project examined what it means for refugee youth to recuperate a place of belonging. By focusing on the notion of belonging rather than barriers to settlement, the findings revealed that at the core of the youth’s efforts, connecting to people, especially in school, in addition to connecting to the natural world, fostered feelings of well-being and belonging. Educational implications include recommendations for schools and teachers supporting newcomer youth.
This publication has no Abstract to dispaly

On May 3rd, 2016, a wildfire swept through the Northern Alberta resource community of Fort McMurray, scouring the political-economic landscape and leading to the largest prolonged evacuation in Canadian history. In serving as the primary service centre for the Athabasca tar sands— the world’s third-largest known oil deposit— Fort McMurray has also become a notable outpost of transnational labour. Migrant caregivers, in particular, are precariously tied to this ‘land of opportunity’— bound by short-term employment contracts tied to single employers. Thus, in following the assertion that “there is no such thing as a natural disaster,” this thesis draws upon their experiences to reveal how the everyday manifestations of capitalist crisis that exist in this place were responsible for rendering the wildfire into a disaster in the lives of tens of thousands of people. In drawing upon the experiences of this social reproductive workforce, I argue that the crisis of social reproduction (i.e. biological reproduction, the reproduction of the labouring class, and provisioning and carework), in particular, is the thread of capitalist crisis capable of illuminating the other strands of crisis at the foundation of this disaster and explicating the interconnections between them. Moreover, it is in specifically focusing on the crisis of social reproduction, I argue, that we are able to not only understand the political-economic foundation of this disaster but also how its impacts were reabsorbed into everyday life through the social reproductive labour of this largely disposable workforce. In drawing upon the concept of surplus value, I argue that in much the same way that this value is extracted from workers to rebuild the physical infrastructure of communities in the wake of disaster, families extracted migrant caregivers’ social reproductive surplus value in order to rebuild the social infrastructure of their everyday lives and re-establish the crises at the foundation of this disaster. On May 3rd, 2016, a wildfire swept through the Northern Alberta resource community of Fort McMurray, scouring the political-economic landscape and leading to the largest prolonged evacuation in Canadian history. In serving as the primary service centre for the Athabasca tar sands— the world’s third-largest known oil deposit— Fort McMurray has also become a notable outpost of transnational labour. Migrant caregivers, in particular, are precariously tied to this ‘land of opportunity’— bound by short-term employment contracts tied to single employers. Thus, in following the assertion that “there is no such thing as a natural disaster,” this thesis draws upon their experiences to reveal how the everyday manifestations of capitalist crisis that exist in this place were responsible for rendering the wildfire into a disaster in the lives of tens of thousands of people. In drawing upon the experiences of this social reproductive workforce, I argue that the crisis of social reproduction (i.e. biological reproduction, the reproduction of the labouring class, and provisioning and carework), in particular, is the thread of capitalist crisis capable of illuminating the other strands of crisis at the foundation of this disaster and explicating the interconnections between them. Moreover, it is in specifically focusing on the crisis of social reproduction, I argue, that we are able to not only understand the political-economic foundation of this disaster but also how its impacts were reabsorbed into everyday life through the social reproductive labour of this largely disposable workforce. In drawing upon the concept of surplus value, I argue that in much the same way that this value is extracted from workers to rebuild the physical infrastructure of communities in the wake of disaster, families extracted migrant caregivers’ social reproductive surplus value in order to rebuild the social infrastructure of their everyday lives and re-establish the crises at the foundation of this disaster.
This publication has no Abstract to dispaly

The issue of refugee housing affordability in Calgary is one which needs attention. In the coming years, Canada is expected to increase its refugee resettlement targets to approximately 15% of its total immigration quota. Data provided by CCIS shows a concentration of refugees living in the far north part of Calgary, some small portions in the Southwest, and a large concentration in the Forest Lawn/Northeast part of Calgary. This study assumes that the largest motivating factor for resettlement in these areas is housing affordability, constrained largely by refugee settlement funding. A survey of refugee budgets, when compared to available mean and lower quartile rental data, mostly corroborates this assumption. Single refugees are likely to face housing affordability issues far more than their counterparts with children, primarily due to the lack of child benefits. Refugee claimants, those seeking asylum in Canada, were at the greatest risk for homelessness in Calgary. It is recommended that the federal government consider granting refugee claimants benefits, and that the primary mechanism for increasing refugee housing affordability should be increasing cash transfers, including the possibility of a national housing benefit, to all Canadians. The issue of refugee housing affordability in Calgary is one which needs attention. In the coming years, Canada is expected to increase its refugee resettlement targets to approximately 15% of its total immigration quota. Data provided by CCIS shows a concentration of refugees living in the far north part of Calgary, some small portions in the Southwest, and a large concentration in the Forest Lawn/Northeast part of Calgary. This study assumes that the largest motivating factor for resettlement in these areas is housing affordability, constrained largely by refugee settlement funding. A survey of refugee budgets, when compared to available mean and lower quartile rental data, mostly corroborates this assumption. Single refugees are likely to face housing affordability issues far more than their counterparts with children, primarily due to the lack of child benefits. Refugee claimants, those seeking asylum in Canada, were at the greatest risk for homelessness in Calgary. It is recommended that the federal government consider granting refugee claimants benefits, and that the primary mechanism for increasing refugee housing affordability should be increasing cash transfers, including the possibility of a national housing benefit, to all Canadians.
This publication has no Abstract to dispaly

Since the beginning of conflict in Syria, 52, 720 Syrian refugees were admitted to Canada between November 2015 and March 2018. Schools are one of the first and most impactful systems that young refugees enter and the quality of early school experiences significantly influences how successfully and quickly they settle. Yet, there is limited research examining the school experiences of refugee children. Thus, the purpose of this study was to explore the social, emotional, and academic adjustment experiences of newcomer Syrian refugee children between the ages of five to eight years within Edmonton schools. Following themes emerged during this study: (1) Role of Language in Adjustment, (2) Attitudes and Perspectives Towards Education, (3) Bonds and Relationships, (4) Initial Frustrations, Anxieties, and Fears, (5) Children’s Unique Strategies for Adapting in School, (6) Parental Involvement in the Schooling Process, and (7) Role of Personal Qualities in Adjustment. Since the beginning of conflict in Syria, 52, 720 Syrian refugees were admitted to Canada between November 2015 and March 2018. Schools are one of the first and most impactful systems that young refugees enter and the quality of early school experiences significantly influences how successfully and quickly they settle. Yet, there is limited research examining the school experiences of refugee children. Thus, the purpose of this study was to explore the social, emotional, and academic adjustment experiences of newcomer Syrian refugee children between the ages of five to eight years within Edmonton schools. Following themes emerged during this study: (1) Role of Language in Adjustment, (2) Attitudes and Perspectives Towards Education, (3) Bonds and Relationships, (4) Initial Frustrations, Anxieties, and Fears, (5) Children’s Unique Strategies for Adapting in School, (6) Parental Involvement in the Schooling Process, and (7) Role of Personal Qualities in Adjustment.
This publication has no Abstract to dispaly

In this thesis, I consider ethnographic conversations I had during fieldwork in Fort McMurray and Edmonton, Alberta, Canada, in 2016 with two sets of workers: Albertan trades-workers employed in the oil sands (pipe-fitters, welders and boilermakers) and Filipino/a Temporary Foreign Workers (TFWs) employed in the local service sector (cooks, caregivers and kitchen helpers). I analyse these workers’ self-reflections on their own work routines as providing a sightline into the ways labour market processes and regulatory frameworks are manifest in and negotiated through their lives. I suggest this is of broader significance for our understanding of the ways state-regulated labour markets re-fashion, and are re-fashioned by, the cultural identities of workers. In this thesis, I consider ethnographic conversations I had during fieldwork in Fort McMurray and Edmonton, Alberta, Canada, in 2016 with two sets of workers: Albertan trades-workers employed in the oil sands (pipe-fitters, welders and boilermakers) and Filipino/a Temporary Foreign Workers (TFWs) employed in the local service sector (cooks, caregivers and kitchen helpers). I analyse these workers’ self-reflections on their own work routines as providing a sightline into the ways labour market processes and regulatory frameworks are manifest in and negotiated through their lives. I suggest this is of broader significance for our understanding of the ways state-regulated labour markets re-fashion, and are re-fashioned by, the cultural identities of workers.
This publication has no Abstract to dispaly

This dissertation challenges the narrative of Canada as a welcoming and inclusive nation. Critical race theory and intersectional feminism provide a framework that assesses newcomer labour market experiences from the perspectives of two different stakeholder groups, immigrant professionals and service providers within the immigration settlement sector. The experiences of immigrant professionals, particularly people of colour, demonstrate a disproportionate risk of labour market exclusion. Sixty semi-structured interviews held in two mid-sized Canadian cities (Winnipeg and Edmonton) with immigrant professionals and settlement workers provided two different positions for understanding the barriers, challenges, opportunities and advantages thatencompass the immigration journey. Upon settlement, while many immigrants do well and secure career-related employment, over half of immigrant participants in this study experienced significant labour market barriers, disappointed expectations and un- or under-employment. Additionally, settlement services provided valuable assistance, but not necessarily the type of anti-oppression advocacy or specialized supports that immigrant professionals required. This dissertation also acknowledges the inherent conflicts that result from colonial capitalism itself. I argue that while this colonial project must be disrupted, newcomers should be able to live fulfilling and socio-economically stable lives and enjoy meaningful career-related employment opportunities. This dissertation challenges the narrative of Canada as a welcoming and inclusive nation. Critical race theory and intersectional feminism provide a framework that assesses newcomer labour market experiences from the perspectives of two different stakeholder groups, immigrant professionals and service providers within the immigration settlement sector. The experiences of immigrant professionals, particularly people of colour, demonstrate a disproportionate risk of labour market exclusion. Sixty semi-structured interviews held in two mid-sized Canadian cities (Winnipeg and Edmonton) with immigrant professionals and settlement workers provided two different positions for understanding the barriers, challenges, opportunities and advantages thatencompass the immigration journey. Upon settlement, while many immigrants do well and secure career-related employment, over half of immigrant participants in this study experienced significant labour market barriers, disappointed expectations and un- or under-employment. Additionally, settlement services provided valuable assistance, but not necessarily the type of anti-oppression advocacy or specialized supports that immigrant professionals required. This dissertation also acknowledges the inherent conflicts that result from colonial capitalism itself. I argue that while this colonial project must be disrupted, newcomers should be able to live fulfilling and socio-economically stable lives and enjoy meaningful career-related employment opportunities.
This publication has no Abstract to dispaly