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In Canada, Indigenous Peoples’ health and wellbeing is linked with the legacies of colonization. A social determinants of health model shifts focus from individual-level health contexts to broader socioeconomic, cultural, and environmental conditions associated with population health outcomes. Education is a key social determinant of health, closely tied to both positive health outcomes and socioeconomic status. In communities across Canada, educational success remains out of reach for disproportionately large numbers of Indigenous youth and adults. This qualitative study examined the intersection of two social determinants of health—Indigenous status and education—by exploring educational engagement in secondary school for Inuit parents and families, secondary school students, educators, and other Inuit community members in an Inuit community in Nunavik, northern Quebec.

Beginning in 2015, Canada undertook an exceptional undertaking of sponsoring of more than 40,000 Syrian refugees to resettle in Canada. As the excitement of their initial arrivals dissipates, it is important to consider their longer-term settlement and integration in their new communities. This article offers a portrait and analysis of how Syrian refugees sponsored to Montreal are able to create social networks and access social support in order to build social capital for employment and housing purposes. Part of a larger, three-province, 4-year longitudinal study, here we report on the first wave of survey data collected from 626 Privately-Sponsored Refugees living in Quebec. We report on their family support and friendships, as well as the ways that these social connections helped them in terms of employment and housing. Differences in terms of age, gender and time in Canada are analyzed. We find strong evidence of bonding social capital among recently resettled Syrians in Montreal, and growing bridging capital.

During the COVID-19 pandemic, mental health services rapidly transitioned to virtual care. Although such services can improve access for underserved populations, they may also present unique challenges, especially for refugee newcomers. This study examined the multidimensional nature of access to virtual mental health (VMH) care for refugee newcomers during the COVID-19 pandemic, using Levesque et al.’s Client-Centered Framework for Assessing Access to Health Care. One hundred and eight structured and semi structured interviews were conducted in four Canadian provinces (8 community leaders, 37 newcomer clients, 63 mental health or service providers or managers). Deductive qualitative analysis, based on the Client-Centered Framework, identified several overarching themes: challenges due to the cost and complexity of using technology; comfort for VMH outside clinical settings; sustainability post-COVID-19; and communication and the therapeutic alliance. Mental health organizations, community organizations, and service providers can improve access to (virtual) mental health care for refugee newcomers by addressing cultural and structural barriers, tailoring services, and offering choice and flexibility to newcomers.

Immigrant and refugee populations face multiple barriers to accessing mental health services. This scoping review applies the (Levesque et al. in Int J Equity Health 12:18, 2013) Patient-Centred Access to Healthcare model in exploring the potential of increased access through virtual mental healthcare services VMHS for these populations by examining the affordability, availability/accommodation, and appropriateness and acceptability of virtual mental health interventions and assessments. A search in CINAHL, MEDLINE, PSYCINFO, EMBASE, SOCINDEX and SCOPUS following (Arksey and O’Malley in Int J Soc Res Methodol 8:19–32, 2005) guidelines found 44 papers and 41 unique interventions/assessment tools. Accessibility depended on individual (e.g., literacy), program (e.g., computer required) and contextual/social factors (e.g., housing characteristics, internet bandwidth). Participation often required financial and technical support, raising important questions about the generalizability and sustainability of VMHS’ accessibility for immigrant and refugee populations. Given limitations in current research (i.e., frequent exclusion of patients with severe mental health issues; limited examination of cultural dimensions; de facto exclusion of those without access to technology), further research appears warranted.

Purpose This paper presents an analysis of how health intersects with the experience of housing insecurity and homelessness, specifically for migrant women. The authors argue that it is important to understand the specificities of the interplay of these different factors to continue the advancement of our understanding and practice as advocates for health and housing security. Design/methodology/approach An exploratory, qualitative, methodological approach was adopted, using a broad definition of housing insecurity: from absolute homelessness (e.g. residing rough) to invisible homelessness (e.g. couch surfing) to those at risk of homelessness. In total, 26 newcomer (foreign-born women who came to live in Canada during the previous ten years, regardless of their immigration status) women were recruited in Montreal, Canada. Participants were recruited directly through advertisements in public places and in collaboration with community organizations (women’s centers, homeless shelters, crisis centers, domestic violence shelters, immigrant settlement agencies and ethnic associations) and they self-identified as having experienced housing insecurity. Efforts were made to include a diversity of immigrant statuses as well as diversity in ethnicity, race, country of origin, family composition, sexual orientation, age and range of physical and mental ability. Women were engaged in semi-structured, open-ended interviews lasting approximately 1 h. Interviews were conducted in English or French in a location and time of participants’ choosing. Findings The findings are presented around three themes: how health problems instigate and maintain migrant women’s housing insecurity and homelessness; ways in which women’s immigration trajectories and legal status may influence their health experiences; and particular coping strategies that migrant women employ in efforts to maintain or manage their health. The authors conclude with implications of these findings for both policy and practice in relation to migrant women who experience or are at risk of housing insecurity and homelessness. Originality/value Intersections of women experiencing migration and housing insecurity in Canadian contexts have rarely been examined. This paper addresses a gap in the literature in terms of topic and context, but also in terms of sharing the voices of migrant women with direct experience with housing insecurity.

The objective of this study was to explore housing insecurity among women newcomers to Montreal, Canada. Semi-structured interviews were conducted with 26 newcomer women who had experienced housing insecurity and five women’s shelter service providers. The primary cause of housing insecurity for newcomer women was inadequate income in the face of rapidly rising housing costs, coupled with unfamiliarity with the dominant culture and the local housing system. Specific events often served as tipping points for immigrant women—incidents that forced women into less secure housing. To avoid absolute homelessness, most women stayed with family, couch surfed, used women’s or educational residences, shared a room or an apartment, lived in hotels, single rented rooms, or transitional housing. These arrangements were often problematic, as crowded conditions, financial dependency, differing expectations and interpersonal conflicts made for stressful or exploitive relationships, which sometimes ended abruptly. Only two of the 26 women interviewed described their current living situation as stable. Based on the findings on the study, we recommend training for housing and immigration service providers, wrap-around services in terms of health, housing and immigration settlement programs that take into account a broad range of immigration statuses and transitional housing that caters to the specific needs of migrant women.

This brief report explored trends of cigarette smoking among Syrian newcomers in the first two years of resettlement in Canada. 1794 adult Syrian refugees were surveyed about their physical and mental health, and smoking behaviours. Results were analyzed using descriptive statistics, Wilcoxon signed-rank tests, and logistic regressions. Almost 27% of the sample reported cigarette smoking (50% light smokers and 50% moderate/heavy smokers). Light smokers increased and moderate/heavy smokers decreased in the number of cigarettes smoked from year 1 to year 2. Moderate/heavy smokers were more likely to be male and reported higher post-traumatic stress scores, while light smokers reported higher depression scores. Only 14.3% of smokers recalled receiving advice from health care providers in Canada regarding their smoking habits. Healthcare providers should provide tailored advice to everyone who is an active smoker with a specific emphasis on those who have concurrent health issues.

Although the government of the United States of America was established to protect the rights to life, liberty and the pursuit of happiness among all American citizens, this thesis argues intractable gang violence in inner-city Chicago has persistently denied these rights, in turn undermining fundamental (and foundational) American political values. Thus, gang violence can be argued to represent a threat to both civil order and state legitimacy. Yet, where comparable (and generally lower) levels of community-level violence in Northern Ireland garnered the sustained attention and direct involvement of the United Kingdom's central government, the challenge posed by gang violence has been unappreciated, if not ignored, by the American federal government. In order to mobilise the political commitment and resources needed to find a durable resolution to Chicago's long and often anarchic 'uncivil war', it is first necessary to politicise the problem and its origins. Contributing to this politicisation, this thesis explains why gang violence in Chicago has been unable to capture the political imagination of the American government in a way akin to paramilitary (specifically republican) violence in Northern Ireland. Secondly, it explains how the depoliticisation of gang violence has negatively affected response, encouraging the continued application of inadequate and largely ineffective response strategies. Finally, it makes the case that, while radical, a conditional agreement-centric peace process loosely modelled on that employed in Northern Ireland might offer the most effective strategy for restoring the sense of peace and security to inner-city Chicago lost over half a century ago.

Wealthy countries have responded to the world's refugee crisis by instituting diverse resettlement policies aimed at providing protection, economic support, and integration into the host country. Reflective of host countries' ideologies and beliefs about refugees' needs, these policies reveal little insight into refugees' perspectives and offer little foresight into the achievability of integration over time. Juxtaposing refugee perspectives and policies, this study compared “lived experience” with policies on paper. This qualitative comparative case study explored the cases of 48 Bosnian refugees who had resettled in Denmark and the USA. The study examined their integration and how similarities and differences in achieving integration related to the resettlement country's policy contexts, programs, and ideological traditions. A qualitative case study approach was chosen because it was the most effective way to gain knowledge of refugees' experiences and perceptions in the context of the societies in which they resettled. Data included interviews with refugees and key informants, participant observation, and documents. Findings revealed that both groups struggled with language and employment challenges to integration. Social support networks that included Americans/Danes aided integration as they provided significant support in navigating resettlement. American congregational sponsorship mediated struggles church-sponsored participants faced, facilitating integration. A key difference between the groups was the extent to which participants felt a sense of national affiliation and were able to move beyond integration to achieve normalcy. In Denmark, participants tended to feel separate from Danish society and did not believe that Bosnian culture was valued and accepted on par with Danish culture. In the USA, where participants endured financial struggles, particularly in the first year, their unwavering faith in America as a land of immigrants and their belief that they could fully belong in American society distinguished them from refugees in Denmark. Implications included a reevaluation of American resettlement policy regarding national standards for resettlement services; wider recognition of refugees' educational qualifications and an inclusion of refugee voices in planning and implementing resettlement programs in both countries; a reevaluation of Danish integration policies to address refugees' segregation; and an acknowledgement of the changing fabric of Danish life to legitimately incorporate ethnic minorities.