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Citation: Raihan, M.M.H.;
Chowdhury, N.; Turin, T.C. Low Job
Market Integration of Skilled
Immigrants in Canada: The
Implication for Social Integration and
Mental Well-Being. Societies 2023,13,
75. https://doi.org/10.3390/
soc13030075
Academic Editor: Ranjan Datta
Received: 11 November 2022
Revised: 8 March 2023
Accepted: 16 March 2023
Published: 19 March 2023
Copyright: © 2023 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
societies
Concept Paper
Low Job Market Integration of Skilled Immigrants in Canada:
The Implication for Social Integration and Mental Well-Being
Mohammad M. H. Raihan 1, Nashit Chowdhury 1and Tanvir C. Turin 2,*
1Department of Community Health Sciences, Cumming School of Medicine, University of Calgary,
Calgary, AB T2N 4N1, Canada; mohammadmojammel.rai@ucalgary.ca (M.M.H.R.);
nashit.chowdhury@ucalgary.ca (N.C.)
2Department of Family Medicine, Cumming School of Medicine, University of Calgary,
Calgary, AB T2N 4N1, Canada
*Correspondence: turin.chowdhury@ucalgary.ca
Abstract:
Skilled immigrants are critical assets to the social and economic dynamism of Canada.
However, they are less likely to find employment matching their skillset due to a lack of inclusive
post-immigration professional integration policies and support. They generally earn less and often
live below the low-income cutoff relative to their Canadian-born counterparts. This paper aims to
review the current situation of low job market integration (LJMI) of skilled immigrants in Canada
and its implications on their social integration and mental well-being. Skilled immigrants continue to
face disparities in getting desired jobs, despite having sufficient skills and credentials similar if not
superior to that of Canadian-borns. Based on the existing literature, this study demonstrates that low
job market integration limits skilled immigrants’ productivity, and they experience a lower level of
social integration and deteriorated mental well-being. Therefore, initiatives from multidisciplinary
and multisector stakeholders are necessary to improve skilled immigrants’ mental well-being by
providing equal opportunities devoid of social exclusion and marginalization.
Keywords:
high-skilled immigrant; Canadian job market; low job market integration; mental well-
being; mental health & well-being
1. Introduction
Canada has attracted large numbers of skilled workers through its immigration policy
to address workforce shortages due to the country’s ageing population and decreasing
birthrates [
1
]. Canada admits immigrants as skilled workers, reunited family members,
protected persons such as refugees, and economic contributors [
2
,
3
]. Many highly edu-
cated and skilled immigrants migrate to Canada with permanent residency status under
the Federal Skilled Workers Program [
4
]. According to the Immigration, Refugees and
Citizenship Canada (IRCC) data, the Government of Canada accepted about a million
skilled workers to enter Canada between 2002 to 2014 through the Federal Skilled Workers
Program [
5
]. The number of immigrants admitted through the skilled migration programs
has been rising continuously, and in 2021, Canada admitted 139,460 skilled immigrants
through these programs, comprising nearly 34% of all immigration in that year [
6
]. Also, by
2023-25, Canada has set a multiyear plan to recruit millions of immigrants, among which
approximately 50%, 51%, and 53% will be skilled workers from the economic category in
2023, 2024, and 2025, respectively [
7
]. Thus, skilled immigrants from developing nations
are becoming increasingly important in the Canadian labour market [8].
Notably, immigration policies in Canada consider skilled immigrants as a valuable
resource for the socio-economic growth of the country [
3
]. However, compared to their
Canadian-born counterparts, these immigrants earn less, live below the standard, and are
less likely to find employment matching their skills [
2
,
9
–
11
]. Statistics Canada’s report
shows that the unemployment rate of landed immigrants is 7.9%, whereas the rate among
Societies 2023,13, 75. https://doi.org/10.3390/soc13030075 https://www.mdpi.com/journal/societies
Societies 2023,13, 75 2 of 13
Canadian-borns with similar degrees is 3.1% [
12
]. In 2014, the gap between the employment
rate of immigrants and Canadian-borns, both with university degrees, was 11.1% [
12
]. In
2016, the census data showed a 16% national-level wage gap between newcomers and
people born in Canada, whereas this gap was about 12.6% in the 2006 census data [13]. In
addition, skilled immigrants, especially those who were in regulated fields such as health-
care or law, may need to choose alternative careers after coming to Canada to secure their
livelihood [
14
,
15
]. Highly skilled immigrants with foreign university degrees frequently
end up taking jobs requiring less than a university degree [
16
,
17
]. For example, many
foreign-trained pharmacists work only as pharmacy assistants, and many foreign-trained
nurses take jobs as healthcare aides [
18
,
19
]. Similarly, many foreign-trained physicians
are pushed to take non-health career paths to support their families, thus losing their
professional identity [
15
]. There is a lack of systematic approach and support for skilled
immigrants to find employment in their area of expertise or suitable alternative careers
where they can employ their skills to a certain extent [
20
,
21
]. Therefore, the individuals
struggle to identify alternative jobs by themselves, have difficulty obtaining the required
diploma/certifications, and struggle to convince employers of the rationale for their career
switch to a position requiring a different skill set than their prior work area [
21
]. Thus,
compared with Canadian-born counterparts, immigrants with the same qualifications
suffer more to find a suitable job, making them prone to entering the workforce through
undesirable jobs and leading to low economic integration [
22
] and underemployment [
23
].
These challenges that skilled immigrants encounter in Canada while attempting
to integrate into the labour market lead to worse mental health outcomes. Chen et al.,
after analyzing a longitudinal survey of immigrants to Canada, reported that after four
years of arrival over half of the immigrants with post-secondary education (58%) were
underemployed, resulting in the decline of their mental health [
24
]. This paper aims to
review the current situation of low job market integration (LJMI) of skilled immigrants.
This article describes how individual-level or external factors, such as systematic barriers
and racism, likely contribute to LJMI in the Canadian labour market. The conventional
meaning of immigrants’ integration in the host country suggests that immigrants and
their ethnic group should bear the responsibility for their situation (such as integration
and/or disintegration) [
25
]. We assume, however, that integrating into a new society is not
a one-way journey where one group is responsible for their actions; rather, both groups
(newcomers and host country) need to help each other and create positive outcomes for all.
This article, therefore, intends to discuss the implication of job market integration on the
social integration and mental well-being of high-skilled immigrants.
2. Reasons for Low Job Market Integration
Despite the fact that Canada has one of the most diversified populations in the world,
exclusionary practice based on racism is still present in Canada [
26
]. The Supreme Court of
Canada (2005) also agrees that racism is an unavoidable and well-known social truth in
Canada [
27
]. According to recent studies, there is a lot of evidence of racial inequality in
daily institutional practices in Canadian society [
28
,
29
]. Research also shows that discrimi-
nation against immigrants manifests in the screening stage where an employer’s call for an
interview depends on the racial identity of the immigrant [
30
]. Although officially Canadian
policy supports the deracialization of immigrants, in practice, a complete deracialization is
not seen [
27
]. Therefore, due to discrimination and racial practices among many employers,
skilled immigrants encounter obstacles in obtaining desired jobs in Canada.
Canada admits skilled immigrants based on higher educational qualifications and
experiences in related fields; however, after arrival, skilled immigrants face difficulties in
the settlement-to-integration process in the host country [
8
,
31
–
33
]. Research shows that
immigrants face barriers when entering the Canadian labour market [
34
–
36
]. Many factors
are responsible for the extent to which skilled immigrants integrate into the Canadian
job market. Some factors are related to individuals’ socio-demographic characteristics,
including age, sex, education, and skills [
37
]. In contrast, other factors are related to
Societies 2023,13, 75 3 of 13
the system and preferences encountered in the host country, such as racism, colonial
integration policies, and/or systematic discrimination [
37
]. According to Weiner, the
devaluation of foreign degrees and work experience, a lack of communication skills, implicit
discrimination, and a lack of work experience in Canada are among the significant reasons
that prevent skilled immigrants from entering the labour market or from getting a desired
job [
38
]. In the following section, we will describe the various reasons under the four
broad categories that impede skilled immigrants’ entry into the Canadian labour market.
A comprehensive list of factors that might help evaluate a newcomer’s low level of job
market integration and mental well-being are presented in Figure 1.
(a)
Individual-level factors;
(b)
Employer-level factors;
(c)
System-level factors;
(d)
Societal-level factors;
Societies 2023, 13, x FOR PEER REVIEW 4 of 13
Figure 1. Low level of job market integration (LJMI); lower levels of social integration and mental
well-being.
A lack of understanding of workplace culture, lack of teamwork ability, and accul-
turation challenges also impose significant barriers to immigrants getting their desired
jobs. These factors are essential, as understanding cultural differences in the workplace,
teamwork capability, and successful acculturation may play a vital role for newcomers in
attaining Canadian work experiences. A study shows that many immigrants do not know
North American concepts of speaking well, selling themselves for work, and maintaining
eye contact during a job interview—all of which are very important in the Canadian work-
place culture [47]. Petri (2010) showed that to be integrated into Canadian society,
Figure 1.
Low level of job market integration (LJMI); lower levels of social integration and mental
well-being.
Societies 2023,13, 75 4 of 13
2.1. Individual-Level Factors
Barriers that impede skilled immigrants’ labour market integration in Canada are
widely documented [
32
]. As discussed above, although skilled immigrants are highly
qualified, professionally trained, and economically motivated, they face individual-level
challenges after arriving in Canada that restrain them from successfully integrating into
the labour market. Racism can manifest itself in the exclusion of eligible immigrants from
getting job opportunities because of their accents, body language, and other individual
characteristics. The most vital factors may be a lack of language skills, acculturation
challenges, and teamwork ability. These individual-level challenges may interact with
other local contexts to trap skilled immigrants in low-skill survival jobs, resulting in
negative outcomes in the labour market [32].
English-language skills are among the most critical factors in immigrants getting
jobs in Canada [
8
]. Skilled immigrants must show minimum language requirements in
listening, speaking, reading, and writing modules for the Express Entry program [
39
];
however, most of the time, employers consider their English-language skills insufficient
for effective employment communication [
40
]. A study shows that employers predict
applicants’ language skills based on the name or country of origin on a resume [
41
]. Lacking
a Canadian accent and expressions, and lacking knowledge about specific language skills,
also affects skilled immigrants’ employment outcomes [
42
]. A lack of linguistic skills
prevents cross-cultural communication, thereby hindering adequate access to the host
culture, hindering learning the expected standard behaviour in the workplace and soft
skills, and delaying job market integration [
8
,
40
,
43
,
44
]. Improved language ability is likely
a necessary condition for skilled immigrants to be successfully integrated into the labour
market [
45
]. Racialized immigrants are discriminated against because of their non-native
accents, which serve as a marker that establishes the White English/French accent as
superior. This practice reveals the colonial mentality of the employers, where they want
to reduce, rectify, and normalize the non-native voices of immigrants because non-native
accents seem defensive and confrontational [
46
]. The non-nativity of their accents makes
skilled immigrants’ employability incompetent, according to the employer. Therefore, it is
vital to eliminate prejudices and negative mentalities that marginalize skilled immigrants
and instead devote greater resources to improving English accents in order to help them
with better labour market integration.
A lack of understanding of workplace culture, lack of teamwork ability, and accul-
turation challenges also impose significant barriers to immigrants getting their desired
jobs. These factors are essential, as understanding cultural differences in the workplace,
teamwork capability, and successful acculturation may play a vital role for newcomers in
attaining Canadian work experiences. A study shows that many immigrants do not know
North American concepts of speaking well, selling themselves for work, and maintain-
ing eye contact during a job interview—all of which are very important in the Canadian
workplace culture [
47
]. Petri (2010) showed that to be integrated into Canadian society,
newcomers should speak the way Canadians do and learn how Canadian-born people
approach different situations using different manners [
48
]. However, research shows that
Asian-named people with similar qualifications receive fewer calls from the employer when
applying for a job [
30
]. Even though diversity in hiring is promoted in Canada, in reality,
there is still discrimination against skilled immigrants that manifests on a personal level,
preventing their integration into the labour market. Therefore, the government should
work to ensure the practice of anti-racist policies among employers and encourage them
to hire skilled immigrants if they meet all the required criteria. Also, skilled immigrants
should raise their voices and mobilize available resources in improving their necessary skill
sets to be hired, to dismantle racialized practices in the Canadian job market.
2.2. Employer-Level Factors
There are many likely reasons why skilled immigrants’ labour market outcomes differ
from Canadian-born people. Employers, particularly those with latent prejudices about
Societies 2023,13, 75 5 of 13
foreign credentials, training, or experiences, practice discrimination and devalue skilled
immigrants’ foreign skills. Studies show that immigrants face barriers to entering the job
market despite having foreign credentials and work experience, due to a lack of Canadian
work experience and references [
8
,
10
,
11
,
38
,
40
,
49
,
50
]. Research on the experiences of skilled
immigrants’ labour market discrimination has examined discrimination based on the de-
valuation of foreign credentials, work experiences, and training [
51
]. Research also shows
that employers exploit skilled immigrants by seeking Canadian experience and Canadian
references, and thereby obtain from immigrants free and low-wage labour [
4
]. Immigrants
are victims of local institutions that do not accept foreign degrees and experiences due to
prejudice and racism [
52
–
54
]. According to Desjardins and Cornelson [
55
], it is noticeable
that compared to their Canadian counterparts, skilled immigrants have a higher unemploy-
ment rate and receive lower wages, which accounts for their lower job market integration
in Canada. Therefore, discounting foreign skills due to prejudice against foreign experience
impedes skilled immigrants’ socio-economic integration [56].
Anti-immigrant biases also hinder immigrants’ success in the Canadian labour force
and discriminate against their entry into the workforce. A study describes that when
immigrants’ skills become a threat to local applicants, they face anti-immigrant biases [
51
].
Anti-immigrant biases also happen due to inter-sectional identities, including the socio-
demographic statuses of the under-represented groups [
57
]. The evidence thus suggests
that employers are not accepting the overseas expertise and credentials of skilled immi-
grants in cases where those credentials were used to get the immigrants into the economic
immigration category. That is, skilled immigrants are being negatively impacted by openly
practiced racist and exclusionary principles in the employment recruiting process, even
though they immigrated to Canada with the hope of living a better life. As Canada
needs more skilled immigrants, not only government initiatives but also individual- and
community-level anti-racist initiatives are needed to attract more skilled people and for the
social integration of skilled immigrants in Canada.
2.3. System-Level Factors
Immigrants’ success in professional integration in the host country may be determined
by several systematic support-related factors, such as information and guidance, adequate
access to necessary resources and neutral services, etc. However, the information that
immigrants receive before arrival is often unreliable and more optimistic [
58
], which gives
them the illusion of abundant economic and employment opportunities compared to their
home country. The real scenario in Canada is different. For example, relevant websites
do not provide sufficient information for understanding the difficulties associated with
entering into regulated professions, which delays skilled immigrants’ access to desired
regulated occupations [
59
]. There is also a lack of written and authentic immigration-related
resources available based on which immigrants could perform a cost-benefit analysis
before migrating to Canada [
42
]. Studies show that skilled immigrants would have been
better prepared for the Canadian system of preferences or would have taken qualification
accreditation exams if they had received practical guidance before and/or after arriving in
Canada [8,60,61].
The requirement for money to pay for several prerequisite exams or further study is
another issue that forces immigrants to work in survival occupations. The potential cost and
delay in obtaining license and registration forces skilled immigrants to work lower-paid
jobs until they obtain registration and authorization to work [
62
]. Sometimes immigrants
need to study further to get their foreign credentials accredited and work experiences
recognized, which mostly leaves them in a frustrating situation [
11
]. Research shows
that new immigrants can overcome their problems by participating in additional formal
education after arriving in Canada [
63
]. That is, despite their higher levels of credentials,
skilled immigrants need to invest time and money to become eligible to find work in the
field related to their previous experience and education [64].
Societies 2023,13, 75 6 of 13
Systemic racism may also be observed when employers systematically deprive im-
migrants and/or racialized people of equitable job opportunities based on certain rules,
policies, and practices at the institutional or structural level [
27
]. Evidence shows that
although many immigrants arrive in Canada with high expectations, they frequently ex-
perience racial and ethnic discrimination once they are here [
65
]. Even if the foreign
professional experience meets the Canadian standard, skilled immigrants are sometimes
not recognized by the licensing body and/or employer [
66
]. Evidence also shows that
employers have allegedly turned down Chinese women immigrants who obtained licenses
based on their prior work as nurses or engineers in their countries, claiming that the quality
of their country experiences was insufficient [
67
]. Therefore, a racist mentality of employers
undervaluing the skills of immigrants creates a barrier to them pursuing their desired
career, which in turn creates difficulty integrating into the Canadian way of life.
2.4. Societal-Level Factors
A fourth reason that may influence immigrants’ LJMI is their formal or informal net-
works at the societal level and their capacity to mobilize these networks. Networks within
ethnic enclaves are likely to assist skilled immigrants in finding a survival-level job imme-
diately after arriving in Canada and managing their vital livelihood needs [
68
]. However, a
study shows that networks within ethnic enclaves are rarely effective for skilled immigrants
in finding desired employment respective to their skills and credentials [
69
]. Also, a tie to
the host community may help skilled immigrants to get to know a common culture, norms
of the host community, and available job opportunities. A lack of this knowledge, on the
other hand, prevents newly arrived skilled immigrants from job opportunities and learning
the expected standard of behaviour in their desired professions in Canada [70].
3. Low Job Market Integration and Low Social Integration
Social integration refers to the cohesion among community members, where people—
at least to an extent—feel part of the larger community [
71
]. Immigrants’ social integration
is vital for inclusive social and economic growth and for enhancing their ability to become
productive members of society [
72
]. Indicators that allow immigrants to be integrated into
the host communities are their local networks, transnational networks, civic engagement,
citizenship participation, and political engagement [
37
]. Immigrants’ employment and
labour market integration are often considered essential factors for their social networks and
social relationships, thereby enhancing social integration by promoting active participation
in social activities and community networks [
73
]. Job and income are essential resources
that help immigrants secure accommodation, interact with fellow employees, and achieve
language skills for cross-cultural communication, thereby helping them find a place in
the new society [
72
]. Although these factors help newcomers integrate with the host
community and understand ethnic and cultural diversities within the community, their
LJMI may reduce skilled immigrants’ ability to socially integrate.
Employment and labour market integration promote social networks with various
people and subsequently influence newly arrived immigrants’ social integration. A study
shows that Canadian mechanisms for the economic integration of skilled immigrants sys-
tematically deprive them of having similar credentials as their Canadian counterparts,
which in turn lowers their self-esteem, and hinders skilled immigrants’ social integra-
tion [68]. Therefore, we see recent immigrants expressing a lower level of sense of belong-
ingness to Canadian society [
74
]. “A sense of belonging refers to the process through which
people belonging to the community develop emotional ties among each other and is a
process that imbues them with feelings of autonomy, environmental mastery, and purpose
in life” [
75
] (93–94). In 2015, the Institute for Canadian Citizenship (ICC) published a
report where respondents identified a lack of information about the Canadian system as a
significant barrier for newcomers to civic participation, volunteer activities, and political
engagement [
76
]. Civic engagement means community involvement, such as involvement
with volunteer organizations [
37
]. Skilled immigrants also have limited opportunities
Societies 2023,13, 75 7 of 13
to create professional networks, and face challenges in cross-cultural connection with
Canadian-born people, which is critical for integration in the job market and their social
integration [77].
The above discussion shows that skilled immigrants face an unexpected situation in
the Canadian job market system which forces them to struggle to manage their everyday
lives after arriving in Canada [
78
]. Although they have similar education and foreign
experience as their Canadian counterparts, they are rarely hired for jobs that match their
skills. Exclusion based on double-standard exclusionary policies is invisible and generally
goes unnoticed, leading newly arrived immigrants to depend on their ethnic groups. They
also experience a lack of information and knowledge about Canadian culture, professional
norms, and English language proficiency, which excludes them from building helpful social
networks with the community. Thus, skilled immigrants experience social exclusion due
to both systematic discrimination and individual-level limitations that alienate them from
the mainstream social system and relationships. Access to such relationships may have
enabled them to participate in the host society actively, allowing them to benefit from
broader networks of solidarity and support.
If it is assumed that immigrants’ social conditions account for their lack of social inte-
gration and/or job market integration, the issue may not receive the attention it deserves.
The LJMI can involve being a new immigrant, not having enough language proficiency, or
having training that is insufficient for the demands of Canadian employment. These factors
can be explained as legitimate from the inequality lens, but racism and prejudice-related
discrimination should not be ignored if we want to see skilled immigrants in a better
position in Canada, where the number of racialized people is increasing rapidly every
year [
79
]. To recognize systemic issues with major effects on the LJMI and the mental health
of skilled immigrants, we should approach problem-solving from an anti-racist perspective.
4. Low Social Integration and Mental Well-Being
The Mental Health Commission of Canada (MHCC), which deals with preventing
mental disease and promoting all Canadians’ well-being, considers mental health an
essential public health issue [
80
]. According to the World Health Organization (WHO),
mental health can be defined as a “state of well-being in which the individual realizes his or
her potential, can cope with the normal stresses of life, can work productively and fruitfully,
and contribute to the community (p.1, [
81
])”. Mental health is influenced by various social
factors such as community area, level of income and education, employment, minority
culture, relationships with friends and family, etc. [
82
,
83
]. Migration is seen as one of the
significant determinants of individual health because migrants may be affected by existing
social inequalities and discrimination and may subsequently face poverty, social exclusion,
a lack of accessibility, and a lack of acceptability in the host country [
84
]. As noted above,
many of these determinants are likely to affect immigrants ‘social integration, which may
contribute to their adverse mental health outcomes.
Although after arrival in Canada immigrants’ health status has been seen as bet-
ter than the Canadian-born population, their self-reported health starts to decline over
time [
85
–
87
] and they suffer more from chronic diseases and mental illness than Canadian-
born populations [
88
,
89
]. It has been recognized that socio-economic inequalities that
exclude immigrants from mainstream society result in their poor long-term mental health
outcomes [
90
]. Research shows that a lack of opportunities in employment hinders the ac-
culturation process and social integration, affecting immigrants’ mental well-being [
91
,
92
].
Thus, evidence shows that systematic exclusion from the job market creates a lack of social
integration that negatively influences skilled immigrants’ mental well-being.
Immigrants confront unexpected difficulties in getting jobs after arriving in Canada,
which may increase their risk of developing negative mental health outcomes such as stress
and symptoms of depression [
84
,
93
,
94
]. Research reveals that a lack of opportunities to
get desired jobs based on the level of academic training affects skilled immigrants’ mental
health, including high levels of stress [
95
]. A study shows that people who are overqualified
Societies 2023,13, 75 8 of 13
for their current job are more likely to experience adverse mental well-being [
96
]. Therefore,
evidence demonstrates that skilled immigrants’ low job market integration affects their
mental health outcomes.
Post-immigration barriers that skilled immigrants face may negatively impact their
overall mental health. As a result, skilled immigrants experience sadness, depression,
and loneliness [
95
]. The discounting of immigrants’ skills by employers leads to a lower
economic status where they feel depressed [
91
], lower levels of life satisfaction [
97
], and
lower levels of self-esteem [
98
]. Skilled immigrants engaged in low-skill jobs earn less
money, which also increases the risk of psychiatric disorders [
99
]. Research shows that in
Nova Scotia, immigrant populations are more likely to have a higher rate of mental health
disorders [
100
]. After arriving in Canada, immigrants’ health started to decline over time
due to various factors, including environmental, economic, and socio-cultural factors and
factors involved with integration into the host society [101,102].
5. Conclusions
Skilled immigrants continue to face disparities in getting their desired jobs despite
having similar foreign skills and credentials compared to their Canadian-born counterparts.
Based on the existing literature, this study demonstrates that barriers to navigating the
Canadian job market with foreign training limit skilled immigrants’ productivity [
93
], and
they experience a lower level of social integration and deteriorated mental well-being.
Anti-racist initiatives from multidisciplinary and multisector stakeholders are necessary
to improve skilled immigrants’ mental health by providing equal opportunities to avoid
social exclusion. At the same time, it is crucial to ensure that national policies and laws are
anti-racist and respect the rights of skilled immigrants. Culturally sensitive, anti-racist, and
inclusive social integration interventions must be developed and implemented to ensure
cultural awareness and competence among skilled immigrants to decrease discrimination
and marginalization of immigrant populations.
Anti-racist and inclusive perspectives enrich social integration and the mental well-
being of newcomers. Anti-racist strategies and interventions ensure the participation of
racialized people, the adoption of policies from government efforts with/without partic-
ipation from various institutions, and the establishment of open systems [
103
]. Policies
that are anti-racist and inclusive have been seen to help skilled immigrants to be integrated
into the job market after arrival in the host country. Government policies and initiatives to
aid in the professional integration of immigrants have a significant impact on the career
paths of international medical graduates (IMGs) [
104
]. For instance, despite the fact that the
licensing procedure is governed by provincial law, a number of institutional bodies from
the para-governmental and private or community sectors have joined forces in Quebec
to assist IMGs in clarifying the steps and eligibility requirements for obtaining a practice
permit [
16
]. This initiative is an important example of an inclusive practice where all
people, irrespective of their positions, take responsibility for helping the newcomer to be
integrated into the host society. Evidence shows that immigrant men working in non-ethnic
enclave settings are likely to earn more than those working in settings where most of the
coworkers are from the same ethnic background [
105
]. Research also recognizes that better
financial performance and business outcomes can be attained by a diverse and inclusive
workforce [
106
]. There is also evidence that implementing inclusive workplace policies
within businesses, community service groups, and immigrant workers enhances access
to better social determinants of health for immigrants as well as their integration into the
community [
107
]. Therefore, anti-racist policies should be implemented to enhance the
social integration of newcomers and/or skilled immigrants in Canada as well as to improve
their mental well-being.
Author Contributions:
M.M.H.R., N.C. and T.C.T. conceptualized this manuscript. M.M.H.R. drafted
the manuscript. N.C. and T.C.T. provided intellectual inputs throughout the manuscript development
process and critically reviewed the manuscript toward completion. All authors have read and agreed
to the published version of the manuscript.
Societies 2023,13, 75 9 of 13
Funding: This research received no external funding.
Institutional Review Board Statement: Not applicable.
Informed Consent Statement: Not applicable.
Data Availability Statement: Not applicable.
Conflicts of Interest: There is no conflict of interest.
References
1.
Citizenship and Immigration Canada (CIC). Facts and Figures 2007 Immigration Overview: Permanent Residents; Citizenship and
Immigration Canada: Ottawa, ON, Canada, 2008. Available online: http://www.cic.gc.ca/english/resources/statistics/facts200
7/01.asp (accessed on 21 January 2021).
2.
Somerville, K.; Walsworth, S. Vulnerabilities of Highly Skilled Immigrants in Canada and the United States. Am. Rev. Can.Stud.
2009,39, 147–161. [CrossRef]
3.
Sidney, M. Settling in: A comparison of local immigrant organizations in the United States and Canada. Int. J. Can.Stud.
2014
,49,
105–133. [CrossRef]
4.
Sakamoto, I.; Jeypal, D.; Bhuyan, R.; Ku, J.; Fang, L.; Zhang, H.; Genovese, F. An Overview of Discourses of Skilled Immigrants and
“Canadian experience”: An English-Language Print Media Analysis; Working paper No. 98; CERIS—The Ontario Metropolis Centre:
Toronto, ON, Canada, 2013.
5.
Citizenship and Immigration Canada (CIC). Facts and Figures 2014—Immigration Overview: Permanent Residents. 2015. Available
online: https://open.canada.ca/data/en/dataset/2fbb56bd-eae7-4582-af7d-a197d185fc93 (accessed on 31 January 2021).
6.
IRCC. Strategy to Expand Transitions to Permanent Residency—Canada.Ca. Government of Canada. 2022. Available online: https:
//www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/motion-44-response.html (accessed
on 4 February 2023).
7.
Fraser, S. 2022 Annual Report to Parliament on Immigration; Government of Canada: Ottawa, ON, Canada, 2022. Available
online: https://www.canada.ca/content/dam/ircc/documents/pdf/english/corporate/publications-manuals/annual-report-
2022-en.pdf (accessed on 12 February 2022).
8. Kaushik, V.; Drolet, J. Settlement and Integration Needs of Skilled Immigrants in Canada. Soc. Sci. 2018,7, 76. [CrossRef]
9. Picot, G. The deteriorating economic welfare of Canadian immigrants. Can. J. Urban Res. 2004,13, 25–46.
10.
Picot, G.; Hou, F. The Rise in Low-Income Rates among Immigrants in Canada. Statistics Canada Catalogue no. 11F0019MIE—No.
198. Ottawa. Analytical Studies Branch Research Paper Series. 2003. Available online: http://www.statcan.ca/english/research/
11F0019MIE/11F0019MIE2003198.pdf (accessed on 31 January 2021).
11.
Statistics Canada. Longitudinal Survey of Immigrants to Canada: A Portrait of Early Settlement Experiences. 2005. Available
online: http://publications.gc.ca/Collection/Statcan/89-614-XIE/89-614-XIE2005001.pdf (accessed on 21 January 2021).
12.
Statistics Canada. The Canadian Immigrant Labour Market: Recent Trends from 2006 to 2017. 2018. Available online: https:
//www150.statcan.gc.ca/n1/pub/71-606-x/71-606-x2018001-eng.htm (accessed on 5 February 2021).
13.
Statistics Canada. Data Tables, 2016 Census. 2016. Available online: https://www12.statcan.gc.ca/census-recensement/2016
/dp-pd/dt-td/index-eng.cfm (accessed on 5 February 2021).
14.
Turin, T.C.; Chowdhury, N.; Ekpekurede, M.; Lake, D.; Lasker, M.A.A.; O’Brien, M.; Goopy, S. Professional Integration of
Immigrant Medical Professionals through Alternative Career Pathways: An Internet Scan to Synthesize the Current Landscape.
Hum. Resour. Health 2021,19, 51. [CrossRef] [PubMed]
15.
Turin, T.C.; Chowdhury, N.; Ekpekurede, M.; Lake, D.; Lasker, M.; O’Brien, M.; Goopy, S. Alternative Career Pathways for
International Medical Graduates towards Job Market Integration: A Literature Review. Int. J. Med. Educ.
2021
,12, 45–63.
[CrossRef]
16.
Blain, M.J.; Fortin, S.; Alvarez, F. Professional Journeys of International Medical Graduates in Quebec: Recognition, Uphill Battles,
or Career Change. J. Int. Migr. Integr. 2017,18, 223–247. [CrossRef]
17.
Hou, F.; Lu, Y.; Schimmele, C. Recent Trends in Over-education by Immigration Status, Analytical Studies Branch Research Paper
Series, Statistics Canada, Ottawa, On, Canada, 11F0019M No. 436. Available online: https://www150.statcan.gc.ca/n1/pub/11f0
019m/11f0019m2019024-eng.htm (accessed on 15 March 2023).
18.
Atanackovic, J.; Bourgeault, I.L. The Employment and Recruitment of Immigrant Care Workers in Canada. Can. Public Policy
2013,39, 335–350. [CrossRef]
19.
Elbayoumi, U. Identifying the Perceived Factors Affecting Career Transition Among International Pharmacy Graduates (IPGs) Who Are in
the Process of Obtaining Their License in Ontario; University of Toronto: Toronto, ON, Canada, 2021.
20.
Terzian, H. A Guide for Foreign Trained Newcomer Architects: Identifying Barriers to Re-Licensure in Canada; University of Waterloo:
Waterloo, ON, Canada, 2021.
21.
Turin, T.C.; Chowdhury, N.; Lake, D. Alternative Careers toward Job Market Integration: Barriers Faced by International Medical
Graduates in Canada. Int. J. Environ. Res. Public Health 2023,20, 2311. [CrossRef]
22. Ferrer, A.; Green, D.A.; Riddell, W.C. The effect of literacy on immigrant earnings. J. Hum. Resour. 2004,41, 380–410. [CrossRef]
Societies 2023,13, 75 10 of 13
23.
Reitz, J.G. Warmth of the Welcome: The Social Causes of Economic Success for Immigrants in Different Nations and Cities; Westview:
Boulder, CO, USA, 1998.
24.
Chen, C.; Smith, P.; Mustard, C. The Prevalence of Over-Qualification and Its Association with Health Status among Occupation-
ally Active New Immigrants to Canada. Ethn. Health 2010,15, 601–619. [CrossRef]
25.
Schinkel, W. Against ‘Immigrant Integration’: For an End to Neocolonial Knowledge Production. Comp. Migr. Stud.
2018
,6, 31.
[CrossRef] [PubMed]
26.
Dauvergne, C. How the Charter Has Failed Non-Citizens in Canada: Reviewing Thirty Years of Supreme Court of Canada
Jurisprudence. McGill Law J. 2013,58, 663–728. [CrossRef]
27.
Mooten, N. Racism, Discrimination and Migrant Workers in Canada: Evidence from the Literature Policy Research, Research and Evaluation
Branch; Refugees and Citizenship Canada: Ottawa, ON, Canada, 2021.
28.
Nestel, S. Colour Coded Health Care: The Impact of Race and Racism on Canadians’ Health; Wellesley Institute: Toronto, ON, USA, 2012.
29.
Houle, R. Changes in the Socioeconomic Situation of Canada’s Black Population, 2001 to 2016. Statistics Canada. 2020. Available
online: https://www150.statcan.gc.ca/n1/pub/89-657-x/89-657-x2020001-eng.htm (accessed on 15 January 2023).
30.
Banerjee, R.; Reitz, J.G.; Oreopoulos, P. Do Large Employers Treat Racial Minorities More Fairly? An Analysis of Canadian Field
Experiment Data. Can. Public Policy 2018,44, 1–12. [CrossRef]
31.
Banerjee, R.; Verma, A. Post-migration education among recent adult immigrants to Canada. J. Int. Migr. Integr.
2011
,13, 59–82.
[CrossRef]
32.
Reitz, J.G. Immigrant employment success in Canada, part I: Individual and contextual causes. J. Int. Migr. Integr.
2007
,8, 37–62.
[CrossRef]
33.
Man, G. Gender, work and migration: Deskilling Chinese immigrant women in Canada. Women Stud. Int. Forum
2004
,27, 135–148.
[CrossRef]
34.
Bloom, D.E.; Gilles, G.; Morley, G. The changing labor market position of Canadian immigrants. National Bureau of Economic
Research, Working paper: 4672. Can. J. Econ. 1994,28, 987–1005. [CrossRef]
35. Hum, D.; Simpson, W. Economic integration of immigrants to Canada: A short survey. Can. J. Urban Res. 2004,13, 46–61.
36.
Aydemir, A.; Skuterud, M. Explaining the deteriorating entry earnings of Canada’s immigration cohorts: 1966–2000. Can. J.Econ.
2005,38, 641–671. [CrossRef]
37.
Tossutti, L.S. Literature Review: Integration Outcome Citizenship and Immigration; Welcoming Community Initiatives, Brock Univer-
sity: St. Catharines, ON, Canada„ 2021; pp. 1–45.
38. Weiner, N. Breaking down barriers to labour market integration of newcomers in Toronto. IRPP Choices 2008,14, 1–37.
39.
Government of Canada. Annual Report to Parliament on Immigration. 2017. Available online: https://publications.gc.ca/
collections/collection_2017/ircc/Ci1-2017-eng.pdf (accessed on 15 February 2021).
40.
Murphy, J. The Settlement and Integration Needs of Immigrants: A Literature Review. The Ottawa Local Immigration Partnership.
2010. Available online: https://olipplio.ca/knowledge-base/wp-content/uploads/2013/03/Olip-Review-of-Literature-Final-
EN.pdf (accessed on 21 January 2021).
41.
Oreopoulos, P. Why Do Skilled Immigrants Struggle in the Labor Market? A Field Experiment with Thirteen Thousand Resumes.
Econ. Policy 2011,3, 148–171. [CrossRef]
42.
Government of Canada. Consultations on the Settlement and Language Training Services Needs of Newcomers. 2006. Available
online: http://publications.gc.ca/collections/collection_2007/cic/Ci51-199-1-2006-1E.pdf (accessed on 15 February 2021).
43.
Derwing, T.M.; Waugh, E. Language Skills and the Social Integration of Canada’s Adult Immigrants. IRPP Study. 2012. Available
online: http://irpp.org/wp-content/uploads/assets/research/diversity-immigrationand-integration/language-skills-and-
the-social-integration-of-canadas-adult-immigrants/IRPP-Study-no31.pdf (accessed on 15 February 2021).
44.
Kaushik, V.; Christine, W.; Diana, H. Social integration of immigrants within the linguistically diverse workplace: A systematic
review. Rev. Soc. Sci. 2016,1, 15–25. [CrossRef]
45.
Galiev, A.; Sepideh, M. Language Barriers to Integration: A Canadian Perspective. In Forum for Inter-American Research; EBSCO
Industries, Inc.: Birmingham, AL, USA, 2012; Volume 5.
46.
Guo, Y. Racializing Immigrant Professionals in an Employment Preparation ESL Program. Cult. Pedagog. Inq.
2009
,1, 40–54.
[CrossRef]
47.
Rudenko, M. Canadian Experience’ and Other Barriers to Immigrants’ Labour Market Integration: Qualitative Evidence of
Newcomers from the Former Soviet Union. Master ’s Thesis and Dissertations, Paper 1676. Ryerson University, Toronto, ON,
Canada, 2012.
48.
Petri, K. No Canadian Experience’ Barrier: A Participatory Approach to Examining the Barrier’s Effect on New Immigrants.
New Immigrant Canadian Experience. Master ’s Thesis, School of Communication & Culture, Royal Roads University, Victoria,
BC, Canada, 2010. Available online: https://viurrspace.ca/bitstream/handle/10170/363/Petri.pdf?sequence=1&isAllowed=y
(accessed on 15 February 2021).
49. Alboim, N.; McIssaac, E. Making the connections: Ottawa’s role in immigrant employment. IRPP Choices 2007,13, 1–24.
50.
Reitz, J.G. Tapping Immigrants’ Skills: New Directions for Canadian Immigration Policy in the Knowledge Economy. IRPP
Choices 2005,11, 409.
51.
Dietz, J.; Joshi, C.; Esses, V.M.; Hamilton, L.K.; Gabarrot, F. The skill paradox: Explaining and reducing employment discrimination
against skilled immigrants. Int. J. Hum. Resour. Manag. 2015,26, 1318–1334. [CrossRef]
Societies 2023,13, 75 11 of 13
52.
Li, C.; Gervais, G.; Duval, A. The Dynamics of Overqualification: Canada’s Underemployed University Graduates; Statistics Canada,
Income Statistics Division: Ottawa, ON, Canada, 2006.
53.
Esses, V.M.; Dietz, J.; Bhardwaj, A. The role of prejudice in the discounting of immigrant skills. In Cultural Psychology of Immigrants;
Mahalingam, R., Ed.; Lawrence Erlbaum: Mahwah, NJ, USA, 2006; pp. 113–130.
54.
Salaff, J.; Greve, A.; Ping LX, L. Paths into the economy: Structural barriers and the job hunt for skilled migrants in Canada. Int. J.
Hum. Resour. 2002,13, 450–464. [CrossRef]
55.
Desjardins, D.; Kirsten, C. Immigrant Labour Market Outcomes in Canada: The Benefits of Addressing Wage and Employment Gaps;
Royal Bank of Canada: Toronto, ON, Canada, 2011.
56.
Houle, R.; Lahouaria, Y. Recognition of newcomers’ foreign credentials and work experience. Perspect. Labour Income
2010
,22,
18–33.
57.
Plante, J. Integration of Internationally Educated Immigrants into the Canadian Labour Market: Determinants of Success.
(Catalogue No. 81-595-M–No. 094). 2011. Available online: http://www.statcan.gc.ca/pub/81-595-m/81-595-m2011094-eng.pdf
(accessed on 20 February 2021).
58. Levitt, P. The Transnational Villagers; University of California Press: Berkeley, CA, USA, 2001.
59.
Goldberg, M.P. The Facts Are In! A Study of the Characteristics and Experiences of Immigrants Seeking Employment in Regulated
Professions in Ontario; Queen’s Printer for Ontario (Ministry of Training, Colleges and Universities): Toronto, ON, Canada, 2002.
60.
George, U.; Chaze, F. Tell me what I need to know: South Asian women, social capital and settlement. J. Int. Migr. Integr.
2009
,10,
265–282. [CrossRef]
61.
The Canadian Immigration Integration Project (CIIP) Pilot Final Evaluation Report. Kitchener: Centre for Community Based
Research. 2010. Available online: http://www.newcomersuccess.ca/images/stories/reports/2010-november-final- evaluation-
report.pdf (accessed on 20 February 2021).
62.
Jeans, H.; Hadley, F.; Green, J.; Da Prat, C. Navigating to Become a Nurse in Canada: Assessment of International Nurse Applicants;
Canadian Nurses Association: Ottawa, ON, Canada, 2005.
63.
Friedberg, R.M. You can’t take it with you? Immigrant assimilation and the portability of human capital. J. Labour Econ.
2000
,18,
221–251. [CrossRef]
64.
Picot, G.; Sweetman, A. The Deteriorating Economic Welfare of Immigrants and Possible Causes; Statistics Canada, Analytical Studies
Research Paper No. 262; Statistics Canada, Business and Labour Market Analysis Division: Ottawa, ON, Canada, 2005.
65.
Nangia, P. Discrimination Experienced by Landed Immigrants in Canada; RCIS Work. Pap. No. 2013/7; Toronto Metropolitan
University: Toronto, ON, Canada, 2013.
66.
Reitz, J.G. Immigrant Skill Utilization in the Canadian Labour Market: Implications of Human Capital Research. J. Int. Migr.
Integr. Rev. L’integration Migr. Int. 2001,2, 347–378. [CrossRef]
67.
Guo, X. Deskilling and Devaluation of Chinese Immigrant Women in Ottawa; Faculty of Arts, University of Ottawa: Ottawa, ON,
Canada, 2015.
68.
Goksel, G.U. Socio-Economic Integration of Skilled Immigrants in Canada. In Integration of Immigrants and the Theory of Recognition:
“Just Integration”; Springer: Berlin/Heidelberg, Germany, 2017.
69. Nakhaie, M.R. Ethno-racial origins, social capital and earnings. Int. Migr. Immigr. 2007,8, 307–325. [CrossRef]
70.
Gauthier, C.-A. Obstacles to Socioeconomic Integration of Highly skilled Immigrant Women. Equal. Divers. Incl. Int. J.
2016
,35,
17–30. [CrossRef]
71.
Cruz-Saco, M.A. Promoting Social Integration: Economic, Social and Political Dimensions with a focus on Latin America. In
Proceedings of the for the United Nations, Department of Economic and Social Affairs, Division for Social Policy and Development,
Helsinki, Finland, 8–10 July 2008.
72. European Union. Settling in 2018: Indicators of Immigrant Integration © OECD; European Union: Maastricht, The Netherlands, 2018.
73.
Brydsten, A.; Rostila, M.; Dunlavy, A. Social integration and mental health—A decomposition approach to mental health
inequalities between the foreign-born and native-born in Sweden. Int. J. Equity Health 2019,18, 48. [CrossRef]
74.
Soroka, S.; Johnston, R.; Banting, K. Ties that bind. Social cohesion and diversity in Canada. In Belonging? Diversity, Recognition
and Shared Citizenship in Canada; Banting, K., Courchene, T., Seidle, L., Eds.; Institute for Research on Public Policy: Montreal, QC,
Canada, 2007; pp. 561–600.
75.
Lai, Y.; Hynie, M. Community Engagement and Well-Being of Immigrants: The Role of Knowledge. Can. Issues Association for
Canadian Studies, Summer. 2010, pp. 93–97. Available online: https://www.proquest.com/docview/763168806?accountid=9838
&parentSessionId=UKWNr%2FFp25IlnopXRVxnjmA2XS7EjLZlreY1yB4jh4w%3D&pq-origsite=primo (accessed on 15 March
2023).
76.
ICC. Ballots and Belongings: New Citizens on Political Participation; ICC Onsights, Study Reports; ICC: Dubai, United Arab Emirates,
2015.
77.
Centre for Research on Inclusion at Work (CRIW). Improving Immigrant Inclusion in The Workplace, Sprott School Business; Carleton
University, Centre for Research on Inclusion at Work (CRIW): Ottawa, ON, Canada, 2019.
78.
Ferrer, A.; Riddell, W.C. Education, credentials, and immigrant earnings; Education, reconnaissance des acquis et revenus des
immigrants. Can. J. Econ. Rev. Can. D’économique 2008,41, 186–216.
Societies 2023,13, 75 12 of 13
79.
Reitz, J.G.; Banerjee, R. Racial Inequality, Social Cohesion and Policy Issues in Canada in Belonging? Diversity, Recognition and
Shared Citizenship in Canada. 2014. Available online: https://irpp.org/wp-content/uploads/2014/08/reitz.pdf (accessed on 12
February 2022).
80.
MHCC. Immigrant, Refugee, Ethnocultural and Racialized Populations and the Social Determinants of Health: A Review of 2016 Census
Data, Mental Health Commission of Canada; MHCC: Singapore, 2019.
81.
World Health Organization. Promoting Mental Health: Concepts, Emerging Evidence, Practice (Summary Report); World Health
Organization: Geneva, Switzerland, 2004.
82. Government of Canada. What Determines Health? 2020. Available online: http://www.phac-aspc.gc.ca/ph-sp/determinants/
index-eng.php (accessed on 20 February 2021).
83. World Health Organization. Determinants of Health; WHO: Geneva, Switzerland, 2017.
84.
Davies, A.A.; Basten, A.; Frattini, C. Migration: A Social Determinant of the Health of Migrants; IOM Migration Health Department:
Geneva, Switzerland, 2006.
85.
Bergeron, P.; Auger, N.; Hamel, D. Weight, general health and mental health: Status of diverse subgroups of immigrants in
Canada. Can. J. Public Health Rev. Can. Sante Publique 2009,100, 215–220. [CrossRef]
86.
Ng, E.; Omariba, W. Is There A Healthy Immigrant Effect in Mental Health? Evidence from Population-Based Health Surveys in
Canada. Can. Issues. 2010, pp. 23–28. Available online: https://www.proquest.com/docview/763161575?pq-origsite=gscholar&
fromopenview=true (accessed on 20 February 2021).
87. Ng, E. The Healthy Immigrant Effect and Mortality Rates. Health Rep. 2011,22, C1.
88.
Meshefedjian, G.A.; Leaune, V.; Simoneau, M.È.; Drouin, M. Disparities in Lifestyle Habits and Health Related Factors of Montreal
Immigrants: Is Immigration an Important Exposure Variable in Public Health? J. Immigr. Minor. Health
2014
,16, 790–797.
[CrossRef]
89.
Vang, Z.M.; Sigouin, J.; Flenon, A.; Gagnon, A. Are Immigrants Healthier than Native-born Canadians? A Systematic Review of
the Healthy Immigrant Effect in Canada. Ethn. Health 2017,22, 209–241. [CrossRef]
90. Fang Mei, L.; Goldner Elliot, M. Transitioning into the Canadian Workplace: Challenges of Immigrants and its Effect on Mental
Health. Can. J. Humanit. Soc. Sci. 2011,2, 93–102.
91.
Simich, L.; Hamilton, H.; Baya, B.K. Mental distress, economic hardship and expectations of life in Canada among Sudanese
newcomers. Transcult. Psychiatry 2006,43, 418–444. [CrossRef]
92.
Chandrasena, R.; Beddage, V.; Fernando, M.L.D. Suicide among Immigrant Psychiatric Patients in Canada. Br. J. Psychiatry
1991
,
159, 707–709. [CrossRef] [PubMed]
93.
Nwalutu, F.I.; Nwalutu, M.O. Skilled Female New Canadians and Mental Health Challenges: Effect of Unemployment and Underem-
ployment. In African Migrants and the Refugee Crisis; Abegunrin, O., Abidde, S.O., Eds.; Springer: Cham, Switzerland, 2021.
94.
Chadwick, K.A.; Collins, P.A. Examining the Relationship between Social Support Availability, Urban Center Size, and Self-
perceived Mental Health of Recent Immigrants to Canada: A Mixed-methods Analysis. Soc. Sci. Med.
2015
,128, 220–230.
[CrossRef] [PubMed]
95.
Dean, J.A.; Wilson, K. Education? It is irrelevant to my job now. It makes me very depressed’: Exploring the health impacts of
under/unemployment among highly skilled recent immigrants in Canada. Ethn. Health
2009
,14, 185–204. [CrossRef] [PubMed]
96.
Gong, Z.; Sun, F.; Li, X. Perceived Overqualification, Emotional Exhaustion, and Creativity: A Moderated-Mediation Model Based
on Effort-Reward Imbalance Theory. Int. J. Environ. Res. Public Health 2021,18, 11367. [CrossRef]
97.
Kim, I.H.; Noh, S. Changes in life satisfaction among Korean immigrants in Canada. Int. J. Cult. Ment. Health
2015
,8, 60–71.
[CrossRef]
98.
Taylor, D.M.; Usborne, E. When I know who “we” are, I can be “me”: The primary role of cultural identity clarity for psychological
well-being. Transcult Psychiatry 2010,47, 93–111. [CrossRef]
99.
Srirangson, A.; Thavorn, K.; Moon, M.; Noh, S. Mental health problems in Thai immigrants in Toronto, Canada. Int. J. Cult. Ment.
Health 2013,6, 156–169. [CrossRef]
100.
Kisely, S.; Terashima, M.; Langille, D. A population-based analysis of the health experience of African Nova Scotians. CMAJ
2008
,
179, 653–658. [CrossRef]
101.
Salami, B.; Hegadoren, K.; Bautista, L.; Ben-Shlomo, Y.; Diaz, E.; Rammohan, A.; Meherali, S. Mental Health of Immigrants and
Non-Immigrants in Canada: Evidence from the Canadian Health Measures Survey and Service Provider Interviews in Alberta, Policy
Wise for Children and Families, University of Alberta, Scientific Report. 2017. Available online: https://policywise.com/wp-content/
uploads/resources/2017/04/2017-04APR-27-Scientific-Report-15SM-SalamiHegadoren.pdf (accessed on 15 March 2021).
102.
Gushulak, B.D.; MacPherson, D.W. Migration Medicine and Health: Principles and Practice; BC Decker: Hamilton, ON, Canada, 2006.
103.
Hassen, N.; Lofters, A.; Michael, S.; Mall, A.; Pinto, A.D.; Rackal, J. Implementing Anti-Racism Interventions in Healthcare
Settings: A Scoping Review. Int. J. Environ. Res. Public Health 2021,18, 2993. [CrossRef]
104.
Bourgeault, I.L. BRAIN DRAIN, BRAIN GAIN AND BRAIN WASTE: Programs Aimed at Integrating and Retaining the Best and
the Brightest in Health Care—ProQuest. Can. Issues. 2007. Available online: https://www.proquest.com/docview/208671007?
pq-origsite=gscholar&fromopenview=true (accessed on 15 March 2021).
105.
Li, P.S. The Role of Foreign Credentials and Ethnic Ties in Immigrants’ Economic Performance. Can. J. Sociol. JSTOR
2008
,33,
291–310. [CrossRef]
Societies 2023,13, 75 13 of 13
106.
Herring, C. Does Diversity Pay?: Race, Gender, and the Business Case for Diversity. Am. Sociol. Rev.
2009
,74, 208–224. [CrossRef]
107.
Selvanandan, V.; Meagan, R. Improving Inclusion and Integration of Immigrants through a Voluntary Workplace Charter. Can. J.
Public Health Rev. Can. St. Publique 2021,112, 473. [CrossRef] [PubMed]
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