8166University of British Columbia, Vancouver, BC, Canada.
113695First Nations University of Canada, Regina, SK, Canada.
Qual Health Res. 2022 Jun;32(7):1031-1054. doi: 10.1177/10497323221087526. Epub 2022 Apr 6.
This analysis of urban Indigenous women's experiences on the Homeland of the Métis and Treaty One (Winnipeg, Manitoba, Canada), Treaty Four (Regina, Saskatchewan, Canada), and Treaty Six (Saskatoon, Saskatchewan, Canada) territories illustrates that Indigenous women have recently experienced coercion when interacting with healthcare and social service providers in various settings. Drawing on analysis of media, study conversations, and policies, this collaborative, action-oriented project with 32 women and Two-Spirit collaborators demonstrated a pattern of healthcare and other service providers subjecting Indigenous women to coercive practices related to tubal ligations, long-term contraceptives, and abortions. We foreground techniques Indigenous women use to assert their rights within contexts of reproductive coercion, including acts of refusal, negotiation, and sharing community knowledge. By recognizing how colonial relations shape Indigenous women's experiences, decision-makers and service providers can take action to transform institutional cultures so Indigenous women can navigate their reproductive decision-making with safety and dignity.
本分析探讨了都市原住民女性在梅蒂斯和第一条约领土（加拿大马尼托巴省温尼伯市）、第四条约领土（加拿大萨斯喀彻温省里贾纳市）和第六条约领土（加拿大萨斯喀彻温省里贾纳市）上的经历，表明原住民女性在与医疗保健和社会服务提供者在各种环境中的互动中，最近经历了强制。通过对媒体分析、研究对话和政策的分析，这项与 32 名女性和双性恋合作者合作的以行动为导向的项目表明，医疗保健和其他服务提供者对原住民女性实施了与输卵管结扎、长期避孕药和堕胎有关的强制做法。我们强调了原住民女性在生殖强制背景下主张自身权利的技巧，包括拒绝、谈判和分享社区知识的行为。通过认识到殖民关系如何塑造原住民女性的经历，决策者和服务提供者可以采取行动改变制度文化，以便原住民女性能够安全有尊严地做出生殖决策。
