Research Assistant, School of Social Work, University of Victoria, Victoria, BC, Canada.
Assistant Professor, School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.
J Health Serv Res Policy. 2023 Oct;28(4):244-251. doi: 10.1177/13558196231188632. Epub 2023 Jul 12.
Racism acts as a major barrier to accessing health services for Indigenous communities in Canada, often leading to delayed, avoided or lack of treatment altogether. The Métis population is uniquely positioned in urban settings, as they experience discrimination from both Indigenous and mainstream health and social services due to Canada's long colonial history that is ongoing. Yet, Métis are often left out of discussions regarding racism and health service access. This study explores the experiences of racism and health service access among Métis peoples in Victoria, British Columbia.
We allied a conversational interview method to explore and understand experiences of self-identifying Métis women, Two-Spirit and gender diverse people ( = 24) who access health and social services in Victoria. Data analysis followed Flicker and Nixon's six-stage DEPICT model.
In this paper, we share the experiences of racism and discrimination of those who accessed health and social services in Victoria, British Columbia Such experiences include passing as White, experiencing racism following Métis identity disclosure and witnessing racism. Passing as White was viewed as a protective factor against discrimination as well as harming participants' sense of identity. Experiences of racism took the form of discriminatory comments, harassment and mistreatment, which influenced the willingness of disclosing Métis identity. Witnessing racism occurred in participants, personal and professional lives, negatively impacting them in indirect ways. Each experience of racism had a negative influence on participants' wellbeing and shaped their experience of accessing health and social services.
Métis people confront racism and discrimination when attempting to access health and social services through first-hand experiences, witnessing and/or avoidance. While this study contributes to the all too often unacknowledged voices of Métis in Canada, there is a continued need for Métis-specific research to accurately inform policy and practice.
种族主义是加拿大原住民社区获得医疗服务的主要障碍,常常导致治疗延误、避免或完全缺乏治疗。梅蒂斯人在城市环境中处于独特的地位,因为他们由于加拿大长期的殖民历史而受到来自原住民和主流健康和社会服务的歧视。然而,梅蒂斯人在关于种族主义和获得医疗服务的讨论中往往被忽视。本研究探讨了不列颠哥伦比亚省维多利亚市梅蒂斯人经历的种族主义和获得医疗服务的情况。
我们采用对话访谈方法,探讨和了解自我认同的梅蒂斯女性、双性人和性别多样化人群(=24 人)在维多利亚获得健康和社会服务的经历。数据分析遵循 Flicker 和 Nixon 的六阶段 DEPICT 模型。
在本文中,我们分享了那些在不列颠哥伦比亚省维多利亚市获得健康和社会服务的人的种族主义和歧视经历。这些经历包括冒充白人、在透露梅蒂斯身份后经历种族主义以及目睹种族主义。冒充白人被视为免受歧视和伤害参与者身份认同的保护因素。种族主义的经历表现为歧视性言论、骚扰和虐待,这影响了他们透露梅蒂斯身份的意愿。目睹种族主义发生在参与者的个人和职业生活中,以间接的方式对他们产生负面影响。每一次种族主义经历都对参与者的幸福感产生负面影响,并塑造了他们获得健康和社会服务的体验。
梅蒂斯人在试图通过第一手经验、目睹和/或回避获得健康和社会服务时,面临种族主义和歧视。虽然这项研究有助于承认加拿大梅蒂斯人经常被忽视的声音,但仍需要进行专门针对梅蒂斯人的研究,以准确为政策和实践提供信息。