Sharma Richa, Pooyak Sherri, Thomas Vicky, Zamar David S, Jongbloed Kate, Pearce Margo E, Mazzuca April, Cassidy-Mathews Chenoa, Bizzotto Riley N, Jafari Ghazal, Christian Kukpi Wayne M, Teegee Mary, Schechter Martin T, Spittal Patricia M
University of British Columbia, Vancouver, Canada.
The Cedar Project Partnership and Aboriginal HIV/AIDS Community-Based Research Collaborative Centre (AHA Centre), Vancouver, Canada.
PLOS Glob Public Health. 2023 Aug 30;3(8):e0001914. doi: 10.1371/journal.pgph.0001914. eCollection 2023.
Racism continues to drive health disparities between Indigenous and non-Indigenous peoples in Canada. This study focuses on racism experienced by young Indigenous people who have used drugs in British Columbia (BC), and predictors of interpersonal racism. Cedar Project is a community-governed cohort study involving young Indigenous people who use drugs in Vancouver and Prince George, BC. This cross-sectional study included data collected between August 2015-October 2016. The Measure of Indigenous Racism Experiences (MIRE) scale was used to assess experiences of interpersonal racism across 9 unique settings on a 5-point Likert scale, collapsing responses into three categories (none/low/high). Multinomial logistic regression models were used to examine associations between key variables and interpersonal racism. Among 321 participants, 79% (n = 255) experienced racism in at least one setting. Thirty two percent (n = 102) experienced high interpersonal racism from police, governmental agencies (child 'welfare', health personnel), and in public settings. Ever having a child apprehended (AOR:2.76, 95%CI:1.14-6.65), probable post-traumatic stress (AOR:2.64; 95%CI:1.08-6.46), trying to quit substances (AOR:3.69; 95%CI:1.04-13.06), leaving emergency room without receiving treatment (AOR:3.05; 95%CI:1.22-7.64), and having a traditional language spoken at home while growing up (AOR:2.86; 95%CI:1.90-6.90) were associated with high interpersonal racism. Among women, experiencing high interpersonal racism was more likely if they lived in Prince George (AOR:3.94; 95%CI:1.07-14.50), ever had a child apprehended (AOR:5.09; 95%CI:1.50-17.30), and had probable post-traumatic stress (AOR:5.21; 95%CI:1.43-18.95). Addressing racism experienced by Indigenous peoples requires immediate structural systemic, and interpersonal anti-racist reforms.
种族主义继续加剧加拿大原住民与非原住民之间的健康差距。本研究聚焦于不列颠哥伦比亚省（BC省）使用毒品的年轻原住民所经历的种族主义，以及人际种族主义的预测因素。雪松项目是一项由社区管理的队列研究，涉及BC省温哥华和乔治王子城使用毒品的年轻原住民。这项横断面研究纳入了2015年8月至2016年10月期间收集的数据。使用原住民种族主义经历量表（MIRE），通过5点李克特量表评估在9个不同场景下的人际种族主义经历，并将回答归纳为三类（无/低/高）。使用多项逻辑回归模型来检验关键变量与人际种族主义之间的关联。在321名参与者中，79%（n = 255）至少在一个场景中经历过种族主义。32%（n = 102）在警察、政府机构（儿童“福利”、卫生人员）以及公共场所经历过高人际种族主义。曾有孩子被带走（优势比：2.76，95%置信区间：1.14 - 6.65）、可能患有创伤后应激障碍（优势比：2.64；95%置信区间：1.08 - 6.46）、试图戒毒（优势比：3.69；95%置信区间：1.04 - 13.06）、未接受治疗就离开急诊室（优势比：3.05；95%置信区间：1.22 - 7.64）以及成长过程中家里有人说传统语言（优势比：2.86；95%置信区间：1.90 - 6.90）与高人际种族主义相关。在女性中，如果她们居住在乔治王子城（优势比：3.94；95%置信区间：1.07 - 14.50）、曾有孩子被带走（优势比：5.
