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“我仍然无法摆脱孤立感”:梅蒂斯女性、双性人和跨性别者在 COVID-19 大流行期间的经历。

"I'm still not over feeling so isolated": Métis women, Two-Spirit, and gender-diverse people's experiences of the COVID-19 pandemic.

机构信息

School of Social Work, University of Victoria, Victoria, BC, Canada.

School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.

出版信息

Can J Public Health. 2024 Apr;115(2):199-208. doi: 10.17269/s41997-023-00849-3. Epub 2024 Jan 17.

Abstract

OBJECTIVES

The aim of this study was to explore and learn from the experiences of Métis women, Two-Spirit, and gender-diverse people accessing health and social services in Victoria, British Columbia, during the COVID-19 pandemic.

METHODS

This paper comes from a larger study exploring Métis women, Two-Spirit, and gender-diverse people's experiences accessing health and social services in Victoria. Using a by-and-for Métis approach that employed a conversational interview method, we conducted interviews with Métis women, Two-Spirit, and gender-diverse people who lived in and/or accessed services in Victoria in December 2020 and January 2021. This paper focuses specifically on data addressing how COVID-19 impacted these participants.

RESULTS

A total of 24 Métis women, Two-Spirit, and gender-diverse people participated in the study. Overall, three themes specific to COVID-19 were identified. First, participants described the detrimental impacts of COVID-19 on their ability to connect with their Métis community and practice their culture, as well as their overall feelings of isolation. Second, participants highlighted some of the ways that COVID-19 has exacerbated existing barriers to culturally safe healthcare. Last, participants spoke about the mixed economic impacts that COVID-19 has had for them, sharing insight into the ways in which gender, in particular, has shaped their financial instability.

CONCLUSION

Improving access to culturally safe health and social services by incorporating the experiences and expertise of Métis women, Two-Spirit, and gender-diverse people is crucial to mitigating the disproportional negative impacts of the pandemic and improving overall health outcomes within Métis communities across Canada.

摘要

目的

本研究旨在探索和了解不列颠哥伦比亚省维多利亚市的梅蒂斯女性、双性人和跨性别者在 COVID-19 大流行期间获得卫生和社会服务的经验。

方法

本文源自一项更大的研究,该研究探讨了梅蒂斯女性、双性人和跨性别者在维多利亚获得卫生和社会服务的经验。我们采用一种基于梅蒂斯的方法,并采用对话式访谈方法,于 2020 年 12 月至 2021 年 1 月期间对居住在维多利亚并/或使用服务的梅蒂斯女性、双性人和跨性别者进行了访谈。本文特别关注专门针对 COVID-19 对这些参与者产生影响的数据。

结果

共有 24 名梅蒂斯女性、双性人和跨性别者参与了这项研究。总体而言,确定了三个与 COVID-19 相关的主题。首先,参与者描述了 COVID-19 对他们与梅蒂斯社区联系和实践文化的能力的不利影响,以及他们整体的孤立感。其次,参与者强调了 COVID-19 加剧了获得文化安全医疗保健方面现有障碍的一些方式。最后,参与者谈到了 COVID-19 对他们造成的混合经济影响,分享了性别如何塑造他们财务不稳定的见解。

结论

通过纳入梅蒂斯女性、双性人和跨性别者的经验和专业知识来改善文化安全的卫生和社会服务的获取,对于减轻大流行的不成比例的负面影响以及改善加拿大各地梅蒂斯社区的整体健康结果至关重要。

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本文引用的文献

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Métis health in Canada: a scoping review of Métis-specific health literature.
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Factors influencing H1N1 vaccine behavior among Manitoba Metis in Canada: a qualitative study.
BMC Public Health. 2015 Feb 12;15:128. doi: 10.1186/s12889-015-1482-2.

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