"I Guess I Shouldn't Come Back Here": Racism and Discrimination as a Barrier to Accessing Health and Social Services for Urban Metis Women in Toronto, Canada
"I Guess I Shouldn't Come Back Here": Racism and Discrimination as a Barrier to Accessing Health and Social Services for Urban Metis Women in Toronto, Canada
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DOI：
10.1007/s40615-019-00653-1
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发表时间：
2019-10-29
影响因子：
3.9
通讯作者：
Nowgesic, Earl
中科院分区：
文献类型：
--
作者：
Monchalin, Renee;Smylie, Janet;Nowgesic, Earl
种族主义是获得健康和社会服务的主要障碍，导致缺席、延迟和/或避免治疗。梅蒂斯人在获得土著特定服务和主流服务方面遇到障碍，但常常被排除在有关种族主义和服务获取的讨论之外。梅蒂斯人所经历的种族主义和歧视根源于同化和种族主义殖民政策的悠久历史。这项研究的目的是通过与传统社区健康专家、梅蒂斯妇女的接触，为梅蒂斯人民经常不被承认的声音创造空间。这项研究旨在学习梅蒂斯妇女的经验，以了解填补卫生服务差距的步骤。这项研究是一项纵向队列研究，采用了与加拿大多伦多城市梅蒂斯女性对话的方法。在本文中，我们分享了城市梅蒂斯妇女在获得卫生和社会服务并在其中工作时面临的种族主义和歧视的经历。梅蒂斯妇女 (n = 11) 经历种族歧视，例如在主流服务环境中目睹、吸收和面对种族主义，同时在针对原住民的服务中经历横向暴力和歧视。这项研究强调需要重新构建围绕种族、身份、医疗服务和城市梅蒂斯社区的对话。
Racism serves as a major barrier in access to health and social services, leading to absent, delayed, and/or avoidance of treatment. Metis Peoples experience barriers to accessing both Indigenous-specific and mainstream services yet are often left out of discourses surrounding racism and service access. Racism and discrimination experienced by Metis people is rooted within a deep history of assimilative and racist colonial policies. The objective of this research was to create space for the all too often unacknowledged voices of Metis Peoples by engaging with the traditional community health experts, Metis women. This research aimed to learn from Metis women's experiences to build an understanding on steps toward filling the health service gap. Nested within a longitudinal cohort study, this research employed a conversational method with urban Metis women in Toronto, Canada. In this paper, we share the experiences of racism and discrimination faced by urban Metis women when accessing and working within health and social services. Metis women (n = 11) experience racial discrimination such as witnessing, absorbing, and facing racism in mainstream service settings, while experiencing lateral violence and discrimination in Indigenous-specific services. This research highlights the need for reframing conversations around race, identity, health services, and the urban Metis community.