000			03900nab a22003497a 4500
999			_c8351 _d8351
005			20250625151645.0
008			230927s2023 |||| 00| 0 eng d
040			_aAFVC
100			_aPaul, Willow _912288
245			_a‘By identifying myself as Métis, I didn’t feel safe…’ : _cWillow Paul, Renée Monchalin, Monique Auger and Carly Jones _bexperiences of navigating racism and discrimination among Métis women, Two-Spirit and gender diverse community members in Victoria, Canada
260			_bSage, _c2023
500			_aJournal of Health Services Research & Policy, 2023, First published online, 27 July 2023
520			_a Abstract Introduction Methods Findings Discussion Conclusion Acknowledgements Ethical approval Declaration of conflicting interests Funding ORCID iD References PDF / ePub Cite article Share options Information, rights and permissions Metrics and citations Abstract Objective 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. Methods We allied a conversational interview method to explore and understand experiences of self-identifying Métis women, Two-Spirit and gender diverse people (n = 24) who access health and social services in Victoria. Data analysis followed Flicker and Nixon’s six-stage DEPICT model. Results 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. Conclusions 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. (Authors' abstract). Record #8351
650			_aHAUORA _9281
650			_aINDIGENOUS PEOPLES _9307
650			_aIWI TAKETAKE _95589
650		0	_aLGBTQIA+ _93453
650			_aRACISM _93087
650			_aTAKATĀPUI _94978
650			_aWHAKAHĀWEA IWI _97831
650			_aWĀHINE _94040
650			_aWOMEN _9645
651			_aINTERNATIONAL _93624
651		4	_aCANADA _92602
700			_aMonchalin, Renée _912289
700			_aAuger, Monique _912290
700			_aJones, Carly _912291
773	0		_tJournal of Health Services Research & Policy, 2023, First published online, 27 July 2023
830			_aJournal of Health Services Research & Policy _911039
856			_uhttps://doi.org/10.1177/13558196231188632 _yDOI: 10.1177/13558196231188632 (Open access)
942			_2ddc _cARTICLE _hnews122