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Jones C, Auger MD, Paul W, Monchalin R. "I'm still not over feeling so isolated": Métis women, Two-Spirit, and gender-diverse people's experiences of the COVID-19 pandemic. CANADIAN JOURNAL OF PUBLIC HEALTH = REVUE CANADIENNE DE SANTE PUBLIQUE 2024; 115:199-208. [PMID: 38231468 PMCID: PMC11006636 DOI: 10.17269/s41997-023-00849-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 12/05/2023] [Indexed: 01/18/2024]
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.
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Affiliation(s)
- Carly Jones
- School of Social Work, University of Victoria, Victoria, BC, Canada
| | - Monique D Auger
- School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada
| | - Willow Paul
- School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada
| | - Renée Monchalin
- School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
- Well Living House, Unity Health Toronto, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
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Boutros HM, Koprich S, Simms AJ, Tsui N, Boyle RA, Harrison J, Riddell M, Sanftenberg S, Cripps S, Edwards SA. Landscape of Métis health and wellness: protocol for a scoping review. BMJ Open 2024; 14:e077868. [PMID: 38458778 PMCID: PMC10928757 DOI: 10.1136/bmjopen-2023-077868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 02/19/2024] [Indexed: 03/10/2024] Open
Abstract
INTRODUCTION In Canada, Métis people are one of three distinct Indigenous peoples whose rights are recognised and affirmed in Section 35 of the federal Constitution Act, 1982. In line with Métis people having a unique culture, history, language and way of life, a distinctions-based approach is critical to understand the current landscape of Métis-specific health. In this paper, we present a scoping review protocol to describe this research landscape in Canada led by the Métis Nation of Ontario (MNO). METHODS AND ANALYSIS This scoping review protocol is reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews reporting guidelines and follows Arksey and O'Malley's scoping review methodology. We will search electronic databases (Scopus, MEDLINE, Embase, Web of Science, CINAHL, APA PsycINFO, Anthropology Plus, Bibliography of Indigenous Peoples of North America, Canadian Business and Current Affairs, Indigenous Studies Portal, Informit Indigenous Collection, Collaborative Indigenous Garden, PubMed, ProQuest), grey literature sources and reference lists from selected papers. Two reviewers (HMB and SK) will double-blind screen all titles/abstracts and full-text studies for inclusion. Any health-related study or health report that includes a Métis-specific health, well-being or Métis social determinant of health outcome will be included. Relevant variables will be extracted following an iterative process whereby the data charting will be reviewed and updated. ETHICS AND DISSEMINATION Findings from this scoping review will be shared back through the MNO's existing community-based communication channels. Traditional academic dissemination will also be pursued. Research ethics board approval is not required, since data are from peer-reviewed publications or publicly shared health reports and knowledge translation products.
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Affiliation(s)
- Helana Marie Boutros
- Métis Nation of Ontario, Ottawa, Ontario, Canada
- Department of Health, Society and Aging, McMaster University, Hamilton, Ontario, Canada
- ICES, Toronto, Ontario, Canada
| | - Sabastian Koprich
- Métis Nation of Ontario, Ottawa, Ontario, Canada
- ICES, Toronto, Ontario, Canada
- Dalla Lana School of Public Health, University of Toronto-St George Campus, Toronto, Ontario, Canada
| | - Abigail J Simms
- Métis Nation of Ontario, Ottawa, Ontario, Canada
- ICES, Toronto, Ontario, Canada
| | - Noel Tsui
- Métis Nation of Ontario, Ottawa, Ontario, Canada
- ICES, Toronto, Ontario, Canada
| | | | - Jen Harrison
- Métis Nation of Ontario, Ottawa, Ontario, Canada
| | | | - Santana Sanftenberg
- Métis Nation of Ontario, Ottawa, Ontario, Canada
- Lakehead University, Thunder Bay, Ontario, Canada
| | | | - Sarah A Edwards
- Métis Nation of Ontario, Ottawa, Ontario, Canada
- ICES, Toronto, Ontario, Canada
- Dalla Lana School of Public Health, University of Toronto-St George Campus, Toronto, Ontario, Canada
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