ArticleSocial science & medicine (1982)2017
"They treated me like crap and I know it was because I was Native": The healthcare experiences of Aboriginal peoples living in Vancouver's inner city.
Article in Social science & medicine (1982), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 114 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
114 citing papers in PubMed, 3 syntheses or guidelines pooled it, 260 citations in OpenAlex.
- Experiences of Pain Among Indigenous Peoples Globally: A Qualitative Systematic Review.The International journal of health planning and management · 2026Pooled it
- Indigenous people's experiences of primary health care in Canada: a qualitative systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Pooled it
- First Nations, Inuit and Métis Peoples Living in Urban Areas of Canada and Their Access to Healthcare: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Cultural Safety as a Catalyst for Change: Advancing Health Equity for Indigenous Peoples in Canada.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2026Article
- Timing of intimate partner violence and alcohol and cigarette use across the perinatal period among American Indian and Alaska Native women.Harm reduction journal · 2026Article
- Integrating a model of care within a community-based managed alcohol program with indigenous men experiencing homelessness and alcohol use: a retrospective chart review.Harm reduction journal · 2026Article
- Health care through an Indigenous lens: insights from a university hospital photovoice study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- DIFFICULTY ACCESSING SUBSTANCE USE TREATMENT AMONG INDIGENOUS PEOPLE IN A CANADIAN INNER CITY SETTING.International indigenous policy journal · 2026Article
- Integrating indigenous methodologies into medical education in the west: a conceptual framework for the Hybrid Relational Clerkship Model (HRCM).BMC medical education · 2026Article
- On Medical Domination.The British journal of sociology · 2026Article
- Article
- A qualitative study of the impacts of a government crackdown against revenue sharing between pharmacies and patients in Vancouver, Canada.Discover public health · 2026Article
- Article
- The role of racial and socioeconomic status bias on medication prescribing practices: a qualitative study of family physician perspectives.BMC primary care · 2025Article
- Healthcare discrimination, healthcare avoidance, and self-rated health in a sample of American Indians with type 2 diabetes.Journal of behavioral medicine · 2025Article
- Addressing barriers to addiction recovery services in the Northwest Territories, Canada.International journal of circumpolar health · 2025Article
- Exploring the impact of stigma on the health of inclusion health groups: a qualitative scoping review and critical analysis.BMC public health · 2025Article
- A scoping review of the perinatal healthcare experiences of Indigenous childbearing people.Reproductive health · 2025Article
- A qualitative study of challenges and facilitators to implementing an Indigenous-led cultural safety education program within a large urban emergency department in Vancouver, Canada.BMC medical education · 2025Article
- The Unique Experience of Intersectional Stigma and Racism for Aboriginal and Torres Strait Islander People Who Inject Drugs, and Its Effect on Healthcare and Harm Reduction Service Access.International journal of environmental research and public health · 2025Article
54 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
There is growing evidence that Aboriginal peoples often experience healthcare inequalities due to racism. However, research exploring the healthcare experiences of Aboriginal peoples who use illicit substances is limited, and research rarely accounts for how multiple accounts of stigma intersect and contribute to the experiences of marginalized populations. Our research aimed to explore the healthcare experiences of Aboriginal peoples who use illicit drugs and or illicit alcohol (APWUID/A) living in Vancouver's inner city. Using Indigenous methodologies, a community research team comprised of APWUID/A led the study design, data collection and analysis. Peer-facilitated talking circles explored community members' experiences accessing healthcare services and patient-provider encounters. Using an intersectionality framework, our research demonstrated how healthcare inequalities among Aboriginal peoples are perpetuated by systemic racism and discrimination. Stigmatizing racial stereotypes were perceived to negatively influence individual attitudes and clinical practice. Participants' experiences of medical dismissal often resulted in disengagement from care or delay in care. The findings suggest healthcare providers must understand the structural and historical forces that influence racial disparities in healthcare and personal attitudes in clinical practice. Adequate clinical protocols for pain management within the context of illicit substance use are urgently needed. The valuation of Aboriginal peoples and cultures within healthcare is paramount to addressing the health gap between Aboriginal and non-Aboriginal Canadians.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.