We present findings from an Access Research Initiative to reduce health disparities and promote equitable access with Aboriginal peoples in Canada. We employed Indigenous, interpretive, and participatory research methodologies in partnership with Aboriginal people. Participants reported stories of bullying, fear, intimidation, and lack of cultural understanding. This research reveals the urgent need to enhance the delivery of culturally appropriate practices in emergency. As nurses, if we wish to affect equity of access, then attention is required to structural injustices that act as barriers to access such as addressing the stigma, stereotyping, and discrimination experienced by Aboriginal people in this study.

Homelessness among adolescents and young adults is a growing concern in Canada and other countries, yet little is known about their support needs and support intervention preferences from the perspectives of homeless youth or youth at risk of homelessness. The authors assessed these needs and preferences through individual and group interviews with homeless adolescents and young adults (n = 35) and their service providers (n = 27). The unique perspectives of service providers and homeless youth converged on some issues. Key challenges faced by these youth included social isolation, alienation, low self-worth, lack of resources, and substance abuse. Although some services were available, they did not fully meet existing needs. Participants indicated that interventions should focus on emotional and affirmational support. They recommended face-to-face support that was accessible, flexible, participatory, long-term, and offered choice.

While the findings that compare the Aboriginal and Non-Aboriginal samples are limited by the small sample size, the fact that these findings agree with those from heterogeneous Aboriginal samples drawn from the USA are encouraging. Finally, the findings provide needed information about parent-child interactions in Canadian low-income urban samples including data from Aboriginal parents and children.

No abstract

No abstract