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Two-Spirit Peoples’ experiences accessing and receiving care from community pharmacies

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dc.contributor.authorMarissa Pirlot
dc.contributor.authorSwidrovich, Jaris
dc.date.accessioned2024-10-22T03:33:59Z
dc.date.available2024-10-22T03:33:59Z
dc.date.issued2024
dc.descriptionThe version of record of this article, first published in SAGE, is available online at Publisher’s website: doi.org/10.1177/17151635241278751
dc.description.abstractBackground: Two-Spirit Peoples face unique challenges in accessing and receiving health care in Canada due to health services, including community pharmacy services, being built on hetero- and cis-normative models that impede appropriate care for this group. Currently, there is limited published information on Two-Spirit Peoples’ experiences accessing and receiving care in community pharmacy settings. Methods: To address the lack of published information, 21 Two-Spirit individuals shared their experiences in a focus group setting. Four different focus groups were held across Canada, including 1 in Saskatoon, Vancouver, Edmonton, and Toronto. Informed by Indigenous methodologies, data were recorded via audio recording and notetaking, and the audio was transcribed and then analyzed for themes using the Voice-Centred Relational Method. Results: Three major structural systems that affect the experiences of Two-Spirit Peoples in community pharmacies were identified: 1) white supremacy, 2) capitalism, and 3) heteronormativity. These 3 systemic issues presented themselves via racism, homophobia, transphobia, pharmacists’ lack of knowledge about Two-Spirit individuals and their health and lack of time spent educating or building relationships with Two-Spirit Peoples. Participants provided suggestions for how community pharmacists can better serve the Two-Spirit community, such as using inclusive language, adding pronouns and preferred names to patient files, increasing knowledge about Two-Spirit health and advocating for Two-Spirit Peoples. Discussion: The results suggest that dismantling current structures and ideologies in community pharmacy and society are required to overcome the identified issues. Conclusion: Two-Spirit Peoples face barriers when it comes to accessing and receiving care in community pharmacies, resulting in many Two-Spirit individuals avoiding health care to save themselves from unsafe and uncomfortable interactions. Pre- and postlicensure pharmacy education about Two-Spirit Peoples is required to improve Two-Spirit Peoples’ experiences accessing and receiving care in community pharmacies.
dc.description.sponsorshipCIHR
dc.description.versionPeer Reviewed
dc.identifier.citationPirlot M, Swidrovich J. Two-Spirit Peoples’ experiences accessing and receiving care from community pharmacies. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada. 2024 Nov;157(6):341-6.en
dc.identifier.doi10.1177/17151635241278751
dc.identifier.urihttps://hdl.handle.net/10388/16197
dc.language.isoen
dc.publisherSAGE Publications
dc.rightsAttribution 2.5 Canadaen
dc.rights.urihttp://creativecommons.org/licenses/by/2.5/ca/
dc.subjectCommunity Pharmacy
dc.subjectTwo-Spirit
dc.subjectIndigenous
dc.titleTwo-Spirit Peoples’ experiences accessing and receiving care from community pharmacies
dc.typeArticle

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