Open Collections

Young, Renee

University of British Columbia

Type 2 Diabetes affects 9% of Canadians. With the inclusion of individuals living with undiagnosed Type 2 Diabetes or pre-diabetes this value rises to 30%. Indigenous Peoples in Canada have higher Type 2 Diabetes incidence and poorer outcomes compared to non-Indigenous individuals. Implicit and explicit biases towards Indigenous Peoples and people with Type 2 Diabetes in healthcare have been documented, impacting the quality of care they receive. This study evaluated biases of seventy-nine healthcare practitioners in the Interior Health Region of British Columbia towards Indigenous Peoples in Canada and their explicit attitudes towards people with Type 2 Diabetes. Explicit bias was assessed using the Attitudes about Treating People with Diabetes Scale and the Modern Prejudice Attitudes Towards Aboriginals Scale. Implicit bias was assessed using the Indigenous Peoples in Canada Implicit Association Test. Perceived enablers and disrupters to discriminatory behaviour in healthcare were assessed by open-ended questions and coded using the Theoretical Domains Framework. Results of implicit bias assessment showed 44.8% of respondents had slight to strong pro-European preference. Knowledge and education were identified as both enablers and disrupters of discriminatory behaviour, with impacts of colonization emerging as a major theme for enablers of this behaviour. Social influences were highlighted as a key domain for both enablers and disrupters of discriminatory attitudes. This study suggests that negative attitudes towards Indigenous Peoples and Type 2 Diabetes persist among Interior Health region of British Columbia healthcare practitioners. Anti-bias training should focus on increasing knowledge, addressing impacts of colonization, and shifting social dynamics within healthcare.

Text

2024-11-07

Attribution-NonCommercial-NoDerivatives 4.0 International

http://hdl.handle.net/2429/89622

Health and Exercise Sciences

University of British Columbia

UBCO

http://creativecommons.org/licenses/by-nc-nd/4.0/