Systemic Inequities

Systemic inequities resulting in discrimination and harm are prevalent throughout many, if not all, facets of our world.

In particular, with respect to healthcare and especially research in healthcare, it is important that providers actively work to repair systemic inequities through their work.

Video: Systemic Inequities

5:17

In this video, Dr. Christie introduces some of the systemic inequities that we will learn about in this module including a call to action for the potential (and need) for psychedelic research to change this.

Note

The contents of this module may be activating for you. Please take care to progress through the content at your own pace, take breaks, and chat with a trusted support person as needed.

Trust in Healthcare

This module will begin by exploring some of the many health disparities experienced by:

  • People with disabilities
  • Black Indigenous, and Peoples of Colour
  • People who are 2-spirited, lesbian, gay, bisexual, transgender, queer, intersex, gender fluid, and gender or sexually diverse
  • And the intersectionalities between these populations

One independent study surveyed 11,500 people in Brazil, France, Japan, the United Kingdom, and the United States and discovered the following with respect to trust in healthcare.

• 73% Ethnic Minorities and Peoples of Colour vs 57% Non-ethnic minorities and people of colour • 66% LGBTQI+ vs 58% cis and straight people • 73% People with disabilities vs 56% People without a disability

Adapted from Sanofi, 2022

Note: while this research does not appear in a peer-reviewed periodical, it hopefully gives a general snapshot of the range of experiences.

References

Casanova-Perez, R., Apodaca, C., Bascom, E., Mohanraj, D., Lane, C., Vidyarthi, D., Beneteau, E., Sabin, J., Pratt, W., Weibel, N., & Hartzler, A. L. (2022). Broken down by bias: Healthcare biases experienced by BIPOC and LGBTQ+ patients. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2021, 275–284.

Sanofi (2022). A Million Conversations: How we’re bridging the healthcare ‘trust gap’ with marginalized communities.

Williams, M. T., Roy, A. K., MacIntyre, M.-P., & Faber, S. (2022). The traumatizing impact of racism in Canadians of colour. Current Trauma Reports, 8, 17-34.