They think you're lying about your need: the impact of appearance on Aboriginal health and social service access
Bibliographic record
Abstract
AbstractAll existing research points to dramatic and disturbing differences in the health and well being of Aboriginal communities when compared to other Canadians. Explanations as to the causes and ongoing consequences of such differences vary, but there is nonetheless a consensus that existing social and health service delivery systems require change. Consensus about what sorts of changes are required is less well formed. In this paper, we discuss the results of a participatory research project involving urban Aboriginal service organizations, university researchers, and members of the urban Aboriginal communities of the Okanagan Valley. Our research draws on the direct voice of participants reflecting on their experiences with health and social services, and at the same time quantifies the patterns of responses to report an overall assessment by urban Aboriginal service users of the institutions and organizations they interact with. The nuanced analyses provided by community interlocutors offer needed insight into the ways that organizations affect their clients; the patterns revealed by the quan- titative analysis clearly reflect a general discontent with mainstream services that varies by gender and age, with visibly Aboriginal women being the least well served by non-Aboriginal organizations. Overall, respondents were much more positive about their experiences with Aboriginal organizations. The research demonstrates unambiguously that the urban Aboriginal community is generally estranged from the mainstream systems they face, and suggests that Aboriginal controlled institutions are better able to serve the community.ResumeToute la recherche qui existe indique que la sante et le bien-etre chez les autochtones different de facon dramatique et troublante si on les compare aux autres canadiens. Si l'on ne s'entend pas sur les causes et les consequences de ces differences, on s'entend pour dire que les systemes de sante actuels ont besoin de changement. La nature du changement est moins claire. Dans cet article nous parlons des resultats d'un projet de recherche interactive aupres d'organisations desservant des autochtones en ville, des chercheurs universitaires, et des membres des communautes autochtones urbaines de la vallee de l'Okanagan. Notre recherche s'appuie sur la voix des participants qui revoient ce que leur ont offert les services de sante et les services sociaux, tout en quantifiant les reponses afin de presenter un jugement global des autochtones urbains des institutions et organisations avec lesquelles ils agissent. Les analyses nuancees que donnent les interlocuteurs de la communaute montrent comment les organisations affectent leur clientele; l'analyse des donnees quantitatives montre que les autochtones sont mecontents des services sociaux non-autochtones. Le sexe et l'âge sont des variables importantes, et les femmes autochtones (celles qui sont somatiquement distinctes) sont les moins bien desservies par les services sociaux non-autochtones. Dans l'ensemble les sujets interroges consideraient de facon plus positive leurs experiences aux mains d'organisations autochtones. La recherche demontre que les autochtones urbains sont en situation d'alienation face aux services de sante et aux services sociaux pour non-autochtones, et indique que des organisations sous le controle d'autochtones effectueraient un meilleur travail.The disparities in health status between Aboriginal and non-Aboriginal communities in Canada is much remarked upon but poorly understood (Young 420-421; Wilson and Young 180). In 2005, a diverse group of researchers' began a project to study access to social and health services for Aboriginal people in the urban centers of the Okanagan Valley. The study employed a hybrid methodology fusing participatory action research, Indigenous methodologies, and White studies (see Evans et al. 893). Foremost, we sought to bring a direct Aboriginal perspective on the quality and accessibility of health services in the Okanagan Valley. …
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.011 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.007 |
| Scholarly communication | 0.005 | 0.002 |
| Open science | 0.001 | 0.006 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.010 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".