Abstract：
The COVID-19 pandemic highlighted and exacerbated inequities in health for structurally marginalised Canadians. Their location on society\'s hierarchies constrained their ability to access healthcare and follow recommended health behaviours. The aim of this article is to identify, from the perspective of marginalised populations, factors influencing the acceptance or rejection of COVID-19 countermeasures by structurally marginalised Canadians. Interviews were conducted with Canadians 18 + who identified as Black (n = 8), First Nations, Métis, or Inuit (n = 7) and low-income (<40,000 annual household income) (n = 8) between August and December 2021. Measures were said to impact well-being and interfere with revenue generating activities. Longstanding unfavourable living and environmental conditions as they relate to structural marginalisation was said to fuel anger toward the government and lead to a greater reluctance to accept countermeasures. Participants described concerns about government decisions being made without considering their unique contexts, or knowledge of the experiences of the population for whom these decisions were being made. Effective proactive action from government is important to foster trust with marginalised populations to support acceptance of health information and address growing inequities. Action that demonstrates government competence and commitment to the interests of marginalised populations is critical.
摘要：
COVID-19大流行凸显并加剧了结构边缘化的加拿大人在健康方面的不平等。他们在社会等级制度中的位置限制了他们获得医疗保健和遵循推荐的健康行为的能力。本文的目的是确定，从边缘化人群的角度来看，影响结构性边缘化加拿大人接受或拒绝COVID-19对策的因素。采访了18岁以上的加拿大人，他们被认定为黑人（n=8），第一民族,梅蒂斯,或因纽特人（n=7）和低收入（家庭年收入<40,000）（n=8）在2021年8月至12月之间。据说这些措施会影响福祉并干扰创收活动。与结构性边缘化有关的长期不利的生活和环境条件据说会加剧对政府的愤怒，并导致人们更不愿接受对策。与会者描述了对政府决策的担忧，而没有考虑其独特的背景，或了解为他们做出这些决定的人口的经验。政府采取有效的积极行动对于促进与边缘化人群的信任，以支持接受健康信息并解决日益严重的不平等现象非常重要。表明政府能力和对边缘化人口利益的承诺的行动至关重要。
