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Levy E, Warner LM, Fleig L, Kaufman MR, Gidron Y. Associations Between Implicit and Explicit Condom Use Measures With Condom Use Barriers: Relationships Make A Difference. Psychol Rep 2023:332941231164334. [PMID: 36927133 DOI: 10.1177/00332941231164334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
OBJECTIVE The association between explicit and implicit psychological measures might be affected by the similarity of the assessment method and by the overlap of the components of the constructs being assessed. This study examined the association between condom use barriers and explicit and implicit measurements of condom use and the moderating role of sexual intercourse in these associations. DESIGN This was a cross sectional correlational study. An analysis of baseline data from a randomized controlled trial including 149 university students was included. MAIN MEASURES These included a questionnaire assessing condom use barriers, an implicit condom use test (a structured semi-projective test), and an explicit condom use question. Hierarchical regressions and correlations were examined in the full sample and by groups of participants with and without sexual intercourse. RESULTS In those without sexual intercourse, all barriers sub-scales were significantly and negatively correlated with implicit condom use and unrelated to explicit condom use. In contrast, among those engaged in sexual intercourse, barriers were significantly and negatively correlated with the explicit condom use measure, and only barriers concerning partner and motivation correlated with implicit condom use tendencies. CONCLUSION Having a sexual partner plays a major role in the relations between barriers and implicit and explicit condom use measures. The pattern of the results is discussed in relation to cognitive and social factors.
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Affiliation(s)
- Einav Levy
- Department of Social Work, Ringgold: 54625Tel Hai College, Qiryat Shemona, Israel.,The Israeli School of Humanitarian Action, Tel Aviv, Israel.,Tel Aviv University, Tel Aviv, Israel
| | - Lisa M Warner
- Department of Psychology, Ringgold: 381458MSB Medical School Berlin, Berlin, Germany
| | - Lena Fleig
- Department of Psychology, Ringgold: 381458MSB Medical School Berlin, Berlin, Germany
| | - Michelle R Kaufman
- Blomberg School of Public Health, Department of Health, Behavior & Society, Ringgold: 25802Johns Hopkins University Baltimore, Baltimore, MD, USA
| | - Yori Gidron
- Department of Nursing, Ringgold: 26748Haifa University, Haifa, Israel
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Levy E, Warner LM, Fleig L, Kaufman MR, Deschepper R, Gidron Y. The effects of psychological inoculation on condom use tendencies and barriers; a randomized controlled trial. Psychol Health 2020; 36:575-592. [PMID: 32498613 DOI: 10.1080/08870446.2020.1775832] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Condom use prevents the contraction of the HIV. Research shows limited effects of education on increasing condom use. Psychological inoculation (PI) has been found to be more effective in this domain, however, its mechanism is unknown. This study examined effects of PI versus education on condom use barriers and tendencies, and its relations with cognitive dissonance, using a fully automatized online system. DESIGN The study was a randomized controlled trial (RCT) and included 149 students from a German University randomly assigned to PI or a control condition. MAIN OUTCOME MEASURES An indirect condom use test (I-CUTE), a condom use barriers questionnaire, self-reported condom use, and cognitive dissonance estimations were all assessed at baseline and one-month post-intervention. RESULTS PI significantly increased I-CUTE scores when participants had sexual relations. Control participants increased in self-reported condom use and on I-CUTE scores in people without sexual relations. No changes in barriers were seen in either group. The cognitive dissonance tended to be higher in PI participants as compared to control participants. CONCLUSIONS PI increases I-CUTE scores compared to controls (based on effect sizes), and significantly in those with sexual relations. The role of relationship status and the mechanisms of PI should be further examined.
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Affiliation(s)
- Einav Levy
- Faculty of Medicine and Pharmacy, Free University of Brussels (VUB), Brussels, Belgium.,The Israeli School of Humanitarian Action, Tel Aviv, Israel
| | - Lisa M Warner
- Department of Psychology, Health Psychology, Faculty of Natural Sciences, MSB Medical School Berlin, Berlin, Germany
| | - Lena Fleig
- Department of Psychology, Health Psychology, Faculty of Natural Sciences, MSB Medical School Berlin, Berlin, Germany
| | - Michelle R Kaufman
- Department of Health, Behavior & Society, Blomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - Reginald Deschepper
- Faculty of Medicine and Pharmacy, Free University of Brussels (VUB), Brussels, Belgium
| | - Yori Gidron
- The Israeli School of Humanitarian Action, Tel Aviv, Israel.,Department of Nursing, Haifa University, Haifa, Israel
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3
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Benzaken AS, Sabidó M, Brito I, Bermúdez XPD, Benzaken NS, Galbán E, Peeling RW, Mabey D. HIV and syphilis in the context of community vulnerability among indigenous people in the Brazilian Amazon. Int J Equity Health 2017; 16:92. [PMID: 28583173 PMCID: PMC5460420 DOI: 10.1186/s12939-017-0589-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2017] [Accepted: 05/23/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Contextual factors shape the risk of acquiring human immunodeficiency virus (HIV) and syphilis. We estimated the prevalence of both infections among indigenous people in nine indigenous health districts of the Brazilian Amazon and examined the context of community vulnerability to acquiring these infections. METHODS We trained 509 health care workers to screen sexually active populations in the community for syphilis and HIV using rapid testing (RT). We then assessed the prevalence of HIV and syphilis using RT. A multivariable analysis was used to identify factors associated with syphilis infection (sociodemographic, condom use, intrusion, population mobility, and violence). RESULTS Of the 45,967 indigenous people tested, the mean age was 22.5 years (standard deviation: 9.2), and 56.5% were female. Overall, for HIV, the prevalence was 0.13% (57/43,221), and for syphilis, the prevalence was 1.82% (745/40,934). The prevalence in men, women, and pregnant women for HIV was 0.16%, 0.11%, and 0.07%, respectively, and for syphilis, it was 2.23%, 1.51%, and 1.52%, respectively. The district Vale do Javari had the highest prevalence of both infections (HIV: 3.38%, syphilis: 1.39%). This district also had the highest population mobility and intrusion and the lowest availability of prenatal services. Syphilis infection was independently associated with age (odds ratio [OR] 1.04, 95% confidence interval [CI]: 1.03-1.05), male sex (OR 1.32, 95% CI: 1.14-1.52), and mobility (moderate: OR: 7.46, 95% CI: 2.69-20.67; high: OR 7.09, 95% CI: 3.79-13.26). CONCLUSIONS The large-scale integration of RT in remote areas increased case detection among pregnant women, especially for syphilis, in districts with higher vulnerability. Mobility is an important risk factor, especially in districts with higher vulnerability. Contextually appropriate approaches that address this factor could contribute to the long-term success of HIV and syphilis control programs.
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Affiliation(s)
- Adele Schwartz Benzaken
- Department of STI, AIDS and Viral Hepatitis, Secretary for Health Surveillance, Ministry of Health Brazil, Brasília, DF, Brazil.,Tropical Medicine Foundation Doctor Heitor Vierira Dourado, Manaus, Brazil
| | - Meritxell Sabidó
- Department of STI, AIDS and Viral Hepatitis, Secretary for Health Surveillance, Ministry of Health Brazil, Brasília, DF, Brazil. .,Pan American Health Organization, Brasília, Brazil. .,TransLab. Department of Medical Sciences, Universitat de Girona, Catalonia, Spain. .,CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
| | - Ivo Brito
- Department of STI, AIDS and Viral Hepatitis, Secretary for Health Surveillance, Ministry of Health Brazil, Brasília, DF, Brazil
| | - Ximena Pamela Díaz Bermúdez
- Pan American Health Organization, Brasília, Brazil.,Departamento de Saúde Coletiva, Universidade de Brasília, Brasília, Brazil
| | | | | | - Rosanna W Peeling
- Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK
| | - David Mabey
- Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK
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Gribble MO, Around Him DM. Ethics and Community Involvement in Syntheses Concerning American Indian, Alaska Native, or Native Hawaiian Health: A Systematic Review. AJOB Empir Bioeth 2014; 5:1-24. [PMID: 25089283 DOI: 10.1080/21507716.2013.848956] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND The objective of the research was to review reporting of ethical concerns and community involvement in peer-reviewed systematic reviews or meta-analyses concerning American Indian, Alaska Native, or Native Hawaiian (AI/AN/NH) health. METHODS Text words and indexed vocabulary terms were used to query PubMed, Embase, Cochrane Library, and the Native Health Database for systematic reviews or meta-analyses concerning AI/AN/NH health published in peer-reviewed journals, followed by a search through reference lists. Each article was abstracted by two independent reviewers; results were discussed until consensus was reached. RESULTS We identified 107 papers published from 1986-2012 that were primarily about AI/AN/NH health or presented findings separately for AI/AN/NH communities. Two reported seeking indigenous reviewer feedback; none reported seeking input from tribes and communities. Approximately 7% reported on institutional review board (IRB) approval of included studies, 5% reported on tribal approval, and 4% referenced the sovereignty of AI/AN tribes. Approximately 63% used evidence from more than one AI/AN/NH population study, and 28% discussed potential benefits to communities from the synthesis research. CONCLUSIONS Reporting of ethics and community involvement are not prominent. Systematic reviews and meta-analyses making community-level inferences may pose risks to communities. Future systematic reviews and meta-analyses should consider ethical and participatory dimensions of research.
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Affiliation(s)
- Matthew O Gribble
- Department of Preventive Medicine, University of Southern California Keck School of Medicine
| | - Deana M Around Him
- Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health
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Edwards KE, Gibson N, Martin J, Mitchell S, Andersson N. Impact of community-based interventions on condom use in the Tłįcho region of Northwest Territories, Canada. BMC Health Serv Res 2011; 11 Suppl 2:S9. [PMID: 22375891 PMCID: PMC3332568 DOI: 10.1186/1472-6963-11-s2-s9] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Since 2005, the Tłįcho Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and Tłįcho regional rates were nearly four times that of the NT--91 cases per 1000 people. We describe a social audit process that assessed the impact of an evidence-based community-led intervention. METHODS A baseline survey of sexual health knowledge, attitudes and behaviours in 2006/07 provided evidence for a Community Action Research Team (CART) to develop and to put in place culturally appropriate interventions in the Tłįcho region. A follow-up study in 2010 sought to assess the impact of CART activities on condom use and underlying conscious knowledge, attitudes, subjective norms, intention to change, sense of agency and discussions related to condom use and STI risks. We report the contrasts using Odds Ratios (OR) and 95% confidence intervals (CI). RESULTS One in every three follow-up respondents (315/808) participated in at least one CART activity. Participation in highly ranked interventions was associated with increased condom use during the last sexual encounter (OR 1.45, 95%CI 1.07-1.98). Those exposed to three or more activities were more likely to talk openly about condoms (OR 2.08, 95%CI 1.41-3.28), but were also less likely to be monogamous (OR 0.49, 95%CI 0.29-0.90). CONCLUSIONS The measurable impact on condom use indicates a strong beginning for the Tłįcho community intervention programmes. The interventions also seem to generate increased discussion, often a precursor to action. The Tłįcho can use the evidence to improve and refocus their programming, increase knowledge and continue to improve safe condom use practices.
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Affiliation(s)
- Karen E Edwards
- Universidad Autónoma de Guerrero, Mexico
- CIETcanada, Ottawa, Canada
| | | | - Jim Martin
- Tłįchǫ Community Services Agency, Canada
| | | | - Neil Andersson
- Centro de Investigación de Enfermedades Tropicales (CIET), Universidad Autónoma de Guerrero, Mexico
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Devries KM, Free CJ. Boyfriends and booty calls: sexual partnership patterns among Canadian Aboriginal young people. CANADIAN JOURNAL OF PUBLIC HEALTH = REVUE CANADIENNE DE SANTE PUBLIQUE 2011; 102:13-17. [PMID: 21485961 PMCID: PMC6974215 DOI: 10.1007/bf03404871] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2010] [Accepted: 08/20/2010] [Indexed: 05/30/2023]
Abstract
OBJECTIVES Sexual partnership patterns, forced sex, and condom non-use can contribute to STI risk, but little is known about these patterns among Aboriginal young people despite elevated STI risk in this group. We describe sexual relationship and condom use patterns among Canadian Aboriginal young people, and how these patterns relate to the socio-structural context as experienced by young people. METHODS We use data from in-depth individual interviews conducted in 2004 with 22 young people who reported ever having sex and who self-identified as Aboriginal in British Columbia, Canada. A thematic analysis is presented. RESULTS Young people described a range of partnership patterns, including 'on-off' relationships which could have high rates of partner turnover but could sometimes be viewed as acceptable contexts for pregnancy, precluding condom use. Contextual elements beyond individual control appeared to contribute to these patterns. Migration between geographic locations was linked with risky partnership patterns, especially if it was linked with family instability or substance use problems. CONCLUSION Sexual health interventions for this group must address partnership patterns in addition to promoting condom use. Survey research into 'migration' as a risk factor for STI transmission should consider reasons for migration. Interventions that address both individual level behaviour and the contextual elements that shape behaviour should be developed and tested.
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Affiliation(s)
- Karen M Devries
- Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
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Devries KM, Free C. 'I told him not to use condoms': masculinities, femininities and sexual health of Aboriginal Canadian young people. SOCIOLOGY OF HEALTH & ILLNESS 2010; 32:827-842. [PMID: 20456685 DOI: 10.1111/j.1467-9566.2010.01242.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Gendered power imbalances in heterosexual relationships are a key target of gender-sensitive STI risk reduction interventions. Gendered aspects of sexual behaviour have not been explored among Canadian indigenous young people, who are at elevated risk for STI relative to other young Canadians. We used data from in-depth qualitative interviews with 15 male and 15 female indigenous young people to explore gendered sexual behaviour and its implications for STI reduction. There was a pervasive 'double standard' where young men were expected to be sexually aggressive and young women were expected to resist sexual advances; but we also observed 'alternative' or non-hegemonic behaviours. Specifically, young women were often very active participants in sexual negotiations, could refuse condom use and sometimes pressured their male partners to not use condoms. Young men also described being the object of coerced sex, and did not always perceive female sexual desire in negative terms, and were not always receptive to sex. The gendered sexual attitudes and behaviours in our sample were much more complex than usually described in the literature. Intervention work needs to take more realistic account of the sexual interactions that occur between young people.
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Affiliation(s)
- Karen M Devries
- Health Policy Unit, London School of Hygiene and Tropical Medicine, London.
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Orchard TR, Druyts E, McInnes CW, Clement K, Ding E, Fernandes KA, Anema A, Lima VD, Hogg RS. Factors behind HIV testing practices among Canadian Aboriginal peoples living off-reserve. AIDS Care 2010; 22:324-31. [DOI: 10.1080/09540120903111510] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Treena R. Orchard
- a Faculty of Health Sciences , University of Western Ontario , Arthur and Sonia Labatt Health Sciences Building, London , ON , N6A 5B9 , Canada
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
| | - Eric Druyts
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
| | - Colin W. McInnes
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
| | - Ken Clement
- c Healing Our Spirit , British Columbia Aboriginal HIV/AIDS Society , 644-1979 Marine Drive, Vancouver , BC , V7P 3G1 , Canada
| | - Erin Ding
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
| | - Kimberly A. Fernandes
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
| | - Aranka Anema
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
- d Department of Medicine, Faculty of Medicine , University of British Columbia , 3300–950 West 10th Avenue, Vancouver , BC , V5Z 4E3 , Canada
| | - Viviane D. Lima
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
- d Department of Medicine, Faculty of Medicine , University of British Columbia , 3300–950 West 10th Avenue, Vancouver , BC , V5Z 4E3 , Canada
| | - Robert S. Hogg
- b British Columbia Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608–1081 Burrard Street, V6Z 1Y6 , Vancouver , BC , Canada
- e Faculty of Health Sciences , Simon Fraser University , 8888 University Drive, Burnaby , BC , V5A 1S6 , Canada
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9
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Mehrabadi A, Paterson K, Pearce M, Patel S, Craib KJP, Moniruzzaman A, Schechter MT, Spittal PM. Gender differences in HIV and hepatitis C related vulnerabilities among aboriginal young people who use street drugs in two Canadian cities. Women Health 2009; 48:235-60. [PMID: 19191041 DOI: 10.1080/03630240802463186] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Vulnerability to HIV and Hepatitis C virus (HCV) infection for indigenous populations worldwide must be contextualized in experiences of current and past trauma. Aboriginal women entrenched in poverty face further gender-specific harms which place them at increased risk for HIV infection. METHODS This study was cross-sectional and based on a community-based sample of Aboriginal young people (Metis, Aboriginal, First Nations, Inuit, and non-status Indians) between the ages of 14 and 30 years who used injection or non-injection non-cannabis illegal drugs (street drugs) in the previous month. Between October 2003 and July 2005, 543 participants living in either Vancouver or Prince George, Canada, were recruited by word of mouth, posters, and street outreach. Young people in the study completed a questionnaire administered by Aboriginal interviewers. Female participants (n = 262) were compared to male participants (n = 281) with respect to sociodemographics, trauma, sexual risk variables, and drug use patterns. Trained nurses drew blood samples for HIV and HCV antibodies and provided pre- and post-test counseling. RESULTS Proportions positive for HIV and HCV were significantly higher among young women. HIV was 13.1% [9.5, 17.7] in women compared to 4.3% [2.5, 7.4] in men, and HCV was 43.6% [37.6, 49.8] in women as compared to 25.4% [20.5, 30.9] in men. When the analysis was restricted to young people who reported injection drug use, the proportions positive for HIV and HCV remained significantly higher among young women. Experiences of forced sex were reported by 70% of young women compared to 29% of young men, p < 0.001, while the median age of first forced sex was 6-years-old for both men and women. DISCUSSION The results of the final model indicated that HIV had been associated with residing in Vancouver, having injected for longer, and sexual abuse, but not being female. However, this gendered analysis demonstrated that a greater proportion of young women were experiencing sexual abuse, and sexual abuse was associated with HIV positive status. Harm reduction and drug treatment programs are urgently required that target women at a young age and address complex traumatic experiences associated with childhood sexual abuse.
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Abstract
OBJECTIVE To identify barriers to condom use. METHODS Data were extracted through MEDLINE from papers published between 1993 and 2007. Surveys, reviews, clinical studies and comments were included in this review. The impact of cost, moral, social, personal and psychological factors were taken into consideration. RESULTS Several factors were associated with non-use of a condom during sexual intercourse. Their cost often posed a barrier to condom use for the poor, even in developed countries. In many communities, moral values, ethnic and religious factors also played a role. Among other social factors, gender inequality, lack of a dialogue among partners with regard to condom use, and the stigma attached to the condom could all lead to unprotected sexual intercourse. Personal factors such as aversion to the condom, consumption of alcohol or use of drugs prior to sexual intercourse, and anxiety and depression all were negatively associated with condom use. CONCLUSION Their cost evidently poses a barrier to the use of condoms by the poor. Beside social stigmas and personal reluctance, prevailing moral norms and religious interdicts also adversely affect use of these devices in many communities. Because of their disastrous consequences in the domain of public health each of these barriers must be effectively addressed.
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Affiliation(s)
- N N Sarkar
- Department of Reproductive Biology, All India Institute of Medical Sciences, New Delhi, India.
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Devries KM, Free CJ, Morison L, Saewyc E. Factors associated with the sexual behavior of Canadian Aboriginal young people and their implications for health promotion. Am J Public Health 2008; 99:855-62. [PMID: 18703435 DOI: 10.2105/ajph.2007.132597] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined factors associated with having ever had sex, having more than 1 lifetime sexual partner, and condom nonuse at last incident of sexual intercourse among Canadian Aboriginal young people. METHODS We conducted a secondary analysis of data from the 2003 British Columbia Adolescent Health Survey, a cross-sectional survey of young people in grades 7 through 12. RESULTS Of 1140 young Aboriginal men, 34% had ever had sex; of these, 63% had had more than 1 sexual partner, and 21% had not used a condom at their last incident of sexual intercourse. Of 1336 young Aboriginal women, 35% had ever had sex; of these, 56% had had more than 1 sexual partner, and 41% had not used a condom at their last incident of sexual intercourse. Frequent substance use, having been sexually abused, and having lived on a land reservation were strongly associated with sexual behavior outcomes. Feeling connected to family was strongly associated with increased condom use. CONCLUSIONS Sexual behavior change interventions for Aboriginal young people must move beyond the individual and incorporate interpersonal and structural dimensions. Interventions to reduce substance use and sexual abuse and promote feelings of family connectedness in this population should be explored. Young people living on land reserves need special attention.
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Affiliation(s)
- Karen M Devries
- Health Policy Unit, London School of Hygiene and Tropical Medicine, Keppel St, WC1E 7HT London, UK.
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12
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Edwards K, Mitchell S, Gibson NL, Martin J, Zoe-Martin C. Community-coordinated Research as HIV/AIDS Prevention Strategy in Northern Canadian Communities. PIMATISIWIN 2008; 6:111-127. [PMID: 20862229 PMCID: PMC2942845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The Tłįchǫ Community Services Agency's (TCSA) Healing Wind Strategy identifies a number of activities and interventions to address the prevention of STI/HIV/AIDS in the Tłįchǫ region of the Northwest Territories of Canada. As a part of this strategy, the TCSA and CIET facilitated research to develop a foundation for interventions targeting sexually transmitted infections. The project recruited and trained community-based researchers who conducted a research survey on sexual health attitudes and behaviours in the four Tłįchǫ communities, covering 65% of the population above 9 years of age. The research process, outcomes, and the strategic plan that arose from the research findings produced a clear framework for interventions that are grounded in the community, but could also influence national and territorial policy. The approach may be relevant in other settings.
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