RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest
Background: Since 2005, the Tłįchǫ 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 Tłįchǫ regional rates were nearly four times t...
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ftciteseerx:oai:CiteSeerX.psu:10.1.1.270.9039 2023-05-15T17:46:43+02:00 RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Karen E Edwards Nancy Gibson Jim Martin Steven Mitchell Neil Andersson The Pennsylvania State University CiteSeerX Archives application/zip http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.270.9039 en eng http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.270.9039 Metadata may be used without restrictions as long as the oai identifier remains attached to it. ftp://ftp.ncbi.nlm.nih.gov/pub/pmc/3a/e6/BMC_Health_Serv_Res_2011_Dec_21_11(Suppl_2)_S9.tar.gz text ftciteseerx 2016-01-07T20:38:31Z Background: Since 2005, the Tłįchǫ 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 Tłįchǫ 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 Tłįchǫ 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). Text Northwest Territories Unknown Northwest Territories |
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Background: Since 2005, the Tłįchǫ 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 Tłįchǫ 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 Tłįchǫ 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). |
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The Pennsylvania State University CiteSeerX Archives |
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Text |
author |
Karen E Edwards Nancy Gibson Jim Martin Steven Mitchell Neil Andersson |
spellingShingle |
Karen E Edwards Nancy Gibson Jim Martin Steven Mitchell Neil Andersson RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest |
author_facet |
Karen E Edwards Nancy Gibson Jim Martin Steven Mitchell Neil Andersson |
author_sort |
Karen E Edwards |
title |
RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest |
title_short |
RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest |
title_full |
RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest |
title_fullStr |
RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest |
title_full_unstemmed |
RESEARCH ARTICLE Open Access Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest |
title_sort |
research article open access impact of community-based interventions on condom use in the tłįchǫ region of northwest |
url |
http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.270.9039 |
geographic |
Northwest Territories |
geographic_facet |
Northwest Territories |
genre |
Northwest Territories |
genre_facet |
Northwest Territories |
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ftp://ftp.ncbi.nlm.nih.gov/pub/pmc/3a/e6/BMC_Health_Serv_Res_2011_Dec_21_11(Suppl_2)_S9.tar.gz |
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http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.270.9039 |
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Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
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1766150540830441472 |