Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019
Background: The Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel sites across Canada (2017–2019). These findings describe the prevalence of human immunodeficiency virus (HIV), hepatitis C and associated risk behaviours among Indigenous participants. Methods: Information...
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ftdoajarticles:oai:doaj.org/article:9cb36aab44c446b2b58333251a7055bc 2023-05-15T16:16:54+02:00 Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019 Jill Tarasuk Meghan Sullivan Donna Bush Christian Hui Melissa Morris Tami Starlight François Cholette Leigh Jonah Maggie Bryson Dana Paquette Renée Masching 2021-01-01T00:00:00Z https://doi.org/10.14745/ccdr.v47i01a07 https://doaj.org/article/9cb36aab44c446b2b58333251a7055bc EN FR eng fre Public Health Agency of Canada https://www.canada.ca/en/public-health/services/reports-publications/canada-communicable-disease-report-ccdr/monthly-issue/2021-47/issue-1-january-2021/survey-report-indigenous-participants-inject-drugs-canada.html https://doaj.org/toc/1481-8531 doi:10.14745/ccdr.v47i01a07 1481-8531 https://doaj.org/article/9cb36aab44c446b2b58333251a7055bc Canada Communicable Disease Report, Vol 47, Iss 1, Pp 37-46 (2021) hiv hepatitis c indigenous people who inject drugs drug use injecting behaviours sexual risk practices overdose infection status testing care and treatment Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.14745/ccdr.v47i01a07 2022-12-31T09:40:37Z Background: The Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel sites across Canada (2017–2019). These findings describe the prevalence of human immunodeficiency virus (HIV), hepatitis C and associated risk behaviours among Indigenous participants. Methods: Information regarding socio-demographics, social determinants of health, use of prevention services and testing, drug use, risk behaviours, and HIV and hepatitis C testing, care and treatment was collected through interviewer-administered questionnaires. Biological samples were tested for HIV, hepatitis C antibodies and hepatitis C ribonucleic acid (RNA). Descriptive statistics were calculated and reviewed by an Indigenous-led advisory group using the Two-Eyed Seeing approach. Results: Of the 2,383 participants, 997 were Indigenous (82.9% First Nations, 14.9% Métis, 2.2% Inuit). Over half (54.5%) were cisgender male and the average age was 38.9 years. A large proportion (84.0%) reported their mental health as “fair to excellent”. High proportions experienced stigma and discrimination (90.2%) and physical, sexual and/or emotional abuse in childhood (87.5%) or with a sexual partner (78.6%). Use of a needle/syringe distribution program (90.5%) and testing for HIV (87.9%) and hepatitis C (87.8%) were high. Prevalence of HIV was 15.4% (78.2% were aware of infection status) and 36.4% were hepatitis C RNA-positive (49.4% were aware of infection status). Conclusion: High rates of HIV and hepatitis C were identified. Challenges in access to and maintenance of HIV and hepatitis C care and treatment were noted. This information informs harm reduction strategies, including the need to scale-up awareness of prophylaxis in a culturally relevant manner. Article in Journal/Newspaper First Nations inuit Directory of Open Access Journals: DOAJ Articles Canada Canada Communicable Disease Report 47 1 37 46 |
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English French |
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hiv hepatitis c indigenous people who inject drugs drug use injecting behaviours sexual risk practices overdose infection status testing care and treatment Infectious and parasitic diseases RC109-216 |
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hiv hepatitis c indigenous people who inject drugs drug use injecting behaviours sexual risk practices overdose infection status testing care and treatment Infectious and parasitic diseases RC109-216 Jill Tarasuk Meghan Sullivan Donna Bush Christian Hui Melissa Morris Tami Starlight François Cholette Leigh Jonah Maggie Bryson Dana Paquette Renée Masching Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019 |
topic_facet |
hiv hepatitis c indigenous people who inject drugs drug use injecting behaviours sexual risk practices overdose infection status testing care and treatment Infectious and parasitic diseases RC109-216 |
description |
Background: The Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel sites across Canada (2017–2019). These findings describe the prevalence of human immunodeficiency virus (HIV), hepatitis C and associated risk behaviours among Indigenous participants. Methods: Information regarding socio-demographics, social determinants of health, use of prevention services and testing, drug use, risk behaviours, and HIV and hepatitis C testing, care and treatment was collected through interviewer-administered questionnaires. Biological samples were tested for HIV, hepatitis C antibodies and hepatitis C ribonucleic acid (RNA). Descriptive statistics were calculated and reviewed by an Indigenous-led advisory group using the Two-Eyed Seeing approach. Results: Of the 2,383 participants, 997 were Indigenous (82.9% First Nations, 14.9% Métis, 2.2% Inuit). Over half (54.5%) were cisgender male and the average age was 38.9 years. A large proportion (84.0%) reported their mental health as “fair to excellent”. High proportions experienced stigma and discrimination (90.2%) and physical, sexual and/or emotional abuse in childhood (87.5%) or with a sexual partner (78.6%). Use of a needle/syringe distribution program (90.5%) and testing for HIV (87.9%) and hepatitis C (87.8%) were high. Prevalence of HIV was 15.4% (78.2% were aware of infection status) and 36.4% were hepatitis C RNA-positive (49.4% were aware of infection status). Conclusion: High rates of HIV and hepatitis C were identified. Challenges in access to and maintenance of HIV and hepatitis C care and treatment were noted. This information informs harm reduction strategies, including the need to scale-up awareness of prophylaxis in a culturally relevant manner. |
format |
Article in Journal/Newspaper |
author |
Jill Tarasuk Meghan Sullivan Donna Bush Christian Hui Melissa Morris Tami Starlight François Cholette Leigh Jonah Maggie Bryson Dana Paquette Renée Masching |
author_facet |
Jill Tarasuk Meghan Sullivan Donna Bush Christian Hui Melissa Morris Tami Starlight François Cholette Leigh Jonah Maggie Bryson Dana Paquette Renée Masching |
author_sort |
Jill Tarasuk |
title |
Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019 |
title_short |
Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019 |
title_full |
Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019 |
title_fullStr |
Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019 |
title_full_unstemmed |
Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017–2019 |
title_sort |
findings among indigenous participants of the tracks survey of people who inject drugs in canada, phase 4, 2017–2019 |
publisher |
Public Health Agency of Canada |
publishDate |
2021 |
url |
https://doi.org/10.14745/ccdr.v47i01a07 https://doaj.org/article/9cb36aab44c446b2b58333251a7055bc |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
Canada Communicable Disease Report, Vol 47, Iss 1, Pp 37-46 (2021) |
op_relation |
https://www.canada.ca/en/public-health/services/reports-publications/canada-communicable-disease-report-ccdr/monthly-issue/2021-47/issue-1-january-2021/survey-report-indigenous-participants-inject-drugs-canada.html https://doaj.org/toc/1481-8531 doi:10.14745/ccdr.v47i01a07 1481-8531 https://doaj.org/article/9cb36aab44c446b2b58333251a7055bc |
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https://doi.org/10.14745/ccdr.v47i01a07 |
container_title |
Canada Communicable Disease Report |
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47 |
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1 |
container_start_page |
37 |
op_container_end_page |
46 |
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1766002754949480448 |