Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results
Background Sexually transmitted infections (STI) prevention in the Northwest Territories (NWT), Canada is an urgent concern as STI prevalence is seven-fold the national average. The study objective was to explore factors associated with sexual activity and condom use among adolescents in the NWT. Me...
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fthighwire:oai:open-archive.highwire.org:familyplanning:45/2/147 2023-05-15T17:46:45+02:00 Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results Logie, Carmen H Lys, Candice L Fujioka, Jamie MacNeill, Nancy Mackay, Kayley Yasseen III, Abdool S 2019-04-01 00:00:00.0 text/html http://jfprhc.bmj.com/cgi/content/short/45/2/147 https://doi.org/10.1136/bmjsrh-2018-200174 en eng BMJ Publishing Group Ltd http://jfprhc.bmj.com/cgi/content/short/45/2/147 http://dx.doi.org/10.1136/bmjsrh-2018-200174 Copyright (C) 2019, Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists Research TEXT 2019 fthighwire https://doi.org/10.1136/bmjsrh-2018-200174 2019-10-03T17:12:06Z Background Sexually transmitted infections (STI) prevention in the Northwest Territories (NWT), Canada is an urgent concern as STI prevalence is seven-fold the national average. The study objective was to explore factors associated with sexual activity and condom use among adolescents in the NWT. Methods We conducted a cross-sectional survey with youth aged 13–18-years-old in 17 NWT communities. We use Poisson regression models with a robust sandwich error variance to estimate adjusted relative risks estimates of the likelihood of experiencing the primary outcomes of sexual activity (vaginal/anal/oral sex) and consistent condom use (oral/anal sex) in the past 3 months by gender. Results Participants (n=607; mean age: 14.2 years; SD: 1.5) included adolescent cisgender girls (n=302; 49.5%), cisgender boys (n=298; 48.9%) and transgender persons (n=7; 1.2%). Most identified as Indigenous (n=444; 73.1%) and 14.0% (n=85) as lesbian, gay, bisexual or queer sexuality (LGBQ+). Among sexually active individuals (n=115), less than half (n=54; 47.0%) reported past 3 month consistent condom use. In adjusted analyses among girls, sexual activity was associated with age, STI knowledge, and alcohol/drug use; LGBQ+ identity and alcohol/drug use were associated with reduced likelihood of condom use. Among boys, sexual activity was associated with age and alcohol/drug use; LGBQ+ identity was associated with increased likelihood of condom use. Conclusions Findings demonstrate sexual activity among adolescents in the NWT varies by gender, age, and alcohol/drug use. Consistent condom utilisation was low, particularly for those using alcohol/drugs. Gender-tailored STI prevention strategies with Northern adolescents should address alcohol/drug use and build protective factors. Text Northwest Territories HighWire Press (Stanford University) Canada Northwest Territories BMJ Sexual & Reproductive Health 45 2 147 154 |
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Research Logie, Carmen H Lys, Candice L Fujioka, Jamie MacNeill, Nancy Mackay, Kayley Yasseen III, Abdool S Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results |
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Research |
description |
Background Sexually transmitted infections (STI) prevention in the Northwest Territories (NWT), Canada is an urgent concern as STI prevalence is seven-fold the national average. The study objective was to explore factors associated with sexual activity and condom use among adolescents in the NWT. Methods We conducted a cross-sectional survey with youth aged 13–18-years-old in 17 NWT communities. We use Poisson regression models with a robust sandwich error variance to estimate adjusted relative risks estimates of the likelihood of experiencing the primary outcomes of sexual activity (vaginal/anal/oral sex) and consistent condom use (oral/anal sex) in the past 3 months by gender. Results Participants (n=607; mean age: 14.2 years; SD: 1.5) included adolescent cisgender girls (n=302; 49.5%), cisgender boys (n=298; 48.9%) and transgender persons (n=7; 1.2%). Most identified as Indigenous (n=444; 73.1%) and 14.0% (n=85) as lesbian, gay, bisexual or queer sexuality (LGBQ+). Among sexually active individuals (n=115), less than half (n=54; 47.0%) reported past 3 month consistent condom use. In adjusted analyses among girls, sexual activity was associated with age, STI knowledge, and alcohol/drug use; LGBQ+ identity and alcohol/drug use were associated with reduced likelihood of condom use. Among boys, sexual activity was associated with age and alcohol/drug use; LGBQ+ identity was associated with increased likelihood of condom use. Conclusions Findings demonstrate sexual activity among adolescents in the NWT varies by gender, age, and alcohol/drug use. Consistent condom utilisation was low, particularly for those using alcohol/drugs. Gender-tailored STI prevention strategies with Northern adolescents should address alcohol/drug use and build protective factors. |
format |
Text |
author |
Logie, Carmen H Lys, Candice L Fujioka, Jamie MacNeill, Nancy Mackay, Kayley Yasseen III, Abdool S |
author_facet |
Logie, Carmen H Lys, Candice L Fujioka, Jamie MacNeill, Nancy Mackay, Kayley Yasseen III, Abdool S |
author_sort |
Logie, Carmen H |
title |
Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results |
title_short |
Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results |
title_full |
Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results |
title_fullStr |
Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results |
title_full_unstemmed |
Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results |
title_sort |
sexual practices and condom use among a sample of northern and indigenous adolescents in northern canada: cross-sectional survey results |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2019 |
url |
http://jfprhc.bmj.com/cgi/content/short/45/2/147 https://doi.org/10.1136/bmjsrh-2018-200174 |
geographic |
Canada Northwest Territories |
geographic_facet |
Canada Northwest Territories |
genre |
Northwest Territories |
genre_facet |
Northwest Territories |
op_relation |
http://jfprhc.bmj.com/cgi/content/short/45/2/147 http://dx.doi.org/10.1136/bmjsrh-2018-200174 |
op_rights |
Copyright (C) 2019, Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists |
op_doi |
https://doi.org/10.1136/bmjsrh-2018-200174 |
container_title |
BMJ Sexual & Reproductive Health |
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45 |
container_issue |
2 |
container_start_page |
147 |
op_container_end_page |
154 |
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1766150571817959424 |