Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada
Background: The Northwest Territories (NWT) has among Canadau2019s highest rates of sexually transmitted infections (STIs) and youth suicide, and nearly one-fifth of persons report low income. There is an urgent need to address the intersections of poverty, mental health, and HIV/STI risk among NWT...
Main Author: | |
---|---|
Format: | Other/Unknown Material |
Language: | English |
Published: |
Morressier
2017
|
Subjects: | |
Online Access: | https://doi.org/10.26226/morressier.5af060641dd164001d5ef399 https://openresearchlibrary.org/ext/api/media/247f340a-de65-42c2-9f2c-1861fb1ebaa9/assets/external_content.pdf https://openresearchlibrary.org/viewer/247f340a-de65-42c2-9f2c-1861fb1ebaa9 |
id |
fttriple:oai:gotriple.eu:10670/1.3w5kla |
---|---|
record_format |
openpolar |
spelling |
fttriple:oai:gotriple.eu:10670/1.3w5kla 2023-05-15T17:46:47+02:00 Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada Okumu, Moses 2017-01-01 https://doi.org/10.26226/morressier.5af060641dd164001d5ef399 https://openresearchlibrary.org/ext/api/media/247f340a-de65-42c2-9f2c-1861fb1ebaa9/assets/external_content.pdf https://openresearchlibrary.org/viewer/247f340a-de65-42c2-9f2c-1861fb1ebaa9 en eng Morressier doi:10.26226/morressier.5af060641dd164001d5ef399 10670/1.3w5kla https://openresearchlibrary.org/ext/api/media/247f340a-de65-42c2-9f2c-1861fb1ebaa9/assets/external_content.pdf https://openresearchlibrary.org/viewer/247f340a-de65-42c2-9f2c-1861fb1ebaa9 lic_creative-commons Open Research Library demo psy Other https://vocabularies.coar-repositories.org/resource_types/c_1843/ 2017 fttriple https://doi.org/10.26226/morressier.5af060641dd164001d5ef399 2023-01-22T16:48:43Z Background: The Northwest Territories (NWT) has among Canadau2019s highest rates of sexually transmitted infections (STIs) and youth suicide, and nearly one-fifth of persons report low income. There is an urgent need to address the intersections of poverty, mental health, and HIV/STI risk among NWT youth. Fostering Open eXpression among Youth, an Indigenous HIV/STI prevention program, conducts a 10-day peer leader training, incorporating cultural traditions and Elder teachings. The study objective explored associations between social-ecological factors (resilience, food insecurity, depression) and condom self-efficacy among youth peer leaders in the NWT. Methods: We conducted a cross-sectional online survey with youth peer leaders aged 14-17 from 18 NWT communities. We conducted ordinary least squares regression to test the mediating effect of resilience on the relationship between depression and condom use self-efficacy. We then conducted a mediation moderation model to examine if food insecurity changed the strength of the relationship between depression, resilience, and condom self-efficacy. Results: Most peer leaders (n=85; mean age: 15.8 years, SD: 2.1) identified as Indigenous (n=65; 77.4%) and women (n=70; 82.4%); 31% (n=27) identified as lesbian, gay, bisexual, or queer. Most (n=54; 70.1%) reported depressive symptoms, and 42% (n=33) reported food insecurity. Resilience mediated the relationship between depression and condom self-efficacy (b = 0.236, p<0.001, 95% CI = 0.129-0.343). In the mediation moderation model, the indirect effect of depression on condom self-efficacy through resilience was stronger for participants who reported food insecurity (b = 0.245, p<0.050, 95% CI = 0.049-0.440).Discussion: We found that depression was associated with lower resilience, which in turn was associated with reduced condom self-efficacy among NWT youth. We also found an interaction between resilience and food insecurity on condom self-efficacy. Findings have implications for social-ecological interventions ... Other/Unknown Material Northwest Territories Unknown Canada Northwest Territories |
institution |
Open Polar |
collection |
Unknown |
op_collection_id |
fttriple |
language |
English |
topic |
demo psy |
spellingShingle |
demo psy Okumu, Moses Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada |
topic_facet |
demo psy |
description |
Background: The Northwest Territories (NWT) has among Canadau2019s highest rates of sexually transmitted infections (STIs) and youth suicide, and nearly one-fifth of persons report low income. There is an urgent need to address the intersections of poverty, mental health, and HIV/STI risk among NWT youth. Fostering Open eXpression among Youth, an Indigenous HIV/STI prevention program, conducts a 10-day peer leader training, incorporating cultural traditions and Elder teachings. The study objective explored associations between social-ecological factors (resilience, food insecurity, depression) and condom self-efficacy among youth peer leaders in the NWT. Methods: We conducted a cross-sectional online survey with youth peer leaders aged 14-17 from 18 NWT communities. We conducted ordinary least squares regression to test the mediating effect of resilience on the relationship between depression and condom use self-efficacy. We then conducted a mediation moderation model to examine if food insecurity changed the strength of the relationship between depression, resilience, and condom self-efficacy. Results: Most peer leaders (n=85; mean age: 15.8 years, SD: 2.1) identified as Indigenous (n=65; 77.4%) and women (n=70; 82.4%); 31% (n=27) identified as lesbian, gay, bisexual, or queer. Most (n=54; 70.1%) reported depressive symptoms, and 42% (n=33) reported food insecurity. Resilience mediated the relationship between depression and condom self-efficacy (b = 0.236, p<0.001, 95% CI = 0.129-0.343). In the mediation moderation model, the indirect effect of depression on condom self-efficacy through resilience was stronger for participants who reported food insecurity (b = 0.245, p<0.050, 95% CI = 0.049-0.440).Discussion: We found that depression was associated with lower resilience, which in turn was associated with reduced condom self-efficacy among NWT youth. We also found an interaction between resilience and food insecurity on condom self-efficacy. Findings have implications for social-ecological interventions ... |
format |
Other/Unknown Material |
author |
Okumu, Moses |
author_facet |
Okumu, Moses |
author_sort |
Okumu, Moses |
title |
Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada |
title_short |
Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada |
title_full |
Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada |
title_fullStr |
Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada |
title_full_unstemmed |
Poverty, Depression, And Resilience As Joint Predictors Of Condom Use Self-Efficacy Among Northern And Indigenous Youth In Canada |
title_sort |
poverty, depression, and resilience as joint predictors of condom use self-efficacy among northern and indigenous youth in canada |
publisher |
Morressier |
publishDate |
2017 |
url |
https://doi.org/10.26226/morressier.5af060641dd164001d5ef399 https://openresearchlibrary.org/ext/api/media/247f340a-de65-42c2-9f2c-1861fb1ebaa9/assets/external_content.pdf https://openresearchlibrary.org/viewer/247f340a-de65-42c2-9f2c-1861fb1ebaa9 |
geographic |
Canada Northwest Territories |
geographic_facet |
Canada Northwest Territories |
genre |
Northwest Territories |
genre_facet |
Northwest Territories |
op_source |
Open Research Library |
op_relation |
doi:10.26226/morressier.5af060641dd164001d5ef399 10670/1.3w5kla https://openresearchlibrary.org/ext/api/media/247f340a-de65-42c2-9f2c-1861fb1ebaa9/assets/external_content.pdf https://openresearchlibrary.org/viewer/247f340a-de65-42c2-9f2c-1861fb1ebaa9 |
op_rights |
lic_creative-commons |
op_doi |
https://doi.org/10.26226/morressier.5af060641dd164001d5ef399 |
_version_ |
1766150632011464704 |