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. 2018 Dec 27;45(2):147-154.
doi: 10.1136/bmjsrh-2018-200174. Online ahead of print.

Sexual Practices and Condom Use Among a Sample of Northern and Indigenous Adolescents in Northern Canada: Cross-Sectional Survey Results

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Free PMC article

Sexual Practices and Condom Use Among a Sample of Northern and Indigenous Adolescents in Northern Canada: Cross-Sectional Survey Results

Carmen H Logie et al. BMJ Sex Reprod Health. .
Free PMC article

Abstract

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.

Keywords: condom; ethnic minority and cultural issues; health education; surveys; teenagers.

Conflict of interest statement

Competing interests: None declared.

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References

    1. Larsen JN, Fondahl G. Arctic human development report: regional processes and global linkages. Nordic Council of Ministers 2015.
    1. Allen J, Levintova M, Mohatt G. Suicide and alcohol-related disorders in the U.S. Arctic: boosting research to address a primary determinant of health disparities. Int J Circumpolar Health 2011;70:473–87. 10.3402/ijch.v70i5.17847 - DOI - PMC - PubMed
    1. Gesink Law D, Rink E, Mulvad G, et al. Sexual health and sexually transmitted infections in the North American Arctic. Emerg Infect Dis 2008;14:4–9. 10.3201/eid1401.071112 - DOI - PMC - PubMed
    1. Lys C, Reading C. Coming of age: how young women in the Northwest Territories understand the barriers and facilitators to positive, empowered, and safer sexual health. Int J Circumpolar Health 2012;71:18957 10.3402/ijch.v71i0.18957 - DOI - PMC - PubMed
    1. McKay A. Trends in Canadian national and provincial/territorial teen pregnancy rates: 2001-2010. Can J Hum Sex 2012;21:161.

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