The Cedar Project: Sexual Vulnerabilities Among Aboriginal Young People Involved in Illegal Drug Use in Two Canadian Cities

Objectives:Very few studies in Canada address the sexual health of young Aboriginal people who use drugs; the focus in established literature has been on parenteral risks. This study sought to identify the risk factors associated with inconsistent condom use in a cohort of young Aboriginal people wh...

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Bibliographic Details
Published in:Canadian journal of public health 2012-11, Vol.103 (6), p.e413-e416
Main Authors: Chavoshi, Negar, Waters, Shannon, Moniruzzaman, Akm, Richardson, Chris G., Schechter, Martin T., Spittal, Patricia M.
Format: Article
Language:eng ; fre
Subjects:
Adolescent
Adult
AIDS
Analysis
Behavior
Bias
British Columbia
Cities
Community
Complications and side effects
Condoms
Condoms - statistics & numerical data
Demographic aspects
Drug use
Drugs and youth
Female
Health aspects
HIV
Human immunodeficiency virus
Humans
Illicit drugs
Illicit Drugs - legislation & jurisprudence
Indians, North American - psychology
Indians, North American - statistics & numerical data
Indigenous peoples
Injections
Interviews
Male
Medicine
Medicine & Public Health
Men
Mens health
Native North Americans
Native peoples
Population
Predisposing factors
Prospective Studies
Public Health
Quantitative Research
Reproductive health
Risk Factors
Sexual behavior
Sexual Behavior - statistics & numerical data
Sexually transmitted diseases
Studies
Substance-Related Disorders - ethnology
Surveys and Questionnaires
Violence against women
Women
Young Adult
Young adults
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Summary:Objectives:Very few studies in Canada address the sexual health of young Aboriginal people who use drugs; the focus in established literature has been on parenteral risks. This study sought to identify the risk factors associated with inconsistent condom use in a cohort of young Aboriginal people who live in British Columbia and use drugs. Methods:This analysis includes baseline questionnaire data from October 2003 to April 2005. Multivariable modeling stratified by gender identified independent demographic, traumatic, sex and drug use risk factors associated with inconsistent condom use. Results:Of the 292 women and 313 men at baseline, prevalence of inconsistent condom use during insertive sex was 59% and 46%, respectively. In multivariable logistic regression, after adjusting for age and location, inconsistent condom use among women was significantly associated with ever being enrolled in a drug/alcohol treatment program (AOR: 1.95, 95% CI: 1.06–3.60), and ever being sexually abused (AOR: 1.80, 95% CI: 1.01–3.20). Among men, inconsistent condom use was significantly associated with having more than 20 lifetime sex partners (AOR: 2.06, 95% CI: 1.24–3.44). Conclusion:Our study demonstrates high rates of inconsistent condom use among young Aboriginal people who use drugs, highlighting their vulnerability to contracting sexually transmitted infections. Culturally tailored sexual health interventions must be made a priority and need to incorporate the reality of gendered differences in the context of multigenerational trauma, including non-consensual sex.
ISSN:0008-4263
1920-7476
DOI:10.1007/BF03405628