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Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada

BACKGROUND: Since 2005, the Tłįchǫ Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and Tłįchǫ regional rates were nearly four ti...

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Autores principales: Edwards, Karen E, Gibson, Nancy, Martin, Jim, Mitchell, Steven, Andersson, Neil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3332568/
https://www.ncbi.nlm.nih.gov/pubmed/22375891
http://dx.doi.org/10.1186/1472-6963-11-S2-S9
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author Edwards, Karen E
Gibson, Nancy
Martin, Jim
Mitchell, Steven
Andersson, Neil
author_facet Edwards, Karen E
Gibson, Nancy
Martin, Jim
Mitchell, Steven
Andersson, Neil
author_sort Edwards, Karen E
collection PubMed
description BACKGROUND: Since 2005, the Tłįchǫ Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and Tłįchǫ regional rates were nearly four times that of the NT – 91 cases per 1000 people. We describe a social audit process that assessed the impact of an evidence-based community-led intervention. METHODS: A baseline survey of sexual health knowledge, attitudes and behaviours in 2006/07 provided evidence for a Community Action Research Team (CART) to develop and to put in place culturally appropriate interventions in the Tłįchǫ region. A follow-up study in 2010 sought to assess the impact of CART activities on condom use and underlying conscious knowledge, attitudes, subjective norms, intention to change, sense of agency and discussions related to condom use and STI risks. We report the contrasts using Odds Ratios (OR) and 95% confidence intervals (CI). RESULTS: One in every three follow-up respondents (315/808) participated in at least one CART activity. Participation in highly ranked interventions was associated with increased condom use during the last sexual encounter (OR 1.45, 95%CI 1.07-1.98). Those exposed to three or more activities were more likely to talk openly about condoms (OR 2.08, 95%CI 1.41-3.28), but were also less likely to be monogamous (OR 0.49, 95%CI 0.29-0.90). CONCLUSIONS: The measurable impact on condom use indicates a strong beginning for the Tłįchǫ community intervention programmes. The interventions also seem to generate increased discussion, often a precursor to action. The Tłįchǫ can use the evidence to improve and refocus their programming, increase knowledge and continue to improve safe condom use practices.
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spelling pubmed-33325682012-04-24 Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada Edwards, Karen E Gibson, Nancy Martin, Jim Mitchell, Steven Andersson, Neil BMC Health Serv Res Research Article BACKGROUND: Since 2005, the Tłįchǫ Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and Tłįchǫ regional rates were nearly four times that of the NT – 91 cases per 1000 people. We describe a social audit process that assessed the impact of an evidence-based community-led intervention. METHODS: A baseline survey of sexual health knowledge, attitudes and behaviours in 2006/07 provided evidence for a Community Action Research Team (CART) to develop and to put in place culturally appropriate interventions in the Tłįchǫ region. A follow-up study in 2010 sought to assess the impact of CART activities on condom use and underlying conscious knowledge, attitudes, subjective norms, intention to change, sense of agency and discussions related to condom use and STI risks. We report the contrasts using Odds Ratios (OR) and 95% confidence intervals (CI). RESULTS: One in every three follow-up respondents (315/808) participated in at least one CART activity. Participation in highly ranked interventions was associated with increased condom use during the last sexual encounter (OR 1.45, 95%CI 1.07-1.98). Those exposed to three or more activities were more likely to talk openly about condoms (OR 2.08, 95%CI 1.41-3.28), but were also less likely to be monogamous (OR 0.49, 95%CI 0.29-0.90). CONCLUSIONS: The measurable impact on condom use indicates a strong beginning for the Tłįchǫ community intervention programmes. The interventions also seem to generate increased discussion, often a precursor to action. The Tłįchǫ can use the evidence to improve and refocus their programming, increase knowledge and continue to improve safe condom use practices. BioMed Central 2011-12-21 /pmc/articles/PMC3332568/ /pubmed/22375891 http://dx.doi.org/10.1186/1472-6963-11-S2-S9 Text en Copyright ©2011 Edwards et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Edwards, Karen E
Gibson, Nancy
Martin, Jim
Mitchell, Steven
Andersson, Neil
Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada
title Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada
title_full Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada
title_fullStr Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada
title_full_unstemmed Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada
title_short Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada
title_sort impact of community-based interventions on condom use in the tłįchǫ region of northwest territories, canada
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3332568/
https://www.ncbi.nlm.nih.gov/pubmed/22375891
http://dx.doi.org/10.1186/1472-6963-11-S2-S9
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