Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-09-21 DOI:10.1007/s10900-024-01369-y
Fariba Kolahdooz, Moutasem Zakkar, Se Lim Jang, Sarah Deck, Adrain Wagg, André Corriveau, Kami Kandola, Stephanie Irlbacher-Fox, Sangita Sharma
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Abstract

Purpose: In Northwest Territories (NWT), Canada, infection rates for chlamydia, gonorrhea, and syphilis are three to ten times higher than the national averages and have been steadily increasing. However, data are scarce on the socioeconomic, psychological, and behavioural factors associated with the proliferation of sexually transmitted infections (STIs) in NWT. To this extent, this study explores Indigenous mothers' perspectives on sexual health, STI risk factors and healthcare-seeking behaviours in NWT.

Methods: Quantitative and qualitative data were collected using a semi-structured questionnaire. Participants consisted of Indigenous mothers who were pregnant or had given birth within three years.

Results: Of the 161 participants, with a mean age of 29.61 years, 70.81% lived with a partner, and 93.17% had given birth within the previous three years. Participants felt STIs were a concern (68.32%) and felt comfortable asking a male partner for safe sexual relations (67.70%). The healthcare system was the main source of STI information for most participants (83.85%). The main STI risk factors participants mentioned were young age, unsafe sexual relations, and substance use. Participants reported embarrassment, protecting personal and familial well-being, and confidentiality as factors affecting STI healthcare-seeking behaviour.

Conclusion: STIs result from an interaction between age, sexual behaviour, substance use, health literacy, and the historical and sociocultural contexts stigmatizing STIs and impacting women's abilities to demand safe sexual relations. Understanding these factors in a remote Indigenous context is vital to designing and implementing effective health and social interventions to reduce the prevalence of STIs in NWT.

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加拿大西北地区原住民母亲对性健康的看法:母婴健康项目的结果。
目的:在加拿大西北地区(NWT),衣原体、淋病和梅毒的感染率是全国平均水平的三到十倍,并且一直在稳步上升。然而,有关西北地区性传播感染(STI)扩散的社会经济、心理和行为因素的数据却很少。为此,本研究探讨了西北地区土著母亲对性健康、性传播感染风险因素和就医行为的看法:方法:采用半结构式问卷收集定量和定性数据。参与者包括三年内怀孕或分娩的土著母亲:在 161 名参与者中,平均年龄为 29.61 岁,70.81% 的人与伴侣同居,93.17% 的人在过去三年内生育过孩子。参与者认为性传播感染是一个令人担忧的问题(68.32%),并认为可以向男性伴侣提出安全的性关系要求(67.70%)。医疗系统是大多数参与者(83.85%)获得性传播疾病信息的主要来源。参与者提到的主要性传播感染风险因素是年轻、不安全的性关系和药物使用。参与者表示,尴尬、保护个人和家庭幸福以及保密性是影响性传播感染就医行为的因素:性传播感染是年龄、性行为、药物使用、健康知识、历史和社会文化对性传播感染的鄙视以及影响妇女要求安全的性关系的能力之间相互作用的结果。在偏远的土著环境中了解这些因素,对于设计和实施有效的健康和社会干预措施以降低西北地区性传播疾病的发病率至关重要。
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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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