Human immunodeficiency virus prevention outcomes associated with arts-based sexual health workshop participation among Northern and Indigenous adolescents in the Northwest Territories, Canada.

Autor: Lys CL; Fostering Open eXpression among Youth (FOXY), Yellowknife, NT, Canada.; Aurora Research Institute, Yellowknife, NT, Canada., Logie CH; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada.; Centre for Gender and Sexual Health Equity, Vancouver, BC, Canada.; United Nations University Institute for Water, Environment & Health (UNU-INWEH), Hamilton, ON, Canada., Lad A; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada., Sokolovic N; Ontario Institute for Studies in Education, University of Toronto, Toronto, ON, Canada., Mackay KI; Fostering Open eXpression among Youth (FOXY), Yellowknife, NT, Canada., Hasham A; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada., Malama K; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Jazyk: angličtina
Zdroj: International journal of STD & AIDS [Int J STD AIDS] 2024 May; Vol. 35 (6), pp. 438-445. Date of Electronic Publication: 2024 Jan 23.
DOI: 10.1177/09564624241226995
Abstrakt: Background: Contextually tailored, arts-based HIV prevention strategies hold potential to advance adolescent sexual health and wellbeing. We examined HIV prevention outcomes associated with arts-based sexual health workshop participation with Northern and Indigenous adolescents in the Northwest Territories (NWT), Canada.
Methods: An Indigenous community-based youth agency delivered arts-based workshops in school settings to adolescents aged 13-18 in 24 NWT communities. Pre and post-test surveys included socio-demographic characteristics, sexually infections (STI) knowledge, HIV/STI risk perception, sexual relationship equity, condom use self-efficacy, and safer sex efficacy (SSE). Latent change score models were conducted to assess pre-post differences and factors associated with these differences.
Results: Among participants ( n = 344; mean age 14.3 years, SD: 1.3; Indigenous: 79%) most (66%) had previously attended this workshop. Latent change score models revealed a significant and large effect size for increased STI knowledge (β = 2.10, SE = 0.48, p < .001) and significant and small effect sizes for increased HIV/STI risk perception (β = 0.24, SE = 0.06, p < .001) and SSE (β = 0.16, SE = 0.07, p = .02). The largest increases across several outcomes occurred with first time workshop participants; yet previous workshop participants continued to report increases in HIV/STI risk perception and SSE.
Conclusion: Arts-based HIV prevention approaches show promise in advancing STI knowledge, risk perception, and SSE with Northern and Indigenous youth.
Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE