Land-Based Retreats as a Method for Building Enabling Environments for HIV Prevention with Northern and Indigenous Adolescents in the Northwest Territories, Canada: Mixed-Methods Findings.

Autor: Logie CH; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Room 504, Toronto, ON, M5S 1V4, Canada. carmen.logie@utoronto.ca.; United Nations University Institute for Water, Environment, and Health, Hamilton, Canada. carmen.logie@utoronto.ca.; Centre for Gender and Sexual Health Equity, Vancouver, Canada. carmen.logie@utoronto.ca.; Women's College Research Institute, Women's College Hospital, Toronto, Canada. carmen.logie@utoronto.ca., Lys CL; Fostering Open eXpression Among Youth (FOXY), Yellowknife, NT, Canada.; Aurora Research Institute, Yellowknife, NT, Canada., Taylor SB; Faculty of Environmental and Urban Change, York University, Toronto, ON, Canada.; SExT: Sex Education by Theatre, Toronto, ON, Canada., Lad A; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Room 504, Toronto, ON, M5S 1V4, Canada., Mackay KI; Fostering Open eXpression Among Youth (FOXY), Yellowknife, NT, Canada., Hasham A; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Room 504, Toronto, ON, M5S 1V4, Canada., Gittings L; Faculty of Health Sciences, School of Health Studies, Western University, London, ON, Canada., Malama K; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Room 504, Toronto, ON, M5S 1V4, Canada., Pooyak S; Communities, Alliances, and Networks (CAAN), Fort Qu'Appelle, SK, Canada., Monchalin R; School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada.; Well Living House, Li Ka Shing Knowledge Institute of Unity Health Toronto, Toronto, ON, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada., Adamassu Z; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Room 504, Toronto, ON, M5S 1V4, Canada.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Sep; Vol. 28 (9), pp. 3112-3127. Date of Electronic Publication: 2024 Jun 20.
DOI: 10.1007/s10461-024-04397-w
Abstrakt: The Northwest Territories (NWT), Canada has high rates of sexually transmitted infections (STI) that elevate HIV acquisition risks. We conducted a mixed-methods study to explore the potential of land-based peer leader retreats (PLR) in building HIV prevention enabling environments among Northern and Indigenous youth in the NWT. PLRs are grounded in Indigenous principles and ways of knowing, acknowledging the land as a physical, spiritual, emotional, and intellectual being with the potential to facilitate (re)connection to culture, community, and self. We conducted one-week PLRs between 2016 and 2021 with adolescents aged 13-17 in the NWT. PLRs addressed HIV/STIs, safer sex, and gender equity. We conducted post-retreat focus groups (FGs) and pre/post-retreat surveys with youth participants (n = 353), and post-retreat FGs with PLR facilitators (n = 252). We applied thematic analysis to FGs and assessed pre/post-retreat changes in HIV/STI knowledge and safer sex efficacy (SSE) using paired sample t-tests. We assessed factors associated with post-test SSE and HIV/STI knowledge using multivariable linear regression. Youth participants (n = 353; mean age: 14.5, standard deviation [SD]: 1.3) were mostly Indigenous (71%) and women (66%). Participant narratives revealed PLRs enhanced technical communication (e.g., correct condom use). There were significant post-retreat HIV/STI knowledge increases; change score increases were lower for Indigenous participants. Qualitative narratives described how PLRs fostered transformative communication (e.g., sexual consent). There were significant post-retreat increases in SSE, and these were lower among men and sexually diverse (vs. heterosexual) participants. Land-based PLRs offer the potential to build technical and transformative communication to facilitate HIV prevention with youth in Canada's North.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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