The Cedar Project: resilience in the face of HIV vulnerability within a cohort study involving young Indigenous people who use drugs in three Canadian cities

Autor: Margo E. Pearce, Martin T. Schechter, Sherri Pooyak, Chris G. Richardson, Earl Henderson, Kate Jongbloed, Patricia M. Spittal, Wunuxtsin M. Christian, Eugenia Oviedo-Joekes
Rok vydání: 2015
Předmět:
Male
Gerontology
Urban Population
Culture
HIV Infections
Cohort Studies
0302 clinical medicine
Risk Factors
Surveys and Questionnaires
Adaptation
Psychological
030212 general & internal medicine
media_common
Smoking
Resilience
Psychological
16. Peace & justice
Hepatitis C
3. Good health
Female
Indigenous young people
Psychological resilience
0305 other medical science
Research Article
Cohort study
Psychological trauma
Adult
medicine.medical_specialty
Alcohol Drinking
Substance-Related Disorders
media_common.quotation_subject
Psychological Trauma
Trauma
Indigenous
Young Adult
03 medical and health sciences
HIV and HCV vulnerability
medicine
Humans
Cities
030505 public health
British Columbia
Resilience
Illicit Drugs
business.industry
Public health
Sex Offenses
Public Health
Environmental and Occupational Health
15. Life on land
medicine.disease
Foster care
Indians
North American
Sex offense
Biostatistics
business
Zdroj: BMC Public Health
ISSN: 1471-2458
DOI: 10.1186/s12889-015-2417-7
Popis: Background Indigenous scholars have long argued that it is critical for researchers to identify factors related to cultural connectedness that may protect against HIV and hepatitis C infection and buffer the effects of historical and lifetime trauma among young Indigenous peoples. To our knowledge, no previous epidemiological studies have explored the effect of historical and lifetime traumas, cultural connectedness, and risk factors on resilience among young, urban Indigenous people who use drugs. Methods This study explored risk and protective factors associated with resilience among participants of the Cedar Project, a cohort study involving young Indigenous peoples who use illicit drugs in three cities in British Columbia, Canada. We utilized the Connor-Davidson Resilience Scale to measure resilience, the Childhood Trauma Questionnaire to measure childhood maltreatment, and the Symptom-Checklist 90-Revised to measure psychological distress among study participants. Multivariate linear mixed effects models (LME) estimated the effect of study variables on mean change in resilience scores between 2011-2012. Results Among 191 participants, 92 % had experienced any form of childhood maltreatment, 48 % had a parent who attended residential school, and 71 % had been in foster care. The overall mean resilience score was 62.04, with no differences between the young men and women (p = 0.871). Adjusted factors associated with higher mean resilience scores included having grown up in a family that often/always lived by traditional culture (B = 7.70, p = 0.004) and had often/always spoken their traditional language at home (B = 10.52, p
Databáze: OpenAIRE
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