HIV Testing and Care in Canadian Aboriginal Youth: A community based mixed methods study

Mill, Judy; Jackson, Randy; Worthington, Catherine; Archibald, Chris; Wong, Tom; Myers, Ted; Prentice, Tracey; Sommerfeldt, Susan

doi:10.1186/1471-2334-8-132

Cited by 38 publications

(36 citation statements)

References 29 publications

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“…An exploratory mixed-method design was employed, including a cross-sectional survey and in-depth interviews (Mill et al, 2008 (2007), guided the study (Patterson, Jackson, & Edwards, 2006). In order to honor OCAP principles, a community advisory committee (CAC; including Aboriginal youth and Elders) guided the study design, implementation and dissemination of the findings, and a participatory decision-making model was used.…”

Section: Methodsmentioning

confidence: 99%

HIV testing experiences of Aboriginal youth in Canada: service implications

et al. 2010

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Section: Methodsmentioning

confidence: 99%

HIV testing experiences of Aboriginal youth in Canada: service implications

et al. 2010

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“…46 Those living on-reserve or in rural areas are less likely to get an HIV test compared to those living in urban settings, 24 which may be due to systemic barriers including concerns about confidentiality and access to testing. 22 Injection drug use is the main exposure category for Aboriginal people infected with HIV. 47 In the three studies included in this review, the highest rates of ever having been tested were among Aboriginal youth who inject drugs (73%), consistent with studies that have shown that individuals who engage in higher-risk activities are also more likely to get tested.…”

Section: Survey Methodsmentioning

confidence: 99%

“…22 Among the total number of Aboriginal youth who injected drugs, 31% had tested at least once a year. 23 Finally, 13.2% of Aboriginal people living off-reserve had an HIV test in the previous year (Table 3).…”

Section: Aboriginal Peoplesmentioning

confidence: 99%

“…The pooled prevalence was 55.5% (95% CI 34.7-75.5) from the three studies (Table 3). [22][23][24] A sensitivity analysis was not conducted for this subgroup, as there were no studies assessed as being low quality or with sample sizes of less than 250.…”

Section: Aboriginal Peoplesmentioning

confidence: 99%

“…Only one study specified that Aboriginal participants included First Nations, Inuits and Métis. 22 Due to the high level of heterogeneity among the studies of Aboriginal peoples (I 2 =99.2%), the random effect method was used to estimate the pooled prevalence of ever having been tested. The pooled prevalence was 55.5% (95% CI 34.7-75.5) from the three studies (Table 3).…”

Section: Aboriginal Peoplesmentioning

confidence: 99%

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In the USA, the incidence of HIV is rapidly increasing among young people. To increase the effectiveness of HIV prevention and care, efforts for adolescents should consist of interdisciplinary partnerships that address the complexity of the population and co-occurring physical and mental health issues. Partnerships among academic researchers; representatives from educational and testing organizations, health departments, clinics, and other communitybased organizations (including youth-serving organizations); and adolescents themselves are essential. These partnerships can produce innovative strategies that address adolescent-specific issues related to HIV prevention, diagnosis, and care, as well as cultural norms and gender-role expectations particular to adolescents, their developmental stage, and their local communities. Such partnerships can also increase understanding during exploratory and formative evaluation phases, inform the development of interventions and programs that are most relevant to adolescents, and increase the likelihood that these interventions and programs will be implemented, found to be effective, and sustained (if warranted) by communities. Some academic researchers, clinicians, and other providers partner directly with adolescents, while others partner with youth-serving organizations to engage and work with adolescents. In this chapter, we use the integrated model of continuities and transition in adolescent/youth HIV prevention, diagnosis and treatment and the care continuum to illustrate innovative adolescent HIV prevention interventions and programs that engage adolescents and representatives from community organizations, incorporate partnerships, and promote community participation along a continuum. Specifically, we explore two types of partnership strategies-youth-engaged and organization-engaged. We provide an overview of the phases of the integrated model and associated programs with (and without) partnerships with adolescents and community organizations. We conclude with lessons learned and directions for future community-engaged research, interventions, and programs for primary and secondary HIV prevention with adolescents.

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HIV Testing and Care in Canadian Aboriginal Youth: A community based mixed methods study

Cited by 38 publications

References 29 publications

HIV testing experiences of Aboriginal youth in Canada: service implications

HIV testing experiences of Aboriginal youth in Canada: service implications

A systematic review of HIV testing among Canadian populations

HIV Prevention Interventions with Adolescents: Innovations and Challenges in Partnerships across the Integrated Transitions Model

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