The practical application of community-based participatory research in Greenland: Initial experiences of the Greenland sexual health study

Rink, Elizabeth; Law, Dionne Gesink; Montgomery-Andersen, Ruth; Mulvad, Gert; Koch, Anders

doi:10.3402/ijch.v68i4.17370

Cited by 11 publications

(8 citation statements)

References 13 publications

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“…Inuulluataarneq was conducted using community-based participatory research (CBPR). 9–12 To develop a locally acceptable intervention, a series of community meetings were held in each of the communities. During the community meetings, results from the exploratory study were shared and discussed.…”

Section: Methodsmentioning

confidence: 99%

The effectiveness of an education intervention to prevent chlamydia infection among Greenlandic youth

2014

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The purpose of this study was to implement a sexual health behavioural intervention in Greenland in order to reduce sexually transmitted infection rates among a population of Greenland youth. This behavioural intervention was called Inuulluataarneq (Having the Good Life). Inuulluataarneq's objects included: (1) increase Greenlandic youth's overall knowledge about sexually transmitted infections and sexual health; (2) increase parent/guardian-youth communication about topics related to sexually transmitted infections and sex; and (3) increase consistent condom use among Greenlandic youth. We hypothesised that increased awareness of sexually transmitted infections and sexual health as well as increased communication between parents/guardians and their adolescent children would influence sexual risk behaviour and reduce sexually transmitted infections among our sample population, with a focus on urine samples of chlamydia infection. Results indicate that the influence of having a parent/guardian to speak with about topics related to sex, including the consequences of pregnancy, are key protective factors in reducing sexually transmitted infections among Greenlandic youth. Inuulluataarneq demonstrates that intensive short-term education and skill-building delivered by a trained community member is an effective sexually transmitted infection prevention intervention method among young Inuit populations who live in small isolated Arctic communities.

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Section: Methodsmentioning

confidence: 99%

The effectiveness of an education intervention to prevent chlamydia infection among Greenlandic youth

2014

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“…A total of 196 women were included in “Inuulluataarneq” (the Greenland Sexual Health Project), a project aimed at quantifying the prevalence of STIs in Greenland and to identify individual, familial, social, cultural and environmental factors contributing to Greenland’s high STI rates [19,20]. The two inclusion periods were from July to October 2008 in Nuuk and November 2009 in Sisimiut during “Health Week.” Women were recruited from the general population via the population registry and by direct contact via telephone calls and advertising in local media, as previously described [17].…”

Section: Methodsmentioning

confidence: 99%

Vaginal microbiome in women from Greenland assessed by microscopy and quantitative PCR

et al. 2013

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BackgroundBacterial vaginosis (BV) is a common condition, although its aetiology remains unexplained. The aim of this study was to analyse the composition of vaginal microbiota in women from Greenland to provide a quantitative description and improve the understanding of BV.MethodsSelf-collected vaginal smears and swabs were obtained from 177 women. The vaginal smears were graded for BV according to Nugent’s criteria. The vaginal swab samples were analysed by 19 quantitative PCRs (qPCRs) for selected vaginal bacteria and by PCR for four sexually transmitted infections (STIs).ResultsSTIs were common: Mycoplasma genitalium 12%, Chlamydia trachomatis 7%, Neisseria gonorrhoeae 1%, and Trichomonas vaginalis 0.5%. BV was found in 45% of women, but was not associated with individual STIs. Seven of the 19 vaginal bacteria (Atopobium vaginae, Prevotella spp., Gardnerella vaginalis, BVAB2, Eggerthella-like bacterium, Leptotrichia amnionii, and Megasphaera type 1) had areas under the receiver operating characteristic (ROC) curve > 85%, suggesting they are good predictors of BV according to Nugent. Prevotella spp. had the highest odds ratio for BV (OR 437; 95% CI 82–2779) in univariate analysis considering only specimens with a bacterial load above the threshold determined by ROC curve analysis as positive, as well as the highest adjusted odds ratio in multivariate logistic regression analysis (OR 4.4; 95% CI 1.4-13.5). BV could be subdivided into clusters dominated by a single or a few species together.ConclusionsBV by Nugent score was highly prevalent. Two of seven key species (Prevotella spp. and A. vaginae) remained significantly associated with BV in a multivariate model after adjusting for other bacterial species. G. vaginalis and Prevotella spp. defined the majority of BV clusters.

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“…Intervention sexual health research among other Northern populations is similarly scarce. Only a handful of studies have focused on the evaluation of sexual health interventions among Northern youth outside of the NWT ( Hohman-Billmeier, Nye, & Martin, 2016 ; Markham et al, 2016 ; Rink, Gesink Law, Montgomery-Andersen, Mulvad, & Koch, 2009 ; Rink, Montgomery-Andersen, & Anastario, 2015 ; Shegog et al, 2016 ). One challenge with interventions involving youth can be eliciting deeper meaningful conversation about sexual health issues that participants may regard as potentially stigmatizing or uncomfortable to discuss ( Chenhall, Davison, Fitz, Pearse, & Senior, 2013 ).…”

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confidence: 99%

Body Mapping as a Youth Sexual Health Intervention and Data Collection Tool

et al. 2018

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In this article, we describe and evaluate body mapping as (a) an arts-based activity within Fostering Open eXpression Among Youth (FOXY), an educational intervention targeting Northwest Territories (NWT) youth, and (b) a research data collection tool. Data included individual interviews with 41 female participants (aged 13–17 years) who attended FOXY body mapping workshops in six communities in 2013, field notes taken by the researcher during the workshops and interviews, and written reflections from seven FOXY facilitators on the body mapping process (from 2013 to 2016). Thematic analysis explored the utility of body mapping using a developmental evaluation methodology. The results show body mapping is an intervention tool that supports and encourages participant self-reflection, introspection, personal connectedness, and processing difficult emotions. Body mapping is also a data collection catalyst that enables trust and youth voice in research, reduces verbal communication barriers, and facilitates the collection of rich data regarding personal experiences.

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The practical application of community-based participatory research in Greenland: Initial experiences of the Greenland sexual health study

Cited by 11 publications

References 13 publications

The effectiveness of an education intervention to prevent chlamydia infection among Greenlandic youth

The effectiveness of an education intervention to prevent chlamydia infection among Greenlandic youth

Vaginal microbiome in women from Greenland assessed by microscopy and quantitative PCR

Body Mapping as a Youth Sexual Health Intervention and Data Collection Tool

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