HIV prevalence among aboriginal British Columbians
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Updated: Aug 14, 2026

Genotypic Inference of HIV-1 Tropism Using Population-based Sequencing of V3
Published on: December 27, 2010
Robert S Hogg1, Steffanie Strathdee, Thomas Kerr
1BC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada. bobhogg@cfenet.ubc.ca
Insights
In 2001, over 1.26% of Aboriginal adults in British Columbia had HIV, with injection drug users and gay men most affected. Culturally sensitive interventions are crucial for this population.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Research
Background:
- Significant concern exists regarding Human Immunodeficiency Virus (HIV) transmission within Aboriginal communities in British Columbia.
- Understanding the prevalence and distribution of HIV is critical for targeted public health strategies.
Purpose of the Study:
- To estimate the number of Aboriginal individuals living with HIV in British Columbia.
- To identify key demographic and transmission groups affected by HIV.
Main Methods:
- A population-based analysis was conducted in British Columbia from 1980 to 2001.
- HIV prevalence was modeled using the UNAIDS/WHO Estimation and Projection Package (EPP) and Monte Carlo simulations.
- Epidemic curves were analyzed for various risk groups, including injection drug users and men who have sex with men.
Main Results:
- In 2001, an estimated 1,691 (range 1,479-1,955) Aboriginal individuals aged 15 and over were living with HIV, representing a prevalence of 1.26% to 1.66%.
- Men constituted the majority of infections, with injection drug users and gay/bisexual men accounting for the largest number of cases.
- Low-risk populations showed minimal HIV infection rates.
Conclusions:
- Over 1 in 100 Aboriginal individuals aged 15 and older in British Columbia were living with HIV in 2001.
- There is a critical need for culturally appropriate and tailored HIV interventions to effectively address the epidemic in this community.
Context:
There is considerable concern about the spread of HIV disease among Aboriginal peoples in British Columbia.
Objective:
To estimate the number of Aboriginal British Columbians infected with HIV.
Design And Setting:
A population-based analysis of Aboriginal men and women in British Columbia, Canada from 1980 to 2001.
Participants:
Epidemic curves were fit for gay and bisexual men, injection drug users, men and women aged 15 to 49 years and persons over 50 years of age.
Main Outcome Measures:
HIV prevalence for the total Aboriginal population was modeled using the UNAIDS/WHO Estimation and Projection Package (EPP). Monte Carlo simulation was used to estimate potential number infected for select transmission group in 2001.
Results:
A total of 170,025 Aboriginals resided in British Columbia in 2001, of whom 69% were 15 years and older. Of these 1,691 (range 1,479-1,955) men and women aged 15 years and over were living with HIV with overall prevalence ranging from 1.26% to 1.66%. The majority of the persons infected were men. Injection drug users (range 1,202-1,744) and gay and bisexual men (range 145, 232) contributed the greatest number of infections. Few persons infected were from low risk populations.
Conclusion:
More than 1 in every 100 Aboriginals aged 15 years and over was living with HIV in 2001. Culturally appropriate approaches are needed to tailor effective HIV interventions to this community.
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