Sexual risk and testing for sexually transmissible infections in Aboriginal and Torres Strait Islander peoples and non-Indigenous young South Australians: results of an online survey
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Summary
This summary is machine-generated.Young Aboriginal and Torres Strait Islander people have similar sexual behaviors to non-Indigenous peers, but higher rates of sexually transmissible infections (STIs). Targeted programs show success in increasing STI testing among Indigenous youth.
Area Of Science
- Public Health
- Epidemiology
- Indigenous Health
Background
- Disproportionate sexually transmissible infection (STI) rates in Aboriginal and Torres Strait Islander youth are often linked to risk-taking behaviors.
- Limited research directly compares behaviors between Indigenous and non-Indigenous youth to challenge negative discourse.
Purpose Of The Study
- To conduct a direct comparison of sexual behaviors and STI prevalence between Aboriginal and Torres Strait Islander and non-Indigenous young people in South Australia.
- To identify factors contributing to disparities in STI rates.
Main Methods
- Cross-sectional online survey ('Let's Talk About It 2019') of South Australians aged 16-29 years.
- Prioritized recruitment of Aboriginal and Torres Strait Islander participants for comparative analysis.
- Utilized multivariable Poisson regression models to compare behaviors between groups.
Main Results
- Similar condom use and age of sexual debut were reported by both Aboriginal and Torres Strait Islander and non-Indigenous respondents.
- Higher proportions of Aboriginal and Torres Strait Islander respondents reported recent health checks, STI testing, STI diagnosis, and intoxication during last sexual activity.
- While STI rates were similar, higher testing among Indigenous youth suggests program effectiveness.
Conclusions
- Sexual behaviors associated with STI transmission were largely similar between Aboriginal and Torres Strait Islander and non-Indigenous young people.
- Targeted programs appear effective in increasing STI/HIV testing among Aboriginal and Torres Strait Islander youth.
- Interventions should address substance use and condom use for all young people, and explore social determinants of health and sexual networks for disproportionate STI rates.
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