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Published on: December 27, 2010
The Intersection of Racial Identity and Immigration Status on Patterns of Condom Use, HIV/STI Testing, and Concurrent
Roger Antabe1, Yujiro Sano2, Sulemana Ansumah Saaka3
1Department of Health and Society, University of Toronto Scarborough, Toronto, ON, Canada. roger.antabe@utoronto.ca.
AIDS and Behavior
|July 24, 2026
Summary
Racial identity and immigration status significantly impact HIV risk behaviors in Canada. Visible minority immigrant males face higher risks, highlighting the need for targeted HIV prevention strategies.
Area of Science:
- Public Health
- Epidemiology
- Sociology of Health
Background:
- Immigrants and visible minority populations in Canada experience elevated Human Immunodeficiency Virus (HIV) infection rates.
- Understanding the intersectional effects of race and immigration status is crucial for effective HIV prevention.
Purpose of the Study:
- To examine the association between the intersection of racial identity and immigration status and HIV/STI risk behaviors among Canadian adults.
- To investigate patterns of condom use, HIV testing, sexually transmitted infection (STI) testing, and concurrent sexual partnerships.
Main Methods:
- Utilized a nationally representative dataset from the 2015-2016 Canadian Community Health Survey (CCHS).
- Employed multivariate modified Poisson regression analysis to assess associations.
Main Results:
- Visible minority immigrant males showed lower condom use and HIV testing rates compared to white Canadian-born, visible minority Canadian-born, and white immigrant males.
- White Canadian-born females reported lower condom use but higher HIV and STI testing rates than visible minority immigrant females.
- All comparison groups of females were more likely to report concurrent sexual partners than visible minority immigrant females.
Conclusions:
- Intersectional identities of race and immigration status are significantly associated with differential HIV/STI risk and prevention behaviors in Canada.
- Population-specific interventions are recommended to mitigate HIV infection risks among vulnerable groups.
- Findings underscore the need for tailored public health strategies addressing the complex social determinants of HIV in diverse populations.
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