加拿大北方和土著年轻人的陆地HIV预防研究的纵向发现,加拿大
Zerihun Admassu1, Carmen H Logie1,2,3,4, Aryssa Hasham1
1University of Toronto, Toronto, Ontario, Canada.
Health promotion practice
|September 25, 2025
概括
西北领地土著青年的文化相关的艾滋病毒预防计划取得了成功. 福克斯 (FOXY) 是一个怪物.
科学领域:
- 公共卫生 公共卫生
- 土著健康土著健康
- 年轻人 青少年 性健康 性健康
背景情况:
- 加拿大西北领地 (NWT) 的高性传播感染率需要定制的预防策略.
- 青年参与和土著领导对于有效的性健康倡议至关重要.
研究的目的:
- 评估FOXY (在青年中促进开放式表达) 同行领袖撤退 (PLRs) 对北方和土著青年艾滋病毒预防和领导技能的影响.
- 评估更安全的性行为自我有效性 (SSSE),避孕套使用自我有效性 (CUSE) 和艾滋病毒知识的变化.
主要方法:
- 使用一组预测/后测设计,年龄在13-17岁的年轻人参加了NWT的为期1周的土地和艺术PLR.
- 数据是在基线收集的,在退休后立即收集,并在2020-2022年参与者的6个月后期跟踪.
- 多变量分析检查了SSSE,CUSE和HIV知识的变化.
主要成果:
- 从基线到6个月的随访期间,从SSSE,CUSE和HIV知识中观察到显著的改善.
- 这些积极的结果持续下去,并在6个月后继续改善.
- 在6个月后的随访中,高的保留率 (92%) 表明了计划的参与度.
结论:
- 文化相关,社区驱动的同行领导干预,如FOXY的PLRs,在改善北方和土著青年艾滋病毒预防结果方面是有效的.
- 这些计划表明,这些计划有助于推进NWT的艾滋病毒预防级联.
- 优先考虑土著领导和以土地和艺术为基础的方法可以提高计划的相关性和影响.
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