Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada
<p>Abstract</p> <p>Background</p> <p>Since 2005, the Tłįchǫ Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the nati...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-12-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1472-6963/11/S2/S9 |
| _version_ | 1811277576594784256 |
|---|---|
| author | Edwards Karen E Gibson Nancy Martin Jim Mitchell Steven Andersson Neil |
| author_facet | Edwards Karen E Gibson Nancy Martin Jim Mitchell Steven Andersson Neil |
| author_sort | Edwards Karen E |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Since 2005, the Tłįchǫ Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and Tłįchǫ regional rates were nearly four times that of the NT – 91 cases per 1000 people. We describe a social audit process that assessed the impact of an evidence-based community-led intervention.</p> <p>Methods</p> <p>A baseline survey of sexual health knowledge, attitudes and behaviours in 2006/07 provided evidence for a Community Action Research Team (CART) to develop and to put in place culturally appropriate interventions in the Tłįchǫ region. A follow-up study in 2010 sought to assess the impact of CART activities on condom use and underlying conscious knowledge, attitudes, subjective norms, intention to change, sense of agency and discussions related to condom use and STI risks. We report the contrasts using Odds Ratios (OR) and 95% confidence intervals (CI).</p> <p>Results</p> <p>One in every three follow-up respondents (315/808) participated in at least one CART activity. Participation in highly ranked interventions was associated with increased condom use during the last sexual encounter (OR 1.45, 95%CI 1.07-1.98). Those exposed to three or more activities were more likely to talk openly about condoms (OR 2.08, 95%CI 1.41-3.28), but were also less likely to be monogamous (OR 0.49, 95%CI 0.29-0.90).</p> <p>Conclusions</p> <p>The measurable impact on condom use indicates a strong beginning for the Tłįchǫ community intervention programmes. The interventions also seem to generate increased discussion, often a precursor to action. The Tłįchǫ can use the evidence to improve and refocus their programming, increase knowledge and continue to improve safe condom use practices.</p> |
| first_indexed | 2024-04-13T00:19:18Z |
| format | Article |
| id | doaj.art-9d76bc849545442e856af6d4d73cd5cd |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T00:19:18Z |
| publishDate | 2011-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-9d76bc849545442e856af6d4d73cd5cd2022-12-22T03:10:50ZengBMCBMC Health Services Research1472-69632011-12-0111Suppl 2S910.1186/1472-6963-11-S2-S9Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, CanadaEdwards Karen EGibson NancyMartin JimMitchell StevenAndersson Neil<p>Abstract</p> <p>Background</p> <p>Since 2005, the Tłįchǫ Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and Tłįchǫ regional rates were nearly four times that of the NT – 91 cases per 1000 people. We describe a social audit process that assessed the impact of an evidence-based community-led intervention.</p> <p>Methods</p> <p>A baseline survey of sexual health knowledge, attitudes and behaviours in 2006/07 provided evidence for a Community Action Research Team (CART) to develop and to put in place culturally appropriate interventions in the Tłįchǫ region. A follow-up study in 2010 sought to assess the impact of CART activities on condom use and underlying conscious knowledge, attitudes, subjective norms, intention to change, sense of agency and discussions related to condom use and STI risks. We report the contrasts using Odds Ratios (OR) and 95% confidence intervals (CI).</p> <p>Results</p> <p>One in every three follow-up respondents (315/808) participated in at least one CART activity. Participation in highly ranked interventions was associated with increased condom use during the last sexual encounter (OR 1.45, 95%CI 1.07-1.98). Those exposed to three or more activities were more likely to talk openly about condoms (OR 2.08, 95%CI 1.41-3.28), but were also less likely to be monogamous (OR 0.49, 95%CI 0.29-0.90).</p> <p>Conclusions</p> <p>The measurable impact on condom use indicates a strong beginning for the Tłįchǫ community intervention programmes. The interventions also seem to generate increased discussion, often a precursor to action. The Tłįchǫ can use the evidence to improve and refocus their programming, increase knowledge and continue to improve safe condom use practices.</p>http://www.biomedcentral.com/1472-6963/11/S2/S9Tlicho (Tłįchǫ)social auditNorthwest Territoriessexually transmitted infectionscondom use |
| spellingShingle | Edwards Karen E Gibson Nancy Martin Jim Mitchell Steven Andersson Neil Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada BMC Health Services Research Tlicho (Tłįchǫ) social audit Northwest Territories sexually transmitted infections condom use |
| title | Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada |
| title_full | Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada |
| title_fullStr | Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada |
| title_full_unstemmed | Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada |
| title_short | Impact of community-based interventions on condom use in the Tłįchǫ region of Northwest Territories, Canada |
| title_sort | impact of community based interventions on condom use in the tlicho region of northwest territories canada |
| topic | Tlicho (Tłįchǫ) social audit Northwest Territories sexually transmitted infections condom use |
| url | http://www.biomedcentral.com/1472-6963/11/S2/S9 |
| work_keys_str_mv | AT edwardskarene impactofcommunitybasedinterventionsoncondomuseinthetłichoregionofnorthwestterritoriescanada AT gibsonnancy impactofcommunitybasedinterventionsoncondomuseinthetłichoregionofnorthwestterritoriescanada AT martinjim impactofcommunitybasedinterventionsoncondomuseinthetłichoregionofnorthwestterritoriescanada AT mitchellsteven impactofcommunitybasedinterventionsoncondomuseinthetłichoregionofnorthwestterritoriescanada AT anderssonneil impactofcommunitybasedinterventionsoncondomuseinthetłichoregionofnorthwestterritoriescanada |