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Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.

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Title: Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.
Authors: Kolahdooz, Fariba1, Zakkar, Moutasem1, Jang, Se Lim1, Deck, Sarah1, Wagg, Adrain2, Corriveau, André3, Kandola, Kami4, Irlbacher-Fox, Stephanie5, Sharma, Sangita1 gita.sharma@ualberta.ca
Source: Journal of Community Health. Feb2025, Vol. 50 Issue 1, p159-171. 13p.
Subject Terms: *Sexually transmitted diseases, *Qualitative research, *Culture, *Help-seeking behavior, *Families, *Attitude (Psychology), *Interpersonal relations, Sexually transmitted disease risk factors, Sexual partners, Health information services, Substance abuse, Health literacy, Health attitudes, Reproductive health, Research funding, Attitudes toward sex, Medical care, Questionnaires, Privacy, Human sexuality, Social factors, Pregnant women, Quantitative research, Descriptive statistics, Age distribution, Unsafe sex, Sex customs, Thematic analysis, Psychology of mothers, Safe sex, Embarrassment, Indigenous Canadians, Risk perception, Sexual health, Well-being, Medical ethics, Social stigma
Geographic Terms: Northwest Territories
Abstract: Purpose: In Northwest Territories (NWT), Canada, infection rates for chlamydia, gonorrhea, and syphilis are three to ten times higher than the national averages and have been steadily increasing. However, data are scarce on the socioeconomic, psychological, and behavioural factors associated with the proliferation of sexually transmitted infections (STIs) in NWT. To this extent, this study explores Indigenous mothers' perspectives on sexual health, STI risk factors and healthcare-seeking behaviours in NWT. Methods: Quantitative and qualitative data were collected using a semi-structured questionnaire. Participants consisted of Indigenous mothers who were pregnant or had given birth within three years. Results: Of the 161 participants, with a mean age of 29.61 years, 70.81% lived with a partner, and 93.17% had given birth within the previous three years. Participants felt STIs were a concern (68.32%) and felt comfortable asking a male partner for safe sexual relations (67.70%). The healthcare system was the main source of STI information for most participants (83.85%). The main STI risk factors participants mentioned were young age, unsafe sexual relations, and substance use. Participants reported embarrassment, protecting personal and familial well-being, and confidentiality as factors affecting STI healthcare-seeking behaviour. Conclusion: STIs result from an interaction between age, sexual behaviour, substance use, health literacy, and the historical and sociocultural contexts stigmatizing STIs and impacting women's abilities to demand safe sexual relations. Understanding these factors in a remote Indigenous context is vital to designing and implementing effective health and social interventions to reduce the prevalence of STIs in NWT. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.
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  Data: <searchLink fieldCode="AR" term="%22Kolahdooz%2C+Fariba%22">Kolahdooz, Fariba</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zakkar%2C+Moutasem%22">Zakkar, Moutasem</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Jang%2C+Se+Lim%22">Jang, Se Lim</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Deck%2C+Sarah%22">Deck, Sarah</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Wagg%2C+Adrain%22">Wagg, Adrain</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Corriveau%2C+André%22">Corriveau, André</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Kandola%2C+Kami%22">Kandola, Kami</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Irlbacher-Fox%2C+Stephanie%22">Irlbacher-Fox, Stephanie</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Sharma%2C+Sangita%22">Sharma, Sangita</searchLink><relatesTo>1</relatesTo><i> gita.sharma@ualberta.ca</i>
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– Name: SubjectGeographic
  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Northwest+Territories%22">Northwest Territories</searchLink>
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  Label: Abstract
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  Data: Purpose: In Northwest Territories (NWT), Canada, infection rates for chlamydia, gonorrhea, and syphilis are three to ten times higher than the national averages and have been steadily increasing. However, data are scarce on the socioeconomic, psychological, and behavioural factors associated with the proliferation of sexually transmitted infections (STIs) in NWT. To this extent, this study explores Indigenous mothers' perspectives on sexual health, STI risk factors and healthcare-seeking behaviours in NWT. Methods: Quantitative and qualitative data were collected using a semi-structured questionnaire. Participants consisted of Indigenous mothers who were pregnant or had given birth within three years. Results: Of the 161 participants, with a mean age of 29.61 years, 70.81% lived with a partner, and 93.17% had given birth within the previous three years. Participants felt STIs were a concern (68.32%) and felt comfortable asking a male partner for safe sexual relations (67.70%). The healthcare system was the main source of STI information for most participants (83.85%). The main STI risk factors participants mentioned were young age, unsafe sexual relations, and substance use. Participants reported embarrassment, protecting personal and familial well-being, and confidentiality as factors affecting STI healthcare-seeking behaviour. Conclusion: STIs result from an interaction between age, sexual behaviour, substance use, health literacy, and the historical and sociocultural contexts stigmatizing STIs and impacting women's abilities to demand safe sexual relations. Understanding these factors in a remote Indigenous context is vital to designing and implementing effective health and social interventions to reduce the prevalence of STIs in NWT. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s10900-024-01369-y
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      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 159
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      – SubjectFull: Sexually transmitted diseases
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Culture
        Type: general
      – SubjectFull: Help-seeking behavior
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      – SubjectFull: Sexually transmitted disease risk factors
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      – SubjectFull: Sexual partners
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      – SubjectFull: Sex customs
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      – SubjectFull: Psychology of mothers
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      – SubjectFull: Safe sex
        Type: general
      – SubjectFull: Embarrassment
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      – SubjectFull: Risk perception
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      – SubjectFull: Sexual health
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      – SubjectFull: Medical ethics
        Type: general
      – SubjectFull: Social stigma
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      – SubjectFull: Northwest Territories
        Type: general
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      – TitleFull: Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.
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