Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.
Indigenous mothers
Reproductive health
Sexual health
Sexually transmitted infections
Stigma
Journal
Journal of community health
ISSN: 1573-3610
Titre abrégé: J Community Health
Pays: Netherlands
ID NLM: 7600747
Informations de publication
Date de publication:
21 Sep 2024
21 Sep 2024
Historique:
accepted:
22
05
2024
medline:
21
9
2024
pubmed:
21
9
2024
entrez:
21
9
2024
Statut:
aheadofprint
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 39305374
doi: 10.1007/s10900-024-01369-y
pii: 10.1007/s10900-024-01369-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : CIHR
ID : FRN 152895
Pays : Canada
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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