2018 - 2020年加拿大萨斯喀彻温省和艾伯塔省第一民族实施的追踪调查的总结结果。

Summary findings from Tracks surveys implemented by First Nations in Saskatchewan and Alberta, Canada, 2018-2020.

作者信息

Lydon-Hassen Kathleen, Jonah Leigh, Mayotte Lisa, Hrabowy Ashley, Graham Bonny, Missens Beverley, Nelson Amanda, Andkhoie Mustafa, Nahachewsky Deana, Yalamanchili Dharma Teja, Gupta Sabyasachi, Ndubuka Nnamdi, Khan Ibrahim, Yacoub Wadieh, Bryson Maggie, Paquette Dana

机构信息

Centre for Communicable Diseases Infection and Control, Public Health Agency of Canada, Ottawa, ON.

Participating First Nations Health Services Organization.

出版信息

Can Commun Dis Rep. 2022 Apr 6;48(4):146-156. doi: 10.14745/ccdr.v48i04a05.

DOI:10.14745/ccdr.v48i04a05

PMID:35480707

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9017804/

Abstract

BACKGROUND

The Public Health Agency of Canada's integrated bio-behavioural surveillance system-Tracks surveys-assesses the burden of HIV, hepatitis C and associated risks in key populations in Canada. From 2018-2020, Tracks surveys were successfully implemented by First Nations Health Services Organizations in Alberta and Saskatchewan.

METHODS

First Nations-led survey teams invited community members who identified as First Nations, Inuit or Métis to participate in Tracks surveys and testing for HIV, hepatitis C and syphilis. Information was collected on social determinants of health, use of prevention services, substance use, sexual behaviours and care for HIV and hepatitis C. Descriptive statistics are presented.

RESULTS

Of the 1,828 survey participants, 97.4% self-identified as First Nations and 91.4% lived in an on-reserve community. Over half (52.2%) were cisgender female, average age was 36.3 years, 82.5% lived in stable housing, 82% had access to primary healthcare and 73.8% reported having good to excellent mental health. Most participants (97%) had a family member who had experienced residential school. High proportions experienced stigma and discrimination (65.6%), financial strain (64.3%) and abuse in childhood (65.1%). Testing for HIV (62.8%) and hepatitis C (55.3%) was relatively high. Prevalence of HIV was 1.6% (of whom 64% knew their infection status). Hepatitis C ribonucleic acid prevalence was 5% (44.9% of whom knew their current infection status).

CONCLUSION

Historical and ongoing experiences of trauma, and higher prevalence of hepatitis C were identified, reaffirming evidence of the ongoing legacies of colonialism, Indian Residential Schools and systemic racism. High participation in sexually transmitted blood-borne infection testing and prevention reflect the importance of First Nations-led culturally sensitive, safe and responsive healthcare services and programs to effect improved outcomes for First Nations peoples.

摘要

背景

加拿大公共卫生署的综合生物行为监测系统——追踪调查——评估了加拿大重点人群中艾滋病毒、丙型肝炎及相关风险的负担。2018年至2020年期间，艾伯塔省和萨斯喀彻温省的原住民健康服务组织成功开展了追踪调查。

方法

由原住民主导的调查团队邀请自认为是原住民、因纽特人或梅蒂斯人的社区成员参与追踪调查，并进行艾滋病毒、丙型肝炎和梅毒检测。收集了有关健康的社会决定因素、预防服务的使用、物质使用、性行为以及艾滋病毒和丙型肝炎护理方面的信息。呈现了描述性统计数据。

结果

在1828名调查参与者中，97.4%自认为是原住民，91.4%居住在保留地社区。超过一半（52.2%）为顺性别女性，平均年龄为36.3岁，82.5%居住在稳定住房中，82%能够获得初级医疗保健，73.8%报告心理健康状况良好至极佳。大多数参与者（97%）有家庭成员曾就读于寄宿学校。很大比例的人经历过耻辱和歧视（65.6%）、经济压力（64.3%）和童年时期的虐待（65.1%）。艾滋病毒检测率（62.8%）和丙型肝炎检测率（55.3%）相对较高。艾滋病毒感染率为1.6%（其中64%知道自己的感染状况）。丙型肝炎核糖核酸感染率为5%（其中44.9%知道自己目前的感染状况）。