Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Devries, KM; Free, CJ; Morison, L; Saewyc, E (2008)
Publisher: American Public Health Association
Languages: English
Types: Article
Subjects: Research and Practice
OBJECTIVES: We examined factors associated with having ever had sex, having more than 1 lifetime sexual partner, and condom nonuse at last incident of sexual intercourse among Canadian Aboriginal young people. METHODS: We conducted a secondary analysis of data from the 2003 British Columbia Adolescent Health Survey, a cross-sectional survey of young people in grades 7 through 12. RESULTS: Of 1140 young Aboriginal men, 34% had ever had sex; of these, 63% had had more than 1 sexual partner, and 21% had not used a condom at their last incident of sexual intercourse. Of 1336 young Aboriginal women, 35% had ever had sex; of these, 56% had had more than 1 sexual partner, and 41% had not used a condom at their last incident of sexual intercourse. Frequent substance use, having been sexually abused, and having lived on a land reservation were strongly associated with sexual behavior outcomes. Feeling connected to family was strongly associated with increased condom use. CONCLUSIONS: Sexual behavior change interventions for Aboriginal young people must move beyond the individual and incorporate interpersonal and structural dimensions. Interventions to reduce substance use and sexual abuse and promote feelings of family connectedness in this population should be explored. Young people living on land reserves need special attention.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Population Division US Census Bureau. Table 4: Annual estimates of the population by age and sex of American Indian and Alaska Native alone or in combination for the United States: April 1, 2000 to July 1, 2004. Washington, DC: US Census Bureau. Available at: http://www.census.gov/popest/national/asrh/NCEST2004-asrh.html. Accessed April 3, 2006. NCEST2004-04-IAC.
    • 2. Statistics Canada. Population reporting an Aboriginal identity, by age group, by province and territory (2001 Census) 2005-01-26. Available at: http:// www40.statcan.ca/l01/cst01/demo40a.htm?sdi= aboriginal%20population. Accessed April 3, 2006.
    • 3. Department of Indian and Northern Affairs Canada. First nations profiles. 1997. Available at: http:// sdiprod2.inac.gc.ca/FNProfiles/FNProfiles_List.asp. Accessed April 3, 2006.
    • 4. Bureau of Indian Affairs. Bureau of Indian Affairs main page. Available at: http://www.doi.gov/bureauindian-affairs.html. Accessed April 3, 2006.
    • 5. Health Canada. A Statistical Profile on the Health of First Nations in Canada for the Year 2000. Ottawa, Ontario: Health Canada, Health Information and Analysis Division; 2004.
    • 6. Centers for Disease Control and Prevention. STDs in racial and ethnic minorities. June 28, 2004. Available at: http://www.cdc.gov/std/stats/minorities.htm#headline. Accessed September 29, 2004.
    • 7. British Columbia Provincial Health Officer. The Health and Well-being of Aboriginal People in British Columbia. Victoria: British Columbia Ministry of Health Planning; 2002.
    • 8. National Center for Health Statistics. Health, United States, 2006 with Chartbook on Trends in the Health of Americans. Available at: http://www.cdc.gov/nchs/data/ hus/hus06.pdf#004. Accessed April 8, 2008.
    • 9. Shain RN, Perdue ST, Piper JM. Behaviors changed by intervention are associated with reduced STD recurrence: the importance of context in measurement. Sex Transm Dis. 2002;29:520-529.
    • 10. Wellings K, Collumbien M, Slaymakers E, et al. Sexual behaviour in context: a global perspective. Lancet. 2006;368:1706-1728.
    • 11. Blum RW, Harmon B, Harris L, Bergeisen L, Resnick MD. American Indian-Alaska Native youth health. JAMA. 1992;267:1637-1644.
    • 12. Hellerstadt WL, Peterson-Hickey M, Rhodes KL, Garwick A. Environmental, social and personal correlates of having ever had sex among American Indian youths. Am J Public Health. 2006;96:2228-2234.
    • 13. Mitchell CM, Kaufman CE. Structure of HIV knowledge, attitudes, and behaviors among American Indian young adults. AIDS Education & Prevention. 2002;14:401-418.
    • 14. Calzavara LM, Burchell AN, Myers T, Bullock SL, Escobar M, Cockerill R. Condom use among Aboriginal people in Ontario, Canada. Int J STD AIDS. 1998;9:272- 279.
    • 15. Devries KM, Free CF, Jategaonker N. Factors related to condom use among Aboriginal people: a systematic review. Can J Public Health. 2007;98:48-54.
    • 16. Bronfenbrennner U. The Ecology of Human Development: Experiments by Nature and Design. Cambridge, MA: Harvard University Press; 1979.
    • 17. Walters KL, Simoni JM. Reconceptualizing native women's health: an ''indigenist'' stress-coping model. Am J Public Health. 2002;92:520-524.
    • 18. Health Canada. Diabetes among Aboriginal (First Nations, Inuit and MeĀ“tis) People in Canada: The Evidence. Ottawa, Ontario: Health Canada; 2001.
    • 19. Statistics Canada. 1996 Census: sources of income, earnings and total income, and family income. Ottawa, Ontario: Statistics Canada; 1998.
    • 20. Devries K. Condom Use and Sexual Health Among Canadian Aboriginal Adolescents. London, England: Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, University of London; 2007.
    • 21. Campbell C, Williams B, Gilgen D. Is social capital a useful conceptual tool for exploring community level influences on HIV infection? An exploratory case study from South Africa. AIDS Care. 2002;14:41-54.
    • 22. Crosby RA, DiClemente RJ, Wingood GM, Harrington K, Davies SL, Malow R. Participation by AfricanAmerican adolescent females in social organizations: associations with HIV-protective behaviors. Ethn Dis. 2002;12:186-192.
    • 23. Page RM, Hammermeister J, Scanlan A, Gilbert L. Is school sports participation a protective factor against adolescent health risk behaviors? J Health Educ. 1998; 29:186-192.
    • 24. Perrino T, Gonzalez-Soldevilla A, Pantin H, Szapocznik J. The role of families in adolescent HIV prevention: a review. Clin Child Fam Psychol Rev. 2000; 3:81-96.
    • 25. Bonell C, Allen E, Strange V, Copas A, Stephenson JM, Johnson A. The effect of dislike of school on risk of teenage pregnancy: testing of hypotheses using longitudinal data from a randomised trial of sex education. J Epidemiol Community Health. 2005;59: 223-230.
    • 26. Resnick MD, Bearman PS, Blum RW, et al. Protecting adolescents from harm. Findings from the National Longitudinal Study on Adolescent Health. JAMA. 1997;278:823-832.
    • 27. DiClemente RJ, Wingood GM, Crosby R, Cobb BK, Harrington K, Davies SL. Parent-adolescent communication and sexual risk behaviors among African American adolescent females. J Pediatr. 2001;139: 407-412.
    • 28. DiClemente RJ, Wingood GM, Crosby R, et al. Parental monitoring: association with adolescents' risk behaviors. Pediatrics. 2001;107:1363-1368.
    • 29. Stanton B, Li X, Pack R, Cottrell L, Harris C, Burns JM. Longitudinal influence of perceptions of peer and parental factors on African American adolescent risk involvement. J Urban Health. 2002;79:536-548.
    • 30. Taylor SE, Repetti RL, Seeman T. What is an unhealthy environment and how does it get under the skin? Annu Rev Health Psychol. 1997;48:411-447.
    • 31. Hillis SD, Anda RF, Felitti VJ, Marchbanks PA. Adverse childhood experiences and sexual risk behaviors in women: a retrospective cohort study. Fam Plann Perspect. 2001;33:206-211.
    • 32. Hillis SD, Anda RF, Felitti VJ, Nordenberg D, Marchbanks PA. Adverse childhood experiences and sexually transmitted diseases in men and women: a retrospective study. Pediatrics. 2000;106:e11-e18.
    • 33. Holmes WC, Slap GB. Sexual abuse of boys: definition, prevalence, correlates, sequelae, and management. JAMA. 1998;280:1855-1862.
    • 34. Saewyc EM, Magee LL, Pettingell SE. Teenage pregnancy and associated risk behaviors among sexually abused adolescents. Perspect Sex Reprod Health. 2004;36:98-105.
    • 35. Saewyc EM, Skay CL, Richens K, Reis E, Poon C, Murphy A. Sexual orientation, sexual abuse, and HIV-risk behaviors among adolescents in the Pacific Northwest. Am J Public Health. 2006;96:1104-1110.
    • 36. Saewyc EM, Skay CL, Bearinger LH, Blum RW, Resnick MD. Sexual orientation, sexual behaviors, and pregnancy among American Indian adolescents. J Adolesc Health. 1998;23:238-247.
    • 37. Orcutt HK, Cooper ML, Garcia M. Use of sexual intercourse to reduce negative affect as a prospective mediator of sexual revictimization. J Trauma Stress. 2005;18:729-739.
    • 38. Rainey DY, Stevens-Simon C, Kaplan D. Are adolescents who report prior sexual abuse at higher risk for pregnancy? Child Abuse Negl. 1995;19: 1283-1288.
    • 39. Liau A, Diclemente RJ, Wingood GM, et al. Associations between biologically confirmed marijuana use and laboratory-confirmed sexually transmitted diseases among African American adolescent females. Sex Transm Dis. 2002;29:387-390.
    • 40. Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol Suppl. 2002;14:101-117.
    • 41. Halpern-Felsher BL, Millstein SG, Ellen JM. Relationship of alcohol use and risky sexual behavior: a review and analysis of findings. J Adolesc Health. 1996;19:331-336.
    • 42. Bearinger LH, Resnick MD. Dual method use in adolescents: a review and framework for research on use of STD and pregnancy protection. J Adolesc Health. 2003;32:340-349.
    • 43. Green R. Methodology: Survey Methodology for the 2003 AHS III. Vancouver, British Columbia: McCreary Centre Society; 2003.
    • 44. Stata, Version 9.0. College Station, TX: StataCorp LP; 2004.
    • 45. van der Woerd KA, Dixon BL, McDiarmid T, Chittenden M, Murphy A, The McCreary Centre Society. Raven's Children II: Aboriginal Youth Health in BC. Vancouver, British Columbia: The McCreary Centre Society; 2005.
    • 46. Crosby RA, Yarber W, DiClemente RJ, Wingood GM, Meyerson B. HIV-associated histories, perceptions, and practices among low-income African-American women: does rural residence matter? Am J Public Health. 2002;92:655-659.
    • 47. Santelli JS, Lowry R, Brener ND, Robin L. The association of sexual behaviors with socioeconomic status, family structure, and race/ethnicity among US adolescents. Am J Public Health. 2000;90:1582-1588.
    • 48. BC Ministry of Education. Aboriginal Report-How Are We Doing? Public Schools Only. Victoria: British Columbia Ministry of Education; 2005.
    • 49. Prentice T. HIV Prevention: Messages for Canadian Aboriginal Youth. Ottawa, Ontario: Canadian Aboriginal AIDS Network; 2004.
    • 50. Chandler MJ, Lalonde CE. Cultural continuity as a hedge against suicide in Canada's First Nations. Transcult Psychiatry. 1998;35:193-211.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article