Exploring uptake of HIV/STI knowledge and safer sex-efficacy in an arts-based sexual health workshop among Northern and Indigenous adolescents in the Northwest Territories, Canada

Lys, Candice; Logie, Carmen H.; Mackay, Kayley; MacNeill, Nancy; Loppie, Charlotte; Gittings, Lesley; Yasseen, Abdool S.

doi:10.1080/09540121.2022.2089617

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Given that youth were required to engage with the SHC prior to participating in the survey, confidence about suggesting using protections holds promise that the SHC may have a positive effect on HIV prevention behaviors and intentions among Indigenous young people. This aligns with evidence surrounding the importance of youth-led and locally tailored sexual health interventions by and for Indigenous youth (Lys et al, 2023). For example, a program called the Healthy & Empowered Youth Project in the United States delivered an Indigenous-specific student-led curriculum with hands-on learning activities to engage students in sexual and reproductive health topics that resulted in increases in condom use (Rushing et al, 2017).…”

Section: Discussionsupporting

confidence: 75%

Taking the Sexy Health Carnival across Turtle Island

Monchalin,

Lesperance,

Flicker

et al. 2023

AlterNative: An International Journal of Indigenous Peoples

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This article describes a peer-led intervention called the Sexy Health Carnival (SHC) that takes a strengths-based approach to promoting Indigenous youth sexual health in a culturally safe context. Expanding on an Ontario pilot study, a group of Indigenous youth leaders went to 11 Indigenous gatherings across Turtle Island, also known as North America, from 2017 to 2020 where they administered an offline iPad survey to 150 Indigenous youth (aged 16–25 years) who engaged with the SHC. The survey gathered descriptive data on HIV prevention behaviors and intentions, and the acceptability of the SHC approach within Indigenous community gatherings. Results demonstrate that doing Indigenous peer-led sexual health and HIV outreach through the SHC is well received among Indigenous youth. Indigenous youth are capable of reaching their peers and developing successful sexual health outreach and HIV prevention resources for each other.

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Section: Discussionsupporting

confidence: 75%

Taking the Sexy Health Carnival across Turtle Island

Monchalin,

Lesperance,

Flicker

et al. 2023

AlterNative: An International Journal of Indigenous Peoples

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“…Small but significant increases in HIV and STI selfperceived risk and safer sex self-efficacy were also observed following workshop participation, corroborating findings from prior studies. 14,15,32 Compared to non-Indigenous youth, however, Indigenous participants reported smaller increases in safer sex self-efficacy. This may be explained by the systemic marginalisation that can disconnect Indigenous people from health systems.…”

Section: Discussionmentioning

confidence: 90%

Human immunodeficiency virus prevention outcomes associated with arts-based sexual health workshop participation among Northern and Indigenous adolescents in the Northwest Territories, Canada

Lys,

Logie,

Lad

et al. 2024

Int J STD AIDS

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Background Contextually tailored, arts-based HIV prevention strategies hold potential to advance adolescent sexual health and wellbeing. We examined HIV prevention outcomes associated with arts-based sexual health workshop participation with Northern and Indigenous adolescents in the Northwest Territories (NWT), Canada. Methods An Indigenous community-based youth agency delivered arts-based workshops in school settings to adolescents aged 13-18 in 24 NWT communities. Pre and post-test surveys included socio-demographic characteristics, sexually infections (STI) knowledge, HIV/STI risk perception, sexual relationship equity, condom use self-efficacy, and safer sex efficacy (SSE). Latent change score models were conducted to assess pre-post differences and factors associated with these differences. Results Among participants ( n = 344; mean age 14.3 years, SD: 1.3; Indigenous: 79%) most (66%) had previously attended this workshop. Latent change score models revealed a significant and large effect size for increased STI knowledge (β = 2.10, SE = 0.48, p < .001) and significant and small effect sizes for increased HIV/STI risk perception (β = 0.24, SE = 0.06, p < .001) and SSE (β = 0.16, SE = 0.07, p = .02). The largest increases across several outcomes occurred with first time workshop participants; yet previous workshop participants continued to report increases in HIV/STI risk perception and SSE. Conclusion Arts-based HIV prevention approaches show promise in advancing STI knowledge, risk perception, and SSE with Northern and Indigenous youth.

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