HIV Among Indigenous peoples: A Review of the Literature on HIV-Related Behaviour Since the Beginning of the Epidemic

Negin, Joel; Aspin, Clive; Gadsden, Thomas; Reading, Charlotte

doi:10.1007/s10461-015-1023-0

Cited by 65 publications

(85 citation statements)

References 121 publications

(113 reference statements)

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“…There is a clear correlation between these living conditions and the higher rates of communicable diseases such as tuberculosis, community-acquired methicillin-resistant Staphylococcus aureus (MRSA) and sexually transmitted and blood-borne infections (STBBI) among Indigenous Canadians as compared with non-Indigenous Canadians (19). Indeed, there is a large body of literature linking higher rates of HIV among Indigenous populations to factors such as violence, stigma and discrimination, coupled with mistrust of the health system, "which contributes to poor HIV and health outcomes among Indigenous peoples" (19).…”

Section: Social Determinants Contribute To Outbreaksmentioning

confidence: 99%

“…Indeed, there is a large body of literature linking higher rates of HIV among Indigenous populations to factors such as violence, stigma and discrimination, coupled with mistrust of the health system, "which contributes to poor HIV and health outcomes among Indigenous peoples" (19). An example of this is the recent outbreak of HIV among Indigenous peoples in Saskatchewan, with incidence rates 11 times the national average (20).…”

Section: Social Determinants Contribute To Outbreaksmentioning

confidence: 99%

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Outbreaks in the age of syndemics: New insights for improving Indigenous health

Andermann¹

2017

Canada Communicable Disease Report

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Conventional approaches for the prevention and control of communicable diseases within Indigenous contexts may benefit from new insights arising from the growing interest in syndemics. Syndemics is a term used to describe a conceptual framework for understanding diseases or health conditions, and how these are exacerbated by the social, economic, environmental and political milieu in which a population is immersed. The use of conventional approaches for outbreak prevention and control remains the bedrock of intervention in the field of communicable diseases; yet on their own, these strategies are not always successful, especially within contexts of marginalization and disadvantage. A broader approach is needed; one that examines the systemic factors involved, understands how various policies and systems support or hinder effective responses and identifies the structural changes needed to create more supportive environments and increase the resilience of the population. In an Indigenous context, whether the focus is on hepatitis C, tuberculosis, HIV or water-borne diseases, it is important to recognize that a) social determinants contribute to the emergence and persistence of outbreaks, b) conventional approaches to communicable disease control are necessary but not sufficient, and c) using a "syndemics lens" can leverage action at multiple levels to tackle the root causes of poor health and inform more effective strategies for improving Indigenous health and reducing health inequities.

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Section: Social Determinants Contribute To Outbreaksmentioning

confidence: 99%

Section: Social Determinants Contribute To Outbreaksmentioning

confidence: 99%

Outbreaks in the age of syndemics: New insights for improving Indigenous health

Andermann¹

2017

Canada Communicable Disease Report

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“…In a study of risk for HIV and other sexually transmitted infections (STIs) among Indigenous communities in the Peruvian Amazon, Orellana, Alva, Cárcamo, and García (2013) highlight a number of structural factors. Similarly, Negin, Aspin, Gadsden, and Reading (2015) identify colonialism and racism as embedded in the social and economic determinants that increase the risk of HIV among Indigenous Peoples.…”

Section: Introductionmentioning

confidence: 99%

Prevalence, risk behaviours, and HIV knowledge in an Indigenous community in Colombia

Rojas¹,

Castro²,

Rúa³

et al. 2015

IJIH

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There are 87 Indigenous ethnic groups in Colombia, representing 3.4% of the country's population. Poverty, forced displacement, and social and health inequities place Indigenous communities at increased risk of HIV/AIDS. However, little is known about the prevalence of HIV in this population. The objectives of this study were to estimate the prevalence of HIV and other sexually transmitted infections in an Indigenous community in Colombia, and to assess community members' knowledge about the disease and its risk factors. The study, conducted in 2010, was initiated at the request of the leadership of the community of Cristianía and involved community members in all stages of the project. HIV prevalence data were gathered through rapid testing of a random sample of 295 community members between the ages of 15 and 49 years. As well, researchers administered a survey related to sexual behaviours and knowledge about HIV. Findings revealed 3 cases of HIV, a prevalence of 1.02%, 95% CI [0.21, 2.94]. The 3 cases were women. The majority of individuals sampled had heard of HIV or AIDS, but their level of knowledge about the mechanisms of virus transmission varied substantially. The results of this study, the first to explore the prevalence of HIV among Indigenous people within a community in Colombia, suggest a need to investigate HIV prevalence within other Indigenous communities in Colombia.

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“…(Negin et al 2015), México, Chile, Perú, Venezuela, Brasil y ahora Colombia (Bowden 2005;Zambrano et al 2013).…”

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“…El interés de la salud pública y las ciencias sociales responde a que el VIH/sida y en general los factores de riesgo para la infección por esta y otras ITS en comunidades indígenas están asociados a la inequidad social que les afecta, a su ubicación en zonas de difícil acceso como las fronteras con países vecinos y las áreas rurales con limitaciones de acceso e infraestructura en servicios públicos de salud y educación (Negin et al 2015), así como a características culturales que contribuyen a la vulneración de derechos en materia de género. Siguiendo a Brysk (2009) "En términos objetivos, los indígenas latinoamericanos son los miembros más pobres, enfermos, maltratados y desprotegidos […]" (Brysk 2009:26), tanto en áreas urbanas como rurales.…”

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Caracterizacion De La Situacion Del Vih/Sida en Los Wayuu De Colombia: Una Aproximación a Sus Percepciones

et al. 2017

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Han aumentado las evidencias de la expansión del VIH/sida en indígenas en países como Canadá, EE.UU., Australia, Nueva Zelanda y en menor magnitud en países latinoamericanos. En Colombia, aunque se tienen casos identificados, hay pocos estudios que den cuenta de ello. Este artículo presenta un análisis de las principales percepciones emergentes en los wayuu a partir de sus realidades socioculturales y del conocimiento acerca del virus. Es un estudio cualitativo de tipo etnográfico que contó con nueve grupos focales y de discusión y 29 entrevistas semiestructuradas. Los participantes se refieren al VIH/sida como "la enfermedad" y le asocian calificativos como: incurable, mortal, de alijunas, no wayuu, entre otros, que les ayuda a reconocerla sin nombrarla. Es una enfermedad que como otras escapa a su comprensión y pone en riesgo su "estar-bien". Los wayuu viven hoy el VIH/sida de la forma como la sociedad occidental vivía el mismo VIH/sida y otras epidemias en tanto enfermedades desconocidas o incomprendidas.Palabras claves: Colombia, infecciones de transmisión sexual, indígenas wayuu, percepciones, VIH/sida.

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HIV Among Indigenous peoples: A Review of the Literature on HIV-Related Behaviour Since the Beginning of the Epidemic

Cited by 65 publications

References 121 publications

Outbreaks in the age of syndemics: New insights for improving Indigenous health

Outbreaks in the age of syndemics: New insights for improving Indigenous health

Prevalence, risk behaviours, and HIV knowledge in an Indigenous community in Colombia

Caracterizacion De La Situacion Del Vih/Sida en Los Wayuu De Colombia: Una Aproximación a Sus Percepciones

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