Evidence map›Paper›PMID 18840292›Full record

ArticleBMC infectious diseases2008

HIV testing and care in Canadian Aboriginal youth: a community based mixed methods study.

Judy E Mill, Randy C Jackson, Catherine A Worthington, Chris P Archibald, Tom Wong, Ted Myers, Tracey Prentice, Susan Sommerfeldt

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A systematic review of HIV testing among Canadian populations.Canadian journal of public health = Revue canadienne de sante publique · 2014
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. HIV testing and linkage to services for youth.Journal of the International AIDS Society · 2015
    Article
  9. Article
  10. Culturally relevant HIV/AIDS education, prevention, screening and treatment for Canadian Inuit.Canadian journal of public health = Revue canadienne de sante publique · 2013
    Article
  11. Article
  12. Linkage to care for HIV-positive adolescents: a multisite study of the adolescent medicine trials units of the adolescent trials network.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2012
    Article
  13. A research review: exploring the health of Canada's Aboriginal youth.International journal of circumpolar health · 2012
    Review
  14. The changing demographics of women living with HIV/AIDS in southern Alberta from 1982 to 2006.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2012
    Article
  15. Article
  16. Article
  17. Online sexual health services: examining youth's perspectives.Canadian journal of public health = Revue canadienne de sante publique
    Article
  18. Boyfriends and booty calls: sexual partnership patterns among Canadian Aboriginal young people.Canadian journal of public health = Revue canadienne de sante publique
    Article
  19. Trends in Métis-related health research (1980-2009): identification of research gaps.Canadian journal of public health = Revue canadienne de sante publique
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Judy E MillFaculty of Nursing, University of Alberta, 7-50 University Terrace, Edmonton, Alberta, Canada. judy.mill@ualberta.ca
Randy C Jackson
Catherine A Worthington
Chris P Archibald
Tom Wong
Ted Myers
Tracey Prentice
Susan Sommerfeldt
HIV Legal Network · CAPublic Health Agency of Canada · CAUniversity of Alberta · CAUniversity of Calgary · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIV infection is a serious concern in the Canadian Aboriginal population, particularly among youth; however, there is limited attention to this issue in research literature. The purpose of this national study was to explore HIV testing and care decisions of Canadian Aboriginal youth.

methodsA community-based mixed-method design incorporating the Aboriginal research principles of Ownership, Control, Access and Possession (OCAP) was used. Data were collected through surveys (n = 413) and qualitative interviews (n = 28). Eleven community-based organizations including urban Aboriginal AIDS service organizations and health and friendship centres in seven provinces and one territory assisted with the recruitment of youth (15 to 30 years).

resultsAverage age of survey participants was 21.5 years (median = 21.0 years) and qualitative interview participants was 24.4 years (median = 24.0). Fifty-one percent of the survey respondents (210 of 413 youth) and 25 of 28 interview participants had been tested for HIV. The most common reason to seek testing was having sex without a condom (43.6%) or pregnancy (35.4%) while common reasons for not testing were the perception of being low HIV risk (45.3%) or not having had sex with an infected person (34.5%). Among interviewees, a contributing reason for not testing was feeling invulnerable. Most surveyed youth tested in the community in which they lived (86.5%) and 34.1% visited a physician for the test. The majority of surveyed youth (60.0%) had tested once or twice in the previous 2 years, however, about one-quarter had tested more than twice. Among the 26 surveyed youth who reported that they were HIV-positive, 6 (23.1%) had AIDS at the time of diagnosis. Delays in care-seeking after diagnosis varied from a few months to seven years from time of test.

conclusionIt is encouraging that many youth who had tested for HIV did so based on a realistic self-assessment of HIV risk behaviours; however, for others, a feeling of invulnerability was a barrier to testing. For those who tested positive, there was often a delay in accessing health services.

Indexed as

Health Knowledge, Attitudes, PracticeHealth SurveysInterviews as TopicAdolescentAdolescent BehaviorAdultCanadaCross-Sectional StudiesFemaleHealth BehaviorHIV InfectionsHumansIndians, North AmericanMaleMass ScreeningRisk-Taking

Identifiers

PMID18840292
PMCPMC2573888
OpenAlexW2004144702

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.