Evidence map›Paper›PMID 33679247›Full record

ArticleCanada communicable disease report = Releve des maladies transmissibles au Canada2021

Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017-2019.

Jill Tarasuk, Meghan Sullivan, Donna Bush, Christian Hui, Melissa Morris, Tami Starlight, François Cholette, Leigh Jonah, Maggie Bryson, Dana Paquette and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Canada communicable disease report = Releve des maladies transmissibles au Canada, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Evolution and Possible Explanations for the Trends in New HIV Diagnoses in Alberta, Saskatchewan, and Manitoba, Compared to the Rest of Canada, 1985-2022.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025
    Article
  5. Review
  6. Article
  7. Summary findings from Tracks surveys implemented by First Nations in Saskatchewan and Alberta, Canada, 2018-2020.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2022
    Article
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

11 authors at 3 institutions in 1 country.

Jill TarasukCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Meghan SullivanCanadian Aboriginal AIDS Network, Halifax, NS.
Donna BushPauktuutit Inuit Women of Canada, Ottawa, ON.
Christian HuiCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Melissa MorrisCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Tami StarlightCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
François CholetteNational Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB.
Leigh JonahCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Maggie BrysonCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Dana PaquetteCentre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON.
Renée MaschingCanadian Aboriginal AIDS Network, Halifax, NS.
Public Health Agency of Canada · CACanadian Aboriginal AIDS Network · CAPauktuutit · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel sites across Canada (2017-2019). These findings describe the prevalence of human immunodeficiency virus (HIV), hepatitis C and associated risk behaviours among Indigenous participants.

methodsInformation regarding socio-demographics, social determinants of health, use of prevention services and testing, drug use, risk behaviours, and HIV and hepatitis C testing, care and treatment was collected through interviewer-administered questionnaires. Biological samples were tested for HIV, hepatitis C antibodies and hepatitis C ribonucleic acid (RNA). Descriptive statistics were calculated and reviewed by an Indigenous-led advisory group using the Two-Eyed Seeing approach.

resultsOf the 2,383 participants, 997 were Indigenous (82.9% First Nations, 14.9% Métis, 2.2% Inuit). Over half (54.5%) were cisgender male and the average age was 38.9 years. A large proportion (84.0%) reported their mental health as "fair to excellent". High proportions experienced stigma and discrimination (90.2%) and physical, sexual and/or emotional abuse in childhood (87.5%) or with a sexual partner (78.6%). Use of a needle/syringe distribution program (90.5%) and testing for HIV (87.9%) and hepatitis C (87.8%) were high. Prevalence of HIV was 15.4% (78.2% were aware of infection status) and 36.4% were hepatitis C RNA-positive (49.4% were aware of infection status).

conclusionHigh rates of HIV and hepatitis C were identified. Challenges in access to and maintenance of HIV and hepatitis C care and treatment were noted. This information informs harm reduction strategies, including the need to scale-up awareness of prophylaxis in a culturally relevant manner.

Indexed as

care and treatmentdrug usehepatitis CIndigenous people who inject drugsinfection statusinjecting behavioursKeywords: HIVoverdosesexual risk practicestesting

Identifiers

PMID33679247
PMCPMC7919774
OpenAlexW3128325695

What OpenQuestion holds

Textmetadata
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.