Evidence map›Paper›PMID 39305374›Full record

ArticleJournal of community health2025

Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.

Fariba Kolahdooz, Moutasem Zakkar, Se Lim Jang, Sarah Deck, Adrain Wagg, André Corriveau, Kami Kandola, Stephanie Irlbacher-Fox, Sangita Sharma

Abstract read
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In one paragraph

Article in Journal of community health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

9 authors.

Fariba KolahdoozIndigenous and Global Health Research Group, Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, Canada Research Chair in Population Health, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation, 112 Street, Edmonton, 8602, T6G 2E1, AB, Canada.
Moutasem ZakkarIndigenous and Global Health Research Group, Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, Canada Research Chair in Population Health, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation, 112 Street, Edmonton, 8602, T6G 2E1, AB, Canada.
Se Lim JangIndigenous and Global Health Research Group, Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, Canada Research Chair in Population Health, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation, 112 Street, Edmonton, 8602, T6G 2E1, AB, Canada.
Sarah DeckIndigenous and Global Health Research Group, Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, Canada Research Chair in Population Health, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation, 112 Street, Edmonton, 8602, T6G 2E1, AB, Canada.
Adrain WaggDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
André CorriveauIndependent public health consultant, Yellowknife, NT, Canada.
Kami KandolaOffice of the Chief Public Health Officer, Department of Health and Social Services, Government of Northwest Territories, Yellowknife, NT, Canada.
Stephanie Irlbacher-FoxHotıì ts'eeda Northwest Territories SPOR SUPPORT Unit, Yellowknife, NT, Canada.
Sangita SharmaIndigenous and Global Health Research Group, Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, Canada Research Chair in Population Health, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation, 112 Street, Edmonton, 8602, T6G 2E1, AB, Canada. gita.sharma@ualberta.ca.ORCID 0000-0002-4995-0010

Funding

CIHR FRN 152895
6 · The paper itself

Abstract

purposeIn Northwest Territories (NWT), Canada, infection rates for chlamydia, gonorrhea, and syphilis are three to ten times higher than the national averages and have been steadily increasing. However, data are scarce on the socioeconomic, psychological, and behavioural factors associated with the proliferation of sexually transmitted infections (STIs) in NWT. To this extent, this study explores Indigenous mothers' perspectives on sexual health, STI risk factors and healthcare-seeking behaviours in NWT.

methodsQuantitative and qualitative data were collected using a semi-structured questionnaire. Participants consisted of Indigenous mothers who were pregnant or had given birth within three years.

resultsOf the 161 participants, with a mean age of 29.61 years, 70.81% lived with a partner, and 93.17% had given birth within the previous three years. Participants felt STIs were a concern (68.32%) and felt comfortable asking a male partner for safe sexual relations (67.70%). The healthcare system was the main source of STI information for most participants (83.85%). The main STI risk factors participants mentioned were young age, unsafe sexual relations, and substance use. Participants reported embarrassment, protecting personal and familial well-being, and confidentiality as factors affecting STI healthcare-seeking behaviour.

conclusionSTIs result from an interaction between age, sexual behaviour, substance use, health literacy, and the historical and sociocultural contexts stigmatizing STIs and impacting women's abilities to demand safe sexual relations. Understanding these factors in a remote Indigenous context is vital to designing and implementing effective health and social interventions to reduce the prevalence of STIs in NWT.

Indexed as

MothersSexual HealthSexually Transmitted DiseasesAdolescentAdultFemaleHumansNorthwest TerritoriesPatient Acceptance of Health CarePregnancyRisk FactorsSurveys and QuestionnairesYoung AdultIndigenous mothersReproductive healthSexual healthSexually transmitted infectionsStigma

Identifiers

PMID39305374

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.