Abstracts
Résumé
Au Canada, les jeunes autochtones sont confrontés de plus en plus aux taux importants d’infections transmissibles sexuellement (ITS) et à une épidémie du virus de l’immunodéficience humaine (VIH). Des expériences historiques et les conditions sociales actuelles interagissent pour avoir une incidence sur la vulnérabilité de la population autochtone. Le but de cette étude ethnographique était d’améliorer la compréhension de la santé publique des jeunes autochtones et leurs expériences en matière de promotion de la santé sexuelle et de prévention de VIH/ITS. Un devis qualitatif axé sur l’approche communautaire et culturelle a servi à comprendre l’expérience des jeunes pour accéder à des services de dépistage. Vingt jeunes ont participé à l’étude. L’analyse thématique a permis d’identifier quatre thèmes : financement et législation; intergénération et santé sexuelle; contexte de santé sexuelle et éducation; perceptions des services de santé sexuelle et dépistage du VIH/ITS. Il est essentiel que les prestataires de santé et les décideurs adoptent une approche culturellement adéquate et respectueuse des genres en matière de promotion et de prévention.
Mots-clés :
- sexe,
- genre,
- jeunes autochtones,
- promotion et prévention,
- VIH/ITS
Abstract
In Canada, young Aboriginal men and women are faced with growing sexually transmitted infection (STI) rates and a human immunodeficiency virus (HIV) epidemic. Historical and present day social conditions interact and impact on the vulnerability of the Aboriginal population. The purpose of this ethnographic study was to enhance the public health understanding of Aboriginal youths’ experiences with sexual health services. A culture and community-based qualitative process sought to understand youths’ lived experiences of accessing sexual health services and HIV/STI testing. A purposeful sample of twenty Aboriginal youths was used for this study. Thematic analysis was informed by all data sources was carried out to interpret the data for themes. Four themes were identified in regard to access: funding and legislative bodies, intergenerational shaping of sexual health, sexual health places and education, and perceptions of sexual health services and HIV/STI testing. It is vital that health care providers and policy makers work with a culturally competent and gender-based approach that is sensitive to the many processes that interact to influence health promotion and disease prevention.
Keywords:
- sex,
- gender,
- Aboriginal youth,
- sexual health promotion and HIV/STI prevention
Appendices
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