Young Aboriginal Canadian
people are at increased risk of negative sexual health outcomes, including
sexually transmissible infections (STIs) and unplanned pregnancy. Associations
between Aboriginal ethnicity and sexual risk behaviours and related health services
use among sexually active female university students in eastern Canada were
examined.
A secondary analysis of
online survey data collected from sexually active female university students
under age 30 years from eight post-secondary institutions in the Maritime
Provinces of Canada was carried out (N = 5010). Students were asked
about their ethnic backgrounds, health services use and sexual health
behaviours. Logistic regressions were used to compare Aboriginal students to
Caucasian students regarding their sexual health behaviours and services use.
In adjusted analyses,
Aboriginal students were seen to be more likely to not have used a condom or any form of effective contraception at last intercourse. They also were more likely to report any
lifetime testing for pregnancy and STIs. Aboriginal students accessed university health services as
often as their Caucasian counterparts.
Aboriginal women attending
university in the Maritime Provinces of Canada engage in greater sexual risk
taking than Caucasian women and report more related testing. Health services
providers working with university students should be aware of these lower rates
of barrier protection and use of contraception among Aboriginal women, and use
healthcare visits as opportunities to engage these women in reducing their
sexual risk taking.
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By:
A Department of Community
Health and Epidemiology, Dalhousie University, Clinical Research Centre, 5790
University Avenue, Halifax, Nova Scotia, B3H 1V7, Canada. B School of Nursing, Dalhousie University, 5869 University Avenue, PO BOX 15000, Halifax, Nova Scotia, B3H 4R2, Canada.
C Corresponding author. Email: donald.langille@dal.ca
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