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The Cedar Project: predictors of accessing HIV testing among young Indigenous people who use non-injection and injection drugs in two Canadian cities
A. Moniruzzaman1,2,3, S. Patel1,2,3, W. Christian4,5, M. Schechter1,2,3, P. Spittal1,2,3, For the Cedar Project Partnership
This study sought to explore
correlates of HIV testing among young Indigenous people who use non-injection
and injection drugs in two Canadian cities
The Cedar Project is a cohort study of young Indigenous living in Vancouver and Prince George. This analysis utilized data collected at baseline by Indigenous interviewers from 605 participants between 2003-2005. Venous blood samples were drawn and tested for HIV/HCV antibodies. Pre and post-test counseling was carried out. Multivariable logistic regression analysis was carried out to identify factors associated with having ever been tested for HIV. Unadjusted and adjusted odds ratios (OR) and 95% confidence intervals (CI) were calculated.
Three hundred participants
(49%) resided in Vancouver, 292 (48%) were female and the median age of
participants was 23 years (IQR: 20-26).
At enrolment, 440 (73%) participants reported having ever had an HIV
test during their lifetime, of which 185 (42%) were tested at least once per
year. In multivariable logistic
regression analysis, participants who had ever been tested for HIV were more
likely from Vancouver (AOR: 2.25, 95%CI: 1.4,3.6), to be female (AOR: 2.6;
95%CI: 1.4-4.7), to inject drugs (AOR: 1.6, 95%CI: 1.0-2.6), to have ever
overdosed (AOR: 1.8, 95%CI: 1.0-3.2), to have ever been incarcerated (AOR: 2.5,
95%CI: 1.5-4.1), to have ever been in sex work (AOR: 1.9, 95%CI: 1.1-3.3), to
have ever had an STI (AOR: 4.1, 95%CI: 1.3-12.4), and to have ever had
addiction treatment (AOR: 1.6, 95%CI: 1.6-2.5).
Young Indigenous people who use
drugs require expanded access to HIV testing and treatment strategies based on
Indigenous strategies for healing. Social marketing programs that increase access to young
Indigenous people should be explored. Future research should focus on barriers to HIV testing among
young Indigenous men in particular.
Abstract no. CDC0438
“A.Moniruzzaman, et al. The Cedar Project: predictors of accessing HIV testing among young Indigenous people who use non-injection and injection drugs in two Canadian cities. : : Abstract no. CDC0438 “