Examining Pathways from Food Insecurity to Safer Sex Efficacy Among Northern and Indigenous Adolescents in the Northwest Territories, Canada

Logie, Carmen H., Lys, Candice, Sokolovic, Nina, Malama, Kalonde, Inuksuk Mackay, Kayley, McNamee, Clara, Lad, Anoushka, Kanbari, Amanda and Kyambadde, Peter, (2023). Examining Pathways from Food Insecurity to Safer Sex Efficacy Among Northern and Indigenous Adolescents in the Northwest Territories, Canada. International Journal of Behavioral Medicine, 31 582-594

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  • Sub-type Journal article
    Author Logie, Carmen H.
    Lys, Candice
    Sokolovic, Nina
    Malama, Kalonde
    Inuksuk Mackay, Kayley
    McNamee, Clara
    Lad, Anoushka
    Kanbari, Amanda
    Kyambadde, Peter
    Title Examining Pathways from Food Insecurity to Safer Sex Efficacy Among Northern and Indigenous Adolescents in the Northwest Territories, Canada
    Appearing in International Journal of Behavioral Medicine
    Volume 31
    Publication Date 2023-07-06
    Place of Publication Berlin
    Publisher Springer Nature
    Start page 582
    End page 594
    Language eng
    Abstract Background Food insecurity is a social determinant of health linked with elevated HIV exposure. Safer sex efficacy (SSE), the ability to navigate sexual decision-making and condom use, is an important marker of sexual wellbeing. Pathways from food insecurity to SSE are understudied, particularly among adolescents in Arctic regions who are at the nexus of food insecurity and sexual health disparities. We examined pathways from food insecurity to SSE among adolescents in the Northwest Territories (NWT), Canada. Methods We implemented cross-sectional surveys with adolescents aged 13–18 recruited through venue-based sampling in 17 NWT communities. We conducted multivariable logistic regression to assess socio-demographic factors associated with food insecurity. We then conducted structural equation modeling (SEM) using maximum likelihood estimation to assess direct effects of food insecurity on SSE and indirect effects via resilience, depression, and relationship power inequity. We assessed both condom use SSE (e
    Keyword Food insecurity
    Safe sex efficacy
    Resilience
    Adolescents
    Arctic
    Copyright Holder Springer Nature
    Copyright Year 2023
    Copyright type All rights reserved
    DOI 10.1007/s12529-023-10195-w
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    Created: Sat, 21 Sep 2024, 02:38:45 JST by Haideh Beigi on behalf of UNU INWEH