The Cedar Project: Residential transience and HIV vulnerability among young Aboriginal people who use drugs

Kate Jongbloed; Vicky Thomas; Margo E. Pearce; Kukpi Wunuxtsin Christian; Hongbin Zhang; Eugenia Oviedo-Joekes; Martin T. Schechter; Patricia M. Spittal

doi:10.1016/j.healthplace.2015.02.008

The Cedar Project: Residential transience and HIV vulnerability among young Aboriginal people who use drugs

Kate Jongbloed, Vicky Thomas, Margo E. Pearce, Kukpi Wunuxtsin Christian, Hongbin Zhang, Eugenia Oviedo-Joekes, Martin T. Schechter, Patricia M. Spittal

Biostatistics

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Aboriginal homelessness is considered to be a result of historic dispossession of traditional territories and forced displacement from community structures. Using data collected from 2005-2010 from the Cedar Project, a cohort of young Aboriginal people who use drugs in two Canadian cities, we examined how residential transience shapes HIV vulnerability. At baseline, 48 of 260 participants (18.5%) reported sleeping in six or more places ('highly transient') in the past six months. Generalized linear mixed models identified associations between high transience and sex and drug related HIV vulnerabilities. Transience was independently associated with sex work (AOR:3.52, 95%CI:2.06, 6.05); sexual assault (AOR:2.48, 95%CI:1.26, 4.86); injection drug use (AOR:4.54, 95%CI:2.71, 7.61); daily cocaine injection (AOR:2.16, 95%CI:1.26, 3.72); and public injection (AOR:2.87, 95%CI:1.65, 5.00). After stratification, transience and sexual vulnerability remained significantly associated among women but not men. Ensuring that young Aboriginal people have access to safe spaces to live, work, and inject must include policies addressing residential transience as well as the absence of a roof and walls.

Original language	English
Pages (from-to)	125-131
Number of pages	7
Journal	Health and Place
Volume	33
DOIs	https://doi.org/10.1016/j.healthplace.2015.02.008
State	Published - May 1 2015

Bibliographical note

Funding Information:
We are deeply grateful to Cedar Project participants for continuing to share their voices and stories with us. We are indebted to the Cedar Project Partnership, including Elders Violet Bozoki and Earl Henderson, Prince George Native Friendship Centre, Carrier Sekani Family Services, Healing Our Spirit, Positive Living North, Red Road Aboriginal HIV/AIDS Network, Central Interior Native Health, Vancouver Native Health Society, Canadian Aboriginal AIDS Network, All Nations Hope, Splatsin Secwepemc Nation, Neskonlith Indian Band, and Adams Lake Indian Band, for challenging us to be both great and good in our work. Thanks to our study staff, Vicky Thomas, Sharon Springer, Amanda Wood, Jill Fikowski, Pearl Lau, and Matt Quenneville, for their dedication to the study and participants. This research was funded by the Canadian Institutes of Health Research Operating Grant number RN156278-272441 .

Publisher Copyright:
© 2015.

Keywords

Aboriginal peoples
Drug use
HIV risk
Housing stability
Residential transience

ASJC Scopus subject areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.healthplace.2015.02.008

Cite this

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abstract = "Aboriginal homelessness is considered to be a result of historic dispossession of traditional territories and forced displacement from community structures. Using data collected from 2005-2010 from the Cedar Project, a cohort of young Aboriginal people who use drugs in two Canadian cities, we examined how residential transience shapes HIV vulnerability. At baseline, 48 of 260 participants (18.5%) reported sleeping in six or more places ('highly transient') in the past six months. Generalized linear mixed models identified associations between high transience and sex and drug related HIV vulnerabilities. Transience was independently associated with sex work (AOR:3.52, 95%CI:2.06, 6.05); sexual assault (AOR:2.48, 95%CI:1.26, 4.86); injection drug use (AOR:4.54, 95%CI:2.71, 7.61); daily cocaine injection (AOR:2.16, 95%CI:1.26, 3.72); and public injection (AOR:2.87, 95%CI:1.65, 5.00). After stratification, transience and sexual vulnerability remained significantly associated among women but not men. Ensuring that young Aboriginal people have access to safe spaces to live, work, and inject must include policies addressing residential transience as well as the absence of a roof and walls.",

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author = "Kate Jongbloed and Vicky Thomas and Pearce, {Margo E.} and Christian, {Kukpi Wunuxtsin} and Hongbin Zhang and Eugenia Oviedo-Joekes and Schechter, {Martin T.} and Spittal, {Patricia M.}",

note = "Funding Information: We are deeply grateful to Cedar Project participants for continuing to share their voices and stories with us. We are indebted to the Cedar Project Partnership, including Elders Violet Bozoki and Earl Henderson, Prince George Native Friendship Centre, Carrier Sekani Family Services, Healing Our Spirit, Positive Living North, Red Road Aboriginal HIV/AIDS Network, Central Interior Native Health, Vancouver Native Health Society, Canadian Aboriginal AIDS Network, All Nations Hope, Splatsin Secwepemc Nation, Neskonlith Indian Band, and Adams Lake Indian Band, for challenging us to be both great and good in our work. Thanks to our study staff, Vicky Thomas, Sharon Springer, Amanda Wood, Jill Fikowski, Pearl Lau, and Matt Quenneville, for their dedication to the study and participants. This research was funded by the Canadian Institutes of Health Research Operating Grant number RN156278-272441 . Publisher Copyright: {\textcopyright} 2015.",

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The Cedar Project: Residential transience and HIV vulnerability among young Aboriginal people who use drugs

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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