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首页> 外文期刊>Canadian journal of public health: Revue canadienne de sante publique >Inequalities in determinants of health among Aboriginal and Caucasian persons living with HIV/AIDS in Ontario: results from the Positive Spaces, Healthy Places Study.
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Inequalities in determinants of health among Aboriginal and Caucasian persons living with HIV/AIDS in Ontario: results from the Positive Spaces, Healthy Places Study.

机译：安大略省感染艾滋病毒/艾滋病的土著人和高加索人的健康决定因素不平等：“正面空间”，“健康场所”研究的结果。

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OBJECTIVES: Aboriginal Canadians (i.e., First Nations, Inuit and Metis) are disproportionately affected by HIV/AIDS, and experience greater social and economic marginalization and poorer housing conditions. This study sought to understand the differences in the determinants of health and housing-related characteristics between samples of Aboriginal and Caucasian adults living with HIV/AIDS in Ontario. METHODS: We analyzed baseline demographic, socio-economic, health, and housing-related data from 521 individuals (79 Aboriginal and 442 Caucasian) living with HIV/AIDS and enrolled in the Positive Spaces, Healthy Places study. We compared the characteristics of Aboriginal and Caucasian participants to identify determinants of health and housing-related characteristics independently associated with Aboriginal ethnicity. RESULTS: Compared to Caucausian participants living with HIV, Aboriginal participants were more likely to be younger, female or transgender women, less educated, unemployed, and homeless or unstably housed. They were also more likely to have low incomes and to have experienced housing-related discrimination. In a multivariate model, gender, income, and experiences of homelessness were independently associated with Aboriginal ethnicity. CONCLUSION: Aboriginal individuals living with HIV/AIDS in our sample are coping with significantly worse social and economic conditions and are more likely to experience challenging housing situations than a comparison group of Caucasian individuals living with HIV/AIDS. To develop effective care, treatment and support strategies for Aboriginal peoples with HIV, it is critical to address and improve their socio-economic and housing conditions.
机译：目标：原住民加拿大人（即原住民，因纽特人和梅蒂斯人）受到艾滋病毒/艾滋病的影响尤其严重，其社会和经济边缘化程度更高，住房条件也更差。这项研究试图了解安大略省感染艾滋病毒/艾滋病的原住民和白种人成年人的健康和住房相关特征的决定因素之间的差异。方法：我们分析了来自521名感染HIV / AIDS的个体（79名原住民和442名高加索人）的基线人口统计学，社会经济，健康和住房相关数据，并参加了“积极空间健康场所”研究。我们比较了原住民和高加索参与者的特征，以确定与原住民种族独立相关的健康和住房相关特征的决定因素。结果：与感染艾滋病毒的高加索地区参与者相比，原住民参与者更可能是年轻，女性或变性妇女，受教育程度低，失业，无家可归或居住不稳的人。他们也更有可能是低收入者，并遭受与住房有关的歧视。在多元模型中，性别，收入和无家可归经历与土著民族独立相关。结论：在我们的样本中，原住民感染艾滋病毒/艾滋病的人正在应付明显更差的社会和经济状况，比起一群感染艾滋病毒/艾滋病的白种人个体，他们更有可能遇到具有挑战性的住房状况。为了为艾滋病毒原住民制定有效的护理，治疗和支持策略，解决和改善其社会经济和住房条件至关重要。

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