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Volume 14, Number 1—January 2008
THEME ISSUE
International Polar Year
Perspective

Sexual Health and Sexually Transmitted Infections in the North American Arctic

Dionne Gesink Law*Comments to Author , Elizabeth Rink†, Gert Mulvad‡, and Anders Koch§
Author affiliations: *University of Toronto, Toronto, Ontario, Canada; †Montana State University, Bozeman, Montana, USA; ‡Centre for Primary Health Care, Nuuk, Greenland; §Statens Serum Institut, Copenhagen, Denmark

Main Article

Table 1

Comparison of sexually transmitted infection rates reported for North America’s Arctic countries, 2003–2006

Yearly rate*United StatesAlaska, USACanadaNorthern territories,†
CanadaSouthern provinces,† CanadaDenmarkGreenland
Chlamydial infection
2003301.7601.1189.41,4331853423,255
2004316.7609.4197.11,8051954013,208
2005332.5664.4200.41,9521954414,762
2006347.8682202.21,9221974584,527
2006 standardized‡
470.9
715
205
1,693
200
681
5,543
Gonorrhea
2003115.288.326.0264253.51,162
2004113.587.428.9215297.71,148
2005115.691.527.8212288.21,350
2006120.99533.1281327.51,418
2006 standardized164.410133247326.51,738

*Per 100,000 population. Data from Centers for Disease Control and Prevention, 2006 (12); Public Health Agency of Canada, 2007 (14); Office of the Chief Medical Officer in Greenland (15,16); Statens Serum Institute surveillance Epi-data online (www.ssi.dk).
†Canadian Northern territories: Yukon Territory, Northwest Territories, and Nunavut; Southern provinces: British Columbia, Alberta, Saskatchewan, Manitoba, Ontario, Quebec, Newfoundland, Nova Scotia, New Brunswick, and Prince Edward Island.
‡2006 standardized estimates are directly standardized to the year 2000 US population distributed by age and sex.

Main Article

References
  1. Arctic Climate Impact Assessment. Impacts of a warming Arctic: Arctic climate impact assessment. New York: Cambridge University Press; 2004.
  2. Gaydos CA, Kent CK, Rietmeijer CA, Willard NJ, Marrazzo JM, Chapin JB, Prevalence of Neisseria gonorrhoeae among men screened for Chlamydia trachomatis in four United States cities, 1999–2003.Sex Transm Dis. 2006;33:314–9. DOIPubMedGoogle Scholar
  3. Levine SB, Coupey SM. Adolescent substance use, sexual behavior, and metropolitan status: is “urban” a risk factor?J Adolesc Health. 2003;32:350–5. DOIPubMedGoogle Scholar
  4. Adimora AA, Schoenbach VJ, Doherty IA. HIV and African Americans in the southern United States: sexual networks and social context.Sex Transm Dis. 2006;33(Suppl):S39–45. DOIPubMedGoogle Scholar
  5. Thomas JC. From slavery to incarceration: social forces affecting the epidemiology of sexually transmitted diseases in the rural South.Sex Transm Dis. 2006;33(Suppl):S6–10. DOIPubMedGoogle Scholar
  6. Aral SO, O’Leary A, Baker C. Sexually transmitted infections and HIV in the southern United States: an overview.Sex Transm Dis. 2006;33(Suppl):S1–5. DOIPubMedGoogle Scholar
  7. Farley TA. Sexually transmitted diseases in the Southeastern United States: location, race, and social context.Sex Transm Dis. 2006;33(Suppl):S58–64. DOIPubMedGoogle Scholar
  8. Rhodes SD, Eng E, Hergenrather KC, Remnitz IM, Arceo R, Montaño J, Exploring Latino men’s HIV risk using community-based participatory research.Am J Health Behav. 2007;31:146–58.PubMedGoogle Scholar
  9. Johnson LF, Coetzee DJ, Dorrington RE. Sentinel surveillance of sexually transmitted infections in South Africa: a review.Sex Transm Infect. 2005;81:287–93. DOIPubMedGoogle Scholar
  10. Sangani P, Rutherford G, Wilkinson D. Population-based interventions for reducing sexually transmitted infections, including HIV infection.Cochrane Database Syst Rev. 2004;2:CD001220.PubMedGoogle Scholar
  11. Bjerregaard P, Mulvad G, Olsen J. Studying health in Greenland: obligations and challenges.Int J Circumpolar Health. 2003;62:5–16.PubMedGoogle Scholar
  12. Centers for Disease Control and Prevention. Sexually transmitted disease surveillance, 2006. Atlanta: US Department of Health and Human Services; 2007.
  13. Gessner BD, McLaughlin J, eds. Chlamydia trachomatis—Alaska, 2006. State of Alaska Epidemiology Bulletin. 2007 [cited 2007 Oct 25]. Available from http://www.epi.alaska.gov.
  14. Public Health Agency of Canada. STI data tables. Surveillance and Epidemiology Section, Community Acquired Infections Division, Centre for Infectious Disease Prevention and Control. 2007 [cited 2007 Oct 25]. Available from http://www.phac-aspc.gc.ca/std-mts/stddata_pre06_04/index_tab_e.htm
  15. Office of the Chief Medical Officer in Greenland. Ukiumoortumik Nalunaarut Årsberetning 2004. Nuuk, Greenland: Embedslægeinstitutionen i Grønland; 2005.
  16. Office of the Chief Medical Officer in Greenland. Ukiumoortumik Nalunaarut Årseberetning 2003. Nuuk, Greenland: Embedslægeinstitutionen i Grønland; 2004.
  17. Orr PH, Brown R. Incidence of ectopic pregnancy and sexually transmitted disease in the Canadian central Arctic.Int J Circumpolar Health. 1998;57(Suppl 1):127–34.PubMedGoogle Scholar
  18. Wong D, Swint E, Paisano EL, Cheek JE. Indian Health surveillance report sexually transmitted diseases 2004. Atlanta: Centers for Disease Control and Prevention and Indian Health Services; 2006.
  19. Kaufman CE, Shelby L, Mosure DJ, Marrazzo J, Wong D, de Ravello L, Within the hidden epidemic: sexually transmitted diseases and HIV/AIDS among American Indians and Alaska Natives.Sex Transm Dis. 2007;34:767–77.PubMedGoogle Scholar
  20. Steenbeek A, Tyndall M, Rothenberg R, Sheps S. Determinants of sexually transmitted infections among Canadian Inuit adolescent populations.Public Health Nurs. 2006;23:531–4. DOIPubMedGoogle Scholar
  21. Larkin J, Flicker S, Koleszar-Green R, Mintz S, Dagnino M, Mitchell C. HIV risk, systemic inequities, and Aboriginal youth: widening the circle for HIV prevention programming.Can J Public Health. 2007;98:179–82.PubMedGoogle Scholar
  22. Elwy AR, Hart GJ, Hawkes S, Petticrew M. Effectiveness of interventions to prevent sexually transmitted infections and human immunodeficiency virus in heterosexual men: a systematic review.Arch Intern Med. 2002;162:1818–30. DOIPubMedGoogle Scholar
  23. Nusbaum MR, Wallace RR, Slatt LM, Kondrad EC. Sexually transmitted infections and increased risk of co-infection with human immunodeficiency virus.J Am Osteopath Assoc. 2004;104:527–35.PubMedGoogle Scholar
  24. Lapidus JA, Bertolli J, McGowan K, Sullivan P. HIV-related risk behaviors, perceptions of risk, HIV testing, and exposure to prevention messages and methods among urban American Indians and Alaska Natives.AIDS Educ Prev. 2006;18:546–59. DOIPubMedGoogle Scholar
  25. Hellerstedt WL, Peterson-Hickey M, Rhodes KL, Garwick A. Environmental, social, and personal correlates of having ever had sexual intercourse among American Indian youths.Am J Public Health. 2006;96:2228–34. DOIPubMedGoogle Scholar
  26. Holkup PA, Tripp-Reimer T, Salois EM, Weinert C. Community-based participatory research: an approach to intervention research with a Native American community.ANS Adv Nurs Sci. 2004;27:162–75.PubMedGoogle Scholar
  27. Smith A, Christopher S, McCormick AK. Development and implementation of a culturally sensitive cervical health survey: a community-based participatory approach.Women Health. 2004;40:67–86. DOIPubMedGoogle Scholar
  28. Mail PD, Conner J, Conner CN. New collaborations with native Americans in the conduct of community research.Health Educ Behav. 2006;33:148–53. DOIPubMedGoogle Scholar
  29. Whitbeck LB, Adams G, Hoyt D, Chen X. Conceptualizing and measuring historical trauma among American Indian people.Am J Community Psychol. 2004;33:119–30. DOIPubMedGoogle Scholar
  30. Jervis L, Beals J, Croy C, Klein S, Manson S. Historical consciousness among two American Indian tribes.Am Behav Sci. 2006;50:526–49. DOIGoogle Scholar
  31. Quigley D. A review of improved ethical practices in environmental and public health research: case examples for native communities.Health Educ Behav. 2006;33:130–47. DOIPubMedGoogle Scholar
  32. Whitbeck L. Some guiding assumptions and a theoretical model for developing culturally specific preventions with Native American people.J Community Psychol. 2006;34:183–92. DOIGoogle Scholar

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Page updated: July 08, 2010
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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