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Peer-reviewedCC BYJournal of the International Association of Providers of AIDS Care

Associations Between Environmental and Social Hazards, Self-Esteem, and Condom Use Self-Efficacy Among Northern and Indigenous Adolescents in Arctic Canada: Cross-Sectional Structural Equation Modeling Findings

  • Carmen H. Logie
  • Ying Wang
  • Kayley Inuksuk Mackay
  • Aryssa Hasham
  • Renee Monchalin
  • Kiffer G. Card
  • Lesley Gittings
  • Candice L. Lys
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Abstract

Background Wildfire exposure and co-occurring socio-environmental inequities may shape HIV and sexually transmitted infection (STI) vulnerabilities, yet this remains understudied in Canada’s Northwest Territories (NWT). Guided by ecosocial theory, we examined associations between socio-environmental stressors and condom use self-efficacy (CUSE) among Northern and Indigenous adolescents. Methods We conducted a cross-sectional survey (2023–2024) with 290 adolescents (ages 13–18) across 12 NWT communities. Structural equation modeling examined associations among wildfire traumatic exposure severity, food insecurity, self-esteem, and CUSE, adjusting for gender, sexual orientation, Indigenous identity, and rural residency. Results Greater wildfire traumatic exposure severity was associated with higher food insecurity and lower self-esteem. Food insecurity was also associated with lower self-esteem, while self-esteem was associated with higher CUSE. Wildfire traumatic exposure severity and food insecurity were significantly indirectly associated with CUSE via self-esteem. Conclusions HIV and STI prevention with NWT adolescents should address socio-environmental stressors and marginalization while supporting youth self-esteem.

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Cite

BibTeXRIS
BibTeX
@article{logie2026associations,
  title = {{Associations Between Environmental and Social Hazards, Self-Esteem, and Condom Use Self-Efficacy Among Northern and Indigenous Adolescents in Arctic Canada: Cross-Sectional Structural Equation Modeling Findings}},
  author = {Carmen H. Logie and Ying Wang and Kayley Inuksuk Mackay and Aryssa Hasham and Renee Monchalin and Kiffer G. Card and Lesley Gittings and Candice L. Lys},
  journal = {Journal of the International Association of Providers of AIDS Care},
  year = {2026},
  month = oct,
  doi = {10.1177/23259582261482041},
  url = {https://doi.org/10.1177/23259582261482041},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Associations Between Environmental and Social Hazards, Self-Esteem, and Condom Use Self-Efficacy Among Northern and Indigenous Adolescents in Arctic Canada: Cross-Sectional Structural Equation Modeling Findings
AU  - Carmen H. Logie
AU  - Ying Wang
AU  - Kayley Inuksuk Mackay
AU  - Aryssa Hasham
AU  - Renee Monchalin
AU  - Kiffer G. Card
AU  - Lesley Gittings
AU  - Candice L. Lys
PY  - 2026
DA  - 2026/10/23
JO  - Journal of the International Association of Providers of AIDS Care
DO  - 10.1177/23259582261482041
UR  - https://doi.org/10.1177/23259582261482041
AB  - Background Wildfire exposure and co-occurring socio-environmental inequities may shape HIV and sexually transmitted infection (STI) vulnerabilities, yet this remains understudied in Canada’s Northwest Territories (NWT). Guided by ecosocial theory, we examined associations between socio-environmental stressors and condom use self-efficacy (CUSE) among Northern and Indigenous adolescents. Methods We conducted a cross-sectional survey (2023–2024) with 290 adolescents (ages 13–18) across 12 NWT communities. Structural equation modeling examined associations among wildfire traumatic exposure severity, food insecurity, self-esteem, and CUSE, adjusting for gender, sexual orientation, Indigenous identity, and rural residency. Results Greater wildfire traumatic exposure severity was associated with higher food insecurity and lower self-esteem. Food insecurity was also associated with lower self-esteem, while self-esteem was associated with higher CUSE. Wildfire traumatic exposure severity and food insecurity were significantly indirectly associated with CUSE via self-esteem. Conclusions HIV and STI prevention with NWT adolescents should address socio-environmental stressors and marginalization while supporting youth self-esteem.
SN  - 2325-9582
SN  - 2325-9574
ER  -