{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:16Z","timestamp":1792787716018,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001804","name":"Canada Research Chairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001804","id-type":"DOI","asserted-by":"publisher"}]},{"name":"CIHR Project Grant","award":["425987"],"award-info":[{"award-number":["425987"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    The high prevalence of sexually transmitted infections (STIs) in the Northwest Territories (NWT), Canada underscores the need for culturally relevant, community-driven sexual health initiatives for HIV and STI prevention that prioritize youth engagement and Indigenous leadership. FOXY (Fostering Open eXpression among Youth), a Northern and Indigenous NWT-based community-based organization, conducted 1-week youth Peer Leader Retreats (PLRs) focused on HIV prevention and leadership using land- and arts-based approaches. We conducted a one-group pretest\/posttest with youth PLR participants aged 13 to 17 in the NWT and combined the data across PLRs conducted from 2020 to 2022. Assessments were completed at preretreat baseline, immediately postretreat, and at 6-month follow-up to measure changes in study outcomes (safer sex self-efficacy [SSSE], condom use self-efficacy [CUSE], and HIV knowledge). Of\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 133 participants at baseline, 6-month follow-up data were available for n = 122 (92%) participants. Multivariate analyses showed significant improvements in all study outcomes from baseline to 6-month follow-up. SSSE, CUSE, and HIV knowledge scores increased postretreat and continued to improve at 6 months. These findings suggest that culturally relevant, community-driven peer leadership interventions hold promise in advancing HIV prevention cascade outcomes with Northern and Indigenous youth in the NWT.\n                  <\/jats:p>","DOI":"10.1177\/15248399251368869","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:13:36Z","timestamp":1758806016000},"page":"887-893","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Longitudinal Findings From a Land-Based HIV Prevention Study With Northern and Indigenous Youth, Canada"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1670-8949","authenticated-orcid":false,"given":"Zerihun","family":"Admassu","sequence":"first","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8035-433X","authenticated-orcid":false,"given":"Carmen H.","family":"Logie","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"},{"name":"United Nations University Institute for Water, Environment and Health, Richmond Hill, Ontario, Canada"},{"name":"Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada"},{"name":"Women\u2019s College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aryssa","family":"Hasham","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannen","family":"Rowe","sequence":"additional","affiliation":[{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayley Inuksuk","family":"Mackay","sequence":"additional","affiliation":[{"name":"Fostering Open eXpression among Youth (FOXY), Yellowknife, Northwest Territories, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1789-3955","authenticated-orcid":false,"given":"Shira B.","family":"Taylor","sequence":"additional","affiliation":[{"name":"York University, Toronto, Ontario, Canada"},{"name":"SExT: Sex Education by Theatre, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiera","family":"Boulanger-Rowe","sequence":"additional","affiliation":[{"name":"Fostering Open eXpression among Youth (FOXY), Yellowknife, Northwest Territories, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9e","family":"Monchalin","sequence":"additional","affiliation":[{"name":"School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candice L.","family":"Lys","sequence":"additional","affiliation":[{"name":"Fostering Open eXpression among Youth (FOXY), Yellowknife, Northwest Territories, Canada"},{"name":"Aurora College, Yellowknife, Northwest Territories, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Cohen M. S. Council O. D. Chen J. S. (2019). Sexually transmitted infections and HIV in the era of antiretroviral treatment and prevention: The biologic basis for epidemiologic synergy. Journal of the International AIDS Society 22(Suppl. 6) e25355. https:\/\/doi.org\/10.1002\/jia2.25355","DOI":"10.1002\/jia2.25355"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"Flicker S. Wilson C. Native Youth Sexual Health Network Monchalin R. Restoule J.-P. Mitchell C. Larkin J. Prentice T. Jackson R. Oliver V. (2020). The impact of indigenous youth sharing digital stories about HIV activism. Health Promotion Practice 21(5) 802\u2013810. https:\/\/doi.org\/10.1177\/1524839918822268","DOI":"10.1177\/1524839918822268"},{"key":"e_1_3_2_4_1","doi-asserted-by":"crossref","unstructured":"Gittings L. Malama K. Logie C. H. Lys C. L. Taylor S. B. Mackay K. I. Kanbari A. Parker S. McNamee C. (2022). \u201cEvery day I grew stronger and stronger being there\u201d: Empowerment through land-and art-based Peer Leader retreats with Indigenous and Northern young people. International Journal of Circumpolar Health 81(1) 2125489. https:\/\/doi.org\/10.1080\/22423982.2022.2125489","DOI":"10.1080\/22423982.2022.2125489"},{"key":"e_1_3_2_5_1","doi-asserted-by":"crossref","unstructured":"Hargreaves J. R. Delany-Moretlwe S. Hallett T. B. Johnson S. Kapiga S. Bhattacharjee P. Dallabetta G. Garnett G. P. (2016). The HIV prevention cascade: Integrating theories of epidemiological behavioural and social science into programme design and monitoring. The Lancet HIV 3(7) e318\u2013e322. https:\/\/doi.org\/10.1016\/S2352-3018(16)30063-7","DOI":"10.1016\/S2352-3018(16)30063-7"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"Heard E. Fitzgerald L. Wigginton B. Mutch A. (2020). Applying intersectionality theory in health promotion research and practice. 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International Journal of Behavioral Medicine 26(4) 449\u2013453. https:\/\/doi.org\/10.1007\/s12529-019-09797-0","DOI":"10.1007\/s12529-019-09797-0"},{"key":"e_1_3_2_9_1","doi-asserted-by":"crossref","unstructured":"Logie C. H. Lys C. L. Okumu M. Fujioka J. (2019). Exploring factors associated with condom use self-efficacy and condom use among Northern and Indigenous adolescent peer leaders in Northern Canada. Vulnerable Children and Youth Studies 14(1) 50\u201362. https:\/\/doi.org\/10.1080\/17450128.2018.1554277","DOI":"10.1080\/17450128.2018.1554277"},{"key":"e_1_3_2_10_1","doi-asserted-by":"crossref","unstructured":"Logie C. H. Lys C. L. Taylor S. B. Lad A. Mackay K. I. Hasham A. Gittings L. Malama K. Pooyak S. Monchalin R. Adamassu Z. (2024). Land-based retreats as a method for building enabling environments for HIV prevention with Northern and Indigenous adolescents in the Northwest Territories Canada: Mixed-methods findings. 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