RESUMO
BACKGROUND: Since 2005, the Tlicho Community Services Agency (TCSA) in Canada's Northwest Territories (NT) has addressed rising rates of sexually transmitted infections (STI). In 2009, STI rates in the NT were ten times higher than the national rate and Tlicho regional rates were nearly four times that of the NT--91 cases per 1000 people. We describe a social audit process that assessed the impact of an evidence-based community-led intervention. METHODS: A baseline survey of sexual health knowledge, attitudes and behaviours in 2006/07 provided evidence for a Community Action Research Team (CART) to develop and to put in place culturally appropriate interventions in the Tlicho region. A follow-up study in 2010 sought to assess the impact of CART activities on condom use and underlying conscious knowledge, attitudes, subjective norms, intention to change, sense of agency and discussions related to condom use and STI risks. We report the contrasts using Odds Ratios (OR) and 95% confidence intervals (CI). RESULTS: One in every three follow-up respondents (315/808) participated in at least one CART activity. Participation in highly ranked interventions was associated with increased condom use during the last sexual encounter (OR 1.45, 95%CI 1.07-1.98). Those exposed to three or more activities were more likely to talk openly about condoms (OR 2.08, 95%CI 1.41-3.28), but were also less likely to be monogamous (OR 0.49, 95%CI 0.29-0.90). CONCLUSIONS: The measurable impact on condom use indicates a strong beginning for the Tlicho community intervention programmes. The interventions also seem to generate increased discussion, often a precursor to action. The Tlicho can use the evidence to improve and refocus their programming, increase knowledge and continue to improve safe condom use practices.
Assuntos
Preservativos/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Características de Residência , Assunção de Riscos , Infecções Sexualmente Transmissíveis/prevenção & controle , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Serviços de Saúde Comunitária , Intervalos de Confiança , Estudos Transversais , Feminino , Pesquisas sobre Atenção à Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Territórios do Noroeste/epidemiologia , Razão de Chances , Sexualidade/psicologia , Infecções Sexualmente Transmissíveis/epidemiologia , Adulto JovemRESUMO
The stocks and dynamics of coarse woody debris (CWD) are significant components of the carbon cycle within tropical forests. However, to date, there have been no reports of CWD stocks and fluxes from the approximately 1.3 million km(2) of lowland western Amazonian forests. Here, we present estimates of CWD stocks and annual CWD inputs from forests in southern Peru. Total stocks were low compared to other tropical forest sites, whether estimated by line-intercept sampling (24.4 +/- 5.3 Mg ha(-1)) or by complete inventories within 11 permanent plots (17.7 +/- 2.4 Mg ha(-1)). However, annual inputs, estimated from long-term data on tree mortality rates in the same plots, were similar to other studies (3.8 +/- 0.2 or 2.9 +/- 0.2 Mg ha(-1) year(-1), depending on the equation used to estimate biomass). Assuming the CWD pool is at steady state, the turnover time of coarse woody debris is low (4.7 +/- 2.6 or 6.1 +/- 2.6 years). These results indicate that these sites have not experienced a recent, large-scale disturbance event and emphasise the distinctive, rapid nature of carbon cycling in these western Amazonian forests.