In the field of health, numerous frameworks have emerged that advance understandings differential impacts health policies to produce inclusive and socially just outcomes. this paper, we present development an important contribution these efforts – Intersectionality-Based Policy Analysis (IBPA) Framework. Developed over course two years in consultation with key stakeholders drawing on best promising practices other equity-informed approaches, participatory iterative IBPA Framework provides...

Gay men are a subgroup vulnerable to depression and suicidality. The prevalence of among gay is three times higher than the general adult population. Because known risk factor for suicide, also at high Despite suicidality, health researchers care providers have tended focus on sexual issues, most often human immunodeficiency virus in men. Related this, men’s has been defined by practices, poorly understood intersections physical mental with social determinants including ethnicity, locale,...

While several studies have demonstrated that gay and bisexual men are at increased risk of suicide less attention has been given to the processes generate inherent inequity with mainstream population. This study tested whether syndemic theory can explain excess burden in a sample Canadian men. Syndemic accounts for co-occurring mutually reinforcing epidemics suffered by vulnerable groups due effects social marginalization. used data from Sex Now 2011, cross-sectional survey (n = 8382). The...

Gay and bisexual men experience numerous health disparities relative to heterosexual men, including high rates of HIV suicidal behavior. Systematic community assessments could provide direct comparisons the burden mortality across diseases thus facilitate prioritization public activities; however, such have been precluded by absence sexual orientation information in vital statistics records. In this context, we used population attributable fraction derive compare indirect estimates for both...

As photovoice continues to grow as a method for researching health and illness, there is need rigorous discussions about ethical considerations. In this article, we discuss three key issues arising from recent study investigating men’s depression suicide. The first issue, indelible images, details the complexity of consent copyright when participant-produced photographs are shown at exhibitions online where they can be copied disseminated beyond original scope research. second...

HIV positive gay and bisexual men (GBM) continue to struggle with the pervasiveness of stigma, but little is known about health effects stigma. In this article, suicidal ideation attempts are measured among GBM living HIV, evaluating extent which these experiences associated stigma suicide. Drawing from an online national survey Canadian completed by 7995 respondents, a sub-set data provided respondents self-reporting HIV-positive status was used for current study. The associations between...

Objective: Sexual orientation change efforts (SOCE), or “conversion therapy,” are pseudoscientific practices intended to suppress deny sexual attraction members of the same gender/sex. There currently no data available inform estimates prevalence SOCE exposure in Canada. The objective this study is therefore describe prevalence, social–demographic correlates, and health consequences among Canadian minority men. Methods: Sex Now 2011 2012 was a cross-sectional nonprobability survey...

Purpose: This article examines factors associated with suicidal ideation and suicide attempts in the past 12 months among lesbian, gay, bisexual, pansexual, queer, asexual, or other non-heterosexual identifying youth (LGBQA+). Methods: A national Australian cross-sectional online survey was conducted involving 4370 cisgender LGBQA+ participants aged 14-21 years from September to October 2019. Multivariable logistic regression analyses were performed examine significant months. Research...

This study draws from intersectionality to describe variations in recent suicide attempts (RSA) among gay and bisexual men (GBM) across sociodemographics. Using survey data, logistic regression modeling explored RSA two analytical stages: (1) the individual effects of each sociodemographic were measured; (2) two-way interaction terms between sociodemographics tested added models created stage A. In A, only education income achieved significance. B, found that (a) interacted significantly...

Background: Substantial evidence has demonstrated that sexual minorities (gay, lesbian, and bisexual people) gender (transgender non-binary (SGM) experience poorer mental health than heterosexual cisgender individuals. Meanwhile, less attention been given to inequities within SGM populations.Aims: This study investigated depression a sample of Canadian who took part in an online survey (n = 2778).Methods: Multivariable regression was used identify social characteristics associated with...

Good sexual health requires navigating intimate relationships within diverse power dynamics and cultures, coupled with the complexities of increasing biomedicalisation health. Understanding this is important for implementation biomedical HIV prevention. We propose a socially nuanced conceptual framework literacy developed through consensus building workshop experts in field. use rigorous qualitative data analysis to illustrate functionality by reference two complementary studies. The first...

Background “Conversion therapy” practices (CTP) are organized and sustained efforts to avoid the adoption of non-heterosexual sexual orientations and/or gender identities not assigned at birth. Few data available inform contemporary prevalence CTP. The aim this study is quantify CTP among Canadian minority men, including details regarding setting, age initiation, duration exposure. Methods Sexual transmen non-binary individuals, aged ≥ 15, living in Canada were recruited via social media...

Photovoice is a participatory action research method in which participants take and narrate photographs to share their experiences perspectives. This gaining popularity among health researchers. Few studies, however, have described virtual photovoice data collection despite the growing interest qualitative researchers for online collection. As such, aim of this article discuss implementation study presents some challenges design potential solutions. The examined issues social isolation...

Transgender (trans) and gender diverse (TGD) populations continue to experience significant inequities in social health outcomes, often connection with the systemic exposure of these groups violence, stigma, discrimination. Despite promising role peer support mitigating adverse impacts marginalization, this phenomenon remains under-examined. In study, which is informed methodologically by an abductive approach grounded theory anchored theoretically scholarship on critical resilience...

Men’s high suicide rates have been linked to individual risk factors including history of being abused as a child, single marital status, and financial difficulties. While it has also suggested that the normative influences hegemonic masculinities are implicated in men’s suicide, gendered experiences male suicidality poorly understood. In current photovoice study, 20 men who previously had suicidal thoughts, plans, and/or attempts were interviewed means better understanding connections...

Sexually transmitted infections (STI) and mental health substance use (MHSU) disorders all occur at elevated rates in sexual gender minorities. These overlapping epidemics, or syndemics, are exacerbated by challenges these same populations face accessing sexual/gender minority-affirming services. Many publicly funded STI clinics a low barrier provide minority-competent care. sites therefore may be uniquely situated to address clients' MHSU-related needs.We characterize the need desire for...

Researchers are increasingly using national population surveys (NPS) to understand the health of gay and bisexual men (GBM). However, valid inference from these depends on accurate identification GBM.We asked 8126 GBM in an anonymous, online, community-recruited survey about their willingness reveal sexual orientation NPS.Overall, 30% indicated that they would not orientation; however, there were differences frequencies according orientation, relationship status, age, HIV living environment,...

We applied syndemic theory to explore the degree which conditions explain syphilis epidemic affecting Canadian gay and bisexual men who have sex with (GBMSM).Data from a national survey comprising 7872 GBMSM were analyzed using multivariable logistic regression measure associations between recent diagnosis (RSD; in previous 12 months) following variables: (1) sociodemographic information (sexuality, HIV status, age, income, ethnicity, relationship status), (2) antigay stigma (bullying,...

The 2030 Sustainable Development Goals committed to “Leave No One Behind” regardless of social identity. While access sexual and reproductive health (SRH) services has improved globally, people with disabilities continue face enormous barriers SRH, infringing on their SRH rights (SRHR). Uganda adopted pro-disability legislation promote the disabilities. Despite these legal instruments, SRHR be violated denied. To address this, we sought understand document how perceive relationships between...

Sexual orientation and gender identity expression change efforts (SOGIECE) aim to suppress the sexual identities of Two-Spirit, lesbian, gay, bisexual, trans, other queer (2SLGBTQ+) people. Exposure SOGIECE is associated with significant psychosocial morbidity. Yet, there a dearth knowledge specifying ways in which these impacts are produced experienced. This qualitative interpretive description study aimed delineate SOGIECE. To do so, we thematically analyzed data from in-depth interviews,...