Youth In Sex Now Survey

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  • I Would like to start by reading a quote from David Halperin - This quote reflect the disconnect within our community and how our behavoour are depicted in research – if we engage in UAI is not because we are fucked up and are suicidal – we need to move beyond the individual to look up the social context.
  • The scientific interest between gay men HIV risk taking and mental health, particularly depression is not new and we have all read report on it. However, what often is not acknowledge is that gay me.
  • EMPHASIZED THE SOCIAL CONTEXT!!!Post-Gay Marriage – Developing their identity in
  • Looking across age groups suggested that the indicators lose impact with age. “It get’s better?” Or, is the data telling us that gay marginalization has heated up and the gay youth of today are more affected than ever? Whatever, the effects of marginalization appear to be highest among gay youth.
  • 1) The vast majority of youth and are sample are marginalized in at least one way. -- Have we made things only easy for adults?
  • This is very premilinary – and in this year census we have so much better measure. This is my call to help – Count yourself out and promote our sex now survey 2011. We have much better indicators now and this is certain to improve our understanding.
  • Youth In Sex Now Survey

    1. 1. YOUTH IN SEX NOWSURVEY Presented by : Olivier Ferlatte, CBRC BC Gay Men’s Health Summit – November 4th
    2. 2. Acknowledgment Dr. Terry Trussler (PI) Dr. Rick Marchand Justin Go
    3. 3. “According to a number ofrecent novels, gay menjust want to be held.According to some currentwriting about HIV/AIDSprevention, gay menactually want to be killed.” David Halperin
    4. 4. Youth in Sex NowA decade of Sex Now survey has shown: Youth are less knowledgeable about sexual health; Less likely to have adopted health seeking behaviours; Risk behaviours have increased; The internet has become the predominant way for young gay men to access the gay community.
    5. 5. Uncovering mental health – SexNow 2010
    6. 6. Syndemic Production Model Access to MinorityGay Identity WeaknessDevelopme •Sexual shamingnt •Violence Development of •High rates of Psychosocial substance abuse Health ProblemsInitiation of •High rates of •Substance Abuse STIscontact with •Depressiongay community Access To •Mental health Minority Strengths * Snowballing •Social Bonding effects •Sense of Community •Healthy Sense of Emergence of being gay Physical Health Problems, Including HIV/AIDSAdapted from Stall, Friedman and Catania, 2008
    7. 7. Youth in Sex Now7161 (90.6%) < 25 25 + 747 (9.4%)
    8. 8. Identity Development SocialContext Marginalization < 25 25 + X2 OR Verbal Anti-gay 49.5% 39.5% .000 1.504 violence Physical Anti-gay 13.4% 11.6% .161 1.173 Violence Suicidal ideation 42.8% 37.2% .003 1.264 Suicide Attempts 11.0% 8.8% .043 1.285 Child Sexual Abuse 15.1% 16.9% .221 .877 Forced sex 8.2% 11.6% .005 .677 Career Affected 18.7% 21.6% .069 .837
    9. 9. Marginalization X Age6050 Verbal violence40 Physical Violence Suicide ideas30 Suicide attempt20 Child sexual abuse Forced Sex10 Carreer Affected0 > 25 25-29 30-39 40-69 60 +
    10. 10. Number of MarginalizationIndicators None 1 2 3+Youth 25.4% 28.6% 21.2%% 24.8%25 + 31.4% 26.4% 19.6% 22.6%
    11. 11. Marginalization and developmentof Psycho-social problems Psycho-Social None 1 2 3+ Problems Emotional distress 32.1% 44.4% 53.8% 63.2% Social isolation 22.1% 24.8% 38.0% 43.8% Substance Abuse 11.6% 21.0% 29.7% 33.5% Treatment for 5.8% 18.2% 36.1% 47.6% Depression Other MH treatment 18.4% 32.2% 47.5% 58.4%
    12. 12. Number of Psycho-social issues None 1 2 3+Percentage Among Youth 24.4% 24.9% 24.6% 26.1%
    13. 13. Marginalization and Psycho-socialissuesLevel of Marginalization None 1 2 3+No Issues reported 49.9% 27.3% 17.3% 8.5%1 issue 29.6% 29.7% 24.6% 19.2%2 Issues 14.3% 22.1% 27.3% 25.5%3 + Issues 6.3% 20.8% 30.9% 46.8%
    14. 14. HIV Risk Behaviours&STIsUAI (last 12 months) <25 25 + X2 ORTop 22.9% 22.3% .092 1.167Bottom 24.2% 18.8% .000 1.389Any 35.2% 28.8% .033 1.192STIs (last 12 months) < 25 25 + X2 ORSTIs 8.8% 8.2% .537 1.087
    15. 15. Psycho-social issues and UAI None 1 2 3+UAI in last 12 months 25.8% 27.4% 32.6% 43.6%STI in last 12 months 7.2% 5.4% 7.1% 14.9%
    16. 16. Summarizing ideas Marginalization has heated up and youth today are more affected than ever; Marginalization is associated with gay men’s experience with the community & the development of psycho-social difficulties; Multiple psycho-social difficulties is associated with an increased proportion of UAIs with an unknown partner.

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