Exposing the Determinants: Keynote
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Exposing the Determinants: Keynote

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Exposing the Determinants: Keynote to 5th Annual Gay Men's Health Summit held in Vancouver, BC on November 9th and 10th 2009.

Exposing the Determinants: Keynote to 5th Annual Gay Men's Health Summit held in Vancouver, BC on November 9th and 10th 2009.

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Exposing the Determinants: Keynote Exposing the Determinants: Keynote Presentation Transcript

  • 5 th Exposing the Determinants 10 th
  • What’s so gay about…?
    • Income and Social Status
    • Social Support Networks
    • Education and Literacy
    • Employment/Working Conditions
    • Social Environments
    • Physical Environments
    • Personal Health Practices and Coping Skills
    • Healthy Child Development
    • Biology and Genetic Endowment
    • Health Services
    • Gender
    • Culture
  • A decade of surveys… 2000 Gay Health Vancouver, n=550 2001 Rapid Assessment 2002 Pride, n=1,900 2003 Pilot, n=250 2004 Pride, n=2,800, 2005 Pilot, n=440 2006 Online, n=1,300 2007 Online, n=1,500 2008 Online, n=1,450
  •  
  • Income & Social Status No observed risk gradient Exposing the Determinants
  • Social Support Networks 62% “starved for company” at times 28% often Exposing the Determinants
  • Education & Literacy 72% tertiary education 75% < $70K Exposing the Determinants
  • Employment & Working Conditions 24% career affected 55% < $50K Exposing the Determinants
  • Physical Environments 71% dissatisfied with gay spaces Exposing the Determinants
  • Social Environments Exposing the Determinants internet community
  • Personal Health Practices Exposing the Determinants HIV risk untested
  • Exposing the Determinants Child Development 30% unwanted sex prior to 18
  • Exposing the Determinants Biological Endowment 71% feel oppressed at times 30% often
  • Exposing the Determinants Health Services 50% satisfaction with gay prevention
  • Exposing the Determinants Gender 50% single 26% man-partnered 6% man-married 16% woman-married/partnered
  • Exposing the Determinants Culture 51% exposed to anti-gay opression
  • Common cause
    • homonegativity, heterosexism , homophobia, heteronormativity, moral panic, erasure , denialism, exclusion, institutional neglect , oppression, homonegativity , heterosexism, homophobia, heteronormativity, moral panic , erasure, denialism , exclusion , institutional neglect, oppression , homonegativity, heterosexism, homophobia, heteronormativity , moral panic, erasure , denialism….
  • A missing determinant?
    • Income and Social Status
    • Social Support Networks
    • Education and Literacy
    • Employment/Working Conditions
    • Social Environments
    • Physical Environments
    • Personal Health Practices and Coping Skills
    • Healthy Child Development
    • Biology and Genetic Endowment
    • Health Services
    • Gender
    • Culture
  • Jonathan Mann Proximate cause ≠ Root cause
  • Jonathan Mann “ HIV follows a path of least resistance through society’s most marginalized.” * International Conference on Health & Human Rights, Harvard 1994
  • Social conditions
    • inclusion practices, awards committees , employment opportunity, review panels, policy decisions , staff composition, institutional behaviour , social equity, working environment , moral agendas, stigma, grants committees , employment practices, promotion, policy decisions , staff composition, institutional neglect , social equity, working conditions , moral agendas, stigma ….
  •  
  • Elizabeth Pisani
    • “ HIV is very good at exploiting the diversity of
    • human nature.”
    • * The Wisdom of Whores, 2009
    Elizabeth Pisani
    • “ New HIV-infections among gay men are rising
    • everywhere they are measured .”
    • * The Wisdom of Whores Blog, 2009
    Elizabeth Pisani
  • Gary Dowsett “ Homosexuality is the fundament of all suspicion about sex beyond the normative, and even casts doubt on the normative itself.” * The gay plague revisited: AIDS and its enduring moral panic, 2009
    • “ Not that others affected by HIV are not
    • marginalized, stigmatized or persecuted. They are
    • But I would argue they can only be so mistreated
    • because of the ease with which the homosexual can be
    • mistreated first. ”
    • * The Gay Plague Revisited: AIDS an its enduring moral panic, 2009
    Gary Dowsett
    • “ Everything from child sexual abuse, to being
    • bullied in school, the ways dominant culture is negative
    • to homosexuality has a relationship to adult behaviours
    • that lead to HIV risk. ”
    • Australasian Sexual Health and HIV Conference, 2009
    Judith Auerbach
  • Michel Foucault “ One day we will look back on sexuality and wonder why we gave it so much importance.” * The History of Sexuality, 1980
  • Exposing the Determinants… Are we asking the right questions? 10 th