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Unmasking the gender factorSEX NOW Survey 2010<br />
Sexual orientation alone may be inadequate <br />to explain gay health disparities…<br />                                 ...
Retooling Sex Now Survey<br />From behaviouralrisk factors to <br />determinantsof health indicators...<br />How are margi...
National Promotion<br />
Recruitment<br />
Recruitment<br />
Sample age<br />
Marginalization Indicators<br />
Marginalization X Age<br />
Marginalization X Age<br />
Marginalization Indicators<br />
Counseling<br />51% accessed counseling services <br />
Counseling Topics<br />64% were satisfied with services <br />
Care for Depression<br />
Linking ideas<br />“Sexuality is the apparatus of power”<br />                                  Michel Foucault<br />     ...
Linking ideas<br />Archives of Sexual Behavior, Vol. 33, No. 2, April 2004, pp. 117–128 ( C ° 2004)<br />Gender Nonconform...
Linking ideas<br />Public Health and Human Rights<br />APHA 134th Annual Meeting and Exposition<br />November 4-8, 2006<br...
Linking ideas<br />Psychological Bulletin <br />American Psychological Association, Inc.<br />2003, Vol. 129, No. 5, 674–6...
Linking ideas<br />Critical Public Health<br />Vol. 18, No. 3, September 2008, 271–283<br />Intersectionality and the dete...
Intersectionality & Gay Health Determinants<br />Focus on social inequities<br />Intersecting systems of oppression/privil...
Social Status<br />
Masculinities<br />
In-gender comparison<br />HIV+  Gay 9.2%   MSM 1.1%<br />
Common Practices<br />
Varied Masculinities<br />
Varied Outcomes<br />
 Minority Stress Indicators<br />
Marginalization Indicators<br />
Odds of Marginalization <br />
Transmission Risk<br />
Outcomes<br />
Disparities<br />
Varied Masculinities<br />
Summarizing Disparities<br />
Summarizing Ideas<br />Marginalization strongly associated with treatment for depression<br />Youth and HIV+ men experienc...
Practice Implications<br />Critical Public Health<br />Vol. 18, No. 1, March 2008, 87–96<br />The social construction of g...
Next Steps<br />Determinants Survey 2011<br />Young Gay Investigator Team - YGIT<br />Measuring Marginalization and Resili...
Acknowledgements<br />Questionnaire Development:                                       Carl Bognar, Bill Coleman, Olivier ...
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Unmasking the Gender Factor in Gay Men's Health: Sex Now Survey 2010

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Terry Trussler, CBRC. Gay Men's Health Summit, 2010

Published in: Health & Medicine
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Unmasking the Gender Factor in Gay Men's Health: Sex Now Survey 2010

  1. 1. Unmasking the gender factorSEX NOW Survey 2010<br />
  2. 2. Sexual orientation alone may be inadequate <br />to explain gay health disparities…<br /> Investigate Gender Determinants<br />
  3. 3. Retooling Sex Now Survey<br />From behaviouralrisk factors to <br />determinantsof health indicators...<br />How are marginalization, social stress & mental wellness related? … to gay health outcomes? <br /> i.e. suicide, depression, HIV, STI…<br />What social inequities elicit gay health disparities? <br />
  4. 4. National Promotion<br />
  5. 5. Recruitment<br />
  6. 6. Recruitment<br />
  7. 7. Sample age<br />
  8. 8. Marginalization Indicators<br />
  9. 9. Marginalization X Age<br />
  10. 10. Marginalization X Age<br />
  11. 11. Marginalization Indicators<br />
  12. 12. Counseling<br />51% accessed counseling services <br />
  13. 13. Counseling Topics<br />64% were satisfied with services <br />
  14. 14. Care for Depression<br />
  15. 15. Linking ideas<br />“Sexuality is the apparatus of power”<br /> Michel Foucault<br /> How did that come to be?<br /> The History of Sexuality v 1-3<br /> Heterosexuality doesn’t exist without <br /> homosexuality to explain it.<br />
  16. 16. Linking ideas<br />Archives of Sexual Behavior, Vol. 33, No. 2, April 2004, pp. 117–128 ( C ° 2004)<br />Gender Nonconformity, Childhood Rejection, and Adult Attachment: <br />A Study of Gay Men<br />Monica A. Landolt, Ph.D.,1 Kim Bartholomew, Ph.D.,2;4 Colleen Saffrey, B.A. (Hons),2 Doug Oram, M.A.,2 and Daniel Perlman, Ph.D.3<br />
  17. 17. Linking ideas<br />Public Health and Human Rights<br />APHA 134th Annual Meeting and Exposition<br />November 4-8, 2006<br />Gender nonconformity as a target of prejudice, discrimination, and violence against LGB individuals<br />Allegra Raboff Gordon, MPH and Ilan H. Meyer, PhD. Mailman School of Public Health, Columbia University,<br />
  18. 18. Linking ideas<br />Psychological Bulletin <br />American Psychological Association, Inc.<br />2003, Vol. 129, No. 5, 674–697<br />Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual<br />Populations: Conceptual Issues and Research Evidence<br />Ilan H. Meyer<br />Columbia University<br />“Minority Stress”<br />
  19. 19. Linking ideas<br />Critical Public Health<br />Vol. 18, No. 3, September 2008, 271–283<br />Intersectionality and the determinants of health: a Canadian perspective<br />OlenaHankivskya* and Ashlee Christoffersenb<br />“policy decisions create relational inequities in which some groups <br />benefit and others experience more marginalization and oppression.”<br />
  20. 20. Intersectionality & Gay Health Determinants<br />Focus on social inequities<br />Intersecting systems of oppression/privilege <br />i.e. Gender andSexuality (+ age, income, race, social location…)<br />Interrogate the relationship between social categories… embrace complexity…<br />
  21. 21. Social Status<br />
  22. 22. Masculinities<br />
  23. 23. In-gender comparison<br />HIV+ Gay 9.2% MSM 1.1%<br />
  24. 24. Common Practices<br />
  25. 25. Varied Masculinities<br />
  26. 26. Varied Outcomes<br />
  27. 27. Minority Stress Indicators<br />
  28. 28. Marginalization Indicators<br />
  29. 29. Odds of Marginalization <br />
  30. 30. Transmission Risk<br />
  31. 31. Outcomes<br />
  32. 32. Disparities<br />
  33. 33. Varied Masculinities<br />
  34. 34. Summarizing Disparities<br />
  35. 35. Summarizing Ideas<br />Marginalization strongly associated with treatment for depression<br />Youth and HIV+ men experienced highest rates of marginalization<br />Gay men experienced higher rates of marginalization, depression, HIV and STI than MSM<br />Gender non-conformity helps explain gay health disparities<br />
  36. 36. Practice Implications<br />Critical Public Health<br />Vol. 18, No. 1, March 2008, 87–96<br />The social construction of gay oppression as a determinant<br />of gay men’s health: ‘homophobia is killing us’<br />Jeffrey P. Aguinaldo<br />Department of Sociology, Wilfrid Laurier University, Waterloo, Canada<br />“The problem is not the oppressed it is the oppressor.”<br />Observe and count all the subtle and<br />obvious ways heterosexism occurs and goes unchallenged and uncontested…<br />
  37. 37. Next Steps<br />Determinants Survey 2011<br />Young Gay Investigator Team - YGIT<br />Measuring Marginalization and Resilience<br />How is “gay oppression” being done?<br />Distribute the evidence gathering…<br />
  38. 38. Acknowledgements<br />Questionnaire Development: Carl Bognar, Bill Coleman, Olivier Ferlatte, Jody Jollimore, Mike Kwag, Rick Marchand<br />Survey Promotion: Justin Go, Glenn Doupe & CDC Internet Team<br />Technical Assistance: Sean Lytle, Rachel Thompson<br />Knowledge Transfer & Translation: Public Health Agency of Canada<br />Dissemination: Province of British Columbia<br />

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