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IMAGINE MEN’S HEALTH STUDY

IMAGINE MEN’S HEALTH STUDY. Brennan, D.J. *, Souleymanov , R., George, C., Hart, T.A., Newman, P. *Associate Professor at the Factor-Inwentash Faculty of Social Work, University of Toronto; Ontario HIV Treatment Network Applied HIV Research Chair.

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IMAGINE MEN’S HEALTH STUDY

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  1. IMAGINE MEN’SHEALTH STUDY Brennan, D.J.*, Souleymanov, R., George, C., Hart, T.A., Newman, P. *Associate Professor at the Factor-Inwentash Faculty of Social Work, University of Toronto; Ontario HIV Treatment Network Applied HIV Research Chair

  2. An Examination of the Level of Masculinity Ascribed to One’s Sexual Role and Its Relation to HIV Sexual Risk Behaviours among Gay and Bisexual Men of Colour in Toronto, Ontario

  3. ABOUT IMAGINE MEN’S HEALTH STUDY This community-based research study was designed to examine body image, health and well-being among gay and bisexual men (GBM) of colour. Rationale/motivation to conduct this research Ideas leading towards the development of the IMH study

  4. DECLARATION OF CONFLICT OF INTEREST & FUNDING PI: Dr. David J. Brennan There is no conflict of interest to declare in the current study The current study is funded by the Social Sciences and Humanities Research Council of Canada (SSHRC) Dr. David J. Brennan’s research is supported by an OHTN Applied HIV Research Chair

  5. RESEARCH TEAM Principal Investigator David J. Brennan, Ph.D., Associate Professor at the Factor-Inwentash Faculty of Social Work, University of Toronto and the Ontario HIV Treatment Network Applied HIV Research Chair Co-investigators Clemon George, Ph.D., Assistant Professor, University of Ontario Institute of Technology Trevor A. Hart,Ph.D.,Associate Professor of Psychology, Ryerson University Peter A. Newman, Ph.D., Professor at the Factor-Inwentash Faculty of Social Work, University of Toronto, and Canada Research Chair in Health and Social Justice IshwarPersad, Centre for Addiction & Mental Health Andre L. Ceranto,AIDS Committee of Toronto RizQuiaoit, Community Member

  6. COMMUNITY ADVISORY COMMITTEE ShazadHai, MSM Outreach Coordinator, Alliance for South Asian AIDS Prevention Daniel Le, Gay Men’s Health Promoter, Asian Community AIDS Services David Lewis-Peart, MSM Outreach Coordinator, Black CAP Marco Posadas, Bathhouse Counselor Initiative Coordinator, AIDS Committee of Toronto TavinderChanna, Community Member Dexter Roberts, Community Member Siva Gunarathnam, Gay Men’s Outreach Coordinator, AIDS Committee of Toronto Anthony Chen, Community Member Gerardo Betancourt, HIV Prevention Program Coordinator, Centre for Spanish Speaking Peoples Marco Gomez, Policy consultant

  7. STUDY BACKGROUND Multi-phase, mixed-methods study • Phase 1: Focus groups & interviews (n=61) • Phase 2: Survey (n=369) Community collaboration • Roles of Community Advisory Committee (CAC) 4 Ethnoracialcommunities • East/Southeast Asian • Black/Caribbean/African • Hispanic/Latino/Brazilian • South Asian

  8. METHODS Eligibility • 18 years old+ male • Identify as gay or bisexual or report having had sex with another man in the past 12 months • Identify with at least one of the four ethnoracialcommunities • English speaking

  9. METHODS Data Collection • Online survey • Completers (n=410) • Non-completers (n=510) • Completion rate: 44%

  10. RECRUITMENT • Research Team and Community Advisory Committee • ASOs: BlackCAP, ACAS, ASAAP, CSSP, ACT • Online listserves: RHO, OHTN, RHN, Senior Pride Network, & CATIE listservs • Community agencies/groups: 519, SOY, SALAAM. • CAMH, Hassle Free, Maple Leaf Clinic • Bath houses, bars & clubs, dance venues • Online postings on Craigslist, Facebook, Twitter • Word of Mouth • Church Street postings • Xtra! Magazine • Proud FM

  11. STUDY BACKGROUND • Previous research has shown that sexual risk has been associated with measures of masculinity (Halkitis & Parsons, 2003) • Based on predominantly white samples (Hamilton & Mahalik, 2009) • Little is known about how the level of masculinity ascribed to one’s sexual role is associated with sexual risk behaviors among GBM of color. Purpose • To examine the relationship between the level of masculinity ascribed to one’s sexual role, demographics, and HIV sexual risk among a community-based sample of GBM of colour in Toronto

  12. METHODS Measures • Demographics Questionnaire • Perceived Masculinity Subjective Gender Identity Subscale (Cheseboro & Fuse, 2001) • Sexual Risk BehavioursQuestionnaire (SDCAI; serodiscordantcondomlessanal intercourse)

  13. METHODS Data Analysis • Used SPSS-21 • Pearson Correlations, Analysis of Variance, Logistic Regression Analysis

  14. PERCEIVED MASCULINITY SUBJECTIVE GENDER IDENTITY SUBSCALE (Cheseboro & Fuse, 2001), Modified Version • When you think of or imagine the sexual role that you generally have of yourself, you think of yourself as: • When you think of or imagine the sexual role that your friends have of you, your friends treat you as • When you think of or imagine the sexual role that strangers have of you, strangers treat you as: • When you think of or imagine the sexual role that intimate (i.e., sexual) partners have of you, intimate partners treat you as: Never masculine 1 2 3 4 5 6 7 Highly masculine

  15. SEXUAL RISK BEHAVIOURS QUESTIONNAIRE The number of times IN THE PAST 6 MONTHS you did each of these activities with: HIV-positive male sexual partners, HIV-negative sexual partners and Sexual partners of unknown HIV status, Sexual Risk was defined as serodiscordantcondomless anal sex with primary partners or any condomless anal sex with secondary partners

  16. SEXUAL RISK BEAHVIOURS QUESTIONNAIRE SDCAI – R (Receptive) overall SDCAI (both receptive and insertive) SDCAI – I (Insertive)

  17. FINDINGS

  18. FINDINGS

  19. FINDINGS Logistic Regression Modeling • Sig. Final Model (p<.001) for SDCAI-I • Final model accounts for 19% of the variance in SDCAI-I (outcome variable): R2=19.3 • Not significant: overall SDCAI (p=.209) or SDCAI-R (p=.10) • Variables entered in the model: age, household income, sexual orientation, HIV status, perceived masculinity

  20. FINDINGS: SDCAI-I * Significant Final Model (p<.001)

  21. IMPLICATIONS • InsertiveSDCAI was significantly associated with the participants’ level of masculinity ascribed to their sexual roles, HIV status, and income among GBM of colour • Heteronormative measurements of masculinity • Further research is needed to better understand the link between the level of masculinity ascribed to one’s sexual role and sexual risk-taking within the context of HIV/STI prevention among GBM of color

  22. IMPLICATIONS • These findings add another dimension to HIV prevention work by suggesting that addressing the beliefs and behaviours regarding masculine gender roles has the potential to promote sexual health among GBM of colour

  23. THANK YOU! The participants Members of Community Advisory Committee Members of Research Team Staff Team: Rusty Souleymanov Kenta Asakura Georgi Georgievski

  24. CONTACT David J. Brennan, MSW, Ph.D. Associate Professor Ontario HIV Treatment Network Applied HIV Research Chair Factor-Inwentash Faculty of Social Work, University of Toronto david.brennan@utoronto.ca

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