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Publication 17/07/2023

The case for and Against Doing Virtual Photovoice

Calvin C. Fernandez, University of British Columbia

International Journal of Qualitative Methods

Arts-based Methods   Community-Based Research   Qualitative   Digital Health/Technology   Intimate Partner Violence   Relationships   2S/LGBTQ+   Men

Photovoice hands cameras to community members to surface strengths and inequities, and COVID-19 pushed the method online. Reflecting on a large study of 110 men's perspectives on equitable, sustainable intimate partner relationships, this article weighs the case for and against virtual photovoice across three themes. Online work widened recruitment and cut data collection costs, but introduced phishing risks and uneven internet literacy. Participation itself changed, with some sourcing third-party or archived images, choosing audio-only interviews, or restricting photo use. Large multi-site datasets raised fresh analysis questions. The authors expect a continuum of virtual, hybrid and in-person approaches.

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Publication 28/06/2023

"It's different for heterosexuals": exploring cis-heteronormativity in COVID-19 public health directives and its impacts on Canadian gay, bisexual, and queer men

Cornel Grey, Western University

Jad Sinno, University of Toronto

Trevor Hart, Toronto Metropolitan University

Joseph Cox, McGill University

Darrell Tan, Unity Health Toronto

Daniel Grace, University of Toronto

Critical Public Health

Intersectional Approaches   Qualitative   Health Services   Homelessness   Policy   Stigma   2S/LGBTQ+   Bisexual   Gay   Queer   urban

Pandemic rules were not written with queer lives in mind, according to gay, bisexual, and queer men across Canada. Researchers conducted two rounds of semi-structured interviews with 93 men in Montreal, Toronto, and Vancouver between late 2020 and late 2021, analyzing them through cis-heteronormativity and intersectionality. Participants described stay-at-home orders and gathering limits as reinforcing heterosexual models of kinship, while restricted access to queer spaces damaged their sense of belonging and identity. Others noted the directives ignored homelessness and structural racism among queer people. The findings show how COVID-19 messaging overlooked chosen kinship, community organizations, and varied LGBTQ+ vulnerabilities.

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Publication 15/06/2023

'It's not as good as the face-to-face contact': A sociomaterialist analysis of the use of virtual care among Canadian gay, bisexual and queer men during the COVID-19 pandemic

Cornel Grey, Western University

Joseph Cox, McGill University

Trevor Hart, Toronto Metropolitan University

Darrell Tan, Unity Health Toronto

Daniel Grace, University of Toronto

Sociology of Health & Illness

Critical Theory   Qualitative   Digital Health/Technology   Health Services   Mental health   Sexual Health   2S/LGBTQ+   Bisexual   Gay   GBMSM   Queer   urban

When COVID-19 pushed health care online almost overnight, what did that mean for gay, bisexual, and queer men, a group already facing sexual and mental health disparities? This analysis draws on 93 semi-structured interviews in Montreal, Toronto, and Vancouver, conducted in two waves between late 2020 and late 2021, using a sociomaterial lens that examines how people, technologies, and settings interact. Virtual care brought benefits and improved access for some men while creating disruptions and challenges for others, and it required participants to adapt, including learning new ways of communicating with providers. The framework helps pinpoint what works and what needs improving.

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Publication 15/05/2023

Acceptability of an existing online sexually transmitted and blood-borne infection testing model among gay, bisexual and other men who have sex with men in Ontario, Canada

Joshun Dulai, University of Toronto

Mark Gilbert, University of British Columbia

David J Brennan, University of Toronto

Mac Stewart, University of Toronto

Daniel Grace, University of Toronto

Digital Health

Quantitative   Survey Methods   Digital Health/Technology   Health Services   Sexual Health   STBBIs   2S/LGBTQ+   Bisexual   Gay   GBMSM   Indigenous   Immigrants   Regional

Long clinic waits and inconvenient hours push many people to put off sexual health testing. Drawing on Sex Now 2019, a bilingual community-based online survey, researchers asked 1,369 gay, bisexual and other men who have sex with men in Ontario about barriers to clinic-based STBBI testing and whether they would use an online testing model. Being too busy and inconvenient clinic hours were common reasons for delay. Acceptability of online testing reached 80 percent, with saved time the leading benefit and privacy the leading concern. Younger men, immigrants of colour and Indigenous immigrants were more receptive; current PrEP users somewhat less so.

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Publication 04/03/2023

Queering Public Health: A Critical Examination of Healthcare Access and Gender Expression among Trans, Nonbinary, and Other Gender Nonconforming People during COVID-19

Cornel Grey, Western University

Jad Sinno, University of Toronto

Trevor Hart, Toronto Metropolitan University

Joseph Cox, McGill University

Mac Stewart, University of Toronto

Daniel Grace, University of Toronto

Health & Social Care in the Community

Mixed-Methods   Qualitative   Health Equity   Health Services   Mental health   Stigma   2S/LGBTQ+   Test   Non-binary   Trans   urban

Canadian evidence on how COVID-19 affected 2SLGBTQ+ communities is thin, and this analysis focuses on trans, nonbinary and gender nonconforming people. It draws on Engage COVID-19, a mixed methods study in Vancouver, Toronto and Montreal, where in-depth interviews with 93 participants were conducted across two waves between late 2020 and late 2021; seventeen participants were trans, nonbinary or gender nonconforming. They described barriers to trans healthcare early in the pandemic, and some found lockdowns eased the pressure to perform gender because of fewer in-person encounters. Online community networks grew, yet losing physical community spaces still harmed mental health and social support.

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