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Publication 12/11/2024

Participatory Action Research and Knowledge Dissemination in Virtual Photovoice: Methodological Insights

Calvin C. Fernandez, University of British Columbia

Qualitative Health Research

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

Photovoice moved online during the pandemic, but how virtual versions handle participatory action research and knowledge dissemination has been unclear. Reflecting on a virtual photovoice study of men's experiences and views of equitable intimate partner relationships, this methodological article offers three lessons. First, selecting representative images from 714 participant photographs required adapting preview, review, and cross-photo comparison techniques while honouring participatory principles. Second, Zoom polls let participants vote anonymously on favourite photographs, which equalised input though it also surfaced differing cultural norms across locations. Third, online exhibitions reach diverse audiences only with deliberate marketing, media attention, and interactivity that sustains engagement.

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Publication 22/10/2024

"I Needed to be That Voice": A Multi-Party Study of the Healthcare and Social Service Experiences and Needs of Transgender and Gender-diverse Older Adults in Canada

Hannah Kia, University of British Columbia

Celeste Pang, Mount Royal University

Kaan Goncu, University of British Columbia

Brittany Jakubiec, EGALE

Lori Ross, Dalla Lana School of Public Health

Journal of Applied Gerontology

Community-Based Research   Intersectional Approaches   Qualitative   Aging   Health Equity   Health Services   Policy   2S/LGBTQ+   Test   Trans   Health Professionals   National

Older trans and gender-diverse people are rarely the focus of research on aging and care. This Canadian qualitative study convened six virtual focus groups with 21 participants, including TGD adults aged 50 and over, service providers and community advocates, to examine healthcare and social service experiences and needs. Guided by critical gerontology and intersectionality, and using interpretive description, the researchers compared perspectives across those groups. Histories of marginalization, precarity, ongoing intersectional oppression and resistance all shaped how participants engaged with systems of care, while community-driven, ground-up efforts emerged as a key response to evolving needs, with implications for policy and practice.

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Publication 19/10/2024

2S/LGBTQ+ youth substance use and pathways to homelessness: A photovoice study

Trevor Goodyear, University of British Columbia

Hannah Kia, University of British Columbia

Rod Knight, Université de Montréal

International Journal of Drug Policy

Arts-based Methods   Community-Based Research   Quantitative   Harm Reduction   Homelessness   Substance Use   2S/LGBTQ+   Youth   urban

How does substance use figure in the stories 2S/LGBTQ+ young people tell about becoming homeless? This community-based photovoice study in Vancouver worked with 32 young people who took their own photographs and discussed them in interviews, analysed through a constructionist narrative approach. Two storylines emerged. Taking refuge described using substances to cope with intersecting hardships and minority stressors while growing up and while moving into homelessness. Playing into precarity described sexualised crystal methamphetamine use as offering connection and release while also bringing discomfort, including eviction from the family home. The authors call for tailored, harm reduction-oriented support before and after youth lose housing.

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Publication 01/10/2024

Overcoming barriers in eating disorder care: advances, gaps, and recommendations for equitable assessment and treatment

Em Mittertreiner, University of New Brunswick

Applied Physiology, Nutrition, and Metabolism

Evidence Synthesis   Knowledge Translation   Health Equity   Nutrition   Stigma   2S/LGBTQ+   Health Professionals

Clinicians and researchers invited to speak at the Canadian Nutrition Society's 2023 thematic conference turned their attention to inequities in eating disorder care. This overview gathers the topics they covered, spanning advances and remaining gaps in the assessment and treatment of disordered eating and eating disorders. Speakers stressed how systemic factors, including racism, weight stigma, and COVID-19, shape who gets identified and how they are treated, and proposed strategies for addressing those inequities. The paper translates the discussion into actionable recommendations for clinicians, with attention to professional development, cultural competence, and more equitable assessment and treatment practices overall.

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Publication 29/09/2024

'How can you worry about employment and survival at the same time?': employment and mental health among precariously employed cisgender and transgender sexual minority adult men in Toronto, Canada

David Kinitz, The PRIDE Study, Stanford University School of Medicine

Lori Ross, Dalla Lana School of Public Health

Dionne Gesink, Dalla Lana School of Public Health

Culture, Health & Sexuality

Critical Theory   Qualitative   Health Equity   Mental health   Poverty   2S/LGBTQ+   Men   Trans   urban

Insecure work and poor mental health can trap people in a loop. Drawing on narratives from 20 precariously employed cisgender and transgender sexual minority men in Toronto, this study applies a political economy framework to a gap in labour market and occupational health research on sexual and gender minority workers. Findings are presented across time, covering employment readiness, looking for work, and life on the job, revealing the social and structural processes behind participants' accounts. Mental ill-health pushed men out of the labour market, deepening precarity that worsened their health again. Responses must address stigma, stable work, care, and welfare.

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