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Publications from our network

Publications listed below feature authors or team-members from the 2S/LGBTQ+ Health Hub network. This collection features a range of publication types - enjoy your read! 

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Publication 2/26/2025

Longitudinal Associations Between Exposure to Physical Interparental Violence and Dating Violence in Young Adulthood and the Moderating Role of Sex, Socioeconomic Status, and Antisociality

Andrés E. Montiel, University of British Columbia

Journal of Interpersonal Violence

Epidemiology   Quantitative   Survey Methods   Family   Intimate Partner Violence   Relationships   Youth   National

Does witnessing violence between parents set young people up to repeat it in their own relationships? Using data from TRAILS, a longitudinal, multi-informant, dual-cohort Dutch study, researchers examined 522 participants who reported childhood exposure to physical interparental violence and whose romantic partners answered questionnaires about dating violence. Controlling for childhood maltreatment, hierarchical logistic regressions found no association between that exposure and either perpetration or victimization of physical and psychological dating violence in young adulthood. The pattern held regardless of sex, socioeconomic status or antisociality. The authors read this as evidence of resilience against an assumed intergenerational cycle of violence.

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Publication 2/7/2025

"It's Very Cisnormatively Structured": An Interpretive Description of Undergraduate Nursing Students' Experiences of Gender Inclusive and Affirming Practices

Jess Crawford, University of Manitoba

Nursing Inquiry

Critical Theory   Qualitative   Gender Affirming Care   Health Services   Stigma   2S/LGBTQ+   Gender Diverse   Trans   Health Professionals

Nursing education can leave graduates unprepared to care for transgender and gender diverse patients, and can harm trans students along the way. This interpretive description, informed by queer theory and Hafferty's three levels of curriculum, engaged 18 undergraduate nursing students in initial focus groups or interviews, with 13 returning for follow-up. Students described cisnormativity running through every level of the curriculum, the framing of trans people as a problem to be othered, and the importance of individual educators who welcome and affirm. Their recommendations include normalizing gender diversity in coursework, accountability and representation in nursing schools, and action from governing bodies.

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Publication 1/29/2025

An expert perspective on diversity-oriented standards for assessing sex and gender in clinical research

Robert-Paul Juster, Université de Montréal

Frontiers in Psychiatry

Quantitative   Survey Methods   Advocacy   Health Equity   2S/LGBTQ+   Gender Diverse   Non-binary   Trans   Two-Spirit

Clinical trials need diverse participants, yet gender minorities are frequently left out, weakening how well results apply to everyone. This two-stage expert survey asked specialists to rate the importance and practicality of measuring sex, gender identity, and gender expression in clinical research, to judge which terms were suitable and understandable, and to refine existing definitions, with consensus set at 70 percent agreement. Experts endorsed asking separately about sex assigned at birth, with female, male, and intersex options, and gender identity, with categories including woman, man, nonbinary, trans woman, trans man, genderqueer, genderfluid, agender, and two spirit.

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Publication 12/31/2024

Promoting trans patient autonomy in surgical preparation for phalloplasty and metoidioplasty

Aaron Devor, University of Victoria

BMC Medical Ethics

Survey Methods   Gender Affirming Care   Health Services   Non-binary   Trans   International

Little research investigates what resources are useful in helping patients to feel prepared to undergo phalloplasty or metoidioplasty, and how assessments and resources can promote patient autonomy in the process. This study sought to fill this gap by utilizing data from PROGRESS (Patient-Reported Outcomes of Genital Reconstruction and Experiences of Surgical Satisfaction), a cross-sectional, community-based survey of trans and nonbinary adults from the United States of America and Canada who had undergone one or more of these surgeries. Results revealed most participants felt prepared to undergo surgery, though the majority of our sample did not find referral letter assessments to be helpful. Peer support such as online resources/blogs were rated as highly useful, along with surgical consults.

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Publication 12/15/2024

Understanding the Needs and Experiences With Health Services of Gay and Bisexual Men (GBM) Who Engaged in Chemsex During the First Year of the COVID-19 Pandemic in Quebec, Canada

Maxi Gaudette, Université de Montréal

Jorge Flores-Aranda, Université du Quebec a Montreal

Rod Knight, Université de Montréal

Olivier Ferlatte, Université de Montréal

Qualitative Health Research

Community-Based Research   Intersectional Approaches   Qualitative   Harm Reduction   Mental health   Substance Use   2S/LGBTQ+   Bisexual   Gay   GBMSM   Francophone   Regional

Pandemic restrictions reshaped both chemsex and the services meant to support it. Using interpretive description, researchers interviewed eight key informants with chemsex expertise and 13 gay and bisexual men (GBM) with lived experience in Quebec between July 2020 and January 2021. Three themes emerged. Participants described the public health response as heteronormative and moralizing, deepening shame, isolation, and drug-related risk by obstructing harm reduction. They also described how already scarce chemsex-specialized services worsened, with the shift online making trusting therapeutic relationships harder. Yet online delivery also improved access to personalized, culturally sensitive care, supporting a blended in-person and virtual approach.

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