MANITOBA TWO-SPIRIT, GAY, BISEXUAL, & QUEER MEN’S HEALTH STUDY

Region

Manitoba Region

A REACH Collaboration

Initiative Leads

Two-Spirited People of Manitoba Inc., University of Manitoba, Nine Circles Community Health Centre

Primary target audience

Two-Spirit, gay, bisexual, queer and other men who have sex with men (2SGBQM)

Secondary target audience

Policymakers and HIV researchers

Primary target audience

Two-Spirit, gay, bisexual, queer and other men who have sex with men (2SGBQM)

Secondary target audience

Policymakers and HIV researchers

Initiative Summary

The study looked at experiences with HIV testing and PrEP through a community-based, Manitoba-wide online survey of Two-Spirit, gay, bisexual, queer, and other men who have sex with men (2SGBQM) on guys' sexual, physical and mental health and their experiences with discrimination.

Initiative Objectives and Goals

Assess the physical and mental health and experiences with discrimination of Two-Spirit, gay, bisexual, queer and other men who have sex with men (2SGBQM).

The Role of this Initiative to End the HIV Epidemic

HIV policy makers, researchers, and practitioners should pay attention to social determinants of health, and other socio-economic factors that affect the use of HIV prevention and care for Indigenous 2SGBQM in Manitoba.

Meaningful engagement with people with lived experience

Two-Spirit, gay, bisexual, queer, and other men who have sex with men (2SGBQM) were participants in the survey.

Results

Compared with non-Indigenous men (i.e., White, Black, Latinx, East and Southeast Asian), Indigenous 2SGBQM were more likely to have lower household incomes and less likely to be employed full-time. Furthermore, compared with non-Indigenous men, Indigenous 2SGBQM were more likely to report an undetectable viral load and less likely to report ever using PrEP or report current use of PrEP.

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