Grant: Team Grant: HIV/AIDS and STBBI CBR - Gay, bisexual men and other MSM - LOI

Due to persistent stigma, discrimination, minority stress, and key social determinants of health, Two-Spirit, gay, bisexual, trans, and queer men and non-binary (2S/GBTQ) people experience a disproportionate burden of negative health outcomes in Canada, including elevated rates of HIV and some sexually transmitted and bloodborne infections (STBBIs). Intersecting health inequities and social determinants continue to shape 2S/GBTQ communities' access and uptake of effective biomedical HIV and STBBI interventions. There is an equally important and ongoing need to assess the persistence of access barriers to these interventions to address inequities, optimize uptake, and reduce HIV and STBBI incidence among 2S/GBTQ people in Canada. Through our proposed mixed methods research activities, our team will collect and mobilize community-based research data to address inequities in HIV and STBBI outcomes within 2S/GBTQ communities in Canada. While our specific objectives will be refined during the development period of this grant in consultation with diverse 2S/GBTQ people, our overarching goals are to: 1. Set community-driven priorities to address the most pressing structural determinants of health and persistent inequities in HIV and STBBIs for diverse 2S/GBTQ people across Canada. 2. Build community capacity and research literacy among diverse 2S/GBTQ community members impacted by HIV and STBBIs to co-lead grant activities and provide community governance of study protocols and data. 3. Understand barriers to HIV and STBBI prevention, testing, and treatment among 2S/GBTQ communities, including the role of health inequities - e.g., rooted in stigma, racism, homophobia, transphobia, sexism, ableism, and other forms of discrimination - and upstream determinants on these outcomes over time. 4. Conduct community-based knowledge mobilization to ensure main findings are shared with key audiences and integrated into future health service delivery, programming, and policy.