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

Two-Spirit, gay, bisexual, trans, and queer (2S/GBTQ) men face elevated rates of HIV and many STBBIs in Canada due to intersecting health inequities, social determinants, and access barriers. This is especially true for groups of 2S/GBTQ people who experience intersecting forms of oppression, such as colonization, anti-Black and anti-Indigenous racism, and HIV stigma; this includes Indigenous people, African, Caribbean, and Black (ACB) people, and people living with HIV. Our overarching goal is to collect and mobilize community-based data to address inequities in HIV and STBBIs within 2S/GBTQ communities across Canada, particularly among Indigenous people, ACB people, and PLHIV. We will do this by: bridging community capacity among diverse 2S/GBTQ community members disproportionately impacted by HIV and STBBIs; assessing persistent and evolving barriers to HIV and STBBI prevention, testing, and treatment for 2S/GBTQ communities; and mobilizing knowledge by sharing key findings with relevant audiences to integrate into future health services, programs, and policies. Our team is led by 2S/GBTQ people, including Indigenous and Black 2S/GBTQ leadership. We are committed to community-based, intersectional, GIPA/MEPA, antiracist, and decolonial approaches. We will: adapt and deliver Investigaytors and Knowledge 2eekerS capacity-bridging programs for diverse 2S/GBTQ people living with HIV and ACB people; co-design and analyze a new version of the Sex Now survey, Canada's largest and longest-running survey of 2S/GBTQ people; and co-lead embedded qualitative HIV/STBBI data collection and analysis. We will mobilize our findings with 2S/GBTQ communities, healthcare providers, and policymakers to shape health service delivery, programming, and policy for our communities. We will develop robust data and empower community leaders through capacity-bridging to address inequities in HIV and STBBI testing, treatment, and care, reducing new HIV and STBBI transmissions in Canada.