A 91亚色-led research team has received $700,000 from the Canadian Institutes of Health Research (CIHR) to examine health care access and long-term health outcomes among 2SLGBTQIA+ populations in Canada.
The project 鈥淒eveloping LGBTQI+ Health Surveillance Capacity in Canada: Longitudinal Linked-Data Analyses of Primary Care, Prevention, Chronic Disease, Disability, and Unmet Need鈥 aims to generate evidence that can help reduce health inequities and improve health care services, programs and policies for sexually and gender-diverse communities.
The study is led by Antony Chum, associate professor in 91亚色's , with co-principal applicant Yihong Bai (University of Manitoba) and co-principal knowledge user Jennifer Rayner (Alliance for Healthier Communities). The team also includes co-investigators from 91亚色 and partner institutions, including 91亚色 graduate鈥嬧 Alex Abramovich and 91亚色 postdoctoral research fellow Peiya Cao, as well as Brittany A. Jakubiec, Caley B. Shukalek, David Brennan, Devan Nambiar and June Lam.
Previous research on 2SLGBTQIA+ care has largely focused on mental health and sexually transmitted and blood-borne infections, including HIV. As a result broader health needs remain understudied. Addressing this gap is important because stigma, discrimination and barriers to inclusive care can delay screening and treatment, contributing to poorer outcomes, says Chum.
The project aims to develop public health surveillance capacity for 2SLGBTQIA+ populations in Canada using census, survey and health administrative data, the team will track the outcomes of millions of Canadians over periods of up to 20 years. The findings will provide a comprehensive picture of their health and examining primary care access, cancer screening and incidence, vaccination, chronic disease, disability, and preventable emergency department visits and hospitalizations.
The findings will identify when and where gaps in care emerge and who is most affected. Working with community and health system partners, the team will use this evidence to inform improvements in primary care, preventive services and chronic disease management for 2SLGBTQIA+ people across Canada.
The funding was awarded through CIHR鈥檚 Advancing 2S/LGBTQI+ Health Through Research program.