[Introductory music.]
So, just to use the example of what research shows for gay, bisexual and other men who
have sex with men, there is some very strong evidence from the States as well as Canada
that really demonstrates this connection.
So, what we know for many gay, bisexual and other men who have sex with men there are
significant stressors related to experience of marginalization that are not always unique
but some of them are unique to sexual minority peoples, including experiences of homophobia,
discrimination, intolerance and violence, rejection from family and friends, and then
institutional barriers, all of them being particularly important social conditions or
factors that affect the health of gay men.
We know that this in many men leads to a kind of response, um, regulating the emotions,
substance use, changing social and personal relationships to try to protect yourself from
things.
Internalizing that response or concealing your sexuality; and that's kind of how that response happens. This then leads to various forms
of mental illness including anxiety, depression, and suicidal behaviour, substance abuse, alcohol
abuse, and this is sort of, a domino effect, that they all then snowball into this syndemic
of conditions.
And then, we know that that is related to risk behaviour, and then ultimately to HIV.
So, there certainly is very strong evidence that this path does happen for gay and bisexual
men.
But there are also clearly protective factors that are underlying these needs, including social supports,
having supportive environments such as safe schools for teens for example, social and peer norms, personal strengths around self efficacy,
being out, having protective coping mechanisms, knowledge and adoption of safer sex skills,
and supports from community organizations, being connected to communities or having those
supports.
And again this is where we're trying to focus on um, really trying to build up these protective
factors to prevent these sort of adverse health outcomes from happening.
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