Ashley Lacombe-Duncan
Dados Biográficos
| ID | 244828 |
|---|---|
| NOME | Ashley Lacombe-Duncan |
| PRENOMES | Ashley |
| SOBRENOME | Lacombe-Duncan |
| ASSINATURA | LACOMBE-DUNCAN A |
| AFILIAÇÕES | University of Michigan |
| ORCID | 0000-0002-9023-8877 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAÇÕES | 25 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2014 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 3 |
“It’s a Big Ordeal”
Objectives: Transgender and gender diverse (TGD) persons are disproportionately affected by sexually transmitted infection (STI) inequities. Research predominantly focuses on HIV disparities among transfeminine persons, whereas non-HIV STIs (e.g., chlamydia) and transmasculine and nonbinary persons are overlooked. Thus, we examined barriers and facilitators to uptake of non-HIV STI testing among TGD persons, inclusive of transmasculine, transfemi…
Empowerment for Us by Us (E4UBU)”
Lesbian, bisexual, queer, trans and other gender diverse persons assigned female at birth (heretofore referred to as "LBQT+ persons") in Western Kenya experience intersectional oppression and stigma. This stigma can manifest in acts of sexual and gender-based violence (SGBV) and sexual and gender minority (SGM)-based violence, as well as various forms of discrimination-all of which have been linked to disproportionately higher levels of negative …
HIV and STI Testing Among South Asian Gay, Bisexual, and Other Men Who Have Sex With Men in the United States
South Asian gay, bisexual, and other men who have sex with men (GBMSM) in the United States are subsumed under the broad, heterogeneous category of Asian GBMSM in national surveillance systems. Disaggregated data on their rates of HIV and sexually transmitted infection (STI) testing are not publicly reported. This is problematic as the diversity of ancestries, cultures, and customs across subgroups of Asian GBMSM may contribute to differential HI…
Dismantling White Supremacy and Promoting Antiracism in Social Work
The social work profession in the United States is striving to advance antiracism amidst increasing threats of white supremacist violence. However, tensions and paradoxes in the contexts of academic research and knowledge development, education and teaching, and service undermine the profession’s efforts. Structural or institutional processes—in higher education broadly and in schools of social work specifically—shape who publishes research, educ…
A methodological scoping review of qualitative research on LGBTQ + bullying victimization
We conducted a scoping review in accordance with Cochrane guidelines to identify participant and methodological characteristics of qualitative research conducted with young people on LGBTQ + bullying victimization. From 2005 to 2020, we identified 1,579 abstracts, with 141 articles retained for full-text screening and 35 included in the review. Overall, participants (N = 884) were predominantly white (50%), cisgender male (51%), and gay (38%); 14…
You Could Tell I Said the Wrong Things
Older gay men commonly conceal their sexual identity in healthcare settings due to past experiences and expectations of encountering stigma and discrimination in these contexts. Although insights on how older gay men construct their sexual identity in healthcare may help contextualize this phenomenon, this question remains under-explored. Accordingly, we present the findings of a secondary grounded theory analysis of individual interview data, wh…
Mental health among transgender women living with HIV in Canada
Antiretroviral therapy adherence among transgender (trans) women living with HIV (WLWH) is negatively impacted by depression and post-traumatic stress disorder (PTSD). Yet, little is known about factors associated with depression or PTSD among trans WLWH. Using cross-sectional data from a national community-based study of 1422 WLWH (n = 53 trans women), we characterized the prevalence of depressive and PTSD symptoms among trans WLWH and examined …
“…Everybody Else Is More Privileged. Then It’s Us…”
Social-ecological factors associated with having a regular healthcare provider among lesbian, gay, bisexual and transgender persons in Jamaica
Lesbian, gay, bisexual, and transgender (LGBT) people experience a multitude of barriers to healthcare access, particularly in highly stigmatising contexts, such as Jamaica. Access to a regular healthcare source can contribute to uptake of health knowledge and services. Yet social-ecological factors associated with access to a regular healthcare provider among LGBT persons in Jamaica are underexplored. We conducted a cross-sectional survey with L…
Help-Seeking to Cope With Experiences of Violence Among Women Living With HIV in Canada
Using baseline data from a community-collaborative cohort of women living with HIV in Canada, we assessed the prevalence and correlates of help-seeking among 1,057 women who reported experiencing violence in adulthood (≥16 years). After violence, 447 (42%) sought help, while 610 (58%) did not. Frequently accessed supports included health care providers ( n = 313, 70%), family/friends ( n = 244, 55%), and non-HIV community organizations ( n = 235,…
A qualitative study of resilience among transgender women living with HIV in response to stigma in healthcare
Stigma in healthcare is a pervasive adversity experienced by transgender (trans) women living with HIV (WLWH). Resilience is described as individual and collective processes of navigating and overcoming adversity. This qualitative study sought to explore resilience exhibited by trans WLWH in response to stigma in healthcare. Semi-structured, individual interviews were conducted in 2017–2018 with a purposive sample of trans WLWH (n = 11) participa…
Differential Experiences of Mental Health among Trans/Gender Diverse Adults in Michigan
Transgender and gender diverse individuals experience high rates of health disparities, as compared with their cisgender (non-transgender) counterparts. One area in which these disparities is most grave is that of mental health, with some studies indicating transgender and gender diverse individuals as having a 40% rate of lifetime suicide attempts and similarly high rates of depression, anxiety, and suicidal ideation. These rates vary further wi…
A qualitative exploration of barriers to HIV prevention, treatment and support
Transgender (trans) women experience barriers to access to HIV care, which result in their lower engagement in HIV prevention, treatment and support relative to cisgender people living with HIV. Studies of trans women's barriers to HIV care have predominantly focused on perspectives of trans women, while barriers are most often described at provider, organisation and/or systems levels. Comparing perspectives of trans women and service providers m…
Gendered and Sexualized Bullying and Cyber Bullying
Drawing on semistructured interviews with Canadian Grade 4 to 12 students, this article uses a feminist lens to explore gendered and sexualized bullying and cyberbullying among children and youth. Our findings indicate that while boys' roles and behaviors were frequently made invisible, girls were typically spotlighted, blamed, and criticized. Girls' experiences were often minimized and normalized by peers and linked to gender norms and stereotyp…
Predicting Retention in HIV Primary Care
A Latent Class Analysis of the Social Determinants of Health Impacting Heavy Alcohol Consumption Among Women Living with HIV in Canada
Adapting the psychological mediation framework for cisgender and transgender sexual minorities in Jamaica
HIV-related stigma, racial discrimination, and gender discrimination
Social-ecological factors associated with selling sex among men who have sex with men in Jamaica
BACKGROUND: Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological…
A Social Ecological Approach to Understanding Life Satisfaction among Socio-Economically Disadvantaged People Living with HIV/Aids in Taiwan
The purpose of this study was to assess multilevel correlates of life satisfaction among people living with HIV/AIDS (PLWHA) in Taiwan, with a specific focus on marginalised men who have sex with men (MSM) and people who use injection drugs (PWID) in order to inform contextually relevant social work interventions consistent with an ecological approach. In 2011, we conducted a cross-sectional survey among a convenience sample of Taiwanese PLWHA (n…
Contextualising sexual health practices among lesbian and bisexual women in Jamaica
Limited research has examined lesbian and bisexual women's sexual health practices in the Caribbean, where lesbian and bisexual women experience sexual stigma that may reduce sexual healthcare utilisation. We conducted a sequential multi-method research study, including semi-structured individual interviews (n = 20) and a focus group (n = 5) followed by a cross-sectional survey (n = 205) with lesbian and bisexual women in Kingston, Montego Bay, a…
Access and engagement in HIV care among a national cohort of women living with HIV in Canada
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Heal…
Sexual Orientation Differences in Health and Wellbeing Among Women Living with HIV in Canada
Syndemic Factors Mediate the Relationship between Sexual Stigma and Depression among Sexual Minority Women and Gender Minorities
Adapting to attrition challenges in multi-year studies
Gendered and Sexualized Bullying and Cyber Bullying
Drawing on semistructured interviews with Canadian Grade 4 to 12 students, this article uses a feminist lens to explore gendered and sexualized bullying and cyberbullying among children and youth. Our findings indicate that while boys' roles and behaviors were frequently made invisible, girls were typically spotlighted, blamed, and criticized. Girls' experiences were often minimized and normalized by peers and linked to gender norms and stereotyp…
Adapting the psychological mediation framework for cisgender and transgender sexual minorities in Jamaica
You Could Tell I Said the Wrong Things
Older gay men commonly conceal their sexual identity in healthcare settings due to past experiences and expectations of encountering stigma and discrimination in these contexts. Although insights on how older gay men construct their sexual identity in healthcare may help contextualize this phenomenon, this question remains under-explored. Accordingly, we present the findings of a secondary grounded theory analysis of individual interview data, wh…
Dismantling White Supremacy and Promoting Antiracism in Social Work
The social work profession in the United States is striving to advance antiracism amidst increasing threats of white supremacist violence. However, tensions and paradoxes in the contexts of academic research and knowledge development, education and teaching, and service undermine the profession’s efforts. Structural or institutional processes—in higher education broadly and in schools of social work specifically—shape who publishes research, educ…
A qualitative exploration of barriers to HIV prevention, treatment and support
Transgender (trans) women experience barriers to access to HIV care, which result in their lower engagement in HIV prevention, treatment and support relative to cisgender people living with HIV. Studies of trans women's barriers to HIV care have predominantly focused on perspectives of trans women, while barriers are most often described at provider, organisation and/or systems levels. Comparing perspectives of trans women and service providers m…
Contextualising sexual health practices among lesbian and bisexual women in Jamaica
Limited research has examined lesbian and bisexual women's sexual health practices in the Caribbean, where lesbian and bisexual women experience sexual stigma that may reduce sexual healthcare utilisation. We conducted a sequential multi-method research study, including semi-structured individual interviews (n = 20) and a focus group (n = 5) followed by a cross-sectional survey (n = 205) with lesbian and bisexual women in Kingston, Montego Bay, a…
Adapting to attrition challenges in multi-year studies
Patterns of cigarillo use among Canadian young adults in two urban settings
“It’s for us –newcomers, LGBTQ persons, and HIV-positive persons. You feel free to be”
BACKGROUND: Stigma and discrimination harm the wellbeing of lesbian, gay, bisexual and transgender (LGBT) people and contribute to migration from contexts of sexual persecution and criminalization. Yet LGBT newcomers and refugees often face marginalization and struggles meeting the social determinants of health (SDOH) following immigration to countries such as Canada. Social isolation is a key social determinant of health that may play a signific…
Community engagement among men who have sex with men living with HIV/Aids in Taiwan
Community engagement was developed as a global principle in the provision of HIV/AIDS services, yet evidence-based research of implementation of the principle is lacking in Taiwan. This short report aims to understand factors associated with engagement in two types of activities with varying levels of visibility: HIV-related community events and HIV-related community action, in Taiwanese men who have sex with men (MSM) living with HIV. A cross-se…
Correlates of clinical breast examination among lesbian, gay, bisexual, and queer women
Access and engagement in HIV care among a national cohort of women living with HIV in Canada
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Heal…
Sexual Orientation Differences in Health and Wellbeing Among Women Living with HIV in Canada
Syndemic Factors Mediate the Relationship between Sexual Stigma and Depression among Sexual Minority Women and Gender Minorities
Adapting to attrition challenges in multi-year studies
HIV-related stigma, racial discrimination, and gender discrimination
Social-ecological factors associated with selling sex among men who have sex with men in Jamaica
BACKGROUND: Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological…
A Social Ecological Approach to Understanding Life Satisfaction among Socio-Economically Disadvantaged People Living with HIV/Aids in Taiwan
The purpose of this study was to assess multilevel correlates of life satisfaction among people living with HIV/AIDS (PLWHA) in Taiwan, with a specific focus on marginalised men who have sex with men (MSM) and people who use injection drugs (PWID) in order to inform contextually relevant social work interventions consistent with an ecological approach. In 2011, we conducted a cross-sectional survey among a convenience sample of Taiwanese PLWHA (n…
Contextualising sexual health practices among lesbian and bisexual women in Jamaica
Limited research has examined lesbian and bisexual women's sexual health practices in the Caribbean, where lesbian and bisexual women experience sexual stigma that may reduce sexual healthcare utilisation. We conducted a sequential multi-method research study, including semi-structured individual interviews (n = 20) and a focus group (n = 5) followed by a cross-sectional survey (n = 205) with lesbian and bisexual women in Kingston, Montego Bay, a…
Predicting Retention in HIV Primary Care
A Latent Class Analysis of the Social Determinants of Health Impacting Heavy Alcohol Consumption Among Women Living with HIV in Canada
Adapting the psychological mediation framework for cisgender and transgender sexual minorities in Jamaica
A qualitative study of resilience among transgender women living with HIV in response to stigma in healthcare
Stigma in healthcare is a pervasive adversity experienced by transgender (trans) women living with HIV (WLWH). Resilience is described as individual and collective processes of navigating and overcoming adversity. This qualitative study sought to explore resilience exhibited by trans WLWH in response to stigma in healthcare. Semi-structured, individual interviews were conducted in 2017–2018 with a purposive sample of trans WLWH (n = 11) participa…
Differential Experiences of Mental Health among Trans/Gender Diverse Adults in Michigan
Transgender and gender diverse individuals experience high rates of health disparities, as compared with their cisgender (non-transgender) counterparts. One area in which these disparities is most grave is that of mental health, with some studies indicating transgender and gender diverse individuals as having a 40% rate of lifetime suicide attempts and similarly high rates of depression, anxiety, and suicidal ideation. These rates vary further wi…
A qualitative exploration of barriers to HIV prevention, treatment and support
Transgender (trans) women experience barriers to access to HIV care, which result in their lower engagement in HIV prevention, treatment and support relative to cisgender people living with HIV. Studies of trans women's barriers to HIV care have predominantly focused on perspectives of trans women, while barriers are most often described at provider, organisation and/or systems levels. Comparing perspectives of trans women and service providers m…
Gendered and Sexualized Bullying and Cyber Bullying
Drawing on semistructured interviews with Canadian Grade 4 to 12 students, this article uses a feminist lens to explore gendered and sexualized bullying and cyberbullying among children and youth. Our findings indicate that while boys' roles and behaviors were frequently made invisible, girls were typically spotlighted, blamed, and criticized. Girls' experiences were often minimized and normalized by peers and linked to gender norms and stereotyp…
Mental health among transgender women living with HIV in Canada
Antiretroviral therapy adherence among transgender (trans) women living with HIV (WLWH) is negatively impacted by depression and post-traumatic stress disorder (PTSD). Yet, little is known about factors associated with depression or PTSD among trans WLWH. Using cross-sectional data from a national community-based study of 1422 WLWH (n = 53 trans women), we characterized the prevalence of depressive and PTSD symptoms among trans WLWH and examined …
“…Everybody Else Is More Privileged. Then It’s Us…”
Social-ecological factors associated with having a regular healthcare provider among lesbian, gay, bisexual and transgender persons in Jamaica
Lesbian, gay, bisexual, and transgender (LGBT) people experience a multitude of barriers to healthcare access, particularly in highly stigmatising contexts, such as Jamaica. Access to a regular healthcare source can contribute to uptake of health knowledge and services. Yet social-ecological factors associated with access to a regular healthcare provider among LGBT persons in Jamaica are underexplored. We conducted a cross-sectional survey with L…
Help-Seeking to Cope With Experiences of Violence Among Women Living With HIV in Canada
Using baseline data from a community-collaborative cohort of women living with HIV in Canada, we assessed the prevalence and correlates of help-seeking among 1,057 women who reported experiencing violence in adulthood (≥16 years). After violence, 447 (42%) sought help, while 610 (58%) did not. Frequently accessed supports included health care providers ( n = 313, 70%), family/friends ( n = 244, 55%), and non-HIV community organizations ( n = 235,…
Dismantling White Supremacy and Promoting Antiracism in Social Work
The social work profession in the United States is striving to advance antiracism amidst increasing threats of white supremacist violence. However, tensions and paradoxes in the contexts of academic research and knowledge development, education and teaching, and service undermine the profession’s efforts. Structural or institutional processes—in higher education broadly and in schools of social work specifically—shape who publishes research, educ…
A methodological scoping review of qualitative research on LGBTQ + bullying victimization
We conducted a scoping review in accordance with Cochrane guidelines to identify participant and methodological characteristics of qualitative research conducted with young people on LGBTQ + bullying victimization. From 2005 to 2020, we identified 1,579 abstracts, with 141 articles retained for full-text screening and 35 included in the review. Overall, participants (N = 884) were predominantly white (50%), cisgender male (51%), and gay (38%); 14…
Medicine (23 obras) · Psychology (23 obras) · HIV/AIDS Research and Interventions (18 obras) · LGBTQ Health, Identity, and Policy (17 obras) · Sociology (17 obras) · Social Psychology (13 obras) · Demography (11 obras) · Psychiatry (11 obras) · Family medicine (10 obras) · Gender Studies (10 obras)