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  • 1. 2-SPIRIT ABORIGINAL PEOPLE LIVINGWITH HIV/AIDS WHO PARTICIPATED INONTARIOS POSITIVE SPACES,HEALTHY PLACES STUDY Nathan J Lachowsky1,2; Art Zoccole3; CE Dewey1,2; AJS Summerlee4; and Positive Spaces Healthy Places team 1 Department of Population Medicine, University of Guelph, ON 2 Centre for Public Health and Zoonoses, University of Guelph, ON 3 2-Spirit People of the 1st Nations, Toronto, ON 4 Department of Biomedical Science, University of Guelph, ON

2. Background Some 2-spirit people are at the intersectionGay, of populations at-risk Aboriginal bisexualpeopleand otherMSM Paucity of research specific to 2-spirit peopleSome2-spirit people 3. Social Determinants of Health Ottawa Charter for Health Promotion Health for All 21 November 1986 2nd item: shelter == housing 4. Objective Describe the experiences of 2-spirit Aboriginal people living with HIV/AIDS (APHAs), as collected through the Positive Spaces, Healthy Places (PSHP) study. 5. Positive Spaces, Healthy Places (PSHP) First longitudinal community-based research initiative in Canada examining the relationship between health and housing in the context of HIV to inform housing policies and programs that may lead to improved health outcomes and health-related quality of life for PWAs. For more information: www.pshp.ca 6. Method 2-Spirit APHA (n=43) HIV-positive at baseline; Identified with an Aboriginal ethnicity; and Identified as gay, bisexual, lesbian or other (defined further) Baseline and 24-month follow-up Appropriate statistical tests for longitudinal/paired/matched data 7. Results (n=43) Age: mean = 41.7 years, sd = 7.4 years Range 26 65 Gender: male = 93% Location: Greater Toronto Area = 65.1% Aboriginal ethnicity: First Nations = 62.8% Education: at least high school graduate = 79.1% Currently on treatment: 67.4% Diagnosed with HIV: 1978 2005 ARVs started an average of 3.3 years later Reported AIDS defining illness: 51.2% 8. Results (n=43) Change Over Time (baseline to 24-month follow-up): Highest or lowest CD4 cell count in previous 6 months No change over time (p=0.58 and p=0.83%) Participants self-rated quality of life 53.5% rated pretty good or better at baseline 64.7% rated pretty good or better at 24-month follow-up No change over time (p=0.61) Participants self-rated physical/mental health 86.0% rated about the same or better at baseline 82.4% rated about the same or 24-months No change over time (p=0.62) 9. Discussion Diverse sample of 2-spirit APHAs in Ontario Majority are educated males living in GTA Little change over time in major outcomes explored Stable population: resilience Results can inform population-specific programming, policy and interventions 10. Strengths & Limitations Strengths: Community-based partnership with 2-Spirited People of the 1stNations Rich longitudinal data compliments of PSHP team Unique focus on 2-spirit people Limitations: Only possible to have a sample size statistically (n=43) Operational definition of 2-spirit 11. Next Steps Presentation of interim results with affected communitymembers and at 2012 OHTN Research Conference Analyze additional changes over time for this cohort Build regression models to determine most salient factorsimpacting health-related quality of life Develop manuscript for publication Other knowledge translation activities of final findings 12. Acknowledgements Positive Spaces, Healthy Places participants Art Zoccole& 2-Spirits 13. 2-SPIRIT ABORIGINAL PEOPLE LIVINGWITH HIV/AIDS WHO PARTICIPATED INONTARIOS POSITIVE SPACES,HEALTHY PLACES STUDY Nathan J Lachowsky1,2; Art Zoccole3; CE Dewey1,2; AJS Summerlee4; and Positive Spaces Healthy Places team 1 Department of Population Medicine, University of Guelph, ON 2 Centre for Public Health and Zoonoses, University of Guelph, ON 3 2-Spirit People of the 1st Nations, Toronto, ON 4 Department of Biomedical Science, University of Guelph, ON