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Ashley Lacombe-Duncan

Assistant Professor of Social Work

Ashley Lacombe-Duncan
Ashley Lacombe-Duncan received her MSW (2010) and PhD (2018) from the Factor-Inwentash Faculty of Social Work at the University of Toronto. Lacombe-Duncan’s macro social work practice experience includes: policy analysis, grant writing, practice-informed research, program development, and program evaluation in community-based and hospital health and mental health settings. Her major research focus centers on healthcare access and health equity, with a particular focus on healthcare access for people who experience multiple forms of intersecting oppressions. Specifically, her research focuses on three main areas: (1) understanding barriers to access to care, including HIV care, for lesbian, gay, bisexual and transgender (LGBT) people; (2) developing/adapting, pilot testing and evaluating interventions to increase HIV care engagement among LGBT people living with HIV; and, (3) advancing LGBT affirming social work practice from an intersectional approach.

As a co-investigator of the Canadian Institute of Health Research (CIHR)-funded Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS) and Impactful Research with Diverse Women Living with and at Risk of HIV in Canada and a member of the Canadian HIV/AIDS Trials Network (CTN) Trans People and HIV Working Group, Lacombe-Duncan works to understand issues of access to and experience of healthcare for trans women living with HIV using a community-based participatory research approach. She has participated in several research projects focused on LGBT health in Canada and abroad. Her methodological expertise includes mixed methods and review methodologies (meta-analysis, meta-ethnography). She is interested in teaching courses in social work theory, social justice and diversity, research methods, and macro social work practice.

Research Interests/Focus

Healthcare access and equity; social determinants of health; intersectional stigma and discrimination; LGBT people; people living with HIV; mixed methods; systematic reviews; community-based participatory research

Education

Year Degree   School
2018 PhD Social Work University of Toronto, Toronto, Ontario CANADA
2010 MSW University of Toronto, Toronto, Ontario CANADA
2008 BS Health Studies University of Waterloo, Waterloo, Ontario CANADA

Kay, E. S., Lacombe-Duncan, A., & Pinto, R. M. (2019). Predicting retention in HIV primary care: Is there a missed visits continuum based on patient characteristics? AIDS and Behavior.

Lacombe-Duncan, A., Bauer, G. R., Logie, C. H., Newman, P. A., Shokoohi, M., Kay, E. S, Persad, Y., O’Brien, N., Kaida, A., de Pokomandy, A., & Loutfy, M. (2019). The HIV care cascade among transgender women with HIV in Canada: A mixed-methods study. AIDS Patient Care and STDs, 33(7), 308-322.

Pinto, R., Lacombe-Duncan, A., Kay, E. S., & Berringer, K. (2019). Expanding knowledge about implementation of pre-exposure prophylaxis: A methodological review. AIDS and Behavior.

Lacombe-Duncan, A., Newman, P. A., Bauer, G. R., Logie, C. H., Persad, Y., Shokoohi, M., O’Brien, N., Kaida, A., de Pokomandy, A., & Loutfy, M. (2019). Gender-affirming healthcare experiences and medical transition among transgender women living with HIV: A mixed methods study. Sexual Health.

Kay, E. S., Lacombe-Duncan, A., & Pinto, R. (2019). Predicting retention in HIV primary care: Is there a missed visits continuum based on patient characteristics? AIDS and Behavior.

Shokoohi, M., Bauer, G. R., Kaida, A., Lacombe-Duncan, A., Kazemi, M., Gagnier, B., de Pokomandy, A. & Loutfy, M. (2019). Social determinants of health and self-rated health status: A comparison between women with HIV and women without HIV from the general population in Canada. PLoS One, 14(3).

Shokoohi, M., Bauer, G. R., Kaida, A., Logie, C. H., Carter, A., Lacombe-Duncan, A., & Loutfy, M. (2019). A latent class analysis of the social determinants of health impacting heavy alcohol consumption among women living with HIV in Canada: The Canadian HIV Women’s Sexual and Reproductive Health Cohort Study. AIDS and Behavior.

Logie, C. H., Lacombe-Duncan, A., Persad, Y., Ferguson, T. B., Yehdego, M., Ryan, S., Forrester, M., Moses, C., & Guta, A. (2019). The TRANScending Love arts-based workshop to address self-acceptance and internalized stigma among transgender women of color in Toronto, Canada: Findings from a qualitative implementation science study. Transgender Health, 4(1).

Shokoohi, M., Bauer, G., Kaida, A., Logie, C. H., Lacombe-Duncan, A., Milloy, M-J., LloydSmith, E., Carter, A., & Loutfy, M. (2019). Patterns of social determinants of health associated with drug use among women living with HIV in Canada: a latent class analysis. Addiction, 114(7), 1214-1224.

Marcus, S., Friedman, J., & Lacombe-Duncan, A. (2019). Neuromuscular electrical stimulation for treatment of dysphagia in infants and young children with neurologic impairment: A prospective study. BMJ Pediatrics Open, 3(1).

Logie, C. H., Kenny, K. S., Lacombe-Duncan, A., Levermore, K., Jones, N., Marshall, A., & Newman, P. A. (2018). Factors associated with time since last sexually transmitted infections test among men who have sex with men in Jamaica: A cross-sectional tablet-based survey. Sexual Health, 15(4), 325-334.

Lacombe-Duncan, A., Newman, P. A., & Baiden, P. (2018). Human papillomavirus vaccine acceptability and decision-making among adolescent boys and parents: A meta-ethnography of qualitative studies. Vaccine, 36(19), 2545-2558.

Newman, P. A., Logie, C. H., Lacombe-Duncan, A., Baiden, P., Doukas, N., & Rubincam, C. (2018). Parents’ uptake of human papillomavirus vaccines for their children: A meta-analysis of observational studies. BMJ Open, 8(4): e019206.

Mishna, F., Schwan, K., Birze, A., Van Wert, M., McInroy, L., Lacombe-Duncan, A., Attar-Schwartz, S., & Daciuk J. (2018). Gendered and sexualized bullying and cyber bullying: Spotlighting girls and making boys invisible. Youth and Society.

Mishna, F., Regehr, C., Lacombe-Duncan, A., Daciuk, J., & Fearing, G. (2018). Social media, cyberaggression, and student mental health on a university campus. Journal of Mental Health.

Logie, C. H., Lacombe-Duncan, A., Kenny, K. S., Levermore, K., Jones, N., Baral, S. D., Wang, Y. Marshall, A., & Newman, P. A. (2018). Social-ecological factors associated with selling sex among men who have sex with men in Jamaica: results from a cross-sectional tablet-based survey. Global Health Action, 11(1):1424614.

Logie, C. H., Lacombe-Duncan, A., Wang, Y., Wagner, A. C., Kaida, A., Conway, T., Webster, K., de Pokomandy, A., & Loutfy, M. R. (2018). Pathways from HIV-related stigma to antiretroviral therapy measures in the HIV care cascade for women living with HIV in Canada. Journal of Acquired Immunodeficiency Syndromes, 77(2), 144-153.

Logie, C. H., Wang, Y., Lacombe-Duncan, A., Wagner, A. C., Kaida, A., Conway, T., Webster, K., de Pokomandy, A., & Loutfy, M. R. (2018). HIV-related stigma, racial discrimination, and gender discrimination: Pathways to health-related quality of life among a national cohort of women living with HIV. Preventive Medicine, 107, 36-44.

Logie, C. H., Wang, Y., Lacombe-Duncan, A., Newman, P. A., Ahmed, U., Jones, N., Neil, A., Ellis,T., Levermore, K., & Marshall, A. (2018). Factors associated with syphilis testing and a history of syphilis infection among a sample of transgender women in Jamaica. Sexually Transmitted Diseases, 45(3), 158-162.

Logie, C. H., Kenny, K. S., Lacombe-Duncan, A., Newman, P. A., Jones, N., Levermore, K.,Neil, A., Ellis, T., & Marshall, A. (2018). Social ecological and health factors associated with HIV infection among men who have sex with men in Jamaica. International Journal of STD and AIDS, 29(1), 80-88.

Logie, C. H., Marcus, N., Wang, Y., Lacombe-Duncan, A., Levermore, K., Jones, N., Bryan, N., Back, R., & Marshall, A. (2018). Contextualizing sexual health practices among lesbian and bisexual women in Jamaica. Reproductive Health Matters, 26(52), 109-127.

Newman, P. A., Guta, A., Lacombe-Duncan, A., & Tepjan, S. (2018). Clinical exigencies, psychosocial realities:Negotiating HIV pre-exposure prophylaxis (PrEP) beyond the cascade among gay, bisexual and other men who have sex with men in Canada. Journal of the International AIDS Society, 21(11).

Shokoohi, M., Bauer, G. R., Kaida, A., Lacombe-Duncan, A., Kazemi, M., Gagnier, B., de Pokomandy, A., & Loutfy, M. (2018). Substance use patterns among women living with HIV compared with the general female population of Canada. Drug and Alcohol Dependence, 191, 70-77.

Logie, C. H., Lacombe-Duncan, A., Kenny, K. S., Levermore, K., Jones, N., Marshall, A., & Newman, P. A. (2017). Police harassment is associated with HIV vulnerabilities among men who have sex with men and transgender women in Jamaica: A call to action. Health and Human Rights, 19(2), 147-154.

Kronfli, N., Lacombe-Duncan, A., Wang, C., de Pokomandy, A., Kaida, A., Logie, C. H., Conway, T., Kennedy, V. L., Burchell, A., Tharao, W., Pick, N., Kestler, M., Sereda, P. & Loutfy, M., on behalf of the CHIWOS Research Team. (2017). Understanding the correlates of attrition associated with antiretroviral use and viral suppression among women living with HIV in Canada. AIDS Patient Care and STDs, 31(10), 428-437.

Mishna, F., McInroy, L., Daciuk, J., & Lacombe-Duncan, A. (2017). Adapting to attrition challenges in multi-year studies: Examples from a study of bullying and cyber-bullying. Children and Youth Services Review, 81, 268-271.

Lacombe-Duncan, A., & Chuang, D-M. (2017). A social ecological approach to understanding life satisfaction among socioeconomically disadvantaged people living with HIV/AIDS in Taiwan. British Journal of Social Work, 48(3), 557-577.

Logie, C. H., Lacombe-Duncan, A., Wagner, A., & Poteat, T. (2017). Syndemics mediate the relationship between sexual stigma and depression among sexual minority women. Women's Health Issues, 27(5), 592-599.

Kronfli, N., Lacombe-Duncan, A., Wang, Y., de Pokomandy, A., Kaida, A., Logie, C., Conway, T., Kennedy, V. L., Burchell, A., Tharao, W., Pick, N., Kestler, M., Sereda, P., & Loutfy, M. (2017). Access and engagement in HIV care among a national cohort of women living with HIV in Canada. AIDS Care, 29(10), 1235-1242.

Logie, C. H., Lacombe-Duncan, A., Wang, Y., Kaida, A., Pokomandy, A., Webster, K., Conway, T., Dubuc, D. & Loutfy, M. R. (2017). Sexual orientation differences in health and wellbeing among women with HIV in Canada: Findings from a national cohort study. AIDS and Behavior.

Logie, C. H., Wang, Y., Lacombe-Duncan, A., Jones, N., Ahmed, U., Levermore, K., Bryan, N., Harker, S., Marshall, A., & Newman, P. A. (2017). Factors associated with sex work involvement among transgender women in Jamaica: Results from a cross-sectional tablet based survey. JIAS: Journal of the International AIDS Society, 20(1).

Logie, C. H., Lacombe-Duncan, A., Brien, N., Jones, N., Lee Foon, N., Levermore, K., & Newman, P. A. (2017). Barriers and motivations for HIV testing among young men who have sex with men and transgender women in Kingston, Jamaica: A qualitative study. JIAS: Journal of the International AIDS Society, 20(1).

Lacombe-Duncan, A., & Logie, C. H. (2016). Correlates of clinical breast examination among lesbian, gay, bisexual, queer and other women who have sex with women. Canadian Journal of Public Health, 107(4-5), e467-e472.

Lacombe-Duncan, A. (2016). An intersectional perspective on access to HIV-related healthcare for transgender women. Transgender Health, 1, 1.

Logie, C. H., Lacombe-Duncan, A., Jones, N., & Levermore, K. (2016). Conceptualizing social work education for empowerment practice with lesbian, gay, bisexual and transgender youth in Jamaica. Social Work Education, 36(4), 456-465.

Logie, C. H., Lacombe-Duncan, A., MacKenzie, R. K., & Poteat, T. (2016). Minority stress and safer sex practices among women who have sex with women. LGBT Health, 3(6), 407-415.

Logie, C. H., Lacombe-Duncan, A., Wang, Y., Jones, N., Levermore, K., O’Neill, A., Ellis, T., Bryan, N., Harker, S., Marshall, A., & Newman, P. A. (2016). Prevalence and correlates of HIV infection and HIV testing among transgender women in Jamaica. AIDS Patient Care and STDs, 30(9), 416-424.

Logie, C. H., Lacombe-Duncan, A., Lee-Foon, N., Ryan, S., & Ramsay, H. (2016). “It’s for us – Newcomers, LGBTQ persons, and HIV-positive persons. You feel free to be”: Exploring social support group participation among African and Caribbean lesbian, gay, bisexual, and transgender newcomers and refugees in Toronto, Canada. BMC Health and Human Rights, 16, 18.

Mishna, F., McInroy, L. B., Lacombe-Duncan, A., Bhole, P., VanWert, M., & Schwan, K. (2016). Study protocol: Prevalence, motivations, and social, mental health and health consequences of cyberbullying among school-aged children and youth: A longitudinal and multi-perspective mixed method study. JMIR Research Protocols, 5(2).

Chuang, D-M., & Lacombe-Duncan, A. (2016). Community engagement among men who have sex with men living with HIV/AIDS in Taiwan. AIDS Care, 28(4), 445-449.

Rubincam, C., Lacombe-Duncan, A., & Newman, P. (2016). Taking culture seriously in biomedical HIV prevention trials: A meta-synthesis of qualitative studies. Expert Review of Vaccines, 15(3), 331-347.

Fuller-Thomson, E., & Lacombe-Duncan, A. (2016). Understanding the association between chronic obstructive pulmonary disease and current anxiety: A population-based study. COPD: Journal of Chronic Obstructive Pulmonary Disease, 13(5), 622-631.

Newman, P. A., & Lacombe-Duncan, A. (2015). HPV vaccination for boys and young men: Misconceptions and expanding uptake. Inside Patient Care, 3(6).

Nelson, K., Lacombe-Duncan, A., Cohen, E., Nicholas, D. B., Rosella, L. C., Guttman, A., & Mahant, S. (2015). Family experiences with feeding tubes in neurologic impairment: A systematic review. Pediatrics, 136(1), e140-51.

Logie, C. H., Lacombe-Duncan, A., Weaver, J., Navia, D., & Este, D. (2015). A pilot study of a group-based HIV and STI prevention intervention for lesbian, bisexual, queer, and other women who have sex with women in Canada. AIDS Patient Care and STDs, 29(6), 321-328.

Newman, P. A., & Lacombe-Duncan, A. (2014). Human papillomavirus vaccination for men: Advancing policy and practice. Future Virology, 9(12), 1033-1047.

Quigley L., Lacombe-Duncan A., Adams S., Moore C., & Cohen E. (2014). Information sharing for children with medical complexity within and across health care organizations. BMC Health Services Research, 14:283.

Yates, E., Dubray, J., Schwartz, R., Kirst, M., Lacombe-Duncan, A., Suwal, J., & Hatcher, J. (2014). Patterns of cigarillo use among Canadian young adults in two urban settings. Canadian Journal of Public Health, 6:105, e11-4.

Kingsnorth S, Lacombe-Duncan A., Keilty K., Bruce-Barrett C., & Cohen E. (2013). Interorganizational partnership for children with medical complexity: The Integrated Complex Care Model. Child: Care, Health and Development, 14(3), 64-70.

Cohen E., Lacombe-Duncan A., Spalding K., MacInnis J., Nicholas D., Narayanan U. G., Gordon, M., Margolis I., & Friedman J. N. (2012). Integrated complex care coordination for children with medical complexity: A mixed-methods evaluation of tertiary care-community collaboration. BMC Health Services Research, 12:366.

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