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Dr. Ashley Lacombe-Duncan received her MSW (2010) and PhD (2018) from the Factor-Inwentash Faculty of Social Work at the University of Toronto. Her research focuses on healthcare access and health equity, with a particular focus on healthcare access for people who experience multiple forms of intersecting oppressions. Specifically, her community-based interdisciplinary research agenda advances two overarching areas: (1) Sexual and reproductive healthcare access among lesbian, gay, bisexual, transgender (trans), queer and other sexuality and gender diverse (LGBTQ+) people and women living with HIV, with a substantive focus on trans women living with HIV; and, (2) Social ecological, intersectionality and multi-level stigma theoretical approaches applied to understand and address LGBTQ+ and women living with HIV’s health in local and global contexts. Lacombe-Duncan’s work informs interventions to remove multi-level barriers and increase access to intersectionally affirming healthcare. Lacombe-Duncan has received funding from the Canadian Institutes of Health Research (CIHR), Social Sciences and Humanities Research Council of Canada (SSHRC), National Institutes of Mental Health (NIMH), National Institutes of Allergy and Infectious Diseases (NIAID),and Gilead Sciences, Inc.

Lacombe-Duncan is also core faculty of the U-M Center for Sexuality and Health Disparities, associate director of the School of Social Work [Sexuality | Relationships | Gender] (SRG) Research Collective and adjunct scientist at Women’s College Hospital, Toronto, Canada, where she co-leads the community-based Trans Women and Gender Diverse People HIV/Sexually Transmitted and Blood-borne Infections (STBBI) Research Initiative. Her 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.

Research Interests

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

Contact Information

  • University of Michigan
    School of Social Work
    1080 S. University Ave.
    Ann Arbor, MI 48109

Education

  • 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

Activities

Publications

Lacombe-Duncan, A., Persad, Y., Shokoohi, M., Underhill, A., Machouf, N., Côté, P., Wheatley, M., Gupta, M., Kyne, L. T., Besharati, A. A., Chan, L. Y. L., Hranilovic, S., Nguyen, Q., & Loutfy, M. (in press). Factors associated with HIV prevalence among a clinical cohort of transgender women in Canada: Results of th eMontreal-Toronto Trans Study. International Journal of STD and AIDS.

Presentations

Year Description
2025 Ortiz, G.C., Lacombe-Duncan, A., Emrick, B., Underhill, A., Côté, P., Kyne, L.T., Besharati, A.A.,Armstong, I., Fung, R., Chan, L.Y.L., Weisdorf, T., & Loutfy, M. (2025, January). Factors associated withtrans women's recency of last visit with a primary care physician: Implications for social work researchand practice. Accepted for oral presentation at the 29th Annual Society for Social Work and ResearchConference, Seattle, WA.
2025 Ortiz, G.C., & Lacombe-Duncan, A. (2025, January). Trans health in the context of social and legalgender affirmation in Canada: A scoping review. Accepted for oral presentation at the 29th Annual Societyfor Social Work and Research Conference, Seattle, WA.
2025 Lacombe-Duncan, A., Ortiz, G.C., Kluger, H., Iyer, H., Underhill, A., Fung, R., Armstrong, I., Kia, H., &Loutfy, M. (2025, January). A scale to center and measure trans women/transfeminine persons’satisfaction with feminizing hormone therapy: Results of the feminizing hormone satisfaction scale (FEMSQ). Accepted for oral presentation at the 29th Annual Society for Social Work and Research Conference,Seattle, WA.
2024 Doll, K., Lacombe-Duncan, A., Newman, P. (2024, June). Impacts of the COVID-19 pandemic ongender-affirming healthcare access among transgender and gender diverse persons in Toronto, Canada:A convergent parallel mixed methods study. Accepted for oral presentation at the Canadian Associationfor Social Work Education 2024 Conference, Montreal, Canada.
2024 Kattari, S.K., Lacombe-Duncan, A., Emrick, B., Alexander, F., Kluger, H., Kattari, L., Niedzwiecki, A., Scheim, A. & Misiolek, B. (2024, January). “It's a Big Ordeal”: A Mixed Methods Study of the Experiences of Non-HIV STI Testing Among Trans and Gender Diverse People. Accepted for oral presentation at the 28th Annual Society for Social Work and Research Conference, Washington, DC.

Courses

Current & Future Courses

Title Instructor Term Course Section Meeting Start Meeting End
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Fall 2026 803 03:00 pm 05:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Fall 2026 802 06:00 pm 08:00 pm View Course

Past Courses

Title Instructor Term Course Section Meeting Start Meeting End
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Winter 2025 802 03:00 pm 05:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Winter 2025 801 06:00 pm 08:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Fall 2024 803 03:00 pm 05:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Fall 2024 802 06:00 pm 08:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Winter 2024 801 06:00 pm 08:00 pm View Course
MasterTrack Skills Lab Lacombe-Duncan, Ashley Winter 2024 802 06:00 pm 08:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Fall 2023 803 03:00 pm 05:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Fall 2023 801 06:00 pm 08:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Fall 2022 801 06:00 pm 08:00 pm View Course
Behavioral, Psychosocial and Ecological Aspects of Health, Mental Health and Disease Lacombe-Duncan, Ashley Winter 2022 007 06:00 pm 08:00 pm View Course