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Ashley Lacombe-Duncan
Assistant Professor of Social Work
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 HIV 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/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
Contact Information
| Phone | Room | Address | |
|---|---|---|---|
| (734) 764-7803 | lacombed@umich.edu | 3726 SSWB | University of Michigan School of Social Work 1080 S. University Ave. Ann Arbor, MI 48109 |
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 |
News
| Year | Description |
|---|---|
| 2022 | Lacombe-Duncan, A., Logie, C.H., Persad, Y., Leblanc, G., Nation, K., Kia, H., Scheim, A.I., Lyons, T., Horemans, C., Olawale, R., & Loutfy, M. (2022, January). Reducing discrimination and bias and improving gender-affirming care competency through a provider education intervention: Implementation and evaluation of Transgender Education for Affirmative and Competent HIV and Healthcare (TEACHH). Accepted for poster presentation at the Society for Social Work and Research 26th Annual Conference, Washington, DC. |
| 2022 | Lacombe-Duncan, A., Kia, H., Logie, C.H., Todd, K., Persad, Y., Leblanc, G., Nation, K., Scheim, A.I., Lyons, T., Horemans, C., & Loutfy, M. (2022, January). Recommendations to advance equitable access to HIV prevention, treatment, and support: A qualitative study of the experiences of transgender women and service providers. Accepted for oral presentation at the Society for Social Work and Research 26th Annual Conference, Washington, DC. |
| 2022 | Newman, P.A., Reid, L., Lacombe-Duncan, A., & Tepjan, S. (2022, January). Bullying victimization of LGBTQ+ youth: A methodological scoping review of qualitative research. Accepted for oral presentation at the Society for Social Work and Research 26th Annual Conference, Washington, DC. |
| 2021 | Lacombe-Duncan, A., Logie, C.H., Persad, Y., Leblanc, G., Nation, K., Kia, H., Scheim, A.I., Lyons, T., Horemans, C., & Loutfy, M. (2021, November). Development, implementation, and evaluation of a provider education intervention: Transgender Education for Affirmative and Competent HIV and Healthcare (TEACHH). Paper accepted for poster presentation at the Society for the Scientific Study of Sexuality 2021 Annual Conference, San Juan, Puerto Rico. |
| 2021 | Kattari, S. K., Kattari, L., Johnson, I., Lacombe-Duncan, A., & Misiolek, B. (2021, November). Differential experiences of mental health among transgender and gender diverse adults. Paper accepted for oral presentation at the Council on Social Work Education (CSWE) 67th Annual Program Meeting, Orlando, Florida. |
| 2021 | Lacombe-Duncan, A., Shokoohi, M., Persad, Y., Underhill, A., Machouf, N., Wheatley, M., Gupta, M., Kyne, L., Fung, R., Arbess, G., Hranilovic, S., Weisdorf, T., Bourns, A., Chan, L., & Loutfy, M. (2021, May) Charting HIV care for trans women in clinical care: Findings from the Montreal-Toronto Trans Study (MTTS). Paper accepted for oral presentation at the 30th Annual Canadian Conference on HIV/AIDS Research. [Virtual] |
| 2021 | Medeiros, P., Yu, A., Kazemi, M., Lacombe-Duncan, A., Persad, Y., Kihembo, M., Islam, S., Gormley, R., Logie, C., de Pokomandy, A., Kaida, A., & Loutfy, M., on behalf of the CHIWOS Research Team. (2021, May). Exploring the experienes and related care gaps among women living with HIV in Canada using concept mapping of Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS) findings. Paper accepted for poster presentation at the 30th Annual Canadian Conference on HIV/AIDS Research. [Virtual] |
| 2021 | Lacombe-Duncan, A., Logie, C.H., Persad, Y., Leblanc, G., Nation, K., Kia, H., Scheim, A.I., Lyons, T., Horemans, C., & Loutfy, M. (2021, May). Implementation and Evaluation of a Provider Education Intervention: Transgender Education for Affirmative and Competent HIV and Healthcare (TEACHH). Paper accepted for poster presentation at the National LGBTQ Health Conference: Bridging Research & Practice. [Virtual] |
| 2021 | Lacombe-Duncan, A., Andalibi, N., Roosevelt, L., Wojciechowski, K. & Weinstein-Levey, E. (2021, January). Understanding LGBTQ+ peoples’ experiences of stigma and resilience in the context of pregnancy loss: Implications for social work practice. Paper accepted for oral presentation at the Society for Social Work and Research 25th Annual Conference. [Virtual] |
| 2020 | Kay, E. S., Lacombe-Duncan, A., & Pinto, R. (2020, January). Poverty is associated with missing HIV primary care appointments: How can social workers help? Paper accepted for oral presentation at the Society for Social Work and Research 24th Annual Conference, Washington, DC, United States. |
| 2020 | Pinto, R., Lacombe-Duncan, A., Kay, E.S., & Berringer, K. (2020, January). Expanding knowledge about HIV pre-exposure prophylaxis (PrEP) implementation: A methodological review to inform social work research and practice. Paper accepted for oral presentation at the Society for Social Work and Research 24th Annual Conference, Washington, DC, United States. |
| 2020 | Lacombe-Duncan, A., Newman, P., Logie, C.H., Bauer, G., Persad, Y, Shokoohi, M., O’Brien, N., Kaida, A., de Pokomandy, A., & Loutfy, M. (2020, January). Access to gender-affirming healthcare and medical transition for transgender women living with HIV: A mixed-methods study. Paper accepted for oral presentation at the Society for Social Work and Research 24th Annual Conference, Washington, DC, United States. |
| 2020 | Lacombe-Duncan, A., Persad, Y., Warren, L., Soor, J., Kia, H., Underhill, A., Logie, C.H., Kazemi, M., Kaida, A., de Pokomandy, A., & Loutfy, M., on behalf of the CHIWOS Research Team. (2020). Mental health among transgender women living with HIV: Findings from the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study. Paper accepted for oral presentation at the 29th Annual Canadian Conference on HIV/AIDS Research, Quebec City, QC, Canada. |
| 2020 | Persad, Y., Lacombe-Duncan, A., Logie, C.H., Leblanc, G., Nation, K., Kia, H., Scheim, A.I., Lyons, T., & Loutfy, M. (2020, June). Community-based research to promote HIV prevention, treatment and support access for transgender women: Developing the ‘Transgender Education for Affirmative and Competent HIV and Healthcare (TEACHH)’ workshop. Paper accepted for oral presentation at the 42nd Annual Guelph Sexuality Conference, Guelph, Ontario, Canada. |
| 2020 | Lacombe-Duncan, A., Persad, Y. (2020, June/July). Building on the strengths of transgender women living with HIV in the context of healthcare navigation: A qualitative study of how transgender women living with HIV respond to intersecting stigmas in healthcare. Paper accepted for oral presentation at the Joint World Conference on Social Work Education and Social Development (SWESD), Rimini, Italy. |
| 2020 | Kattari, S.K., Lacombe-Duncan, A., Schultz, K., Hawkins, J., Kattari, L. (2020, June/July). Reconceptualizing the teaching of social justice and diversity: Co-creating a more critical foundation course. Paper accepted for oral presentation at the Joint World Conference on Social Work Education and Social Development (SWESD), Rimini, Italy. |
| 2020 | Gamarel, K., Jadwin-Cakmak, L., Lacombe-Duncan, A., Trammell, R., Reyes, L.A., Burks, C., Campbell, B., Harper, G.W., Arnold, E. (2020, July). Harnessing resilience in violence and HIV prevention intervention research with, for, and by transgender women of color in Detroit, Michigan. Paper accepted for poster presentation at the 23rd International AIDS Conference, AIDS 2020: Virtual, Online. |
| 2019 | Persad, Y., Lacombe-Duncan. A. (2019, November). Mental health and psychological wellbeing among trans women living with HIV in Canada. Paper accepted for oral presentation at the Canadian Professional Association of Transgender Health Conference 2019: Advancing Trans Health and Wellbeing in Canada, Montreal, Quebec, Canada. |
| 2019 | Persad, Y., Lacombe-Duncan. A. (2019, November). Community-led knowledge translation and exchange: Development of the inaugural Trans Women HIV Research Initiative Conference. Paper accepted for oral presentation at the Canadian Professional Association of Transgender Health Conference 2019: Advancing Trans Health and Wellbeing in Canada, Montreal, Quebec, Canada. |
| 2019 | Lacombe-Duncan, A. & Persad, Y. (2019, November). Access to gender-affirming medical care for trans women living with HIV in Canada: A mixed methods study. Paper accepted for oral presentation at the Canadian Professional Association of Transgender Health Conference 2019: Advancing Trans Health and Wellbeing in Canada, Montreal, Quebec, Canada. |
| 2019 | Newman, P.A., Guta, A. & Lacombe-Duncan, A. (2019, January). Beyond the pre-exposure prophylaxis (PrEP) "cascade": Addressing social, community, and structural challenges in biomedical HIV prevention for gay, bisexual and other men who have sex with men. Paper accepted for oral presentation at the Society for Social Work and Research 23rd Annual Conference, San Francisco, CA, United States. |
| 2019 | Lacombe-Duncan, A. (2019, January). A qualitative study of intersectional stigma and discrimination of transgender women living with HIV: Implications for HIV vulnerability and access to HIV-related care. Paper accepted for oral presentation at the Society for Social Work and Research 23rd Annual Conference, San Francisco, CA, United States. |
| 2019 | Lacombe-Duncan, A. & Persad,Y. (2019, April). Resilience, resistance, and transformation: A qualitative study of how transgender women living with HIV respond to intersecting stigmas in healthcare. Paper accepted for oral presentation at the 2019 National Transgender Health Summit, San Francisco, CA, United States. |
| 2019 | Lacombe-Duncan, A., Persad, Y., Newman, P.A., Bauer, G.R., Logie, C.H., & Loutfy, M. (2019, May). Genderaffirming healthcare for transgender women living with HIV: A mixed-methods study. Paper accepted for oral presentation at the 2019 National LGBTQ Health Conference, Atlanta, GA, United States. |
| 2019 | 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, May). A mixed-methods investigation of the HIV care cascade among transgender women with HIV in Canada. Paper accepted for oral presentation at the 28th Annual Canadian Conference on HIV/AIDS Research, Saskatoon, SK, Canada. |
| 2019 | Persad, Y., Lacombe-Duncan, A., Underhill, A., Kazemi, M., Wong, H., Brundage, M, Loutfy, M. (2019, May). Community-led knowledge translation and exchange: Development of the inaugural Trans Women HIV Research Initiative Conference. Paper accepted for oral presentation at the 28th Annual Canadian Conference on HIV/AIDS Research, Saskatoon, SK, Canada. |
| 2018 | Logie, C.H., Persad, Y. & Lacombe-Duncan, A. (2018, July). Art Exhibit about TRANScending Love. Workshop at the Canada Pavilion hosted during the 22nd International AIDS Conference, Amsterdam, Netherlands. |
| 2018 | Logie, C.H., Wang, Y., Lacombe-Duncan, A., Wagner, A.C., Kaida, A., Conway, T., Webster, K., de Pokomandy, A. & Loutfy, M.R. (2018, January). Racial, gender and HIV-related stigma and discrimination: Exploring pathways to quality of life among a national cohort of women living with HIV in Canada. Paper accepted for oral presentation at the Society for Social Work and Research 22nd Annual Conference, Washington, DC, United States. |
| 2018 | Logie, C.H., Lacombe-Duncan, A., Newman, P.A., Kenny, K., Levermore, K., Jones, N., Marshall, A. (2018, January). Police harassment and associations with HIV vulnerabilities among men who have sex with men and transgender women in Jamaica: A call to action for international social work. Poster accepted for presentation at the Society for Social Work and Research 22nd Annual Conference, Washington, DC, United States. |
| 2018 | Newman, P.A., Guta, A., Lacombe-Duncan, A. (2018, January). “HIV prevention beyond a prescription: Experiences and perspectives on HIV pre-exposure prophylaxis (PrEP) among gay, bisexual, and other men who have sex with men. Paper accepted for oral presentation at the Society for Social Work and Research 22nd Annual Conference, Washington, DC, United States. |
| 2018 | Lacombe-Duncan, A., Guta, A., Newman, P.A. (2018, January). “Clutching onto the PrEP bandwagon, trying not to fall off”: Experiences of gay, bisexual, and other men who have sex with men accessing and utilizing pre-exposure prophylaxis (PrEP). Paper accepted for oral presentation at the Society for Social Work and Research 22nd Annual Conference, Washington, DC, United States. |
| 2018 | Tarshis, S., Lacombe-Duncan, A., & Baird, S. (2018, January). A systematic review of career counseling interventions for survivors of IPV. Poster accepted for presentation at the Society for Social Work and Research 22nd Annual Conference, Washington, DC, United States. |
| 2018 | Lacombe-Duncan, A., & Tarshis, S. (2018, January). HIV-related healthcare access for trans women living with HIV: A systematic review. Paper accepted for oral presentation at the Society for Social Work and Research 22nd Annual Conference, Washington, DC, United States. |
| 2018 | Underhill, A., Wu, W., Logie, C., Jaworsky, D., Tharao, W., Lacombe-Duncan, A., Muchenje, M., O’Brien, N., Islam, S., Webster, K., Otis, J., Gormley, R., Narasimhan, M., Arkell, C., de Pokomandy, A., Kaida, A., Loutfy, M., on behalf of the CHIWOS Research Team. (27 April 2018). Prevalence and correlates of HIV disclosure worries among women living with HIV in Canada. Paper accepted for oral presentation at the Canadian Association for HIV Research (CAHR) Annual Conference, Vancouver, Canada. |
| 2018 | Lacombe-Duncan, A., Persad, Y., & Tarshis, S. (2018, April). HIV-related healthcare access for trans women living with HIV: A systematic review. Paper accepted for oral presentation at the Canadian Association for HIV Research (CAHR) Annual Conference, Vancouver, Canada. |
| 2018 | Shokoohi, M., Bauer, G.R., Lacombe-Duncan, A., Kaida, A., de Pokomandy, A., Gagnier, B., Kazemi, M, & Loutfy, M. (2018, April). Social determinants of health and self-rated health status: A comparison between women living with HIV and women from the general population in Canada. Poster accepted for presentation at the Canadian Association for HIV Research (CAHR) Annual Conference, Vancouver, Canada. |
| 2018 | Lacombe-Duncan, A., Persad, Y. (2018, July). A qualitative study of intersectional stigma and discrimination of transgender women living with HIV: Implications for HIV vulnerability and access to HIV-related care. Poster accepted for presentation at the 21st International AIDS Conference, Amsterdam, Netherlands. |
| 2018 | Lacombe-Duncan, A., Bauer, G., Newman, P.A., Logie, C.H., Persad, Y., Shokoohi, M., Kaida, A. de Pokomandy, A., O’Brien, N., & Loutfy, M. (2018, July). The HIV care cascade among trans women in Canada: Barriers and facilitators. Poster accepted for presentation at the 21st International AIDS Conference, Amsterdam, Netherlands. |
| 2017 | Lacombe-Duncan, A., Kazemi, M., Kronfli, N., Logie, C. H., Persad, Y., Beaver, K., Desbiens, M., Carter, A., Carlson, A., Aden, M., Benoit, A., Mack, M., Zoccole, A., Tharao, W., Kennedy, V. L., Burchell, A., Kaida, A., de Pokomandy, A., Hogg, R., & Loutfy, M. R. (2017, January). Individual, social, and structural correlates of delayed access to HIV-related care among women living with HIV in an urban setting: Implications for social work practice. Poster accepted for presentation at the Society for Social Work and Research 21st Annual Conference, New Orleans, Louisiana, United States. |
| 2017 | Lacombe-Duncan, A., Newman, P.A., Baiden, P. (2017, January). Human papillomavirus (HPV) vaccine acceptability among adolescent boys’ and parents: A meta-ethnography of qualitative studies. Paper accepted for oral presentation at the Society for Social Work and Research 21st Annual Conference, New Orleans, Louisiana, United States. |
| 2017 | Logie, C.H., Wang, Y., Lacombe-Duncan, A., Jones, N., Levermore, K., & Newman, & P. A. (2017, January). Understanding social and structural drivers of HIV vulnerability among transgender women in Jamaica: Implications for intersectional and multi-level interventions. Paper accepted for oral presentation at the Society for Social Work and Research 21st Annual Conference, New Orleans, Louisiana, United States. |
| 2017 | Logie, C. H., Wang, Y., Jones, N., Ahmed, U., Levermore, K., Ellis, T., Neil, A., Marshall, A., Lacombe-Duncan, A., & Newman, P. A. (2017, February). Social ecological factors associated with sex work among transgender women in Jamaica. Accepted for poster presentation at the 7th International Workshop on HIV and Women, Seattle, Washington, United States. |
| 2017 | Logie, C. H., Lacombe-Duncan, A., Wang, Y., Kaida, A., de Pokomandy, A., Webster, K., Conway, T.,, Dubuc, D., & Loutfy, M.R., on behalf of the CHIWOS Research Team. (2017, February). Sexual orientation differences in health and wellbeing among women with HIV in Canada: Results from a national community-based cohort study. Poster accepted for presentation at the 7th International Workshop on HIV and Women, Seattle, Washington, United States. |
| 2017 | Logie, C. H., Wang, Y., Jones, N., Ahmed, U., Levermore, K., Ellis, T., Neil, A., Marshall, A., Lacombe-Duncan, A., & Newman, P. (2017, February). Social ecological factors associated with sex work among transgender women in Jamaica. Poster accepted for presentation at CROI 2017, Seattle, Washington, United States. |
| 2017 | Lacombe-Duncan, A., Persad, Y., Bauer, G. R., Logie, C. H., Kaida, A., de Pokomandy, A., O’Brien, N., & Loutfy, M. on behalf of the CHIWOS Research Team. (2017, February). Trans women with HIV in Canada: Results of a national community-based cohort study. Poster accepted for presentation at CROI 2017, Seattle, Washington, United States. |
| 2017 | Logie, C. H., Lacombe-Duncan, A., Wang, Y., Kaida, A., de Pokomandy, A., Webster, K., Conway, T., & Loutfy, M.R., on behalf of the CHIWOS Research Team. (2017, February). Sexual orientation differences in health and wellbeing among women with HIV in Canada. Poster accepted for presentation at CROI 2017, Seattle, Washington, United States. |
| 2017 | Logie, C.H., Wang, Y., Lacombe-Duncan, A., Wagner, A., Kaida, A., Conway, T., Webster, K., de Pokomandy, A., & Loutfy, M. on behalf of the CHIWOS Research Team. (2017, April). Social ecological correlates of anti-retroviral initiation and adherence among women living with HIV in Canada. Poster accepted for presentation at the 26th Annual Canadian Conference on HIV/AIDS Research, Montreal, Quebec, Canada. |
| 2017 | Kazemi, M., Lacombe-Duncan, A., Wang, Y., Rueda, S., Logie, C. H., O’Bien, K., Tharao, W., Conway, T., de Pokomandy, A., Kaida, A., & Loutfy, M.R, on behalf of the CHIWOS Research Team. (2017, April). The impact of precarious employment on mental and physical health outcomes among a national cohort of women living with HIV: A mediation analysis. Paper accepted for oral presentation at the 26th Annual Canadian Conference on HIV/AIDS Research, Montreal, Quebec, Canada. |
| 2017 | Lacombe-Duncan, A., Persad, Y., Bauer, G., Logie, C. H., Kaida, A., de Pokomandy, A., Butler-Burke, N., O’Brien, N., & Loutfy, M.R., on behalf of the CHIWOS Research Team. (2017, April). Social determinants of health among trans women with HIV in Canada: A cross-provincial comparison. Poster accepted for presentation at the 26th Annual Canadian Conference on HIV/AIDS Research, Montreal, Quebec, Canada. |
| 2017 | Kronfli N, Lacombe-Duncan A., Wang Y, 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. R., on behalf of the CHIWOS Research Team. (2017, April). Key interventions and populations to target to facilitate access and engagement in HIV care among women living with HIV (WLWH): Findings from the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS). Paper accepted for oral presentation at the 26th Annual Canadian Conference on HIV/AIDS Research, Montreal, Quebec, Canada. |
| 2017 | Newman, P. A., Guta, A., & Lacombe-Duncan, A. (2017, April). “It’s liberating, to be honest with you”: A qualitative study of the PrEP readiness continuum among gay and bisexual men in Toronto, Canada. Paper accepted for oral presentation at the 26th Annual Canadian Conference on HIV/AIDS Research, Montreal, Quebec, Canada. |
| 2017 | Logie, C. H., Wang, Y., Lacombe-Duncan, A., Wagner, A. C., Webster, K., Conway, T., de Pokomandy, A., & Loutfy, M.R. (2017, July). HIV-related stigma, racial discrimination and gender discrimination are associated with reduced antiretroviral adherence and lower health-related quality of life among a national cohort of women living with HIV. Poster accepted for presentation at the 9th IAS Conference on HIV Science, Paris, France. |
| 2017 | Lacombe-Duncan, A. (2017, October). Understanding healthcare access disparities among trans women with HIV: An intersectional perspective. Poster accepted for presentation at the Council for Social Work Education (CSWE) Annual Conference, 2017, Dallas, Texas, United States. |
| 2017 | Logie, C. H., & Lacombe-Duncan, A. (2017, October). Social work education for empowerment practice with LGBT youth in Jamaica. Paper accepted for oral presentation at the Council for Social Work Education (CSWE) Annual Conference, 2017, Dallas, Texas, United States. |
| 2017 | Persad, Y., Lacombe-Duncan, A., Bauer, G., Logie, C. H., Kaida, A., de Pokomandy, A., Butler-Burke, N., O’Brien, N., & Loutfy, M., on behalf of the CHIWOS Research Team. (2017, October). Social determinants of health among trans women with HIV in Canada: Results of a national community-based cohort study. Poster accepted for presentation at the Canadian Professional Association for Transgender Health Conference 2017: Transforming the Landscape of Transgender Health and Wellness, Vancouver, British Columbia, Canada. |
| 2017 | Lacombe-Duncan, A., & Persad, Y. (2017, October). How does intersecting stigma shape access to HIV-related healthcare for trans women? A literature review and applied example. Paper accepted for oral presentation at the Canadian Professional Association of Transgender Health Conference 2017: Transforming the Landscape of Transgender Health and Wellness, Vancouver, British Columbia, Canada. |