David J. Brennan

David J. Brennan
University of Toronto | U of T · Department of Social Work

MSW, PhD

About

101
Publications
25,155
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,900
Citations
Citations since 2017
50 Research Items
1428 Citations
2017201820192020202120222023050100150200250300
2017201820192020202120222023050100150200250300
2017201820192020202120222023050100150200250300
2017201820192020202120222023050100150200250300
Introduction
Skills and Expertise
Additional affiliations
July 2007 - present
University of Toronto
Position
  • Professor (Associate)

Publications

Publications (101)
Article
Full-text available
In Canada, gay, bisexual and other men who have sex with men (GBMSM) are a population that are willing to donate blood, if eligible, but have a history of ineligibility and deferrals due to concerns that their blood poses an increased risk of HIV entering the blood supply. Our objective was to examine the proportion of GBMSM who are willing and eli...
Article
There are many reasons why individuals engage in prosocial behavior; communal sexual altruism is based on the notion that some practice safer sex in the interest of promoting the well‐being of their community/in‐group. Given that definitions of what constitutes “safer sex” have changed with advances in human immunodeficiency virus (HIV) prevention,...
Article
Objective This research aimed to understand the varying needs of diverse gay and bisexual men (GBM) in relation to online sexual health information-seeking dependent upon differing social sociodemographic variables and geographic location. Methods A total of 1802 GBM in Ontario participated in this study. Multivariable regressions were conducted t...
Article
Task‐shifting of combination sexual health services from clinicians to community workers has been well‐studied in low‐resource settings, but lacks empirical examination as a response to service inequities in North American community‐based AIDS service organisations (ASOs). This study adopts a qualitative exploratory approach to understanding how AS...
Article
Full-text available
Introduction Despite strong evidence from low- and middle-income countries supporting the use of task shifting to provide quality, cost-effective HIV-related health services, this strategy has been adopted less widely in high-income countries such as Canada. Methods In 2020, we conducted semi-structured interviews with 19 clinicians (e.g., psychol...
Article
Full-text available
Background As of 2019, men who have sex with men (MSM) in Canada are ineligible to donate blood if they have had oral or anal sex with another man in the last 3 months. Deferral policies targeting MSM are largely interpreted as unjust by gay, bisexual, and other men who have sex with men (GBMSM) – shaping their desire to donate blood and engage wit...
Article
Among sexual minority men, gay, bisexual, and queer men (GBQM) may experience differences in terms of their sense of belonging to a sexual minority community (community connectedness), outness about their sexual identity, and their experiences of proximal and distal sexuality-based stressors. Although group membership can confer unique benefits to...
Article
Full-text available
Background To provide empirically based guidance for substituting partner number categories in large MSM surveys with mean numbers of sexual and condomless anal intercourse (CAI) partners in a secondary analysis of survey data. Methods We collated data on numbers of sexual and CAI partners reported in a continuous scale (write-in number) in thirte...
Article
Full-text available
Objective: Little is known about barriers to healthcare access for two-spirit, gay, bisexual and queer (2SGBQ+) men in Manitoba. Design: Data were drawn from a community-based, cross-sectional survey designed to examine health and healthcare access among 2SGBQ+ men. Setting: Community-based cross-sectional study in Manitoba, Canada. Participants...
Article
Full-text available
Objectives Sexual and gender minority youth (SGMY) experience disproportionate mental health disparities, and are often overlooked in mental health practice and research. Mindfulness and self-compassion interventions have been shown to improve mental health among youth, including anxiety and depression. This study sought to examine the utility of a...
Article
Objectives The current study examines the experiences of gay, bisexual, two-spirit and other men who have sex with men (GB2M) who use networking applications and their engagements with online sexual health outreach workers disseminating healthcare information through these digital spaces. Methods The iCruise study was a longitudinal mixed-methods...
Article
Full-text available
HIV pre-exposure prophylaxis (PrEP) is an effective prevention tool being scaled up in Canada. We describe PrEP uptake and identify demographic correlates of uptake among gay, bisexual, and other men who have sex with men (gbMSM) at elevated HIV risk using data from an online survey of gbMSM residing in Canada between Oct 2017 and Jan 2018. Among t...
Article
Full-text available
Our grounded theory analysis derives from in-depth interviews conducted with 24 gay, bisexual, queer, and other men who have sex with men (GBM) living in Toronto, Canada, to understand their experiences of sexual coercion. Participants drew on discourse from the #MeToo movement to reconsider the ethics of past sexual experiences. The idea that gay...
Technical Report
Full-text available
The Manitoba Two-Spirit, Gay, Bisexual, and Queer (2SGBQ+) Men’s Health Study is a first-of-its-kind community-based, participatory research project that sought to address clear gaps in the literature pertaining to the health of 2SGBQ+ men in Manitoba. Drawing on the expertise of community members, local community-based organizations, and academi...
Conference Paper
Full-text available
Background GetCheckedOnline is an internet-based testing program for HIV, Hepatitis C, and other sexually-transmitted infections (STIs) in British Columbia (BC), Canada. The program launched in 2014 in Vancouver, BC’s largest urban centre, and expanded to six smaller urban and suburban BC communities in 2016. We sought to measure GetCheckedOnline a...
Article
We sought to examine how condom use was differentially reasoned by gay, bisexual and other men who have sex with other men (GBM) in Ontario, Canada. Data were derived from a community-based study of GBM who completed an anonymous online questionnaire in 2014. Participants qualitatively described reasons a condom was used or not at their most recent...
Article
Full-text available
Background Men who have sex with men (MSM) are not eligible to donate blood or plasma in Canada if they have had sex with another man in the last 3 months. This time-based deferment has reduced since 2013; from an initial lifetime ban, to five-years, one-year, and now three-months. Our previous research revealed that gay, bisexual, queer, and other...
Article
Full-text available
Drawing on 24 interviews conducted with gay, bisexual, queer and other men who have sex with men (GBM) living in Toronto, Canada, we examined how they are making sense of the relationship between their mental health and substance use. We draw from the literature on the biopolitics of substance use to document how GBM self-regulate and use alcohol a...
Article
Full-text available
PurposeSexual minority adults experience fivefold greater risk of suicide attempt, as compared with heterosexuals. Establishing age-specific epidemiological patterns of suicide is a prerequisite to planning interventions to redress the sexual orientation suicide inequity, and such patterns must be carefully interpreted in light of correlated period...
Article
Full-text available
Party-n-Play (PNP) refers to sex between gay and bisexual men that occurs under the influence of drugs. Growing evidence suggests gay and bisexual men who PNP experience significant stigma and social exclusion. Less is known about the resilience of this population. Utilising critical discourse analysis, this study examined how gay and bisexual men...
Article
Full-text available
Blood donation policies governing men who have sex with men have shifted significantly over time in Canada-from an initial lifetime ban in the wake of the AIDS crisis to successive phases of time-based deferment requiring periods of sexual abstinence (5 years to 1 year to 3 months). We interviewed 39 HIV-negative gay, bisexual, queer, and other sex...
Article
Full-text available
Adverse childhood experiences (ACEs; e.g., neglect, sexual abuse) among gay, bisexual, and other men who have sex with men (GBM) may not occur in isolation, but may be connected and occur in clusters. Most studies have measured ACEs individually, hierarchically, additively, or in a binary fashion (presence or absence of ACEs), rather than treating...
Article
Full-text available
This study examined the discourses of gay and bisexual men who seek Party-n-Play (PNP; sex that occurs under the influence of drugs) on mobile apps and websites. In-depth interviews were conducted with 44 gay and bisexual men who lived in Toronto, and who used drugs before or during sex in the previous month. Data were analysed using critical disco...
Article
Compared to the general population, sexual minority men report poorer mental health outcomes and higher mental healthcare utilisation. However, they also report more unmet mental health needs. To better understand this phenomenon, we conducted qualitative interviews with 24 sexual minority men to explore the structural factors shaping their encount...
Article
Full-text available
Background: In 2017, the international European Men-who-have-sex-with-men Internet Survey (EMIS-2017) collected data from 50 countries, including Canada for the first time. Objective: To provide an overview of the Canadian EMIS-2017 data to describe the sexually transmitted and other bloodborne infection (STBBI) related needs of gay, bisexual and o...
Conference Paper
Background Gay, bisexual, and other men who have sex with men (GBM) commonly use the Internet to find sexual partners and look for sexual health information. Little is known about online health information seeking behaviour and whether GBM welcome this information on socio-sexual apps/websites. Methods GBM aged 14+ from Ontario were recruited into...
Conference Paper
Background Gay, bisexual, and other men who have sex with men (gbMSM) are at higher risk for human papillomavirus (HPV) infection and HPV-associated anogenital warts and cancers. In the province of Ontario, a publicly-funded program was introduced in 09/2016 to provide the HPV vaccine at no cost to young gbMSM (≤26 years). We examined men’s experie...
Conference Paper
Background As the Internet is increasingly becoming a platform for sexual health education, gay, bisexual and other men who have sex with men (GBM) are having greater interactions with online outreach workers. However, little is known about the content or their assessment of these interactions. Methods Recruitment of GBM aged 14+ into the #iCruise...
Article
Full-text available
Background Researchers and activists have long called for changes to blood donation policies to end what is frequently framed as unjustified bans or deferral periods for men who have sex with men (MSM). Since 2016, in Canada, a man had to be abstinent from all sexual contact (anal or oral sex) with other men for at least 12 months in order to be an...
Article
Full-text available
This paper examines how online outreach workers within AIDS Service Organizations (ASOs) discursively imagine notions of “gay community” and the tensions between inequities in varying conceptions of “community” that operate in providers’ and managers’ sexual health online outreach. Through a Foucauldian Discourse Analysis (FDA) of interview data fr...
Article
There is mounting urgency regarding the mental health of gay, bisexual and other men who have sex with men (GBM). We examined how GBM are understanding the relationship between HIV and their mental health given the increasing biomedicalisation of HIV prevention and care. Our Grounded Theory analysis derived from qualitative interviews with 24 GBM l...
Article
Full-text available
Although seeking sex on the Internet may be associated with HIV risk for some men who have sex with men (MSM), little is specifically known about bisexual-identified MSM. Data were drawn from a community-based online survey of 1,830 MSM in Ontario. Among these MSM, 24.0% (n = 438) self-identified as bisexual. The authors examined (1) demographic, t...
Article
Full-text available
The original version of this article unfortunately contained a mistake. In the section, “Data Collection Procedure”, the last sentence was incorrect. © 2018 Springer Science+Business Media, LLC, part of Springer Nature
Article
Full-text available
The Internet is a common tool for gay, bisexual, and other men who have sex with men (MSM) to find sexual partners and sexual health information. Given persistently high human immunodeficiency virus (HIV) infection rates among MSM, it is important to examine the role of online outreach for MSM as part of HIV prevention and care. We provide an overv...
Article
Full-text available
Gay and bisexual men (GBM) are more likely to attempt suicide than heterosexual men. This disparity is commonly interpreted using minority stress theory; however, specific pathways from antigay stigma to suicidal behavior are poorly understood. We aimed to estimate associations between multiple constructs of stigma and suicide attempts among adult...
Article
Full-text available
Objective: Previous research has shown that experiences of racial discrimination and sexual objectification are associated with health risk behaviours among gay and bisexual men of colour. However, little is known about whether racial discrimination and sexual objectification are associated with alcohol use among this population. This community-bas...
Article
Full-text available
Using latent class analysis (LCA), we examined patterns of participation in multiple scenes, how sexual risk practices vary by scene, and psychosocial factors associated with these patterns among 470 gay, bisexual, and other men who have sex with men (GBM) recruited from Toronto. We calculated posterior probability of being in a class from particip...
Article
Full-text available
Background Mobile applications and socio-sexual networking websites are used by outreach workers to respond synchronously to questions and provide information, resources, and referrals on sexual health and STI/HIV prevention, testing, and care to gay, bisexual and other men who have sex with men (GB2M). This exploratory study examined ethical issue...
Article
Full-text available
Syndemics research shows the additive effect of psychosocial problems on high-risk sexual behavior among gay and bisexual men (GBM). Psychosocial strengths may predict less engagement in high-risk sexual behavior. In a study of 470 ethnically diverse HIV-negative GBM, regression models were computed using number of syndemic psychosocial problems, n...
Article
Full-text available
Background: There are complex, synergistic, and persistent sexually transmitted infection (STI) epidemics affecting gay, bisexual and other men who have sex with men (gbMSM) in every major urban centre across North America. We explored the spatial architecture of egocentric sexual networks for gbMSM in Toronto, Canada. Methods: Our integrative m...
Article
Full-text available
Worldwide approximately 3.6 million people age 50 and older are living with HIV. Few studies have explored successful ageing from the insider perspective of those living well with HIV infection. This study draws upon the lived experience and wisdom of older, HIV-positive adults from Ontario, Canada to understand their strategies for successful agei...
Conference Paper
Introduction A complex, persistent syphilis epidemic has affected gay, bisexual and other men who have sex with men (gbMSM) in major urban centres in North America for over a decade. Our objective was to explore the sexual travels, networks, and knowledge of gbMSM in Toronto. Methods We conducted in-depth interviews between June and July 2016 with...
Article
Full-text available
Background: Transitions in care are a high-risk time for patients. Complex patients account for the largest proportion of healthcare costs but experience lower quality and discontinuity of care. The experiences of complex patients can be used to identify gaps in hospital discharge practices and design interventions to improve outcomes. Methods:...
Article
In 2012 the Supreme Court of Canada ruled that a person living with HIV must disclose their status before sex unless a condom is used, and they have a low or undetectable viral load, which is a measure of the amount of virus present in the bloodstream. This qualitative study examined the ruling’s impact on HIV/AIDS support services provision. Semi-...
Conference Paper
Full-text available
The NIH HIV and Aging Working Group identified successful aging as an important emphasis of research. This qualitative study examines the importance of generativity among 30 HIV-positive older adults. Using modified grounded theory; men and women 50+ were recruited in Ontario, Canada through AIDS organizations and community agencies. Three themes w...
Article
Objectives. Research on sexual minority men (gay, bisexual and other men who have sex with men) was examined with regard to the measures of sexual orientation used, the methods of research, and the main health outcomes under study. Methods. We conducted a systematic review of English-language quantitative studies of the health of sexual minority me...
Article
Bisexual and gay men are at increased risk of suicide ideation. Characterizing this risk requires self-disclosure of sexual identities; however, many will conceal their identity when interviewed. The authors investigated the impact of the resulting information bias within the Canadian Community Health Survey (CCHS). Expected probabilities of disclo...
Article
Worldwide approximately . million people aged  and older are living and ageing with the human immunodeficiency virus (HIV). Few studies have explored successful ageing from the insider perspective of those living well and ageing with HIV. This study draws upon the lived experience and wisdom of older, HIV-positive adults living in Ontario, Cana...
Poster
Full-text available
Social support is an important part of aging well with HIV, contributing to quality of life and resilience. While larger and more inclusive social networks are often seen as beneficial, individuals in this study emphasized the importance of quality. They suggested the quality of their social relationships was more important than quantity in helping...
Article
Full-text available
Background. Previous reviews have demonstrated a higher risk of suicide attempts for lesbian, gay, and bisexual (LGB) persons (sexual minorities), compared with heterosexual groups, but these were restricted to general population studies, thereby excluding individuals sampled through LGB community venues. Each sampling strategy, however, has partic...
Article
Full-text available
Gay and bisexual men (GBM) are an underexamined population in body image research, given the relatively high levels of body dissatisfaction reported among GBM compared with that of heterosexual men. However, distress related to appearance among GBM may not be exclusive to anxiety about having a perfect physique. The present study used the 16-item S...
Article
Full-text available
Background: Men who use the Internet to seek sex with other men (MISM) are increasingly using the Internet to find sexual health information and to seek sexual partners, with some research suggesting HIV transmission is associated with sexual partnering online. Aiming to "meet men where they are at," some AIDS service organizations (ASOs) deliver...
Conference Paper
Full-text available
WHEN LESS IS MORE: THE PRUNING OF SOCIAL NETWORKS BY HIV –POSITIVE OLDER ADULTS C.A. Emlet1,2, L. Harris3, C. Furlotte2, D.J. Brennan4, C. Pierpaoli5, 1. Social Work, University of Washington Tacoma, Tacoma, WA, 2. McMaster University, Hamilton, Ontario, Canada, 3. University of Louisville, Louisville, Kentucky, 4. University of Toronto, Toronto, O...
Article
Full-text available
Previous research has highlighted the association between HIV sexual risk behaviors, muscularity concerns, and masculinity among gay and bisexual men (GBM). A few studies that explored these issues, however, have used relatively small sample sizes and predominantly White GBM samples. In addition, little is known about whether a drive for muscularit...
Article
Full-text available
Although LGBQ students experience blatant forms of heterosexism on college campuses, subtle manifestations, such as sexual orientation microaggressions are more common. Similar to overt heterosexism, sexual orientation microaggressions may threaten LGBQ students' academic development and psychological wellbeing. Limited research exists in this area...
Article
Full-text available
The purpose of this study was to examine the independent influence of age on levels of HIV-related stigma experienced by adults living with HIV/AIDS. To accomplish this, cross-sectional data from the Ontario HIV Treatment Network Cohort Study were used to determine whether older age is associated with overall stigma among HIV-positive adults living...
Technical Report
The Imagine Men’s Health study launched in 2010 and was designed to shed light on the issues related to body image, race, racism, homophobia, as well as health and well-being among gay and bisexual men (GBM) of colour from the four largest ethnoracial communities in the Greater Toronto Area (Black/African/Caribbean, East and Southeast Asian, South...
Conference Paper
Full-text available
Background: Older adults constitute an increasing proportion of those living with HIV. While some face serious medical and psychosocial issues, many others report they are doing well. This qualitative study aimed to understand characteristics associated with aging well with HIV and to understand factors that hinder this process. Methods: Using a m...
Conference Paper
Background: Although contemporary heterosexism is manifested through violence, it is commonly expressed in subtle, often unintentional ways, such as everyday microaggressions (Nadal et al., 2010). Minority stress theory posits that sexual minorities are at increased risk for psychological distress due to stigma and discrimination (Meyer, 2003). Lit...
Article
This study reports results from a national Internet-based survey administered anonymously to a cross-section of social work faculty in the United States. Drawn from a sampling frame of 700 accredited or in candidacy schools, data were collected between November 2010 and March 2011. We investigate the role of sex, sexual orientation, race, religious...
Conference Paper
Full-text available
Background: While extensive research has been conducted on HIV stigma, few studies have examined HIV stigma across age groups. These studies have had small numbers of older adults and report divergent findings regarding aging and HIV stigma. Some suggest stigma is worse for older adults, while others show stigma diminishes with age. Methods: Cross...
Article
Full-text available
Researchers often use survey items on sexual behavior to classify respondents' sexual orientation. Such measures require two sex partners (one male, one female) within a specified period for classification as bisexual, but only one for classification as homosexual or heterosexual. Using 2002 U.S. National Survey of Family Growth data, this proof-of...
Article
Full-text available
RÉSUMÉ Utilisant des données recueillies par Ontario HIV Treatment Network Cohort Study (OCS), l’objectif principal de cette étude était de décrire les caractéristiques socio-demographiques d’un échantillon de personnes âgées (50 ans et plus) de l’Ontario (n = 1 129) vivant avec le VIH /SIDA. L’objectif secondaire était de comparer quatre sous-echa...
Article
Full-text available
Abstract Although the deleterious effects of HIV stigma are well documented, less is known about how various types of stigma impact older adults living with HIV disease and what factors exacerbate or lessen the effects of HIV stigma. Using cross-sectional data from the OHTN cohort study (OCS), we undertook multiple linear regression to determine th...
Conference Paper
Background: Health research studies on sexual minority men have employed various measures of sexual orientation. Currently, there are three common ways in which sexual orientation is operationalized in health research: self-reported identity (gay/bisexual/heterosexual), sexual behavior (with same and/or opposite sex partners) and sexual attractio...