Lori E Ross

Lori E Ross
University of Toronto | U of T · Dalla Lana School of Public Health

About

179
Publications
80,190
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
8,774
Citations

Publications

Publications (179)
Article
Background: Low-wage and precarious employment are prevalent and on the rise, disproportionately impacting marginalized populations. Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) populations have been largely left out of economic justice movements and scholarly literature on precarious employment and its deleterious social and health impa...
Article
Full-text available
Older gay men commonly conceal their sexual identity in healthcare settings due to past experiences and expectations of encountering stigma and discrimination in these contexts. Although insights on how older gay men construct their sexual identity in healthcare may help contextualize this phenomenon, this question remains under-explored. According...
Article
When a person openly “regrets” their gender transition or “detransitions” this bolsters within the medical community an impression that transgender and non-binary (trans) people require close scrutiny when seeking hormonal and surgical interventions. Despite the low prevalence of “regretful” patient experiences, and scant empirical research on “det...
Article
Background: Access to sufficient, safe, culturally appropriate, and nutritious food is essential for maintaining both physical and mental health. Despite a growing body of evidence suggesting that sexual minority (SM) people experience significant disparities in socioeconomic and material resource security, there remains a paucity of empirical stud...
Article
Lay Summary Two-spirit, lesbian, gay, bisexual and transgender (2SLGBTQ+) people experience poverty much more than the general population. 2SLGBTQ+ people and people experiencing poverty face poorer health and greater difficulty accessing healthcare. Studies focussing on the impacts of 2SLGBTQ+ status and poverty on health can help inform policy. W...
Article
Full-text available
Although the majority of specialists and researchers in the field of HIV/AIDS are aware and knowledgeable about HIV-associated neurocognitive disorder (HAND) as a condition that affects as much as 50% of people living with HIV/AIDS (PLWH), research has documented that many health care and service providers who work directly with PLWH are either una...
Article
Background: Young adult sex workers may benefit from sexual and reproductive health care services; however, little research has examined their access experiences. This study aimed to assess barriers to and facilitators of access to sexual and reproductive health care among young adult sex workers, and identify practices suggested by participants t...
Article
This paper takes up a call from activists and scholars in Mad and Disability Studies to pay more explicit attention to resistance. Drawing on conceptualizations of predictive, normative, and ideal expectations, we describe three ways 2SLGBTQ service users who have experienced psychosis resist unmet expectations of just treatment. These include: (1)...
Article
Full-text available
In this article, we draw on a recent review of the Canadian literature on poverty in lesbian, gay, bisexual, transgender, queer, two-spirit, and other sexual and gender minority (LGBTQ2Sþ) communities to conceptualize social work interventions that may be used to address material inequities among these groups. Our literature review, which was based...
Article
Full-text available
Participatory research, or the practice of involving ‘peers’ with lived experience, has become popular in social work. Peer engagement is lauded for: ‘democratising’ the research process; providing ‘capacity building’ and facilitating opportunities to co-produce knowledge. Yet, these claims are rarely evaluated by empirical investigations into the...
Preprint
Full-text available
BACKGROUND In many countries sex work is criminalized, driving sex work underground and leaving sex workers vulnerable to a number of occupational health and safety (OHS) risks, including violence, assault and robbery. With the advent of widely accessible information and communication technologies (ICTs), sex workers have begun to use electronic OH...
Article
Full-text available
Background In many countries, sex work is criminalized, driving sex work underground and leaving sex workers vulnerable to a number of occupational health and safety risks, including violence, assault, and robbery. With the advent of widely accessible information and communication technologies (ICTs), sex workers have begun to use electronic occupa...
Article
In this paper, we present the findings of a qualitative study aimed at conceptualizing the service needs of aging gay men living with HIV (GMLH). Our analysis is based on interview data from 16 gay-identified men living with HIV, ages 50 and over. Drawing on a framework of intersectionality, which theoretically accounts for interlocking expressions...
Article
Objective: To review the bisexual-specific prevalence and likelihood of cigarette smoking relative to lesbian/gay and heterosexual individuals. Data sources: We searched MEDLINE, PsycInfo, CINAHL, Scopus and LGBT Life databases (from 1995 to September 2019) for studies reporting cigarette smoking among bisexuals versus their comparators. Study...
Article
Full-text available
IMPORTANCE: Transgender individuals experience stigma, discrimination, and socioeconomic disadvantages, leading to a myriad of poor health outcomes and high rates of disease burden; however, transgender health continues to be an understudied area. OBJECTIVE: To examine sociodemographic characteristics, health conditions, and health service utilizat...
Article
Research Question How do same-sex male couples (SSMC) and single men (SM) perceive their experience of using assisted reproductive technologies (ART) in Canada; what factors contribute to their experience and the decisions made throughout the ART process? Design This cross-sectional study used an anonymous online survey to gather exploratory data...
Article
Full-text available
The original version of this article unfortunately contained a mistake. The name of David Rojas Gualdron was presented incorrectly in the author list and in the conflict of interest. The corrected author list is given above. The original article has been ….
Article
Full-text available
Background Content knowledge surrounding transgender (trans) medicine is currently lacking in the formal medical education curricula. Evidence indicates that the main protocols used to assess and refer trans patients for gender-affirming medicine are misunderstood by health professionals, and require flexible adaptation to achieve health equity and...
Chapter
Relatively little is known about the unique experiences of bisexual parents, but research on this topic has expanded in recent years. This chapter reviews 36 peer-reviewed articles relevant to bisexual parents (defined broadly), highlighting key findings and future directions for the field. The literature is conceptualized across seven major themes...
Article
Full-text available
Evidenced by leading journals in academic medicine, health professions education has taken up the call to advance equitable healthcare. One pressing area where gaps and inequities are apparent is transgender (trans) people’s access to gender-affirming medicine such as hormones and surgeries. Reasons for the dire state of care include education gaps...
Article
Full-text available
Transgender (trans) people experience high rates of mental health issues including depression and suicidality. Improving access to transition-related medicine such as hormones and surgeries is suggested as an important mechanism to address these mental health issues. Yet clinicians experience challenges assessing and referring trans people for tran...
Article
Full-text available
Background: Over the last decade Russia has introduced various policy measures to reduce alcohol consumption and alcohol-related harm at the population level. Several of these policies, such as higher pricing and taxation or restrictions of availability, may not work in the case of unrecorded alcohol consumption; they may encourage consumers to sw...
Article
Full-text available
Background The last two decades have witnessed a considerable growth in the literature focusing on LGBTQ2S+ employment, labour market inequality, and income. During the same period, Canada has emerged as a trailblazer in employment protections for both sexual and gender minorities. Unfortunately, the Canadian literature on LGBTQ2S+ employment outco...
Article
Full-text available
Objectives This study sought to explore how sexual minority women (SMW) and heterosexual women compare in terms of reproductive history, with a particular focus on examining within-group differences among SMW. Methods Women were predominantly recruited through consecutive sampling during presentation for prenatal care in Toronto Canada, and Massach...
Article
Full-text available
Despite the recognition of older gay men’s unique health needs, the health care experiences of this group have seldom been explored empirically. Accordingly, in this qualitative study, we utilize a poststructuralist approach to grounded theory known as situational analysis to examine older gay men’s experiences with health care. Specifically, we dr...
Article
Full-text available
Background:: HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based pro...
Article
Full-text available
Sexual minorities are at increased risk of suicide; however, it is unclear whether there are within-sexual minority differences in risk across specific sexual identities—notably between bisexual and lesbian/gay subgroups. We therefore conducted a systematic review and meta-analysis to quantify associations between bisexual identity and self-reporte...
Article
Despite the prominence of poverty in lesbian, gay, bisexual, transgender, queer, two-spirit, and other sexual and gender minorities (LGBTQ2S+) in Canada, studies that centre the material conditions of these groups as sites of inquiry remain scant. Accordingly, in this paper we present an intersectional narrative review of the limited Canadian liter...
Article
Women who (a) hold plurisexual identities (e.g., bisexual, pansexual) and (b) are male-partnered are understudied. Of interest is how these women construct their sexual identities across the transition to parenthood—a period associated with intensified heteronormative expectations, and changes in women’s roles and identities. This longitudinal stud...
Article
Full-text available
A quantitative approach to social network analysis involves the application of mathematical and statistical techniques and graphical presentation of results. Nonetheless—as with all sciences—subjectivity is an integral aspect of network analysis, manifested in the selection of measures to describe connection patterns and actors’ positions (e.g., ch...
Article
Full-text available
Lesbian, gay, bisexual, trans, and/or queer (LGBTQ) people face barriers to accessing mental health care; however, we know little about service experiences of low income LGBTQ people. In this qualitatively-driven mixed methods study, over 700 women and/or trans people completed an internet survey, of whom 12 LGBTQ individuals living in poverty part...
Data
Quantitative survey measures for a qualitatively-driven mixed methods analysis of the mental health service experiences of LGBTQ people living in poverty in Ontario, Canada. (DOCX)
Chapter
In this chapter, we draw on a critical analysis of 120 inpatient charts from a large psychiatric institution in Toronto, Ontario to examine the concept of ‘insight’ as it is operationalized by psychiatrists in chart documentation. We argue that psychiatrists use insight as a discursive means to delegitimize patient perspectives that diverge from th...
Chapter
In this chapter, we use a case study approach to examine the ways that psychocentrism operates as a dominant discourse within the psychiatric institution to contain queer madness. Using a critical discourse analysis, with attention to analytical tools associated with socio- and queer linguistics we interrogate the psychiatric chart to reveal how on...
Article
Though social scientists have researched sexual-minority parenting practices regarding the gender socialization of children, to date this research has focused exclusively on sexual-minority parents in same-gender relationships, and almost exclusively on the experiences of gay and lesbian parents. This article addresses the gender socialization pare...
Article
Full-text available
Bisexual people of color (BPOC) live with a complex intersection of identities, facing binegativity, racism, and invisibility. These issues result in a wide range of stressors that incorporate the intersecting stigmas they face in various contexts. Sexual minority research has limited applications to bisexual people, as most of the existing theorie...
Article
Bisexuality has been critically understudied despite decades of research demonstrating pronounced disparities among bisexual populations. To better understand the state of bisexual research in the field of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) psychology, we conducted a content analysis of abstracts published in Psychol...
Article
Little research has examined the experiences of plurisexual women (i.e., those with attractions to more than one gender) during the transition to parenthood, despite the fact that many plurisexual women intend to become parents. Further, no research has specifically explored plurisexual mothers’ lesbian, gay, bisexual, transgender, and queer (LGBTQ...
Article
The current study constitutes a qualitative investigation of experiences with and perceptions of consensual non-monogamy (CNM) among a sample of 21 bisexual and plurisexual women with different-gender partners. Participants from Massachusetts, USA, and Toronto, Canada were interviewed four times during pregnancy and the postpartum period. Using an...
Article
Full-text available
Although partner support is an established determinant of mental health, we know little about bisexual and other plurisexual people's experiences of support from their partners. Furthermore, very limited research has examined how bisexual or plurisexual people experience partner support during pregnancy, a significant life stage for many couples. T...
Article
Full-text available
HIV-Associated Neurocognitive Disorder (HAND) is an emergent public health issue in developed countries. Consequently, people living with HIV who experience HAND will increasingly require support from community-based HIV service providers. The objective of our qualitative study was to identify barriers service providers face in addressing HAND amon...
Article
Full-text available
Over the past decade, evidence has accumulated to suggest that bisexual people experience higher rates of poor mental health outcomes compared to both heterosexual and gay/lesbian individuals. However, no previous meta-analyses have been conducted to establish the magnitude of these disparities. To address this research gap, we conducted a systemat...
Article
The current study examined the role of bisexual-specific distal stressors (i.e. anti-bisexual discrimination from heterosexuals and from lesbians and gay men) and proximal stressors (i.e. internalized binegativity and anticipated discrimination) in sexual compulsivity among bisexual men. Sexual compulsivity disproportionately affects gay and bisexu...
Article
Full-text available
Objective: to examine the lived experiences of trans-identified individuals accessing mental health care, and in particular, their perceptions of barriers to access. Method: this qualitative study was conducted using interpretative phenomenological analysis and supported by Agamben’s theory of Thanatopolitics. Eleven one-to-one, semi-structured in...
Article
p> OBJECTIVES: Non-monosexual women – those who report attraction to or sexual relationships with individuals of more than one gender – have elevated risk for poor mental health outcomes. We aimed to examine which elements of non-monosexual experience are associated with this elevated risk. METHODS: We conducted a sequential exploratory mixed meth...
Article
Full-text available
Women identifying as plurisexual (i.e., those with the potential for attraction to more than one gender) experience unique issues associated with forming and maintaining intimate relationships. In particular, women identifying as plurisexual, unlike women identifying as monosexual, navigate choices and decisions related to the gender of their partn...
Poster
Full-text available
Since the advent of combination antiretroviral therapy, the incidence of dementia associated with HIV has become rare. However, the prevalence of milder forms of HAND has remained a health concern worldwide. « Researchers have documented that even milder neurocognitive impairments CAN IMPACT EVERYDAY FUNCTIONING, QUALITY OF LIFE, AND THE ABILITY TO...
Article
Drawing from queer and communication privacy management frameworks, this study examines the narratives of 22 bisexual, male-partnered women who were interviewed during the perinatal period and one year postnatally about their disclosures of sexual identity to family of origin. Most women rarely discussed their sexual identity with family; participa...
Article
Young bisexual women experience health disparities related to sexual health, yet there is comparatively little research that addresses which specific factors drive these disparities. The current study investigates young bisexual women’s perspective of their sexual health in order to address this gap. We conducted a community-based qualitative study...
Article
Full-text available
Community participation is often cited as a crucial component of wellness for people with mental health diagnoses. Few studies explore community participation from the perspective of lesbian, gay, bisexual, trans, and queer (LGBTQ) people with diagnoses of schizophrenia and bipolar disorder. This article describes an in-depth qualitative study with...
Article
Full-text available
This article uses an intersectionality lens to explore how experiences of race, gender, sexuality, class and their intersections are associated with depression and unmet need for mental healthcare in a population of 704 women and transgender/gender liminal people from Ontario, Canada. A survey collecting demographic information, information about m...
Article
Male-partnered sexual minority women (SMW) have received little research attention, although they represent a large proportion of SMW, particularly child-bearing SMW. Male-partnered SMW are less “out” than female-partnered SMW and will likely be “read” as heterosexual by perinatal providers. Given this, and evidence that pregnant women have unique...
Article
The benefits and challenges of insider positionality have been much written about in relation to qualitative research. However, the specific emotional implications of insider research have been little explored. In the article, I aim to bring the literature on insider positionality to the study of emotion in qualitative research through a reflection...
Article
Full-text available
Background: Previous studies have found that transgender, lesbian, and bisexual people report poorer mental health relative to heterosexuals. However, available research provides little information about mental health service access among the highest need groups within these communities: bisexual women and transgender people. This study compared p...
Article
Full-text available
Background: Bisexual populations have higher prevalence of depression, anxiety, suicidality and substance use than heterosexuals, and often than gay men or lesbians. The co-occurrence of multiple outcomes has rarely been studied. Methods: Data were collected from 405 bisexuals using respondent-driven sampling. Weighted analyses were conducted fo...
Article
Full-text available
Bisexual people constitute the largest sexual minority group in North America and experience significant mental health disparities in relation to heterosexuals, gays, and lesbians. In this article, we will examine the process and experience of help seeking among bisexuals. This was a community-based study that collected qualitative interview data f...
Article
Work has been underway to increase the availability of parenting options for people living with and affected by HIV. One option, adoption, has not yet been explored in the literature. The study aimed to gain a better understanding of the potential of adoption for individuals/couples living with HIV in Ontario, and to assess potential structural bar...
Article
Full-text available
Bisexuality is consistently associated with poor mental health outcomes. In population-based data, this is partially explained by income differences between bisexual people and lesbian, gay, and/or heterosexual individuals. However, the interrelationships between bisexuality, poverty, and mental health are poorly understood. In this paper, we exami...
Article
Full-text available
Objective: There is increasing attention to diversity in psychiatric services and widespread recognition of the mental health implications of stigma for individuals from sexual or gender minority groups. However, these areas remain markedly underdeveloped in the area of severe mental illness. The aim of this review was to map out the existing base...
Article
Full-text available
Background Mental health and/or substance use issues are associated with significant disparities in morbidity and mortality. The aim of this study was to identify the mechanisms underlying poor primary care access for this population. Method This was a community-based participatory action qualitative study, in which 85 adults who self-identified a...
Article
Full-text available
Purpose Significant numbers of sexual minority women are choosing to parent. Despite this, there is limited research on postpartum depression (PPD) with sexual minority mothers and less research considering differences within sexual minority women in the experience of PPD. This research examines two questions to address this gap in research: (1) Do...
Article
Full-text available
Bisexuals are at greater risk for poor mental health compared with heterosexual, gay, and lesbian people. This increased risk has been attributed to biphobia yet the relationship between biphobia and mental health has been understudied. Data were collected from an Ontario-wide survey of bisexuals, broadly defined, using respondent-driven sampling (...