Sandra A. D'Souza

Sandra A. D'Souza
University of Toronto | U of T · Dalla Lana School of Public Health

Master of Public Health

About

10
Publications
4,192
Reads
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152
Citations

Publications

Publications (10)
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
Background Trauma, specifically adverse childhood experiences (ACEs), predicts significant health and mental health disparities, yet there is a paucity of research with LGBTQ + youth. Objective This study explored ACE prevalence in a large sample of LGBTQ+ youth; examined ACE patterns within and across subgroups; and compared results with the gene...
Article
Data indicate that 82% of transgender individuals have considered killing themselves and 40% have attempted suicide, with suicidality highest among transgender youth. Using minority stress theory and the interpersonal theory of suicide, this study aims to better understand suicide risk among transgender youth. The present study examines the influen...
Article
LGBTQ+ youth experience negative health and wellbeing outcomes resulting from the stress of marginalization and unsupportive environments. Further, access to LGBTQ+ community resources often vary based on geographical factors. Previous research has focused on the risks of online spaces for LGBTQ+ youth, and has perceived offline environments as a p...
Article
Full-text available
Sexual and gender minority youth (SGMY) often lack support to navigate their minority identities and elevated psychosocial risks. When their offline environment presents challenges to wellbeing, many SGMY turn to internet-enabled information and communication technologies (ICTs) to develop identities, cope with daily stressors, and access support....
Article
Background As of 1 January 2017, the Canadian province of Ontario banned the distribution and sale of menthol tobacco products. There is limited knowledge about how tobacco companies will adapt their packaging in response to a menthol ban. Methods We conducted a content analysis of preban traditional menthol (no capsule) and menthol capsule cigare...
Article
This paper considers one of Ontario's largest reform efforts: the Aging at Home Strategy (AHS). The AHS was initiated in 2007 to enable people to live independent lives in their own homes. A document review was conducted on relevant government materials to assess the goals and objectives of the AHS as it was rolled out over the course of three year...
Chapter
The Transtheoretical Model (TTM) outlines the process of altering behavior by integrating leading principles and theories on behavior change. The TTM is comprised of a number of core constructs that include the Stages of Change, Processes of Change, Decisional Balance, Self-Efficacy, and Temptation. The previously identified Stages of Change (or re...
Article
Authentically expressing and navigating a transgender or gender nonconforming identity during adolescence can be a difficult and painful process. Using a transgender affirmative approach to clinical practice, psychologists and other mental health professionals can play a key role in supporting youth through this process. To date, there is a paucity...
Article
Full-text available
Background: Sexual and gender minority youth are a population in peril, exemplified by their disproportionate risk of negative experiences and outcomes. Sexual and gender minority youth may be particularly active users of information and communication technologies (ICTs), and it is important to identify the potential contributions of ICTs to their...

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Projects

Project (1)
Project
Project #Queery, an online mixed methods survey project, has five specific objectives: (1) investigate the use of ICTs by SGMY; (2) identify the ways in which ICTs influence the resilience and coping of SGMY, focusing on promotion of wellbeing through self-guided support-seeking (particularly using mobile devices); (3) develop a contextually relevant theoretical conceptualization of resilience incorporating minority stress and ecological approaches, (4) generate best practices and materials that are accessible to multiple interested groups, and (5) identify whether video narratives are a viable alternative to collect qualitative responses in online surveys for youth.