A community-based study to set the policy agenda for the well-being of 2GSBTQ+ men in Ontario, Canada.

Two-Spirit, Gay, Bisexual, Transgender, and Queer (2SGBTQ+) men face significant health inequity. This article reports on two phases of a study conducted in conjunction with the Gay Men's Sexual Health Alliance (GMSH) to examine 2SGBTQ+ men's health inequity. First, an environmental scan of existing Ontario government health policy was conducted to identify specific gaps. Second, six focus groups of GMSH Alliance members (n  = 21) were conducted to understand the impact of policy gaps and identify potential strategies to address them from the community's perspective. We argue that to meet the wellness needs of the community, community development and healthy public policies are appropriate strategies. The environmental scan confirmed that there is currently very limited policy content specific to 2SGBTQ+ men's wellness and mental health. Data from focus groups were consistent with the scan. GMSH Alliance members struggled to serve their community in the absence of sufficient resources. Participants also expressed an interest in advocacy, but they felt that they lacked the skills to do so. It is clear that 2SGBTQ+ men face population-specific health risks, and much work is needed to advocate for 2SGBTQ+-centred well-being policy. Future work should develop a policy that focuses on addressing many of the issues raised in this research, while also contributing to the achievement of health equity for 2SGBTQ+ men. [ABSTRACT FROM AUTHOR]