Canadian results from the 2017 EMIS (European Men-who-have-sex-with-men Internet Survey)

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Organization: Public Health Agency of Canada

Date published: November 2019

EMIS-2017 (European Men-who-have-sex-with-men Internet Survey) was an online survey for gay, bisexual, and other men who have sex with men (gbMSM) living in European and other countries, including Canada. EMIS aimed to generate data useful for planning HIV and STI prevention and care programmes. EMIS took place from October 2017 to January 2018. 5,165 Canadian participants were included in this analysis.

Who participated?

gbMSM from every province and territory.

Table 1. Sexual identity
Sexual identity Proportion (%)
Gay 76
Bisexual 17.5
Straight 0.9
Other 5.7
Table 2. Gender identity
Gender identity Proportion (%)
Cisman 97.6
Transman 2.4
Table 3. Proportion born in Canada
Born in Canada Proportion (%)
Yes 79.3
No 20.7

Experienced stigma and discrimination

Mental health problems

Participants were asked to identify mental health related symptoms experienced over the previous 2 weeks prior to completing the survey

Table 4. Experiences of stigma and discrimination
Experiences of stigma and discrimination in previous year Proportion (%)
Physical abuse 1.5
Verbal abuse 22.1
Intimidation 31.9
Table 5. Type of mental health problem
Mental health problems Proportion (%)
Suicidal ideation 26.1
Anxiety and/or depression 23.9

HIV and STI diagnoses

Table 6. HIV status
HIV status Proportion (%)
HIV diagnosis 9
On treatment 99.1
Undetectable viral load 96.7
Table 7. STBBI diagnosis
STBBI Proportion (%)
Syphilis 3.2
Gonorrhea 7.1
Chlamydia 6.5

PrEP use and sexual practices

PrEP use

Table 8. PrEP use
PrEP Proportion (%)
Knowledge of PrEP 86.4
Likelihood to use PrEP 51.7
Current PrEP use 8.4

Sexual practices

Participants were asked about their history of condomless anal intercourse (CAI) with casual partners in the previous year.

Table 9. Sexual practices
Sexual practices Proportion (%)
HIV+, Undetectable 92.7
HIV-, not using PrEP 14.3
HIV+, not on treatment 91.3
HIV-, using PrEP 71.5

Substance use

Table 10. Substance use
Substance use Proportion (%)
Recreational substances 64.1
Party and play substances 21.5
Injectable substances 3.5

Acknowledgements

EMIS 2017 was carried out by Sigma Research (London). It was funded by the Health Programme (2014-2020) of the European Union. Canadian participation was funded by the Public Health Agency of Canada. For more information, look for our full-length report in CCDR titled: Canadian results from EMIS-2017.

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