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

This article examines health inequities faced by Two-Spirit, Gay, Bisexual, Transgender, and Queer (2SGBTQ+) men in Ontario, Canada, through an environmental scan of government health policies and focus groups with frontline service providers from AIDS Service Organizations (ASOs) affiliated with the Gay Men's Sexual Health Alliance (GMSH). The study found that existing provincial and federal policies largely neglect the specific wellness and mental health needs of 2SGBTQ+ men, focusing predominantly on HIV/AIDS and lacking consideration of intersectionality and diverse lived experiences. Focus group participants reported insufficient resources, limited advocacy skills, and organizational barriers that hinder effective policy change, while emphasizing the need for inclusive healthcare training and greater community mobilization. The authors recommend building capacity for advocacy among community members and frontline workers, fostering meaningful government consultation, and developing comprehensive 2SGBTQ+-centered wellness policies to address structural inequities and improve health outcomes.