Mental Health and Social Support of Sexual and Gender Diverse People from Québec, Canada During the COVID-19 Crisis

Jacmin-Park, Silke; Rossi, Mathias; Dumont, Laurence; Lupien, Sonia J.; Juster, Robert Paul

doi:10.1089/lgbt.2021.0255

Cited by 24 publications

(20 citation statements)

References 43 publications

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“…This study provides evidence of the effectiveness of a novel community-based, peer-delivered eHealth intervention (#SafeHandsSafeHearts) in reducing psychological distress and increasing Covid-19 protective behaviors among ethnoracially diverse LGBTQ+ individuals. Despite the largescale failure of public health systems to systematically report sexual orientation and gender identity information in relation to Covid-19 [50], increasing evidence indicates the disproportionate impact of Covid-19 and pandemic-related public health responses on health and mental health outcomes among LGBTQ+ people in Canada [17], the US [51,52], and Western Europe [53]. To that end, this is the first intervention of which we are aware to demonstrate effectiveness in mitigating pandemic-related psychosocial and behavioral risks among LGBTQ+ people.…”

Section: Discussionmentioning

confidence: 99%

“…Health and mental health disparities among LGBTQ+ and ethnoracially diverse people associated with social and structural vulnerabilities are likely to be exacerbated by the trauma and social isolation of the Covid-19 pandemic [1,3,[13][14][15][16]. Evidence from Canada [17][18][19] as well as the U.S. [8,20] indicates not only increases in, but disproportionately higher rates of depression, anxiety, and loneliness among LGBTQ+ people compared to cisgender heterosexual individuals during the pandemic. Yet, despite documented health disparities and heightened vulnerability among LGBTQ+ and ethnoracially diverse populations, we are aware of no tailored, evidence-informed interventions to reduce the burden of Covid-19 among these communities.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of an eHealth Intervention for Reducing Psychological Distress and Increasing COVID-19 Knowledge and Protective Behaviors among Ethnoracially Diverse Sexual and Gender Minority Adults: A Quasi-experimental Study (#SafeHandsSafeHearts)

Newman

Chakrapani

Massaquoi

et al. 2023

Preprint

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Purpose: Lesbian, gay, bisexual, transgender, queer, and other persons outside of heteronormative and cisgender identities (LGBTQ+) and ethnic/racial minority populations are at heightened vulnerability amid the Covid-19 pandemic. Systemic marginalization and resulting adverse social determinants of health contribute to health disparities among these populations that result in more severe consequences due to Covid-19 and the public health measures to control it. We developed and tested a tailored online intervention (#SafeHandsSafeHearts) to support ethnoracially diverse LGBTQ+ individuals in Toronto, Canada amid the pandemic. Methods: We used a quasi-experimental pre-test post-test design to evaluate the effectiveness of a 3-session, peer-delivered eHealth intervention in reducing psychological distress and increasing Covid-19 knowledge and protective behaviors. Individuals ≥18-years-old, resident in Toronto, and self-identified as sexual or gender minority were recruited online. Depressive and anxiety symptoms, Covid-19 knowledge and protective behaviors were assessed at baseline, 2-weeks postintervention, and 2-months follow-up. We used generalized estimating equations and zero-truncated Poisson models to evaluate the effectiveness of the intervention on the four primary outcomes. Results: From March to November 2021, 202 participants (median age, 27 years [Interquartile rage: 23-32]) were enrolled in #SafeHandsSafeHearts. Over half (54%, n=110) identified as cisgender lesbian or bisexual women or women who have sex with women, 26.2% (n=53) cisgender gay or bisexual men or men who have sex with men, and 19.3% (n=39) transgender or nonbinary individuals. The majority (75.7%, n=143) were Black and other people of color. The intervention led to statistically significant reductions in the prevalence of clinically significant depressive and anxiety symptoms, and increases in Covid-19 protective behaviors from baseline to postintervention. Conclusion: We demonstrated the effectiveness of a brief, peer-delivered eHealth intervention for ethnoracially diverse LGBTQ+ communities in reducing psychological distress and increasing protective behaviors amid the Covid-19 pandemic. Implementation through community-based health services with trained peer educators supports feasibility, acceptability, and the importance of engaging ethnoracially diverse LGBTQ+ communities in pandemic response preparedness. This trial is registered with ClinicalTrials.gov, numberNCT04870723.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of an eHealth Intervention for Reducing Psychological Distress and Increasing COVID-19 Knowledge and Protective Behaviors among Ethnoracially Diverse Sexual and Gender Minority Adults: A Quasi-experimental Study (#SafeHandsSafeHearts)

Newman

Chakrapani

Massaquoi

et al. 2023

Preprint

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“…Verificou-se um aumento no índice de transtornos mentais em pessoas LGBTQIA+ como consequência da pandemia da COVID-19 (Kneale & Bécares, 2021;Bordiano, et al,2021;Suen et al, 2020;Ruprecht et al, 2021;Linnemayr et al, 2020;Jacmin-Park et al, 2022;Septarini et al, 2021;Kamal et al, 2021.;Fish et al, 2021;Buspavanich et al, 2021).…”

Section: Discussionunclassified

“…Tal dado está em conformidade com os estudos de Jacmin-Park, et al (2022), que afirmam que indivíduos com identidade sexual e de gênero de baixa representação, como os assexuais, panssexuais, demissexuais e de gênero diverso apresentaram maior ansiedade e sintomas depressivos em comparação aos subgrupos que são mais estabelecidos na sociedade, como os gays e lésbicas, e nos estudos de Fish, et al (2021), que demonstraram a desproporção do impacto da pandemia na saúde e bem-estar dos adultos minoritários, particularmente adultos bissexuais, mostrando maiores disparidades em saúde e uso de substâncias em relação aos gays/lésbicas.…”

Section: Discussionunclassified

Análise da saúde mental da população LGBTQIA+ frente à pandemia da COVID-19

Ramos¹,

Silva²,

Souza³

et al. 2022

RSD

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Objetivo: Analisar a saúde mental da população LGBTQIA+ frente à pandemia da COVID-19. Métodos: Trata-se de uma revisão integrativa realizada em seis etapas. A coleta de dados foi realizada nas plataformas BVS, SciELO e LILACS em julho de 2022, incluindo estudos dos últimos dois anos. Resultados: Foram obtidos 85 estudos, mas após os critérios estabelecidos, 21 foram selecionados para compor a amostra final. Verificou-se um aumento no índice de transtornos mentais em pessoas LGBTQIA+, como estresse, depressão, ansiedade, angústia, fadiga, solidão, conflitos familiares, uso de psicotrópicos e dificuldade financeira. Esse fato é preocupante, visto que essa população já possuía maior número de transtornos mentais, devido ao preconceito, vulnerabilidade e estigma social que foi piorado com o isolamento. As mulheres lésbicas e transsexuais se tornam mais propensas ao adoecimento mental em decorrência do acúmulo dos estigmas referentes ao gênero e orientação sexual e de uma menor percepção do suporte social. Conclusão: A população LGBTQIA+ nem sempre possuiu o amparo social e na saúde adequados, tendo em vista a realidade histórica de preconceito e discriminação pelos quais foram e são submetidos. Sugere-se novos estudos acerca dos impactos na saúde mental em decorrência da COVID-19, tendo em vista a escassez de trabalhos.

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“…Gonzales et al (15) found more frequent symptoms of psychological distress and symptoms of anxiety and depression among 60% of American college-going SGM youths. As per the Sexual Minority Stress Model (35), group solidarity and social support are important protective factors for the SGM group against psychological distress associated with stigma and discrimination (34)(35)(36)(37).…”

Section: Risk Factors For Depression Anxiety and Suicidality Among Sg...mentioning

confidence: 99%

Impact of COVID-19 stress on the psychological health of sexual & gender minority individuals: A systematic review

Datta¹,

Mukherjee

2023

Front. Glob. Womens Health

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IntroductionThe differential effect of the Covid-19 pandemic on the mental health of the population around the globe is well documented. Social isolation, loss of job, financial crisis, and fear of infection due to the pandemic have widely affected people across countries, and the sexual and gender minority (SGM) group is no exception. However, the additional stressors like stigma, discrimination, rejection, non-acceptance, and violence associated with diverse sexual orientation complicated the situation for the SGM group in the context of the Covid-19 pandemic.MethodThe present study conducted a systematic review of research (n = 16) investigating the impact of Covid-19 stress on the psychological health of SGM individuals. The review had two objectives: (a) to explore the effect of the stress associated with the pandemic on the psychological health of the SGM individuals; and (b) to identify potential stressors associated with the Covid-19 pandemic affecting the mental health of SGM individuals. Studies were selected following a PRISMA protocol and several inclusion criteria.ResultsThe review provided new insights into the mental health issues of the SGM individual in the Covid-19 context. The outcome of the review focused on five aspects: (a) depression and anxiety symptoms related to Covid-19 symptoms; (b) perceived social support and Covid-19 stress; (c) family support and psychological distress related to Covid-19; (d) Covid-19 stress and disordered eating, and (e) problem drinking and substance abuse associated with Covid-19 stress.DiscussionThe present review indicated a negative association between Covid-19 stress and psychological distress among sexual and gender minority individuals. The findings have important implications for psychologists and social workers working with this population and policymakers around the globe.

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Mental Health and Social Support of Sexual and Gender Diverse People from Québec, Canada During the COVID-19 Crisis

Cited by 24 publications

References 43 publications

Effectiveness of an eHealth Intervention for Reducing Psychological Distress and Increasing COVID-19 Knowledge and Protective Behaviors among Ethnoracially Diverse Sexual and Gender Minority Adults: A Quasi-experimental Study (#SafeHandsSafeHearts)

Effectiveness of an eHealth Intervention for Reducing Psychological Distress and Increasing COVID-19 Knowledge and Protective Behaviors among Ethnoracially Diverse Sexual and Gender Minority Adults: A Quasi-experimental Study (#SafeHandsSafeHearts)

Análise da saúde mental da população LGBTQIA+ frente à pandemia da COVID-19

Impact of COVID-19 stress on the psychological health of sexual & gender minority individuals: A systematic review

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