Frances Payne Bolton School of Nursing, Case Western Reserve University , Cleveland, Ohio, USA.
Indiana University School of Nursing , Indianapolis, Indiana, USA.
J Homosex. 2021 Mar 21;68(4):577-591. doi: 10.1080/00918369.2020.1868184. Epub 2021 Jan 5.
Deaths from COVID-19 continue to rise, and this virus has asymmetric impacts on marginalized communities though specific impacts on sexual and gender minority communities are not well understood. From March 23 to June 20, 2020, in an online cross-sectional survey among 1380 US adults, we assessed physical symptoms, psychological symptoms, rumination, and perceived social support in order to describe differences between sexual and gender minority (n = 290) and cisgender heterosexual (n = 1090) respondents. Sexual and gender minority respondents had more frequent COVID-19-associated physical symptoms and depression and anxiety symptoms. Sexual and gender minorities had a significantly higher proportion of depression and anxiety scores exceeding the clinical concern threshold. Longitudinal studies on the physical and psychological impacts of COVID-19 among sexual and gender minority communities are needed to inform interventions to eliminate these disparities.
COVID-19 死亡人数持续上升，尽管人们对性少数和性别少数群体的具体影响了解甚少，但这种病毒对边缘化社区产生了不对称的影响。2020 年 3 月 23 日至 6 月 20 日，我们在美国 1380 名成年人中进行了一项在线横断面调查，评估了身体症状、心理症状、反刍和感知社会支持，以描述性少数和性别少数（n=290）与顺性别异性恋（n=1090）受访者之间的差异。性少数和性别少数受访者出现与 COVID-19 相关的身体症状和抑郁及焦虑症状更为频繁。性少数和性别少数人群中，抑郁和焦虑评分超过临床关注阈值的比例显著更高。需要对性少数和性别少数群体中 COVID-19 的身体和心理影响进行纵向研究，以便为消除这些差异的干预措施提供信息。
