性少数和跨性别前线医护人员在 COVID-19 大流行高峰期的心理健康差距。
Mental Health Disparities Among Sexual and Gender Minority Frontline Health Care Workers During the Height of the COVID-19 Pandemic.
机构信息
Department of Psychology, The City College of New York, New York, New York, USA.
PRIME Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York, USA.
出版信息
LGBT Health. 2022 Jul;9(5):359-367. doi: 10.1089/lgbt.2021.0276. Epub 2022 May 18.
Abstract
This study measured mental health disparities in a Bronx, New York sample of frontline health care workers collected May-July, 2020, during the first wave of the COVID-19 pandemic. Using survey data ( = 741), we compared demographics, COVID-19 stressors, and adverse mental health outcomes between sexual and gender minority (SGM, = 102) and non-SGM ( = 639) health care workers through chi-square/Kruskal-Wallis tests, crude/adjusted odds, and prevalence ratios. SGM frontline health care workers had significantly higher depression, anxiety, impact of COVID-19, and psychological distress. Income (lower), age (younger), and COVID-19 stressors accelerated differences. Health care systems should support SGM frontline health care workers through affirming trauma-informed programming.
摘要
本研究测量了 2020 年 5 月至 7 月 COVID-19 大流行第一波期间在纽约布朗克斯区一线医护人员中采集的样本的心理健康差距。使用调查数据（= 741），我们通过卡方检验/克鲁斯卡尔-沃利斯检验、粗/调整比值和患病率比，比较了性少数和性别少数（SGM，= 102）和非性少数和性别少数（非 SGM，= 639）医护人员的人口统计学、COVID-19 压力源和不良心理健康结果。SGM 一线医护人员的抑郁、焦虑、COVID-19 影响和心理困扰显著更高。收入（较低）、年龄（较年轻）和 COVID-19 压力源加速了这些差异。医疗保健系统应通过支持以创伤为中心的项目来支持 SGM 一线医护人员。
相似文献
1
Mental Health Disparities Among Sexual and Gender Minority Frontline Health Care Workers During the Height of the COVID-19 Pandemic.性少数和跨性别前线医护人员在 COVID-19 大流行高峰期的心理健康差距。
LGBT Health. 2022 Jul;9(5):359-367. doi: 10.1089/lgbt.2021.0276. Epub 2022 May 18.
2
Psychiatric impacts of the COVID-19 global pandemic on U.S. sexual and gender minority young adults.COVID-19 全球大流行对美国性少数和性别少数青年的精神影响。
Psychiatry Res. 2021 May;299:113855. doi: 10.1016/j.psychres.2021.113855. Epub 2021 Mar 3.
3
COVID-19 News and Its Association With the Mental Health of Sexual and Gender Minority Adults: Cross-sectional Study.COVID-19 相关新闻与性少数和性别少数成年群体心理健康的关系：一项横断面研究。
JMIR Public Health Surveill. 2022 May 30;8(5):e34710. doi: 10.2196/34710.
4
Widening mental health and substance use inequities among sexual and gender minority populations: Findings from a repeated cross-sectional monitoring survey during the COVID-19 pandemic in Canada.性少数群体和性别少数群体的心理健康和物质使用不平等现象不断扩大：加拿大 COVID-19 大流行期间重复横断面监测调查的结果。
Psychiatry Res. 2022 Jan;307:114327. doi: 10.1016/j.psychres.2021.114327. Epub 2021 Dec 6.
5
LGBTQ Identity-Related Victimization During COVID-19 Is Associated with Moderate to Severe Psychological Distress Among Young Adults.在 COVID-19 期间，与 LGBTQ 身份相关的受害与年轻人的中重度心理困扰相关。
LGBT Health. 2022 Jul;9(5):303-312. doi: 10.1089/lgbt.2021.0280. Epub 2022 May 10.
6
Impact of the COVID-19 Pandemic on Perceptions of Health and Well-Being Among Sexual and Gender Minority Adolescents and Emerging Adults.COVID-19 大流行对性少数青少年和青年群体健康和幸福感的影响。
LGBT Health. 2022 Jan;9(1):34-42. doi: 10.1089/lgbt.2021.0238. Epub 2021 Nov 5.
7
Mental Health and Social Support of Sexual and Gender Diverse People from Québec, Canada During the COVID-19 Crisis.加拿大魁北克省性取向和性别多样化人群在新冠疫情危机期间的心理健康与社会支持
LGBT Health. 2022 Apr;9(3):151-160. doi: 10.1089/lgbt.2021.0255. Epub 2022 Mar 15.
8
Mental Health Challenges and Needs among Sexual and Gender Minority People in Western Kenya.肯尼亚西部性少数群体和性别少数群体的心理健康挑战和需求。
Int J Environ Res Public Health. 2021 Feb 1;18(3):1311. doi: 10.3390/ijerph18031311.
9
Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.与 COVID-19 暴露的医护人员心理健康结果相关的因素。
JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.
10
Health disparities in one of the world's most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands.世界上最进步的国家之一存在健康差距：荷兰性少数群体和性别少数群体的心理健康和物质使用情况的范围综述。
BMC Public Health. 2023 Dec 18;23(1):2533. doi: 10.1186/s12889-023-17466-x.
引用本文的文献
1
Mental health of LGBTQ+ workers: a systematic review.LGBTQ+群体工作者的心理健康：一项系统综述。
BMC Psychiatry. 2025 Feb 11;25(1):114. doi: 10.1186/s12888-025-06556-2.
2
Associations between the Self-Reported Likelihood of Receiving the COVID-19 Vaccine, Likelihood of Contracting COVID-19, Discrimination, and Anxiety/Depression by Sexual Orientation.自我报告的接种新冠疫苗可能性、感染新冠病毒可能性、歧视以及性取向与焦虑/抑郁之间的关联。
Vaccines (Basel). 2023 Mar 2;11(3):582. doi: 10.3390/vaccines11030582.
3
An accumulation of distress: Grief, loss, and isolation among healthcare providers during the COVID-19 pandemic.痛苦的累积：新冠疫情期间医护人员的悲伤、失落与孤立
SSM Ment Health. 2022 Dec;2:100146. doi: 10.1016/j.ssmmh.2022.100146. Epub 2022 Sep 9.
本文引用的文献
1
Current Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers.美国 LGBTQ 社区中心心理健康服务的现有能力和未来实施情况。
Psychiatr Serv. 2021 Jun;72(6):669-676. doi: 10.1176/appi.ps.202000575. Epub 2021 Apr 22.
2
Minority stress, distress, and suicide attempts in three cohorts of sexual minority adults: A U.S. probability sample.性少数群体成年人三个队列中的少数群体压力、困扰和自杀企图：美国概率样本。
PLoS One. 2021 Mar 3;16(3):e0246827. doi: 10.1371/journal.pone.0246827. eCollection 2021.
3
Psychosocial Effects of the COVID-19 Pandemic and Mental Health among LGBTQ+ Young Adults: A Cross-Cultural Comparison across Six Nations.COVID-19 大流行对 LGBTQ+ 青年的心理社会影响和精神健康：六个国家的跨文化比较。
J Homosex. 2021 Mar 21;68(4):612-630. doi: 10.1080/00918369.2020.1868186. Epub 2021 Jan 22.
4
Introduction to Special Issue: Impacts of the COVID-19 Pandemic on LGBTQ+ Health and Well-Being.特刊介绍：COVID-19 大流行对 LGBTQ+健康和福祉的影响。
J Homosex. 2021 Mar 21;68(4):545-559. doi: 10.1080/00918369.2020.1868182. Epub 2021 Jan 13.
5
Staff Emotional Support at Montefiore Medical Center During the COVID-19 Pandemic.在 COVID-19 大流行期间，Montefiore 医疗中心的员工情感支持。
Jt Comm J Qual Patient Saf. 2021 Mar;47(3):185-189. doi: 10.1016/j.jcjq.2020.11.009. Epub 2020 Nov 18.
6
Health Care Workers' Mental Health and Quality of Life During COVID-19: Results From a Mid-Pandemic, National Survey.医护人员在 COVID-19 大流行期间的心理健康和生活质量：一项中期全国调查的结果。
Psychiatr Serv. 2021 Feb 1;72(2):122-128. doi: 10.1176/appi.ps.202000424. Epub 2020 Dec 3.
7
LGBTQ care at the time of COVID-19.2019冠状病毒病时期的 LGBTQ 群体医疗服务
Diabetes Metab Syndr. 2020 Nov-Dec;14(6):1757-1758. doi: 10.1016/j.dsx.2020.09.001. Epub 2020 Sep 7.
8
Serving LGBTQ+/SGL Elders during the Novel Corona Virus (COVID-19) Pandemic: Striving for Justice, Recognizing Resilience.在新型冠状病毒（COVID-19）大流行期间为 LGBTQ+/SGL 老年人提供服务：追求正义，认可韧性。
J Gerontol Soc Work. 2020 Aug-Oct;63(6-7):607-610. doi: 10.1080/01634372.2020.1793255. Epub 2020 Jul 16.
9
"I'm Kinda Stuck at Home With Unsupportive Parents Right Now": LGBTQ Youths' Experiences With COVID-19 and the Importance of Online Support.“我现在和不支持我的父母被困在家里，有点难受”：LGBTQ 青少年的 COVID-19 经历和线上支持的重要性。
J Adolesc Health. 2020 Sep;67(3):450-452. doi: 10.1016/j.jadohealth.2020.06.002. Epub 2020 Jun 23.
10
Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic.新冠疫情期间纽约医护人员的心理困扰、应对行为和支持偏好。
Gen Hosp Psychiatry. 2020 Sep-Oct;66:1-8. doi: 10.1016/j.genhosppsych.2020.06.007. Epub 2020 Jun 16.
Zotero 插件