Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York, United States of America.
Department of Medicine, University of Rochester Medical Center, Rochester, New York, United States of America.
PLoS One. 2022 Jul 8;17(7):e0271162. doi: 10.1371/journal.pone.0271162. eCollection 2022.
While the LGBTQ+ community has been disproportionally impacted by COVID-19 medical complications, little research has considered non-medical impact.
We conducted a secondary analyses of USA-based respondents from a global cross-sectional online mixed-methods survey collecting sexual orientation, gender identity, and the perceived stress scale (PSS). Bivariate and multivariate ordinal regression statistics were performed.
Fourteen percent (n = 193,14.2%) identified as LGBTQ+. Variables significantly associated with LGBTQ+ included: COVID testing/treatment affordability, canceled activities, stocking food/medications, quitting job, lost income, and inability to procure groceries/cleaning supplies/medications. Adjusting for Hispanic ethnicity and income, BIPOC LGBTQ+ individuals had twice the odds (OR:2.02;95%CI:1.16-3.53) of moderate compared to low PSS scores, and high compared to moderate PSS scores, compared to white non-LGBTQ+ individuals. Adjusting for Hispanic ethnicity, income, age, and education, deaf LGBTQ+ individuals had twice the odds (OR:2.00;95%CI:1.12-3.61) of moderate compared to low PSS scores, and high compared to moderate PSS scores, compared to hearing non-LGBTQ+ individuals.
The LBGTQ+ community has increased stress due to COVID-19. Public health interventions must mitigate stress in BIPOC and deaf LGBTQ+ communities, addressing their intersectional experiences.
尽管 LGBTQ+群体受到 COVID-19 医疗并发症的不成比例影响，但很少有研究考虑非医疗影响。
我们对一项全球横断面在线混合方法调查的美国受访者进行了二次分析，该调查收集了性取向、性别认同和感知压力量表（PSS）。进行了单变量和多变量有序回归统计分析。
14%（n=193，14.2%）自我认同为 LGBTQ+。与 LGBTQ+相关的变量包括：COVID 检测/治疗费用承受能力、取消活动、储备食物/药物、辞职、收入损失以及无法购买食品杂货/清洁用品/药物。调整西班牙裔种族和收入因素后，BIPOC LGBTQ+个体出现中度 PSS 评分的可能性是低度 PSS 评分的两倍（OR：2.02；95%CI：1.16-3.53），出现高度 PSS 评分的可能性是中度 PSS 评分的两倍，与白人非 LGBTQ+个体相比。调整西班牙裔种族、收入、年龄和教育因素后，聋人 LGBTQ+个体出现中度 PSS 评分的可能性是低度 PSS 评分的两倍（OR：2.00；95%CI：1.12-3.61），出现高度 PSS 评分的可能性是中度 PSS 评分的两倍，与听力正常非 LGBTQ+个体相比。
由于 COVID-19，LGBTQ+群体的压力增加。公共卫生干预措施必须减轻 BIPOC 和聋人 LGBTQ+群体的压力，解决他们的交叉体验。
