“我们的生命至关重要”:对加利福尼亚州和纽约州新冠疫情居家令对黑人及拉丁裔性少数男性资源安全以及身心健康影响的定性研究

"Our lives matter": a qualitative examination of the impact of COVID-19 shelter-in-place orders on resource security and mental and physical health of Black and Latino sexual minority men in California and New York.

作者信息

Harris Orlando O, Egbunikeokye Joseph, Bagby Whitney D, Rivas Abel, Wilson Natalie, Ouner Jerry John, Gutierrez Jose I, Santos Glenn-Milo, Wharton Mitchell

机构信息

Department of Community Health Systems, School of Nursing, University of California, San Francisco, California, USA.

Department of Family Health Care Nursing, University of California, San Francisco, California, USA.

出版信息

J Health Equity. 2025;2(1). doi: 10.1080/29944694.2025.2530962. Epub 2025 Jul 14.

Abstract

The COVID-19 and HIV pandemics have disproportionately affected Black and Latino sexual minority men (BLSMM) in the United States, with them having the highest burden of disease. Despite this disparity, few studies have examined the intersection of COVID-19 mitigation measures, access to healthcare, and other social determinants during the COVID-19 pandemic among BLSMM. To fill this gap in the literature, the purpose of this study is to explore the impact of the pandemic on mental and physical health, access to healthcare, and resource security among BLSMM. Using an interpretive phenomenological approach, we conducted individual interviews with 41 participants between August 2021 and December 2022. Interviews were recorded, transcribed, and analyzed using thematic content analysis. Participants ranged in age from 19-65 years. The majority described their gender as male (93%). Black participants comprised the majority of the sample (73%), with 25% identified as Latino. Participants' narratives indicated a sense of hopelessness, despair, anxiety, and depression-all amplified by social isolation experienced from COVID-19 shelter-in-place (SIP) orders. Fear of contracting COVID-19 disrupted engagement in healthcare. Resource security was exacerbated by unemployment, resulting in food and housing insecurity and reliance on government assistance programs. These findings highlight the pandemic's impact on participants' mental and physical health, access to healthcare, and resource security. Our findings suggest a more nuanced and culturally tailored public health response approach, expanding telemedicine to increase access to healthcare, and other governmental policy changes to increase access to affordable housing and food, regardless of immigration status.

摘要

新冠疫情和艾滋病毒大流行对美国的黑人及拉丁裔性少数男性(BLSMM)产生了尤为严重的影响,他们承受着最高的疾病负担。尽管存在这种差异,但很少有研究探讨在新冠疫情期间,新冠疫情缓解措施、医疗保健可及性以及其他社会决定因素之间的交叉影响。为了填补这一文献空白,本研究旨在探讨疫情对BLSMM的身心健康、医疗保健可及性以及资源安全的影响。我们采用解释现象学方法,在2021年8月至2022年12月期间对41名参与者进行了个人访谈。访谈进行了录音、转录,并使用主题内容分析法进行了分析。参与者年龄在19至65岁之间。大多数人将自己的性别描述为男性(93%)。黑人参与者占样本的大多数(73%),25%被认定为拉丁裔。参与者的叙述表明存在绝望、焦虑和抑郁情绪,而新冠疫情就地避难(SIP)令带来的社会隔离加剧了这些情绪。对感染新冠病毒的恐惧扰乱了他们寻求医疗保健的行为。失业加剧了资源安全问题,导致食品和住房不安全,并依赖政府援助项目。这些发现凸显了疫情对参与者身心健康、医疗保健可及性和资源安全的影响。我们的研究结果表明,需要采取更细致入微且符合文化特点的公共卫生应对方法,扩大远程医疗以增加医疗保健可及性,以及进行其他政府政策变革,以增加获得经济适用房和食品的机会,无论移民身份如何。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6aa5/12366839/1d99bd9d8942/nihms-2099585-f0001.jpg

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