Implications of the COVID-19 Pandemic on LGBTQ Communities

Krause, Kristen D.

doi:10.1097/phh.0000000000001273

Cited by 40 publications

(30 citation statements)

References 16 publications

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“…Illinois has included a COVID-19 module in its 2020 BRFSS that also includes questions on sexual orientation and gender identity (7). Pennsylvania, the District of Columbia, and several other jurisdictions are taking steps toward including sexual orientation and gender identity information in COVID-19-related data collection; however, these data are not yet available (6).…”

Section: Discussionmentioning

confidence: 99%

Sexual Orientation Disparities in Risk Factors for Adverse COVID-19–Related Outcomes, by Race/Ethnicity — Behavioral Risk Factor Surveillance System, United States, 2017–2019

Heslin

Hall

2021

MMWR Morb. Mortal. Wkly. Rep.

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Sexual minority persons experience health disparities associated with sexual stigma and discrimination and have a high prevalence of several health conditions that have been associated with severe coronavirus disease 2019 (COVID-19) (1,2). Current COVID-19 surveillance systems do not capture information about sexual orientation. To begin bridging the gap in knowledge about COVID-19 risk among sexual minority adults, CDC examined disparities between sexual minority and heterosexual adults in the prevalence of underlying conditions with strong or mixed evidence of associations with severe COVID-19-related illness (3), by using data from the 2017-2019 Behavioral Risk Factor Surveillance System (BRFSS).* When age, sex, and survey year are adjusted, sexual minority persons have higher prevalences than do heterosexual persons of self-reported cancer, kidney disease, chronic obstructive pulmonary disease (COPD), heart disease (including myocardial infarction, angina, or coronary heart disease), obesity, smoking, diabetes, asthma, hypertension, and stroke. Sexual minority adults who are members of racial/ethnic minority groups disproportionately affected by the pandemic also have higher prevalences of several of these health conditions than do racial/ethnic minority adults who are heterosexual. Collecting data on sexual orientation in COVID-19 surveillance and other studies would improve knowledge about disparities in infection and adverse outcomes by sexual orientation, thereby informing more equitable responses to the pandemic.

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Section: Discussionmentioning

confidence: 99%

Sexual Orientation Disparities in Risk Factors for Adverse COVID-19–Related Outcomes, by Race/Ethnicity — Behavioral Risk Factor Surveillance System, United States, 2017–2019

Heslin

Hall

2021

MMWR Morb. Mortal. Wkly. Rep.

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“…In addition to chronic physical conditions, mental health is much more prevalent in LGBTQ populations 49 , 50 . In fact, LGBTQ populations report increased risk of violence, discrimination, exclusion, loneliness, depression, anxiety, substance abuse, and suicide 51 . Community engagement has been shown to allow for strong sense of identity and self-acceptance among LGBTQ youth 50 .…”

Section: Introductionmentioning

confidence: 99%

“…Social distancing has removed important coping resources from these individuals, such as school/college organizations, coaches, counsellors, teachers/professors, peers, etc. Removing these strategies could result in increased risk of violence, discrimination, exclusion, loneliness, depression, anxiety, substance abuse, suicide etc 51 . LGBTQ elders are 2 times more likely to be single and living alone, 4 times less likely to have kids, and more likely to be estranged from biological families further exacerbating social isolation and loneliness 50 .…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, LGBTQ individuals experience higher levels of poverty, food insecurity, homelessness, lack of health insurance, and unemployment compared to non-LGBTQ populations 55 , 56 . 40% of LGBTQ persons work in the service industry, compared to 22% in non-LGBTQ populations, putting them at even higher risk of unemployment during the pandemic 51 . Due to the lack of responsiveness in the past to marginalized populations and lack of epidemiological surveillance, it is hard to quantify the impact of a pandemic in this population.…”

Section: Introductionmentioning

confidence: 99%

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Health care disparities during the COVID-19 pandemic

Andraska

Alabi

Dorsey

et al. 2021

Seminars in Vascular Surgery

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COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV-2), has caused an international pandemic, with over 32 million cases and more than 500,000 deaths nationwide. With the significant health consequences seen secondary to COVID-19, healthcare disparities have been further exacerbated. Mechanisms that have been proposed to account for the increased disparity seen during the COVID-19 pandemic are multifactorial. This review of the literature outlines the unique barriers to health and disparities which are associated with vulnerable communities who have been most impacted by the COVID-19 pandemic in the United States.

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“…6 Finally, HIV is more common among Black, Hispanic/Latinx, Indigenous and LGBTQ + communities all of whom have shouldered the burden of the COVID-19 pandemic in Oregon and across the United States. 7,8 Thus, PLWH are made vulnerable to COVID-19 through complex, intersecting biological and structural mechanisms.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Uptake Among People Living With HIV

Menza

Capizzi

Zlot

et al. 2021

Preprint

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People living with HIV (PLWH) are at greater risk for severe COVID-19 and are a priority population for COVID-19 vaccination. As of June 15, 2021, 61.5% of PLWH in Oregon received ≥ 1 COVID-19 vaccine dose. Younger PLWH, Hispanic/Latinx PLWH and PLWH who inject drugs or reside in rural and frontier areas had low vaccine uptake while PLWH who were engaged in care, enrolled in the AIDS Drug Assistance Program, and vaccinated against influenza had high vaccine uptake. Greater advocacy, education, and care navigation are required to increase COVID-19 vaccine access and uptake among PLWH.

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Implications of the COVID-19 Pandemic on LGBTQ Communities

Cited by 40 publications

References 16 publications

Sexual Orientation Disparities in Risk Factors for Adverse COVID-19–Related Outcomes, by Race/Ethnicity — Behavioral Risk Factor Surveillance System, United States, 2017–2019

Sexual Orientation Disparities in Risk Factors for Adverse COVID-19–Related Outcomes, by Race/Ethnicity — Behavioral Risk Factor Surveillance System, United States, 2017–2019

Health care disparities during the COVID-19 pandemic

COVID-19 Vaccine Uptake Among People Living With HIV

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