LGBTQ care at the time of COVID-19

Chatterjee, Subhankar; Biswas, Payel; Guria, Rishi Tuhin

doi:10.1016/j.dsx.2020.09.001

Cited by 35 publications

(30 citation statements)

References 14 publications

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“…Changes in the delivery of health care services and the suspension or postponement of elective procedures in response to the COVID-19 pandemic has the potential to significantly impede or disrupt access to transgender care, including gender-affirming hormone therapy and surgery. [1][2][3] These disruptions may negatively impact overall social and medical transition, and have subsequent deleterious effects on the mental and physical health of transgender individuals. 1,2 However, rapid advancements in the use of telehealth and telemedicine, or synchronous video and/or telephone health care visits, have the potential to offer continuity of care and potentially expand access to patients who may otherwise be hindered by in-clinic visits.…”

Section: Introductionmentioning

confidence: 99%

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

Lock

2022

Transgender Health

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Gender-affirming care is essential to the health and wellbeing of transgender and nonbinary people. The COVID-19 pandemic has the potential to disrupt transgender care. This study explores transgender care before and during the onset of the pandemic using patient data from 10 family planning clinics in Arkansas, Kansas, Missouri, and Oklahoma. No significant differences were observed in the proportion of transgender care visits pre- or during the pandemic. However, we did find a significantly larger proportion of new transgender patient visits and significantly smaller proportion of established patient visits during the pandemic, with nearly half delivered through telehealth care.

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Section: Introductionmentioning

confidence: 99%

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

Lock

2022

Transgender Health

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“…At the same time, many of them are deprived of permanent shelter. These conditions are not conducive to social distancing, and hand-hygiene practises ((Subhankar et al, 2020).…”

Section: The Lgbtq+ Community and Working-class Indian Gaysmentioning

confidence: 99%

“…This discrimination forces the homosexuals to live undercover and belong to hidden societies (Banerjee & Nair, 2020;Dasgupta et al, 2020;Gangoli, 2020). Even sexual minorities fear availing healthcare services because of discrimination and improper treatment and facilities at health centres ((Subhankar et al, 2020;Pandya & Redcay, 2020). The triangulation of access to justice, health care, and the fear of social segregation works against and widens the social and structural inequalities and expose sexual minorities to greater risk during COVID-19 (Banerjee & Nair, 2020;Gaillard et al, 2017;Pandya & Redcay, 2020;Ryan et al, 2009;Salerno, Williams et al, 2020).…”

Section: The Lgbtq+ Community and Working-class Indian Gaysmentioning

confidence: 99%

Life in a pandemic: intersectional approach exploring experiences of LGBTQ during COVID-19

Bhalla

Agarwal

2021

International Journal of Spa and Wellness

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The study explored the experiences of Indian working-class gays during the time of COVID-19 pandemic. The intersectionality framework facilitated the understanding of how the Indian working-class gays' experiences differ from the general population. The study is qualitative and applies transcendental phenomenology as a mode of enquiry. The participants of the study were identified through purposive snowball sampling. The data analysis methods included horizontalisation, thematic analysis, textual and structural descriptions, and intuitive integration. The participants described their lived experiences around eight major themes: stuck at home, a refuge in hobbies, shrinking personal spaces, loss of sexual appetite, poor mental health, physical symptoms of poor health, fear of losing employment, and blessing in disguise. The research implies how ignorance of intersectionality framework while formulating policies and deciding measures for preventing the spread of coronavirus disease, adversely effected the sexual minorities that were already prone to mental health issues. The study can be used as a foundation for conducting empirical research, and policymakers may use it for deepening their understanding of intersectionality and why it matters during COVID-19 pandemic.

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“…The prolonged lockdown has led to an alarming rise in physical and psycho-social burdens among LGBTQ+ individuals Living with HIV/AIDS [9] , [10] . A recent survey conducted in July 2020 by The Trevor Project reported that one in four LGBTQ+ youth, were unable to access mental health care, three-fourths LGBTQ+ participants indicated increased loneliness and depression, and over half (53%) indicated experiencing symptoms of depression during the worldwide, COVID-19 lockdown [11] .…”

mentioning

confidence: 99%

“…The repercussions of IPV may be life-threatening in situations where perpetrators resort to violence, and afflict physical injury to their partners [19] . Home confinement during the COVID-19 pandemic hinders victims from seeking medical and/or legal assistance from criminal justice authorities, support groups and/or supportive friends and family [9] . Apart from preventing HIV-positive LGBTQ+ from seeking adequate support for mental health, the current stay-at-home orders have hindered access to antiretroviral treatment and HIV medical attention [20] .…”

mentioning

confidence: 99%

COVID-19 among LGBTQ+ individuals living with HIV/AIDS: psycho-social challenges and care options

et al. 2021

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Prolonged social isolation during the COVID-19 lockdown has adversely impacted the mental, social, and physical wellbeing of the global populace. Coping with mental and physical stressors amidst the global lockdown is especially strenuous for the Lesbian, Gay, Bisexual, Transgender, and more (LGBT+) community, who are frequently subjected to social stigma and minority stress. Systematic stigma and discrimination place LGBT+ individuals at higher risk for deleterious behaviors, such as substance abuse (e.g., injection drug use, smoking, alcohol) and risky sexual practices (e.g., anal/vaginal/oral sex). Maladaptive coping behaviors consequently increase the chances of HIV/AIDS risk among LGBT+ individuals, compared to heterosexual individuals. LGBT+ individuals Living with HIV/AIDS perpetually face higher rates of unemployment, income disparity, and intimate partner violence. Prolonged home confinement, and impaired accessibility to healthcare, legal, and criminal justice services during lockdown may deplete the quality of life of LGBT+ individuals Living with HIV/AIDS. Therefore, it is critical that multidisciplinary service providers, including health professionals, employers, social services providers, educational institutions and community organizations, move toward online service delivery, so that homebound HIV-positive LGBT+ individuals are secured with a wide range of care options. Non-judgemental, tele-counseling may bridge the gap to mental health services. Community clinics catering to HIV-positive and/or LGBT+ clients may consider precociously supplying essential amenities, such as Preexposure (PrEP)/postexposure prophylaxis (PEP), condoms, emergency contraception, and sterile needles. Lastly, efforts directed at the sustenance of at-risk/HIV-positive LGBT+ health should persevere, even after the pandemic.

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LGBTQ care at the time of COVID-19

Cited by 35 publications

References 14 publications

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

Transgender Care and the COVID-19 Pandemic: Exploring the Initiation and Continuation of Transgender Care In-Person and Through Telehealth

Life in a pandemic: intersectional approach exploring experiences of LGBTQ during COVID-19

COVID-19 among LGBTQ+ individuals living with HIV/AIDS: psycho-social challenges and care options

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