Sexual Orientation and the Incidence of COVID-19: Evidence from Understanding Society in the UK Longitudinal Household Study.
Sexual Orientation and the Incidence of COVID-19: Evidence from Understanding Society in the UK Longitudinal Household Study.
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DOI：
10.3390/healthcare9080937
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发表时间：
2021-07-26
期刊：
影响因子：
--
通讯作者：
Meads C
中科院分区：
文献类型：
--
作者：
Booker CL;Meads C
边缘化群体的 COVID-19 感染率和严重程度更严重，尽管对于性少数和性别少数群体来说，没有关于感染、住院或死亡的数据，但感染率和严重程度可能更差。本研究使用来自理解社会：英国家庭纵向研究 (UKHLS) 的信息来根据性取向推导出 COVID-19 症状和阳性检测结果。数据来自 2020 年和 2021 年所有七波 UKHLS COVID-19 调查，以及主要 UKHLS 第 3 波和第 9 波的性取向调查。数字范围从 17,800 到 12,000 不等。回归模型中的协变量包括性别、年龄、最高学历、种族、诊断的医疗状况和关键工人身份。与异性恋者相比，更多的性少数群体出现了症状，而双性恋者则报告了更多的症状。男同性恋者和女同性恋者接受检测的可能性并没有增加或减少，但双性恋者接受检测的比例更大。回归模型表明，当考虑其他特征时，差异大部分消失。样本量小意味着主要问题仍然存在，因此健康不平等在很大程度上未被注意到，因此也没有得到解决。应采取适当的行动，尽量减少未来的风险。需要探讨为何性少数群体被忽略，并采取行动确保这种情况不再发生。
COVID-19 infection rates and severity are worse in marginalised groups, although, for sexual and gender minorities, there are no data on infections, hospitalisations or deaths, but there may be worse rates. This study uses information from Understanding Society: The UK Household Longitudinal Study (UKHLS) to derive COVID-19 symptoms and positive tests by sexual orientation. Data came from all seven UKHLS COVID-19 survey waves in 2020 and 2021, and sexual orientation in main UKHLS waves 3 and 9. Numbers ranged from 17,800 to 12,000. Covariates in the regression models were gender, age, highest educational qualification, ethnicity, diagnosed medical condition, and key worker status. Compared to heterosexual individuals, more sexual minorities experienced symptoms, and bisexual individuals reported a greater number of symptoms. Gays and lesbians were no more or less likely to have been tested, but a larger proportion of bisexual individuals were tested. Regression models showed that differences mostly disappeared when other characteristics were considered. A small sample size means that principal questions remain, so health inequalities have been largely unnoticed and therefore not addressed. Suitable action should be taken to minimise their future risks. Why sexual and gender minorities have been omitted needs to be explored, and action needs to be taken to ensure this does not happen again.
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影响因子：
2.9
作者：
Shahab, Lion;Brown, Jamie;Meads, Catherine
通讯作者：
Meads, Catherine
DOI：
10.3390/ijerph18020826
发表时间：
2021-01-19
影响因子：
--
作者：
McDermott E;Nelson R;Weeks H
通讯作者：
Weeks H
影响因子：
3.3
作者：
Nadal, Kevin L.;Davidoff, Kristin C.;Fujii-Doe, Whitney
通讯作者：
Fujii-Doe, Whitney
影响因子：
4.4
作者：
Semlyen, Joanna;King, Michael;Hagger-Johnson, Gareth
通讯作者：
Hagger-Johnson, Gareth
DOI：
10.1093/pubmed/fdy224
发表时间：
2020-02-28
期刊：
Journal of public health (Oxford, England)
影响因子：
--
作者：
Semlyen J;Curtis TJ;Varney J
通讯作者：
Varney J