Latinx Sexual Minority Men's Behavioral, Psychosocial, and Medical Experiences during COVID-19: Differences across Immigration Statuses.

Latinx Sexual Minority Men's Behavioral, Psychosocial, and Medical Experiences during COVID-19: Differences across Immigration Statuses.
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DOI:
10.1891/lgbtq-2020-0054
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发表时间:
2021
期刊:
Annals of LGBTQ public and population health
影响因子:
--
通讯作者:
Safren SA
Safren SA
中科院分区:
其他
文献类型:
--
作者:
Harkness A;Weinstein ER;Mayo D;Rodriguez-Diaz C;Safren SA

文献摘要

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拉丁裔性少数男性 (LSMM) 处于受 COVID-19 影响尤为严重的两个社区的交叉点。为了开发和部署适当的资源来支持 LSMM,了解该人群在 COVID-19 期间的行为、社会心理和医疗经历以及不同移民身份的 LSMM 非常重要。当前的研究使用流行病压力指数 (PSI) 来描述 LSMM 在 COVID-19 期间自我报告的行为、心理社会和医疗经历。逻辑回归和线性回归比较了不同移民身份(近期、已定居和美国出生的作为参考组)的 LSMM 在 COVID-19 期间的经历。 LSMM 对 PSI 的回答表明,他们经历过焦虑(64.4%)、抑郁(59.0%)、酒精/药物使用(27.6%)、孤独(50.1%)和睡眠问题(60.4%)。总体而言,超过一半的人报告了个人财务损失,其中新移民 LSMM 遭受个人财务损失的几率是美国出生的 LSMM 的 2.75 倍(OR = 2.75,95% CI:1.30,5.82)。近 8% 的人报告被诊断出患有 COVID-19,与美国出生的 LSMM 相比,已定居移民的几率高出四倍半(OR = 4.52,95% CI:1.60,12.81)。研究结果对定制支持资源和公共卫生干预措施具有重要意义,以达到一般的 LSMM 和有移民历史的 LSMM。
Latinx sexual minority men (LSMM) are at the intersection of two communities disproportionately impacted by COVID-19. To develop and deploy appropriate resources to support LSMM, it is important to understand the behavioral, psychosocial, and medical experiences of this population during COVID-19, as well as for LSMM of different immigration statuses. The current study uses the Pandemic Stress Index (PSI) to describe LSMM’s self-reported behavioral, psychosocial, and medical experiences during COVID-19. Logistic and linear regressions compared experiences during COVID-19 among LSMM across different immigration statuses (recent, established, and US-born as the reference group). LSMM’s responses to the PSI indicated they experienced anxiety (64.4%), depression (59.0%), alcohol/substance use (27.6%), as well as loneliness (50.1%) and sleep problems (60.4%). Overall, over half reported personal financial loss, the odds of which were 2.75 times greater among LSMM who were recent immigrants compared to US-born LSMM (OR = 2.75, 95% CI: 1.30, 5.82). Nearly 8% reported being diagnosed with COVID-19, with the odds four and a half times greater among established immigrants compared to US-born LSMM (OR = 4.52, 95% CI: 1.60, 12.81). The findings have implications for tailored support resources and public health interventions to reach LSMM in general and LSMM with immigration histories.