Physical Violence and Psychological Distress Among Asian and Pacific Islander Sexual Minority Men in the United States Before and During the COVID-19 Pandemic.

Physical Violence and Psychological Distress Among Asian and Pacific Islander Sexual Minority Men in the United States Before and During the COVID-19 Pandemic.
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COVID-19 大流行之前和期间美国亚裔和太平洋岛民性少数男性的身体暴力和心理困扰。

DOI:
10.1089/lgbt.2021.0418
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发表时间:
2022
期刊:
影响因子:
4.8
通讯作者:
Sanchez,TravisH
Sanchez,TravisH
中科院分区:
医学2区
文献类型:
--
作者:
Lee,JaneJ;Katz,DavidA;Kerani,RoxanneP;Lerner,JustinE;Baral,StefanD;Sanchez,TravisH

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目的:本研究调查了 2019 年新型冠状病毒 (COVID-19) 大流行之前和期间(2019 年与 2020 年)亚裔美国人和太平洋岛民 (AAPI) 性少数男性 (SMM) 自我报告的身体暴力和心理困扰的差异。方法:我们使用了完成 2019 年(2019 年 8 月至 2019 年 12 月)和 2020 年调查的 1127 名 AAPI SMM 的数据(2020 年 8 月至 2021 年 1 月)美国男性互联网调查 (AMIS) 的周期。我们按调查完成年份评估了遭受身体暴力和严重心理困扰的差异。我们使用具有稳健方差估计的泊松回归来检查身体暴力是否与 COVID-19 之前和期间的严重心理困扰有关。根据社会人口特征以及年份与暴力之间的相互作用进行多变量分析调整。结果:与 2019 年大流行前相比,2020 年大流行期间 AAPI SMM 遭受严重心理困扰的比例更高(56.6% vs. 35.64%,p< 0.001)。在过去 6 个月内经历过身体暴力的 AAPI SMM 比从未经历过身体暴力的人更有可能经历严重的心理困扰。 AAPI SMM 中的暴力与心理困扰之间的关联在 COVID-19 大流行之前和期间没有显着差异。结论:美国针对 AAPI SMM 的暴力行为很普遍。尽管我们没有发现 AAPI SMM 在 COVID-19 大流行之前和期间遭受身体暴力的情况存在显着差异,但 AAPI SMM 在大流行期间严重心理困扰的增加可能表明对心理健康服务的需求增加。
Purpose:This study examined differences in self-reported physical violence and psychological distress among Asian American and Pacific Islander (AAPI) sexual minority men (SMM) before and during the 2019 novel coronavirus (COVID-19) pandemic (2019 vs. 2020).Methods:We used data from 1127 AAPI SMM who completed the 2019 (August 2019–December 2019) and 2020 (August 2020–January 2021) cycles of the American Men's Internet Survey (AMIS). We assessed differences in experiencing physical violence and serious psychological distress by year of survey completion. We used Poisson regression with robust variance estimation to examine whether physical violence was associated with serious psychological distress before and during COVID-19. Multivariate analyses adjusted for sociodemographic characteristics and the interaction between year and violence.Results:A greater percentage of AAPI SMM had serious psychological distress in 2020 during the pandemic relative to 2019 before the pandemic (56.6% vs. 35.64%,p< 0.001). AAPI SMM who experienced physical violence in the last 6 months were more likely to experience serious psychological distress than those who never experienced physical violence. The association between violence and psychological distress among AAPI SMM was not significantly different before and during the COVID-19 pandemic.Conclusions:Violence against AAPI SMM in the United States is widespread. Although we did not find significant differences in exposure to physical violence among AAPI SMM before and during the COVID-19 pandemic, the increase in serious psychological distress during the pandemic among AAPI SMM may indicate heightened need of mental health services.