Investigating the impacts of COVID-19 among LGBTQ2S youth experiencing homelessness.
Investigating the impacts of COVID-19 among LGBTQ2S youth experiencing homelessness.
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DOI：
10.1371/journal.pone.0257693
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Hamilton HA
中科院分区：
文献类型：
--
作者：
Abramovich A;Pang N;Moss A;Logie CH;Chaiton M;Kidd SA;Hamilton HA
LGBTQ 2S青年在经历无家可归的青年中所占比例过高，与异性恋和顺性别青年相比，心理健康问题的发生率显着较高。对于无家可归的LGBTQ 2S青年来说，与COVID-19相关的挑战仍然未知。为了解决这一差距，本研究旨在了解COVID-19大流行对加拿大安大略大多伦多地区及周边地区面临无家可归风险和经历无家可归的LGBTQ 2S青年的影响。利用混合方法收敛的平行设计，LGBTQ 2S青年经历无家可归者被招募参加虚拟调查和深入的一对一访谈。调查包括标准化的措施，并进行管理，以衡量心理健康的结果，并收集有关人口统计学特征和卫生服务使用的信息。调查资料采用描述性统计及比例差异性统计检验进行分析。访谈进行了分析，使用迭代的主题内容的方法。61名青年完成了调查，20名青年参加了一对一访谈。定量和定性数据显示，青年人以各种方式受到COVID-19大流行的重大影响，包括心理健康状况不佳，如自杀、抑郁、焦虑和药物使用增加，以及缺乏获得健康和社会支持服务的机会。我们的研究强调了LGBTQ 2S包容性和肯定的卫生保健和支持服务的需要，为居住不稳定的青少年，以解决已经存在的社会和健康问题，这些问题已被大流行病加剧。
LGBTQ2S youth are overrepresented among youth experiencing homelessness and experience significantly higher rates of mental health issues compared to heterosexual and cisgender youth. COVID-19 related challenges for LGBTQ2S youth experiencing homelessness remain unknown. To address this gap, this study aimed to understand the impacts of the COVID-19 pandemic on LGBTQ2S youth at risk of, and experiencing, homelessness in the Greater Toronto Area, Ontario, Canada and surrounding areas. Utilizing a mixed-methods convergent parallel design, LGBTQ2S youth experiencing homelessness were recruited to participate in virtual surveys and in-depth one-on-one interviews. Surveys included standardized measures and were administered to measure mental health outcomes and collect information on demographic characteristics, and health service use. Survey data were analyzed with descriptive statistics and statistical tests for difference of proportions. Interviews were analyzed using an iterative thematic content approach. Sixty-one youth completed surveys and 20 youth participated in one-on-one interviews. Quantitative and qualitative data showed that youth have been significantly impacted by the COVID-19 pandemic in various ways, including experiencing poor mental health, such as suicidality, depression, anxiety, and increased substance use, and lack of access to health and social support services. Our study highlights the need for LGBTQ2S inclusive and affirming health care and support services for precariously housed adolescents to address the pre-existing social and health issues that have been exacerbated by the pandemic.
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