Food insecurity is associated with depression and diabetes among sexual minority adults: A preliminary analysis of syndemic effects

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Abstract

Background: The impact of the coronavirus disease 2019 (COVID-19) pandemic and the public health measures put in place to control COVID-19 transmissions (e.g., social distancing, self-isolation) is heterogenous, with greater consequences among populations experiencing social, economic, and political marginalization, including members of the 2-Spirit, Lesbian, Gay, Bisexual, Trans, Queer, (2SLGBTQ+) community.

Methods: Using a biocultural approach, we examine the mental health impacts of the COVID-19 pandemic using data from a mixed methods study of 455 self-identified 2SLGBTQ+ adults living in Toronto, Ontario, Canada, collected from March 2021 to July 2021. Participants were recruited using respondent-driven sampling to complete an internet-based survey including measures of psychological distress and minority stress. A subset of participants (n =50) completed a semi-structured qualitative interview to contextualize their mental health experiences during the COVID-19 pandemic.

Results: Bivariate analysis revealed that self-reported anxiety (P= 0.029), depression (P = 0.001), perceived stress (P = 0.002), and somatic symptom scores (P = 0.014) were elevated among participants who reported living with family during the pandemic. These differences persisted in regression analysis adjusting for sexual identity, gender expression, race/ethnicity, age, citizenship, education, household size, and income.

Discussion: Our findings offer important insights that will enable Toronto and other Canadian public health agencies to better respond to the needs of 2SLGBTQ+ and other vulnerable communities during ongoing COVID-19 pandemic and future health crises.
Original languageEnglish
Publication date2022
Publication statusPublished - 2022
EventAAA 2022 - the American Anthropological Association's Annual Meeting: Unsettling Landscapes - Seattle, United States
Duration: 9 Nov 202213 Nov 2022

Conference

ConferenceAAA 2022 - the American Anthropological Association's Annual Meeting
Country/TerritoryUnited States
CitySeattle
Period09/11/202213/11/2022

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