Mental health in the Chilean LGBT population in times of COVID-19

Alfonso Urzúa, Jaime Barrientos, Mónica Guzmán-González, Francisco Ulloa

DOI: https://doi.org/10.17711/SM.0185-3325.2022.023

Abstract


Introduction. There are few reports on mental health among the lesbian, gay, bisexual, and transgender (LGBT) population in the context of COVID-19, especially in South America.

Objective. To describe the prevalence of symptoms associated with mental health disorders, as well as to analyze the risk of their occurrence, in different groups of the Chilean LGBT population in the context of COVID-19.

Method. A total of 1,181 LGBT people, ranged from 18 to 64 years participated in an online survey, using the Depression Anxiety Stress Scales-DASS-21. The central tendency measures were analyzed, then cut-off points were used to establish prevalence according to sex and sexual orientation. Finally, the probability of symptoms was analyzed using odds ratio.

Results. Lower levels of mental health were identified among the bisexual and other sexual orientations (pansexual, demisexual, asexual, etc.) population as compared with gays and lesbians, finding a greater presence of depressive symptoms (p = .000), anxious (p = .000) and related to stress (p
Discussion and conclusion. Even though the pandemic affected the entire population, results give evidence of disparities among the various LGBT communities, showing the need to focus on preventive interventions and the implications of increased risk in bisexual population, particularly women, who are affected by various cross discriminations.

Keywords


COVID-19; depression; anxiety; sexual minorities; mental health; LGBT; stress

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References


Balsam, K. F., Beauchaine, T. P., Mickey, R. M., & Rothblum, E. D. (2005). Mental Health of Lesbian, Gay, Bisexual, and Heterosexual Siblings: Effects of Gender, Sexual Orientation, and Family. Journal of Abnormal Psychology, 114(3), 471-476. doi:10.1037/0021-843x.114.3.471

Barrientos, J., Gómez, F., Cárdenas, M., Guzmán, M., & Bahamondes, J. (2017). Medidas de salud mental y bienestar subjetivo en una muestra de hombres gays y mujeres lesbianas en Chile. Revista Médica de Chile, 145(9), 1115-1121. doi: 10.4067/s0034-98872017000901115

Braquehais, M. D., Vargas-Cáceres, S., Gómez-Durán, E., Nieva, G., Valero, S., Casas, M., & Bruguera, E. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. QJM: An International Journal of Medicine, 113(9), 613-617. doi: 10.1093/qjmed/hcaa207

Cárdenas, J. M., & Yañez, S. E. (2012). Nuevas formas de muestreo para minorías y poblaciones ocultas: muestras por encuestado conducido en una población de inmigrantes sudamericanos. Universitas Psychologica, 11(2), 571-578. doi: 10.11144/Javeriana.upsy11-2.nfmm

Chams, N., Chams, S., Badran, R., Shams, A., Araji, A., Raad, M., … Hajj Hussein, I. (2020). COVID-19: A Multidisciplinary Review. Frontiers in Public Health, 8, 383. doi: 10.3389%2Ffpubh.2020.00383

Chan, R. C. H., Operario, D., & Mak, W. W. S. (2020). Bisexual individuals are at greater risk of poor mental health than lesbians and gay men: The mediating role of sexual identity stress at multiple levels. Journal of Affective Disorders, 260, 292-301. doi: 10.1016/j.jad.2019.09.020

College, L., Hickson, F., Reid, D., & Weatherburn, P. (2015). Poorer mental health in UK bisexual women than lesbians: evidence from the UK 2007 Stonewall Women's Health Survey. Journal of Public Health, 37(3), 427-437. doi: 10.1093/pubmed/fdu105

Daza, P., Novy, D., Stanley, M., & Averill, P. (2002). The depression anxiety stress scale - 21: Spanish translation and validation with a hispanic sample. Journal of Psychopathology and Behavioral Assessment, 24(3), 195-205. doi: 10.1023/A:1016014818163

Dyar, C., Feinstein, B. A., & London, B. (2015). Mediators of differences between lesbians and bisexual women in sexual identity and minority stress. Psychology of Sexual Orientation and Gender Diversity, 2(1), 43-51. doi: 10.1037/sgd0000090

Gawai, J. P., Singh, S., Taksande, V. D., Sebastian, T., Kasturkat, P., & Ankar, R. S. (2020). Critical review on impact of COVID 19 and mental health. Journal of Evolution of Medical and Dental Sciences, 9(30), 2158-2163. doi: 10.14260/jemds/2020/470

Guzmán-González, M., Barrientos, J., Saiz, J. L., Gómez, F., Cárdenas, M., Espinoza-Tapia, R., … Giami, A. (2020). Salud mental en población transgénero y género no conforme en Chile. Revista Médica de Chile, 148(8), 1113-1120. doi: 10.4067/S0034-98872020000801113

Harapan, H., Itoh, N., Yufika, A., Winardi, W., Keam, S., Te, H., … Mudatsir, M. (2020). Coronavirus disease 2019 (COVID-19): A literature review. Journal of Infection and Public Health, 13(5),667-673. doi: 10.1016/j.jiph.2020.03.019

Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227-239. doi: 10.1348/014466505x29657

King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70. doi:10.1186/1471-244x-8-70

Lovibond, P. F., & Lovibond, S. H. (1995b). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. doi: 10.1016/0005-7967(94)00075-U

Lovibond, S. H., & Lovibond, P. F. (1995a). Manual for the Depression Anxiety & Stress Scales, (2nd Ed.). Sydney: Psychology Foundation of Australia.

Luo, M., Guo, L., Yu, M., Jiang, W., & Wang, H. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Research, 291, 113190. doi: 10.1016/j.psychres.2020.113190

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin. 129(5), 674-697. doi: 10.1037/0033-2909.129.5.674

Mongelli, F., Perrone, D., Balducci, J., Sacchetti, A., Ferrari, S., Mattei, G., & Galeazzi, G. (2019). Minority stress and mental health among LGBT populations: An update on the evidence. Minerva Psichiatrica, 60(1), 27-50. doi: 10.23736/S0391-1772.18.01995-7

OutRight Action International. (2020). Vulnerabilidad amplificada. El impacto de la pandemia del COVID-19 en las personas LGBTIQ. Retrieved from https://outrightinternational.org/sites/default/files/COVID%20REPORT%20ESPAÑOL%20CORREGIDO.pdf

Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901-907. doi: 10.1016/j.bbi.2020.05.026

Pera, A. (2020). Cognitive, Behavioral, and Emotional Disorders in Populations Affected by the COVID-19 Outbreak. Frontiers in Psychology, 11, 2263. doi: 10.3389/fpsyg.2020.02263

Puckett, J. A., Surace, F. I., Levitt, H. M., & Horne, S. (2016). Sexual Orientation Identity in Relation to Minority Stress and Mental Health in Sexual Minority Women. LGBT Health, 3(5), 350-356. doi: 10.1089/lgbt.2015.0088

Román, F., Santibáñez, P., & Vinet, E. V. (2016). Uso de las Escalas de Depresión Ansiedad Estrés (DASS-21) como Instrumento de Tamizaje en Jóvenes con Problemas Clínicos. Acta de Investigación Psicológica, 6(1), 2325-2336. doi: 10.1016/s2007-4719(16)30053-9

Ross, L., Salway, T., Tarasoff, L., McKay, J., Hawkins, B., & Fehr, C. P. (2018). Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals: A Systematic Review and Meta-Analysis. The Journal of Sex Research, 55(4-5), 435-456. doi: 10.1080/00224499.2017.1387755

Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sánchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23(4), 205-213. doi: 10.1111/j.1744-6171.2010.00246.x

Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., … Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. GlobalHealth, 16, 57. doi: 10.1186/s12992-020-00589-w

Salazar de Pablo, G., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., … Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of Affective Disorders, 275, 48-57. doi: 10.1016/j.jad.2020.06.022

Samaniego, A., Urzúa, A., Buenahora, M., & Vera-Villarroel, P. (2020). Sintomatología asociada a trastornos de salud mental en trabajadores sanitarios en Paraguay: efecto COVID-19. Revista Interamericana de Psicología, 54(1), e1298. doi: 10.30849/ripijp.v54i1.1298

Sanchez, T. H., Zlotorzynska, M., Rai, M., & Baral, S. (2020). Characterizing the Impact of COVID-19 on Men Who Have Sex with Men Across the United States in April, 2020. AIDS and Behavior, 24(7), 2024-2032. doi: 10.1007/s10461-020-02894-2

Santos, G. M., Ackerman, B., Rao, A., Wallach, S., Ayala, G., Lamontage, E., … Howell, S. (2021). Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men. AIDS and Behavior, 25(2), 311-321. doi: 10.1007/s10461-020-02969-0

Sarno, E. L., Newcomb, M. E., Feinstein, B. A., & Mustanski. B. (2020). Bisexual Men’s Experiences with Discrimination, Internalized Binegativity, and Identity Affirmation: Differences by Partner Gender. Archives of Sexual Behavior, 49, 1783-1798. doi: 10.1007/s10508-020-01712-z

Shaukat, N., Ali, D.M., & Razzak, J. (2020). Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. International Journal of Emergency Medicine, 13, 40. doi: 10.1186/s12245-020-00299-5

Stamu-O’Brien, C., Carniciu, S., Halvorsen, E., & Jafferany, M. (2020). Psychological aspects of COVID‐19. Journal of Cosmetic Dermatology, 19(9), 2169-2173. doi: 10.1111/jocd.13601

Stinchcombe, A., Wilson, K., Kortes-Miller, K., Chambers, L., & Weaver, B. (2018). Physical and mental health inequalities among aging lesbian, gay, and bisexual Canadians: cross-sectional results from the Canadian Longitudinal Study on Aging (CLSA). Canadian Journal of Public Health, 109, 833-844,doi: 10.17269/s41997-018-0100-3

Suen, Y. T., Chan, R. C. H., & Wong, E. M. Y. (2020). Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay and bisexual people in Hong Kong. Psychiatry Research, 292, 113365. doi: 10.1016/j.psychres.2020.113365

Taquet, M., Geddes, J., Husain, M., Luciano, S., & Harrison, P. (2021). 6-month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records. The Lancet Psychiatry, 8(5), 416-427. doi: 10.1016/S2215-0366(21)00084-5

Urzúa, A., Samaniego, A., Caqueo-Urízar, A., Zapata Pizarro, A., & Irarrázaval Domínguez, M. (2020). Salud mental en trabajadores de la salud durante la pandemia por COVID-19 en Chile. Revista Médica de Chile, 148(8), 1121-1127. doi: 10.4067/S0034-98872020000801121

Urzúa, A., Vera-Villarroel, P., Caqueo-Urízar, A., & Polanco-Carrasco, R. (2020). La Psicología en la prevención y manejo del COVID-19. Aportes desde la evidencia inicial. Terapia Psicológica, 38(1), 103-118. doi: 10.4067/S0718-48082020000100103

Vindegaard, N., & Benros, M. E. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, Behavior, and Immunity, 89, 531-542. doi: 10.1016/j.bbi.2020.05.048

World Health Organization [WHO]. (2019). Emergencies: Novel coronavirus 2019. Retrieved from https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019

World Health Organization [WHO]. (2020). Situation Report 20200928. Retrieved from https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200928-weeklyepi-update.pdf?sfvrsn=9e3546656

Xiong, J., Lipsitz, O., Nasri, F., Lui, L., Gill, H., Phan, L., … McIntyre, R. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 55-64. doi: 10.1016/j.jad.2020.08.001


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