COVID-19大流行继续对世界各地日常生活的各个方面产生前所未有的影响。然而,那些具有历史上和当前边缘化身份的人(即,性别或种族)已经经历了广泛的结构性不平等现象的人受到了不成比例的影响。LTNB是一个特别危险的人群,因为他们处于种族/种族的交汇点,性别认同,语言,迁移状态,地理位置,其中,这可能会进一步增加他们的COVID-19和其他与健康相关的风险和差距。这项研究的目的是检查健康的关键社会决定因素的影响(即,性别认同,国家,健康保险,就业)在LTNB个人样本中。
该团队使用安全Web平台REDcap和SurveyMonkey,通过在线调查技术实现了横截面探索性设计。共有133名参与者完成了在线调查。大多数样本自我认定为跨性别女性(38.8%),transmen(26.3%),21至72岁之间的非二进制(21.8%)。所有参与者都是居住在波多黎各(47.7%)或美国大陆(52.3%)的拉丁裔。描述性统计,可靠性测试,进行了Mann-Whitney和快速专题分析测试。
研究结果表明,大多数参与者总是(38.1%)或几乎总是(33.3%)担心感染COVID-19。居住在波多黎各的个人报告说,在COVID-19对社会心理的影响方面,他们比居住在美国大陆的人遇到更多的困难,情感,以及与COVID相关的思维。大多数参与者对COVID-19开放式问题的回答集中在三个主要领域:收入,获得跨肯定医疗保健,和应对策略。
研究结果表明,尽管大多数LTNB参与者在生活的多个方面受到COVID-19大流行的负面影响,与美国大陆相比,生活在波多黎各的人经历了不同的经历。需要更多的研究来更好地了解这种背景对LTNB健康和福祉的具体影响的机制和途径。特别是在波多黎各。这项研究可以帮助制定公共卫生对策,同时考虑到地理位置和其他在不平等现象的产生和繁殖中起关键作用的交叉身份。
The COVID-19 pandemic continues to generate an unprecedented impact on all aspects of everyday life across the world. However, those with historically and currently marginalized identities (i.e., gender or ethnicity) who already experience a wide range of structural inequities have been disproportionally impacted. LTNB are a particularly at-risk population as they lie at the intersection of race/ethnicity, gender identity, language, migration status, geographical location, among others, which could further increase their COVID-19 and other health-related risks and disparities. The objective of this study was to examine the impact of key social determinants of health (i.e., gender identity, country, health insurance, employment) among a sample of LTNB individuals.
The team implemented a cross-sectional exploratory design with an online survey technique using the secure web platforms REDcap and SurveyMonkey. A total of 133 participants completed the online survey. Most of the sample self-identified as transwomen (38.8%), transmen (26.3%), and non-binary (21.8%) between the ages of 21 to 72. All participants were Latinx living in either Puerto Rico (47.7%) or mainland United States (52.3%). Descriptive statistics, reliability tests, Mann-Whitney and rapid thematic analysis test were conducted.
Findings show that most participants were always (38.1%) or almost always (33.3%) worried about contracting COVID-19. Individuals living in Puerto Rico reported more difficulties than those residing in the mainland US regarding COVID-19 impact on psychosocial, emotional, and COVID-related thinking. Most participants\' answers for the COVID-19 open-ended questions focused on three main domains: income, access to trans-affirmative health care, and coping strategies.
Findings evidence that although most of LTNB participants were negatively impacted by the COVID-19 pandemic in multiple aspects of their lives, those living in Puerto Rico experienced these differently when compared to those in mainland US. More research is needed to understand better the mechanisms and pathways through which this context specifically impacts LTNB health and wellbeing, particularly in Puerto Rico. This study could help shape the public health response taking into account the geographical location and other intersectional identities that play critical roles in the production and reproduction of inequities.