Covid-19 vulnerability among brazilian sexual and gender minorities: a cross-sectional study

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Tipo

Artigo de periódico

Título alternativo

Vulnerabilidade à COVID-19 entre as minorias sexuais e de gênero no Brasil: um estudo transversal

Primeiro orientador

Membros da banca

Resumo

Minority groups are more prone to worsen their personal and social vulnerabilities during the COVID-19 pandemic. This study aimed to identify factors associated with the highest COVID-19 vulnerability in the Brazilian sexual and gender minorities. This is a cross-sectional study based on 826 respondents of the Brazilian LGBT+ Health Survey, conducted online from August to November 2020. The COVID-19 vulnerability was based on a previous vulnerability index created by an LGBT+ institution, which comprises three dimensions (income, COVID-19 exposure, and health). The outcome was the highest score quartile. Statistical analysis was based on logistic regression models. The COVID-19 vulnerability was higher in heterosexual and other scarce sexual orientations (OR = 2.34; 95%CI: 1.01-9.20, vs. homosexual), cisgender men (OR = 3.52; 95%CI: 1.35-4.44, vs. cisgender women), and those aged ≥ 50 years (OR = 3.74; 95%CI: 1.24-11.25, vs. 18-29 years old). A negative association was found with complete graduate education (OR = 0.06; 95%CI: 0.02-0.22, vs. complete high school), being white (OR = 0.44; 95%CI: 0.23-0.83), and proper facemask use (OR = 0.31; 95%CI: 0.13-0.76). Except for proper facemask use, factors associated with higher COVID-19 vulnerability are structural determinate and suggest overlapping vulnerabilities, as described by the syndemic model. It guides strategies to deal with the pandem ic, which includes a joint approach to the common epidemic that affects sexual.and gender minorities, broadening the intersectoral approach to decrease in equalities.

Abstract

Assunto

Sexual and Gender Minorities, Coronavirus Infections, Social Vulnerability Index

Palavras-chave

Sexual and Gender Minorities, Coronavirus Infections, Social Vulnerability Index

Citação

Curso

Endereço externo

https://doi.org/10.1590/0102-311XEN234421

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