Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021

Lesbian, gay, bisexual, trans, other queer, and Two-Spirit (LGBTQ2+) people are particularly at risk for the psycho-social consequences of the COVID-19 pandemic, though population-tailored research within this context remains limited. This study examines the extent of, and associations between, incr...

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Autores principales:	Trevor Goodyear, Allie Slemon, Chris Richardson, Anne Gadermann, Travis Salway, Shivinder Dhari, Rod Knight, Emily Jenkins
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	LGBT people mental health suicide substance use alcohol cannabis Medicine R
Acceso en línea:	https://doaj.org/article/f2bfbe9b67414e4b89e0edb0af56e0a6
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spelling	oai:doaj.org-article:f2bfbe9b67414e4b89e0edb0af56e0a62021-11-25T17:51:34ZIncreases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–202110.3390/ijerph1822121551660-46011661-7827https://doaj.org/article/f2bfbe9b67414e4b89e0edb0af56e0a62021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12155https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Lesbian, gay, bisexual, trans, other queer, and Two-Spirit (LGBTQ2+) people are particularly at risk for the psycho-social consequences of the COVID-19 pandemic, though population-tailored research within this context remains limited. This study examines the extent of, and associations between, increased alcohol and cannabis use and deteriorating mental health among LGBTQ2+ adults in Canada during the COVID-19 pandemic. Data are drawn from LGBTQ2+ respondents to a repeated, cross-sectional survey administered to adults living in Canada (May 2020–January 2021). Bivariate cross-tabulations and multivariable logistic regression models were utilized to examine associations between increased alcohol and cannabis use, and self-reported mental health, overall coping, and suicidal thoughts. Five-hundred and two LGBTQ2+ participants were included in this analysis. Of these, 24.5% reported increased alcohol use and 18.5% reported increased cannabis use due to the pandemic. In the adjusted analyses, increased alcohol use was associated with poor overall coping (OR = 2.28; 95% CI = 1.28–4.07) and worse self-reported mental health (OR = 1.98; 95% CI = 1.21–3.25), whereas increased cannabis use was associated with suicidal thoughts (OR = 2.30; 95% CI = 1.16–4.55). These findings underscore the need for population-tailored, integrated substance use and mental health supports to address interrelated increases in alcohol/cannabis use and worsening mental health among LGBTQ2+ adults, in the context of the COVID-19 pandemic and beyond.Trevor GoodyearAllie SlemonChris RichardsonAnne GadermannTravis SalwayShivinder DhariRod KnightEmily JenkinsMDPI AGarticleLGBT peoplemental healthsuicidesubstance usealcoholcannabisMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12155, p 12155 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	LGBT people mental health suicide substance use alcohol cannabis Medicine R
spellingShingle	LGBT people mental health suicide substance use alcohol cannabis Medicine R Trevor Goodyear Allie Slemon Chris Richardson Anne Gadermann Travis Salway Shivinder Dhari Rod Knight Emily Jenkins Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021
description	Lesbian, gay, bisexual, trans, other queer, and Two-Spirit (LGBTQ2+) people are particularly at risk for the psycho-social consequences of the COVID-19 pandemic, though population-tailored research within this context remains limited. This study examines the extent of, and associations between, increased alcohol and cannabis use and deteriorating mental health among LGBTQ2+ adults in Canada during the COVID-19 pandemic. Data are drawn from LGBTQ2+ respondents to a repeated, cross-sectional survey administered to adults living in Canada (May 2020–January 2021). Bivariate cross-tabulations and multivariable logistic regression models were utilized to examine associations between increased alcohol and cannabis use, and self-reported mental health, overall coping, and suicidal thoughts. Five-hundred and two LGBTQ2+ participants were included in this analysis. Of these, 24.5% reported increased alcohol use and 18.5% reported increased cannabis use due to the pandemic. In the adjusted analyses, increased alcohol use was associated with poor overall coping (OR = 2.28; 95% CI = 1.28–4.07) and worse self-reported mental health (OR = 1.98; 95% CI = 1.21–3.25), whereas increased cannabis use was associated with suicidal thoughts (OR = 2.30; 95% CI = 1.16–4.55). These findings underscore the need for population-tailored, integrated substance use and mental health supports to address interrelated increases in alcohol/cannabis use and worsening mental health among LGBTQ2+ adults, in the context of the COVID-19 pandemic and beyond.
format	article
author	Trevor Goodyear Allie Slemon Chris Richardson Anne Gadermann Travis Salway Shivinder Dhari Rod Knight Emily Jenkins
author_facet	Trevor Goodyear Allie Slemon Chris Richardson Anne Gadermann Travis Salway Shivinder Dhari Rod Knight Emily Jenkins
author_sort	Trevor Goodyear
title	Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021
title_short	Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021
title_full	Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021
title_fullStr	Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021
title_full_unstemmed	Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021
title_sort	increases in alcohol and cannabis use associated with deteriorating mental health among lgbtq2+ adults in the context of covid-19: a repeated cross-sectional study in canada, 2020–2021
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f2bfbe9b67414e4b89e0edb0af56e0a6
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Increases in Alcohol and Cannabis Use Associated with Deteriorating Mental Health among LGBTQ2+ Adults in the Context of COVID-19: A Repeated Cross-Sectional Study in Canada, 2020–2021

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