Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Communities and the Coronavirus Disease 2019 Pandemic: A Call to Break the Cycle of Structural Barriers.
Raul Macias GilTracey L FreemanTrini MathewRavina KullarThomas FeketeAnais OvalleDon NguyenAngélica KottkampJin PoonJasmine R MarcelinTalia H SwartzPublished in: The Journal of infectious diseases (2021)
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately impacted lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities. Many disparities mirror those of the human immunodeficiency virus (HIV)/AIDS epidemic. These health inequities have repeated throughout history due to the structural oppression of LGBTQ+ people. We aim to demonstrate that the familiar patterns of LGBTQ+ health disparities reflect a perpetuating, deeply rooted cycle of injustice imposed on LGBTQ+ people. Here, we contextualize COVID-19 inequities through the history of the HIV/AIDS crisis, describe manifestations of LGBTQ+ structural oppression exacerbated by the pandemic, and provide recommendations for medical professionals and institutions seeking to reduce health inequities.
Keyphrases
- coronavirus disease
- hiv aids
- human immunodeficiency virus
- antiretroviral therapy
- hiv positive
- hiv testing
- men who have sex with men
- public health
- healthcare
- mental health
- hiv infected
- sars cov
- hepatitis c virus
- respiratory syndrome coronavirus
- health information
- health promotion
- affordable care act
- climate change
- human health
- risk assessment