Mental health among LGBTQ+ communities in the context of COVID-19

Gregory Lee Phillips ii*, Dylan Felt, Megan M. Ruprecht, Lauren B. Beach

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


Rates of anxiety, depression, and suicidality have long been known to be elevated among LGBTQ+ communities and it was expected that the COVID-19 pandemic would deepen systemic injustices and inequities in mental health outcomes. However, it remains difficult to document inequities as surveillance systems do not typically capture LGBTQ+-inclusive data necessary to study the impact of COVID-19 on LGBTQ+ population health. This chapter reports on two studies designed to address this gap. The COVID-19 Impacts Study (CIS) documented the early mental health and social impacts of COVID-19 among sexual and gender minority adults, as well as adults with HIV, during the first round of shut-downs and initial economic disruptions. Subsequently, the Youth and Young Adults COVID-19 Study (YYA) measured the impacts of COVID-19 on the mental health outcomes, testing/vaccination behaviors, and stigmatization experiences of LGBTQ+ and BIPOC (Black, Indigenous, People of Color) young people. Several recommendations are discussed-including mandated collection of data on sexual orientation and gender identity in all surveillance systems, policy solutions to better address access and cost barriers, and deep and meaningful engagement that empowers communities.

Original languageEnglish (US)
Title of host publicationCOVID-19, Frontline Responders and Mental Health
Subtitle of host publicationA Playbook for Delivering Resilient Public Health Systems Post-Pandemic
PublisherEmerald Group Publishing Ltd.
Number of pages24
ISBN (Electronic)9781802621150
ISBN (Print)9781802621181
StatePublished - Jan 23 2023


  • Equality
  • Intersectional risk
  • LGBTQ+
  • Minority stress theory
  • Resilience
  • Stigma

ASJC Scopus subject areas

  • Psychology(all)
  • Social Sciences(all)


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