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Article

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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School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada
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British Columbia Centre on Substance Use, Vancouver, BC V6Z 2A9, Canada
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School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
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Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, Vancouver, BC V6Z 1Y6, Canada
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The Human Early Learning Partnership, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
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British Columbia Centre for Disease Control, Vancouver, BC V5Z 4R4, Canada
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Centre for Gender and Sexual Health Equity, Vancouver, BC V6Z 1Y6, Canada
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Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
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Department of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
*
Author to whom correspondence should be addressed.
Academic Editors: Jill Murphy, Ishtar Govia, Matias Irarrazaval and Mellissa Withers
Int. J. Environ. Res. Public Health 2021, 18(22), 12155; https://doi.org/10.3390/ijerph182212155
Received: 8 October 2021 / Revised: 5 November 2021 / Accepted: 17 November 2021 / Published: 19 November 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, 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. View Full-Text
Keywords: LGBT people; mental health; suicide; substance use; alcohol; cannabis; COVID-19; public health; survey LGBT people; mental health; suicide; substance use; alcohol; cannabis; COVID-19; public health; survey
MDPI and ACS Style

Goodyear, T.; Slemon, A.; Richardson, C.; Gadermann, A.; Salway, T.; Dhari, S.; Knight, R.; Jenkins, E. 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. Int. J. Environ. Res. Public Health 2021, 18, 12155. https://doi.org/10.3390/ijerph182212155

AMA Style

Goodyear T, Slemon A, Richardson C, Gadermann A, Salway T, Dhari S, Knight R, Jenkins E. 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. International Journal of Environmental Research and Public Health. 2021; 18(22):12155. https://doi.org/10.3390/ijerph182212155

Chicago/Turabian Style

Goodyear, Trevor, Allie Slemon, Chris Richardson, Anne Gadermann, Travis Salway, Shivinder Dhari, Rod Knight, and Emily Jenkins. 2021. "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" International Journal of Environmental Research and Public Health 18, no. 22: 12155. https://doi.org/10.3390/ijerph182212155

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