Improving RCCE-IM for LGBTQ+ migrants: Lessons learned from COVID-19 Pandemic

Abstract Background To foster equity during a pandemic event, public health practitioners must be mindful of social and political circumstances that inform poor health. This is especially true for populations who are exposed to several factors that structure health inequity, such as lesbian, gay, bisexual, transgender, or otherwise queer identifying (LGBTQ+) populations. We aim to report on the specific challenges of LGBTQ+ people, including those who belong to the migrant communities, during the COVID-19 pandemic and find out their needs in risk communication (RC), community engagement (CE) and infodemic management (IM). Methods We will first review findings of studies conducted in Portugal, UK, Italy, Brazil, Chile, and Sweden, between 2020-2023, in the context of “Project Global Queerantine”, then report on the additional challenges that LGBTQ+ people faced when living in migrant communities. Results LGBTQ+ individuals perceived their psychological wellbeing to have been greatly affected by the pandemic. Stressors included fear of the disease itself, and fear of spreading the virus, as well as the negative consequences of adhering to the recommendations of social distancing, which constantly interplayed with the marginalized position of being a LGBTQ+ person. Limited access to the LGBTQ+ community was a common stressor for trans individuals who faced prolonged waiting times for “gender dysphoria” assessment and hormone treatment. The intersectionality of vulnerability mechanisms experienced by LGBTQ+ migrants exacerbated all these issues, as did challenges in accessing and comprehending COVID-19-related information. Conclusions During health crises, it is critical for RCCE-IM efforts to consider the increased mental health issues and disruption of social support networks that LGBTQ+ people may face. Strategies and examples of good practices for RCCE-IM that are specifically tailored to LGBTQ+ migrants will be developed in collaboration with the workshop participants.