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We examine how a hostile social system contributes to LGBTQ+ people\u2019s negative health experiences during the pandemic through adopting a syndemic framework and using data from The Queerantine Study, a cross\u2010sectional, web\u2010based survey (<jats:italic>n<\/jats:italic>\u00a0=\u00a0515). Identification of a health syndemic is based on depressive symptoms, perceived stress and limiting long\u2010term illness. We used Latent Class Analysis to identify latent classes based on experiences of a hostile social system. A syndemic was identified among a third of respondents (33.2%), with transgender\/gender\u2010diverse and younger participants at higher risk. Latent Class Analysis identified five groups based on experiences of hostile social systems using psychosocial and socioeconomic indicators. Classes reflecting psychosocial hostility were predictive of a health syndemic and worsening health. This study emphasises (i) mental and physical health issues are intertwined among LGBTQ+ people; (ii) experiences of hostile social systems can account for part of variation in health across LGBTQ+ groups; (iii) that psychosocial hostility continued and was exacerbated throughout the pandemic, and (iv) experiences of psychosocial hostility in particular were associated with a greater likelihood of experiencing a syndemic.<\/jats:p>","DOI":"10.1111\/1467-9566.13689","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T14:34:40Z","timestamp":1688394880000},"page":"114-136","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The influence of a hostile environment on a syndemic of depression, stress and chronic limiting illness among LGBTQ+ people during the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7016-978X","authenticated-orcid":false,"given":"Dylan","family":"Kneale","sequence":"first","affiliation":[{"name":"EPPI\u2010Centre UCL Social Research Institute University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4207-074X","authenticated-orcid":false,"given":"Laia","family":"B\u00e9cares","sequence":"additional","affiliation":[{"name":"Department of Global Health &amp; Social Medicine King\u2019s College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0749\u20103797(18)30622\u20106"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech\u20102020\u2010214401"},{"key":"e_1_2_10_4_1","volume-title":"Health and socioeconomic inequalities by sexual orientation among older women in the UK: Findings from the UK household longitudinal study","author":"B\u00e9cares L.","year":"2020"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010022\u201002291\u20101"},{"key":"e_1_2_10_6_1","first-page":"937","volume-title":"Healthcare","author":"Booker C. 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