{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T20:14:17Z","timestamp":1776543257806,"version":"3.51.2"},"reference-count":43,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T00:00:00Z","timestamp":1689552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Making the Shift (MtS) Network of Centres of Excellence","award":["R900206526"],"award-info":[{"award-number":["R900206526"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>The objective of this study was to examine the impacts of the coronavirus 2019 (COVID-19) pandemic on various dimensions of wellbeing among 2SLGBTQ+ youth experiencing homelessness over a 12-month period during the COVID-19 pandemic.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>2SLGBTQ+ youth (recruited using a convenience sampling method) participated in three online surveys to assess mental health (depression, anxiety, suicidality), substance and alcohol use, health care access, and violence for 12-months between 2021\u20132022. Quantitative data analysis included non-parametric one-sample proportion tests, paired t-test and McNemar\u2019s test. Longitudinal data collected across all three timepoints were treated as paired data and compared to baseline data using non-parametric exact multinomial tests, and if significant, followed by pairwise post-hoc exact binomial tests. For the purposes of analysis, participants were grouped according to their baseline survey based on pandemic waves and public health restrictions.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>2SLGBTQ+ youth experiencing homelessness (n = 87) reported high rates of mental health challenges, including anxiety and depression, over 12-months during the pandemic. Youth participants reported experiencing poor mental health during the early waves of the pandemic, with improvements to their mental health throughout the pandemic; however, results were not statistically significant. Likewise, participants experienced reduced access to mental health care during the early waves of the pandemic but mental health care access increased for youth throughout the pandemic.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Study results showed high rates of mental health issues among 2SLGBTQ+ youth, but reduced access to mental health care, due to the COVID-19 pandemic. Findings highlight the need for 2SLGBTQ+ inclusive and affirming mental health care and services to address social and mental health issues that have been exacerbated by the pandemic.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0288591","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T17:27:15Z","timestamp":1689614835000},"page":"e0288591","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["A longitudinal investigation of the effects of the COVID-19 pandemic on 2SLGBTQ+ youth experiencing homelessness"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4803-8724","authenticated-orcid":true,"given":"Alex","family":"Abramovich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson","family":"Pang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kawon Victoria","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rowen K.","family":"Stark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Lange","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Chaiton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen H.","family":"Logie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayley A.","family":"Hamilton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean A.","family":"Kidd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"issue":"11","key":"pone.0288591.ref001","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18116067","article-title":"Psychological Impact of the COVID-19 Outbreak on Mental Health Outcomes among Youth: A Rapid Narrative Review","volume":"18","author":"F Cielo","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"22","key":"pone.0288591.ref002","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17228479","article-title":"Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review","volume":"17","author":"F Nearchou","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"pone.0288591.ref003","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1111\/camh.12501","article-title":"Review: Mental health impacts of the COVID-19 pandemic on children and youth\u2014a systematic review","volume":"27","author":"H Samji","year":"2022","journal-title":"Child Adolesc Ment Health"},{"key":"pone.0288591.ref004","article-title":"Children and youth mental health: not all equal in the face of the COVID-19 pandemic","author":"D Collin-V\u00e9zina","year":"2022","journal-title":"Reference Module in Neuroscience and Biobehavioral Psychology"},{"key":"pone.0288591.ref005","doi-asserted-by":"crossref","first-page":"110711","DOI":"10.1016\/j.paid.2021.110711","article-title":"Factors influencing mental health among American youth in the time of the Covid-19 pandemic","volume":"175","author":"P. 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