{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T19:20:18Z","timestamp":1768418418207,"version":"3.49.0"},"reference-count":49,"publisher":"American Public Health Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p> Objectives. To describe longitudinal trends in the prevalence of mental distress across the first year of the COVID-19 pandemic (April 2020\u2012April 2021) among US women at the intersection of sexual orientation and racialized group. <\/jats:p><jats:p> Methods. Participants included 49\u2009805 cisgender women and female-identified people from the COVID-19 Sub-Study, a cohort of US adults embedded within the Nurses\u2019 Health Studies 2 and 3 and the Growing Up Today Study. We fit generalized estimating equation Poisson models to estimate trends in depressive and anxiety symptoms by sexual orientation (gay or lesbian, bisexual, mostly heterosexual, completely heterosexual); subsequent models explored further differences by racialized group (Asian, Black, Latine, White, other or unlisted). <\/jats:p><jats:p> Results. Relative to completely heterosexual peers, gay or lesbian, bisexual, and mostly heterosexual women had a higher prevalence of depressive and anxiety symptoms at each study wave and experienced widening inequities over time. Inequities were largest for sexual minority women of color, although confidence intervals were wide. <\/jats:p><jats:p> Conclusions. The COVID-19 pandemic may have exacerbated already-glaring mental health inequities affecting sexual minority women, especially those belonging to marginalized racialized groups. Future research should investigate structural drivers of these patterns to inform policy-oriented interventions. ( Am J Public Health. 2024;114(5):511\u2013522. https:\/\/doi.org\/10.2105\/AJPH.2024.307601 ) <\/jats:p>","DOI":"10.2105\/ajph.2024.307601","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T20:01:31Z","timestamp":1712779291000},"page":"511-522","source":"Crossref","is-referenced-by-count":5,"title":["Trajectories of Mental Distress Among US Women by Sexual Orientation and Racialized Group During the First Year of the COVID-19 Pandemic"],"prefix":"10.2105","volume":"114","author":[{"given":"Ariel L.","family":"Beccia","sequence":"first","affiliation":[{"name":"Ariel L. Beccia is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, MA. Dougie Zubizarreta is with the Department of Social and Behavioral Sciences, Harvard T.\u2009H. Chan School of Public Health, Boston. S. Bryn Austin is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, and Channing Division of Network Medicine, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston. Julia R. Raifman is with..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dougie","family":"Zubizarreta","sequence":"additional","affiliation":[{"name":"Ariel L. Beccia is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, MA. Dougie Zubizarreta is with the Department of Social and Behavioral Sciences, Harvard T.\u2009H. Chan School of Public Health, Boston. S. Bryn Austin is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, and Channing Division of Network Medicine, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston. Julia R. Raifman is with..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Bryn","family":"Austin","sequence":"additional","affiliation":[{"name":"Ariel L. Beccia is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, MA. Dougie Zubizarreta is with the Department of Social and Behavioral Sciences, Harvard T.\u2009H. Chan School of Public Health, Boston. S. Bryn Austin is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, and Channing Division of Network Medicine, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston. Julia R. Raifman is with..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia R.","family":"Raifman","sequence":"additional","affiliation":[{"name":"Ariel L. Beccia is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, MA. Dougie Zubizarreta is with the Department of Social and Behavioral Sciences, Harvard T.\u2009H. Chan School of Public Health, Boston. S. Bryn Austin is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, and Channing Division of Network Medicine, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston. Julia R. Raifman is with..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge E.","family":"Chavarro","sequence":"additional","affiliation":[{"name":"Ariel L. Beccia is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, MA. Dougie Zubizarreta is with the Department of Social and Behavioral Sciences, Harvard T.\u2009H. Chan School of Public Health, Boston. S. Bryn Austin is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, and Channing Division of Network Medicine, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston. Julia R. Raifman is with..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany M.","family":"Charlton","sequence":"additional","affiliation":[{"name":"Ariel L. Beccia is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, Boston, MA. Dougie Zubizarreta is with the Department of Social and Behavioral Sciences, Harvard T.\u2009H. Chan School of Public Health, Boston. S. Bryn Austin is with the Division of Adolescent and Young Adult Medicine, Boston Children\u2019s Hospital, and Channing Division of Network Medicine, Department of Medicine, Brigham and Women\u2019s Hospital and Harvard Medical School, Boston. Julia R. 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