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      COVID-19, violence, and mental health among Indigenous gay and bisexual men in Guatemala: An urgent call from key stakeholders.

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          Abstract

          We explored how the COVID-19 pandemic has affected the health and wellbeing of Indigenous gay and bisexual men (GBM) in Guatemala, a group that experiences intersectional stigma and structural barriers to health. Between February and May 2021, we conducted in-depth qualitative interviews via Zoom with key stakeholders (n = 11) working with Indigenous GBM throughout Guatemala. We coded thematically and conducted narrative analysis to identify the most salient themes. Participants described that prior to the COVID-19 pandemic, many Indigenous GBM migrated to urban centres to avoid stigma and violence from families and rural communities. After the onset of COVID-19, many Indigenous GBM lost their jobs and were forced to move back in with families. For Indigenous GBM who returned, participants described a perceived increase in the severity of physical and psychological violence. Participants attributed this increase in severity to retribution from families and communities for having left. Most Indigenous GBM-serving organisations reported a drastic increase in demand for mental health services. Organisations serving Indigenous GBM have an urgent need to scale up their mental health services and find innovative ways to provide these services remotely during the pandemic and beyond. Technology-based mental health interventions that require little 'live' interaction may be appropriate.

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          Author and article information

          Journal
          Glob Public Health
          Global public health
          Informa UK Limited
          1744-1706
          1744-1692
          May 2022
          : 17
          : 5
          Affiliations
          [1 ] Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA, USA.
          [2 ] School of Social Work, University of Washington, Seattle, WA, USA.
          [3 ] Department of Psychology, Universidad del Valle de Guatemala, Guatemala City, Guatemala.
          Article
          NIHMS1794824
          10.1080/17441692.2022.2049844
          9118334
          35282763
          f1f31faa-b6d4-482f-b615-faef27829e09
          History

          indigenous,gay and bisexual men,violence,mental health,Covid-19

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