Associations between water insecurity and mental health outcomes among lesbian, gay, bisexual, transgender and queer persons in Bangkok, Thailand and Mumbai, India: Cross-sectional survey findings

Logie, Carmen H., Newman,Peter A., Admassu, Zerihun, MacKenzie, Frannie, Chakrapani, Venkatesan, Tepjan, Suchon, Shunmugam, Murali and Akkakanjanasupa, Pakorn, (2024). Associations between water insecurity and mental health outcomes among lesbian, gay, bisexual, transgender and queer persons in Bangkok, Thailand and Mumbai, India: Cross-sectional survey findings. Global Mental Health, 11 2024.27-n/a

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  • Sub-type Journal article
    Author Logie, Carmen H.
    Newman,Peter A.
    Admassu, Zerihun
    MacKenzie, Frannie
    Chakrapani, Venkatesan
    Tepjan, Suchon
    Shunmugam, Murali
    Akkakanjanasupa, Pakorn
    Title Associations between water insecurity and mental health outcomes among lesbian, gay, bisexual, transgender and queer persons in Bangkok, Thailand and Mumbai, India: Cross-sectional survey findings
    Appearing in Global Mental Health
    Volume 11
    Publication Date 2024-02-29
    Place of Publication United Kingdom
    Publisher Cambridge University Press
    Start page 2024.27
    End page n/a
    Language eng
    Abstract Water insecurity disproportionally affects socially marginalized populations and may harm mental health. Lesbian, gay, bisexual, transgender and queer (LGBTQ) persons are at the nexus of social marginalization and mental health disparities; however, they are understudied in water insecurity research. Yet LGBTQ persons likely have distinct water needs. We explored associations between water insecurity and mental health outcomes among LGBTQ adults in Mumbai, India and Bangkok, Thailand. Methods This cross-sectional survey with a sample of LGBTQ adults in Mumbai and Bangkok assessed associations between water insecurity and mental health outcomes, including anxiety symptoms, depression symptoms, loneliness, alcohol misuse, COVID-19 stress and resilience. We conducted multivariable logistic and linear regression analyses to examine associations between water insecurity and mental health outcomes. Results Water insecurity prevalence was 28.9% in Mumbai and 18.6% in Bangkok samples. In adjusted analyses, in both sites, water insecurity was associated with higher likelihood of depression symptoms, anxiety symptoms, COVID-19 stress, alcohol misuse and loneliness. In Mumbai, water insecurity was also associated with reduced resilience. Conclusion Water insecurity was common among LGBTQ participants in Bangkok and Mumbai and associated with poorer well-being. Findings signal the importance of assessing water security as a stressor harmful to LGBTQ mental health.
    Keyword Water insecurity
    LGBTQ
    India
    Thailand
    Urban
    Mental health
    Copyright Holder author(s)
    Copyright Year 2024
    Copyright type Creative commons
    DOI doi.org/10.1017/gmh.2024.27
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    Created: Fri, 27 Sep 2024, 03:33:01 JST by Haideh Beigi on behalf of UNU INWEH