Mental Health Disparities From Climate Change: The Role of Housing Insecurity and LGBTQ+ Identity, California, 2023.

Objectives. To examine the relationship between housing insecurity and lesbian, gay, bisexual, pansexual, transgender, gender-expansive, queer, and questioning (LGBTQ+) identity with mental health burdens from climate events among California adults. Methods. We used cross-sectional data from 2023 Ca...

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Publicado en:American Journal of Public Health Vol. 116; no. 6; pp. 779 - 790
Autores principales: Choa, Elizabeth, Vlahov, David, Poghosyan, Hermine
Formato: Artículo
Publicado: American Public Health Association Jun2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
      vid: 116
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      pub: American Public Health Association
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        10.2105/AJPH.2025.308379
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        atl: Mental Health Disparities From Climate Change: The Role of Housing Insecurity and LGBTQ+ Identity, California, 2023.
      aug:
        au:
          Choa, Elizabeth
          Vlahov, David
          Poghosyan, Hermine
        affil:
          Graduate School of Arts and Sciences and School of Nursing, Yale University, New Haven, CT.
          School of Nursing and the School of Public Health, Yale University.
          School of Nursing, Yale University.
      su:
        California
        Mental illness risk factors
        Cross-sectional method
        Group identity
        Income
        Health status indicators
        Psychological distress
        Gender identity
        Psychology of LGBTQ+ people
        Climate change
        Sex distribution
        Age distribution
        Population geography
        Attitude (Psychology)
        Marital status
        Health equity
        Educational attainment
        Employment
        Risk assessment
        Questionnaires
        Multiple regression analysis
        Descriptive statistics
        Odds ratio
        Housing stability
        Confidence intervals
      sug:
        subj:
          Mental illness risk factors
          Cross-sectional method
          Group identity
          Income
          Health status indicators
          Psychological distress
          Gender identity
          Psychology of LGBTQ+ people
          Climate change
          Sex distribution
          Age distribution
          Population geography
          Attitude (Psychology)
          Marital status
          Health equity
          Educational attainment
          Employment
          California
          Risk assessment
          Questionnaires
          Multiple regression analysis
          Descriptive statistics
          Odds ratio
          Housing stability
          Confidence intervals
      ab: Objectives. To examine the relationship between housing insecurity and lesbian, gay, bisexual, pansexual, transgender, gender-expansive, queer, and questioning (LGBTQ+) identity with mental health burdens from climate events among California adults. Methods. We used cross-sectional data from 2023 California Health Interview Survey (n = 14 307). The outcome was self-reported mental health burden from climate events. Primary predictors were LGBTQ+ identity and housing insecurity. We conducted survey-weighted descriptive statistics and multivariable logistic regression, adjusting for covariates, with an interaction term assessing synergistic effects of primary predictors. Results. Transgender or gender-expansive (adjusted odds ratio [AOR] = 4.05; 95% confidence interval [CI] = 2.66, 6.15) and bisexual or pansexual individuals (AOR = 1.67; 95% CI = 1.19, 2.33) had significantly higher odds of climate-related mental health burden. High housing insecurity was also associated with greater odds (AOR = 1.26; 95% CI = 1.07, 1.48). Among gay respondents, experiencing housing insecurity was associated with approximately threefold higher odds of climate-related mental health burden (adjusted ratio of odds ratios = 3.1; 95% CI = 1.40, 6.82). Conclusions. Bisexual or pansexual and transgender or gender-expansive individuals reported higher mental health burdens from climate events. Housing insecurity appears to be a key social driver shaping disparities in climate-related mental health among LGBTQ+ populations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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