Correlates of wanting to seek help for mental health and substance use concerns by sexual and gender minority young adults during the COVID-19 pandemic: A machine learning analysis

The COVID-19 pandemic has worsened the mental health and substance use challenges among many people who are Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, and intersex (2SLGBTQI+). We aimed to identify the important correlates and their effects on the predicted likelihood of wa...

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Veröffentlicht in:	PLOS ONE Jg. 17; H. 11; S. e0277438
Hauptverfasser:	Kundu, Anasua, Fu, Rui, Grace, Daniel, Logie, Carmen H., Abramovich, Alex, Baskerville, Bruce, Yager, Christina, Schwartz, Robert, Mitsakakis, Nicholas, Planinac, Lynn, Chaiton, Michael
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Public Library of Science (PLoS) 16.11.2022 Public Library of Science
Schlagworte:	Adults Adverse childhood experiences Biology and Life Sciences Bisexual Bisexuality Children Computer and Information Sciences Coronaviruses Correlation COVID-19 COVID-19 - epidemiology Cross-Sectional Studies Delay Drug use Ethnicity Female Gays & lesbians Gender Health disparities Health risks Humans Machine Learning Medical personnel Medical research Medicine Medicine and Health Sciences Mental depression Mental disorders Mental Health Ontario Pandemics People and Places Professionals Q Questionnaires R Research Article Science Sexual and Gender Minorities Social Sciences Sociodemographics Statistical analysis Stigma Substance use Substance-Related Disorders Substance-Related Disorders - epidemiology Suicidal behavior Transgender persons Two-Spirit Underserved populations Variables Young Adult Young adults Ontario Canada United States > US Quebec Canada
ISSN:	1932-6203, 1932-6203
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Abstract	The COVID-19 pandemic has worsened the mental health and substance use challenges among many people who are Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, and intersex (2SLGBTQI+). We aimed to identify the important correlates and their effects on the predicted likelihood of wanting to seek help among 2SLGBTQI+ young adults for mental health or substance use concerns during the pandemic. A cross-sectional survey was conducted in 2020–2021 among 2SLGBTQI+ young adults aged 16–29 living in two Canadian provinces (Ontario and Quebec). Among 1414 participants, 77% (n = 1089) wanted to seek help for their mental health or substance use concerns during the pandemic, out of these, 69.8% (n = 760) reported delay in accessing care. We built a random forest (RF) model to predict the status of wanting to seek help, which achieved moderately high performance with an area under the receiver operating characteristic curve (AUC) of 0.85. The top 10 correlates of wanting to seek help were worsening mental health, age, stigma and discrimination, and adverse childhood experiences. The interactions of adequate housing with certain sexual orientations, gender identities and mental health challenges were found to increase the likelihood of wanting to seek help. We built another RF model for predicting risk of delay in accessing care among participants who wanted to seek help (n = 1089). The model identified a similar set of top 10 correlates of delay in accessing care but lacked adequate performance (AUC 0.61). These findings can direct future research and targeted prevention measures to reduce health disparities for 2SLGBTQI+ young adults.
AbstractList	The COVID-19 pandemic has worsened the mental health and substance use challenges among many people who are Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, and intersex (2SLGBTQI+). We aimed to identify the important correlates and their effects on the predicted likelihood of wanting to seek help among 2SLGBTQI+ young adults for mental health or substance use concerns during the pandemic. A cross-sectional survey was conducted in 2020–2021 among 2SLGBTQI+ young adults aged 16–29 living in two Canadian provinces (Ontario and Quebec). Among 1414 participants, 77% (n = 1089) wanted to seek help for their mental health or substance use concerns during the pandemic, out of these, 69.8% (n = 760) reported delay in accessing care. We built a random forest (RF) model to predict the status of wanting to seek help, which achieved moderately high performance with an area under the receiver operating characteristic curve (AUC) of 0.85. The top 10 correlates of wanting to seek help were worsening mental health, age, stigma and discrimination, and adverse childhood experiences. The interactions of adequate housing with certain sexual orientations, gender identities and mental health challenges were found to increase the likelihood of wanting to seek help. We built another RF model for predicting risk of delay in accessing care among participants who wanted to seek help (n = 1089). The model identified a similar set of top 10 correlates of delay in accessing care but lacked adequate performance (AUC 0.61). These findings can direct future research and targeted prevention measures to reduce health disparities for 2SLGBTQI+ young adults. The COVID-19 pandemic has worsened the mental health and substance use challenges among many people who are Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, and intersex (2SLGBTQI+). We aimed to identify the important correlates and their effects on the predicted likelihood of wanting to seek help among 2SLGBTQI+ young adults for mental health or substance use concerns during the pandemic. A cross-sectional survey was conducted in 2020-2021 among 2SLGBTQI+ young adults aged 16-29 living in two Canadian provinces (Ontario and Quebec). Among 1414 participants, 77% (n = 1089) wanted to seek help for their mental health or substance use concerns during the pandemic, out of these, 69.8% (n = 760) reported delay in accessing care. We built a random forest (RF) model to predict the status of wanting to seek help, which achieved moderately high performance with an area under the receiver operating characteristic curve (AUC) of 0.85. The top 10 correlates of wanting to seek help were worsening mental health, age, stigma and discrimination, and adverse childhood experiences. The interactions of adequate housing with certain sexual orientations, gender identities and mental health challenges were found to increase the likelihood of wanting to seek help. We built another RF model for predicting risk of delay in accessing care among participants who wanted to seek help (n = 1089). The model identified a similar set of top 10 correlates of delay in accessing care but lacked adequate performance (AUC 0.61). These findings can direct future research and targeted prevention measures to reduce health disparities for 2SLGBTQI+ young adults.The COVID-19 pandemic has worsened the mental health and substance use challenges among many people who are Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, and intersex (2SLGBTQI+). We aimed to identify the important correlates and their effects on the predicted likelihood of wanting to seek help among 2SLGBTQI+ young adults for mental health or substance use concerns during the pandemic. A cross-sectional survey was conducted in 2020-2021 among 2SLGBTQI+ young adults aged 16-29 living in two Canadian provinces (Ontario and Quebec). Among 1414 participants, 77% (n = 1089) wanted to seek help for their mental health or substance use concerns during the pandemic, out of these, 69.8% (n = 760) reported delay in accessing care. We built a random forest (RF) model to predict the status of wanting to seek help, which achieved moderately high performance with an area under the receiver operating characteristic curve (AUC) of 0.85. The top 10 correlates of wanting to seek help were worsening mental health, age, stigma and discrimination, and adverse childhood experiences. The interactions of adequate housing with certain sexual orientations, gender identities and mental health challenges were found to increase the likelihood of wanting to seek help. We built another RF model for predicting risk of delay in accessing care among participants who wanted to seek help (n = 1089). The model identified a similar set of top 10 correlates of delay in accessing care but lacked adequate performance (AUC 0.61). These findings can direct future research and targeted prevention measures to reduce health disparities for 2SLGBTQI+ young adults.
Author	Lynn Planinac Bruce Baskerville Christina Yager Rui Fu Michael Chaiton Anasua Kundu Carmen H. Logie Alex Abramovich Nicholas Mitsakakis Daniel Grace Robert Schwartz
AuthorAffiliation	1 Institute of Medical Science, University of Toronto, Toronto, Canada 5 Dalla Lana School of Public Health, University of Toronto, Toronto, Canada 2 Centre for Addiction and Mental Health, Toronto, Canada 9 Canadian Institutes of Health Research, Ottawa, Canada 10 School of Pharmacy, Faculty of Science, University of Waterloo, Kitchener, Canada 3 Ontario Tobacco Research Unit, University of Toronto, Toronto, Canada 7 United Nations University Institute for Water, Environment & Health, Hamilton, Canada 4 Department of Otolaryngology—Head and Neck Surgery, Sunnybrook Research Institute, University of Toronto, Toronto, Canada 6 Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada 8 Department of Psychiatry, University of Toronto, Toronto, Canada 11 Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Canada University Kebangsaan Malaysia, MALAYSIA
AuthorAffiliation_xml	– name: 10 School of Pharmacy, Faculty of Science, University of Waterloo, Kitchener, Canada – name: 6 Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada – name: 11 Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Canada – name: 1 Institute of Medical Science, University of Toronto, Toronto, Canada – name: 4 Department of Otolaryngology—Head and Neck Surgery, Sunnybrook Research Institute, University of Toronto, Toronto, Canada – name: 9 Canadian Institutes of Health Research, Ottawa, Canada – name: 3 Ontario Tobacco Research Unit, University of Toronto, Toronto, Canada – name: 2 Centre for Addiction and Mental Health, Toronto, Canada – name: 8 Department of Psychiatry, University of Toronto, Toronto, Canada – name: 5 Dalla Lana School of Public Health, University of Toronto, Toronto, Canada – name: 7 United Nations University Institute for Water, Environment & Health, Hamilton, Canada – name: University Kebangsaan Malaysia, MALAYSIA
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BackLink	https://cir.nii.ac.jp/crid/1873961342320988032$$DView record in CiNii https://www.ncbi.nlm.nih.gov/pubmed/36383536$$D View this record in MEDLINE/PubMed
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CitedBy_id	crossref_primary_10_3390_ijerph20136194 crossref_primary_10_3390_healthcare11101465 crossref_primary_10_3389_fpubh_2025_1596929
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Copyright	Copyright: © 2022 Kundu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 2022 Kundu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2022 Kundu et al 2022 Kundu et al
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Snippet	The COVID-19 pandemic has worsened the mental health and substance use challenges among many people who are Two Spirit, lesbian, gay, bisexual, transgender,...
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SubjectTerms	Adults Adverse childhood experiences Biology and Life Sciences Bisexual Bisexuality Children Computer and Information Sciences Coronaviruses Correlation COVID-19 COVID-19 - epidemiology Cross-Sectional Studies Delay Drug use Ethnicity Female Gays & lesbians Gender Health disparities Health risks Humans Machine Learning Medical personnel Medical research Medicine Medicine and Health Sciences Mental depression Mental disorders Mental Health Ontario Pandemics People and Places Professionals Q Questionnaires R Research Article Science Sexual and Gender Minorities Social Sciences Sociodemographics Statistical analysis Stigma Substance use Substance-Related Disorders Substance-Related Disorders - epidemiology Suicidal behavior Transgender persons Two-Spirit Underserved populations Variables Young Adult Young adults
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Title	Correlates of wanting to seek help for mental health and substance use concerns by sexual and gender minority young adults during the COVID-19 pandemic: A machine learning analysis
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Volume	17
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