Discrimination based on sexual orientation and gender identity and the COVID-19 pandemic

Although the physical distance rule applied to slow the pace of the COVID-19 pandemic is an important part of the public health approach, this distance reduces positive social interactions for sexual minorities and can cause mental distress. Lesbian, gay, bisexual, trans, intersex (LGBTI +) people who have to stay at home are increasingly exposed to violence during pandemic. The discrimination experienced by subgroups who may have special needs within the LGBTI + group, such as young people, the elderly, those in need of care or individuals living with HIV, is multiplied throughout the pandemic and the process becomes difficult for these groups. In the epidemic, the prolongation of the psychiatric care process of trans people and the delay in starting hormone therapy disrupt the transition process and negatively affect the mental health of trans people. Considering the risks associated with the pandemic, it is important to take early measures to prevent permanent mental health problems. It is important to provide access to remote support via telemedicine. Despite the possibility of LGBTI+ youth being trapped in traumatic environments, it is critical to monitor and report domestic violence. It is necessary to attach importance to studies on multiple discrimination and to protect the health of LGBTI+ people with special needs.