Abstract
The COVID-19 pandemic has had far-reaching consequences on public health, particularly for marginalized communities. This study aims to assess the impact of the pandemic on the physical and physiological fitness of LGBTQ individuals and sex workers in an urban Indian setting—two populations often sidelined in healthcare discourse. Using a cross-sectional design, we gathered data through structured questionnaires and physical health assessments. Key parameters measured included Body Mass Index (BMI), blood pressure, pulse rate, and hematological and biochemical markers to evaluate overall health status.
Our findings underscore a significant decline in physical and physiological health among the study participants during the pandemic. Both LGBTQ individuals and sex workers reported increased psychological distress and reduced access to healthcare services, compounded by socioeconomic challenges. Notably, the study observed marked deviations in physical health indicators: many participants exhibited lower body mass index (BMI) values, abnormal blood pressure, and irregularities in blood and biochemical profiles. These findings reflect heightened vulnerability to chronic diseases and overall health deterioration.
Economic instability played a central role in amplifying these health disparities. The lockdowns and social distancing measures led to substantial income losses and job insecurity, severely impacting the livelihoods of sex workers and members of the LGBTQ community. Furthermore, systemic stigma and limited support mechanisms worsened access to essential health services during this critical period.
In conclusion, the study highlights the urgent need for inclusive public health policies and targeted interventions that address the unique vulnerabilities of LGBTQ individuals and sex workers, especially during public health emergencies like the COVID-19 pandemic.