Comprehensive Summary
This study analyzed 70 million tweets from 23,000 users to assess health-related impacts of anti-LGBTQ+ legislation on sexual minority men. Of these, 8,500 tweets related to LGBTQ+ issues, with 493 specifically addressing health concerns. Identified themes included general harm, human rights, mental health, safety, support, and healthcare access. Healthcare emerged as the dominant theme, encompassing issues such as insurance denial, treatment refusal, and unsafe home environments. Younger users (ages 13–34) were particularly vulnerable, while older participants reflected on past struggles and emphasized ongoing advocacy needs. Regional differences were also noted: users in the Midwest and South prioritized immediate safety, while those in the West emphasized human rights violations. The authors conclude that social media provides a valuable lens into lived experiences and health impacts of marginalized populations, complementing traditional survey methods.
Outcomes and Implications
This research illustrates the tangible health consequences of discriminatory legislation on LGBTQ+ communities, particularly younger populations in the U.S. South. Findings support the need for advocacy coalitions and community-based mental health interventions. For policymakers, the implication is that legislative decisions can exacerbate health disparities, and data from social media can provide powerful, real-time evidence of harm. This evidence base can be used to shape more equitable policies and safeguard LGBTQ+ health.