Individuals who identify as sexual and gender minorities, including lesbian, gay, bisexual, transgender, queer, and others (LGBTQ+) are more likely to experience poorer health than their heterosexual and cisgender counterparts. One primary source that drives these health disparities is minority stress (i.e., chronic and social stressors unique to LGBTQ+ communities' experiences adapting to the dominant culture). This stress is frequently expressed in LGBTQ+ users' posts on social media platforms. However, these expressions are not just straightforward manifestations of minority stress. They involve linguistic complexity (e.g., idiom or lexical diversity), rendering them challenging for many traditional natural language processing methods to detect. In this work, we designed a hybrid model using Graph Neural Networks (GNN) and Bidirectional Encoder Representations from Transformers (BERT), a pre-trained deep language model to improve the classification performance of minority stress detection. We experimented with our model on a benchmark social media dataset for minority stress detection (LGBTQ+ MiSSoM+). The dataset is comprised of 5,789 human-annotated Reddit posts from LGBTQ+ subreddits. Our approach enables the extraction of hidden linguistic nuances through pretraining on a vast amount of raw data, while also engaging in transductive learning to jointly develop representations for both labeled training data and unlabeled test data. The RoBERTa-GCN model achieved an accuracy of 0.86 and an F1 score of 0.86, surpassing the performance of other baseline models in predicting LGBTQ+ minority stress. Improved prediction of minority stress expressions on social media could lead to digital health interventions to improve the wellbeing of LGBTQ+ people-a community with high rates of stress-sensitive health problems.

Psychological stress detection is an important task for mental healthcare research, but there has been little prior work investigating the effectiveness of psychological stress models on minority individuals, who are especially vulnerable to poor mental health outcomes. In this work, we use the related task of minority stress detection to evaluate the ability of psychological stress models to understand the language of sexual and gender minorities. We find that traditional psychological stress models underperform on minority stress detection, and we propose using emotion-infused models to reduce that performance disparity. We further demonstrate that multi-task psychological stress models outperform the current state-of-the-art for minority stress detection without directly training on minority stress data. We provide explanatory analysis showing that minority communities have different distributions of emotions than the general population and that emotion-infused models improve the performance of stress models on underrepresented groups because of their effectiveness in low-data environments, and we propose that integrating emotions may benefit underrepresented groups in other mental health detection tasks.

The COVID-19 pandemic has disproportionately impacted the lives of minorities, such as members of the LGBTQ community (lesbian, gay, bisexual, transgender, and queer) due to pre-existing social disadvantages and health disparities. Although extensive research has been carried out on the impact of the COVID-19 pandemic on different aspects of the general population's lives, few studies are focused on the LGBTQ population. In this paper, we develop and evaluate two sets of machine learning classifiers using a pre-pandemic and a during-pandemic dataset to identify Twitter posts exhibiting minority stress, which is a unique pressure faced by the members of the LGBTQ population due to their sexual and gender identities. We demonstrate that our best pre- and during-pandemic models show strong and stable performance for detecting posts that contain minority stress. We investigate the linguistic differences in minority stress posts across pre- and during-pandemic periods. We find that anger words are strongly associated with minority stress during the COVID-19 pandemic. We explore the impact of the pandemic on the emotional states of the LGBTQ population by adopting propensity score-based matching to perform a causal analysis. The results show that the LGBTQ population have a greater increase in the usage of cognitive words and worsened observable attribute in the usage of positive emotion words than the group of the general population with similar pre-pandemic behavioral attributes. Our findings have implications for the public health domain and policy-makers to provide adequate support, especially with respect to mental health, to the LGBTQ population during future crises.