Table 5.

Impact of COVID-19 on other areas of life

Domain	Example quotes
Structural
Access to services	“Cannot apply for food stamps and RI Stated ID because registry is closed.”
Transportation barriers	“The city buses are not accepting you without a face mask.”
Employment/income	“I find myself looking for help for things I thought I would have before. I never imagined anything completely shutting down the industry I work in.” “Can’t find real work”
Housing	“I am very unstably housed and being quarantined with family has been awkward for me.” “Being in a shelter and possibly being exposed to carriers of COVID-19.”
Food access	“There needs to be more places for homeless people to get food.” “Food stamp card was stolen; taking forever to get it back.”
Social
Reduced social connections	“I don’t see my family as much as I used to.”
Reduced recovery support	“Being in early recovery, it’s hard to access meetings and support systems”
Individual
Worse mental health	“worse mood, more paranoia and delusions…lonely and depressed”
Substance use	“Depressed, drinking more, cocaine use.”
Fear of getting COVID-19	“I am an at-risk person. Being in a shelter possibly being exposed to carriers of COVID-19.” “Makes it [COVID-19] more concerning doing sex work. Already have a compromised immune system.” “Disabled and at high risk for COVID-19 complications”
Resilience	“I’m just grateful to be alive and staying safe as much as possible”