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The Health and Well-Being of Latinx Sexual and Gender Minorities in the USA: A Call to Action

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New and Emerging Issues in Latinx Health

Abstract

Latinx sexual and gender minority (SGM) persons, specifically lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) persons, experience profound health disparities based on multiple factors, including their ethnicity/race, sexual orientation, gender identity, and immigration status. Although the terms SGM and LGBTQI are often used as umbrella terms, the communities and populations described by these terms are deeply varied. Currently, SGM persons are increasingly open and visible in the USA and many other parts of the world, and a modest body of knowledge on the health and well-being of some SGM subgroups currently exists. However, there are profound gaps in this emerging knowledge base. Specifically, we know very little about the health and well-being of Latinx SGM persons in the USA. In this chapter, we define some of the key terms often used to describe communities and populations of SGM, highlight some of the health disparities experienced by Latinx SGM populations, and outline critical research needs and priorities to improve the health and well-being of Latinx SGM populations.

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References

  • Agaku, I. T., King, B. A., Husten, C. G., Bunnell, R., Ambrose, B. K., Hu, S. S., … Day, H. R. (2014). Tobacco product use among adults–United States, 2012-2013. MMWR Morbidity & Mortality Weekly Report, 63(25), 542–547.

    Google Scholar 

  • Almeida, J., Johnson, R. M., Corliss, H. L., Molnar, B. E., & Azrael, D. (2009). Emotional distress among LGBT youth: The influence of perceived discrimination based on sexual orientation. Journal of Youth and Adolescence, 38(7), 1001–1014.

    Article  PubMed  PubMed Central  Google Scholar 

  • American Lung Association. The LGBT Community: A Priority Population for Tobacco Control (Vol. Available at: https://www.lung.org/assets/documents/tobacco/lgbt-issue-brief-update.pdf). Greenwood Village, CO: American Lung Association, Smokefree Communities Project.

  • American Red Cross. (2018). Cancer facts & figures for Hispanics/Latino 2018–2020. Atlanta, GA: American Cancer Society.

    Google Scholar 

  • Baldwin, A., Dodge, B., Schick, V. R., Light, B., Scharrs, P. W., Herbenick, D., & Fortenberry, J. D. (2018). Transgender and genderqueer individuals’ experiences with health care providers: What’s working, what’s not, and where do we go from here? Journal of Health Care for the Poor Underserved, 29(4), 1300–1318.

    Google Scholar 

  • Balsam, K. F., Molina, Y., Beadnell, B., Simoni, J., & Walters, K. (2011). Measuring multiple minority stress: The LGBT people of color microaggressions scale. Cultural Diversity & Ethnic Minority Psychology, 17(2), 163–174.

    Article  Google Scholar 

  • Becasen, J. S., Denard, C. L., Mullins, M. M., Higa, D. H., & Sipe, T. A. (2018). Estimating the prevalence of HIV and sexual behaviors among the US transgender population: A systematic review and meta-analysis, 2006–2017. American Journal of Public Health, e1–e8.

    Google Scholar 

  • Bostwick, W. B., Meyer, I., Aranda, F., Russell, S., Hughes, T., Birkett, M., & Mustanski, B. (2014). Mental health and suicidality among racially/ethnically diverse sexual minority youths. American Journal of Public Health, 104(6), 1129–1136.

    Google Scholar 

  • Brown, A. F., Ma, G. X., Miranda, J., Eng, E., Castille, D., Brockie, T., … Trinh-Shevrin, C. (2019). Structural interventions to reduce and eliminate health disparities. American Journal of Public Health, 109(S1), S72–S78.

    Article  PubMed  PubMed Central  Google Scholar 

  • Buchting, F. O., Emory, K. T., Scout, Kim, Y., Fagan, P., Vera, L. E., & Emery, S. (2017). Transgender use of cigarettes, cigars, and e-cigarettes in a national study. American Journal of Preventive Medicine, 53(1), e1–e7.

    Google Scholar 

  • Burns, C., Garcia, A., & Wolgin, P. E. (2013). Living in dual shadows: LGBT undocumented immigrants. Washington, DC: Center for American Progress.

    Google Scholar 

  • Castellanos, H. D. (2016). The role of institutional placement, family conflict, and homosexuality in homelessness pathways among Latino LGBT youth in New York City. Journal of Homosexuality, 63(5), 601–632.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2017). HIV surveillance report, 2016. Available at: http://www.cdc.gov/hiv/library/reports/surveillance/, 28.

  • Chinchilla, M. (2012). Stemming the rise of latino homelessness: lessons from Los Angeles county (Vol. Available at: https://latino.ucla.edu/wp-content/uploads/2019/02/FINAL-DRAFT-02_08_19-Stemming-the-Rise-of-Homelessness.pdf). Los Angeles, CA: Latino Policy & Politics Initative.

  • Criminal Justice Information Services Division, U. D. o. J. (2018). Hate crime statistics, 2017 (pp. Available at: https://ucr.fbi.gov/hate-crime/2017/resource-pages/hate-crime-summary). Washington, DC: US Department of Justice, Federal Bureau of Investigation.

  • Daniel-Ulloa, J., Reboussin, B. A., Gilbert, P. A., Mann, L., Alonzo, J., Downs, M., & Rhodes, S. D. (2014). Predictors of heavy episodic drinking and weekly drunkenness among immigrant Latinos in North Carolina. American Journal of Mens Health, 22(8), 339–348.

    Google Scholar 

  • Deputy, N. P., & Boehmer, U. (2014). Weight status and sexual orientation: Differences by age and within racial and ethnic subgroups. American Journal of Public Health, 104(1), 103–109.

    Article  PubMed  PubMed Central  Google Scholar 

  • Diaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. V. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. American Journal of Public Health, 91(6), 927–932.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Galbraith, K. V., Lechuga, J., Jenerette, C. M., Moore, L. A., Palmer, M. H., & Hamilton, J. B. (2016). Parental acceptance and uptake of the HPV vaccine among African-Americans and Latinos in the United States: A literature review. Social Science and Medicine, 159, 116–126.

    Article  PubMed  Google Scholar 

  • Gates, G. J. (2013). LGBT adult immigrants in the United States. Los Angeles, CA: The Williams Insititute.

    Google Scholar 

  • Gilbert, P. A., Perreira, K., Eng, E., & Rhodes, S. D. (2014). Social stressors and alcohol use among immigrant sexual and gender minority Latinos in a nontraditional settlement state. Substance Use and Misuse, 49(11), 1365–1375.

    Article  PubMed  Google Scholar 

  • Habarta, N., Wang, G., Mulatu, M. S., & Larish, N. (2015). HIV testing by transgender status at centers for disease control and prevention-funded sites in the United States, Puerto Rico, and US Virgin Islands, 2009–2011. American Journal of Public Health, 105(9), 1917–1925.

    Article  PubMed  PubMed Central  Google Scholar 

  • Herbst, J. H., Jacobs, E. D., Finlayson, T. J., McKleroy, V. S., Neumann, M. S., & Crepaz, N. (2008). Estimating HIV prevalence and risk behaviors of transgender persons in the United States: A systematic review. AIDS Behavior, 12(1), 1–17.

    Article  PubMed  Google Scholar 

  • Hess, K., Hu, X., Lansky, A., Mermin, J., & Hall, I. (2016). Estimating the lifetime risk of a diagnosis of HIV infection in the United States. Paper presented at the Conference on Retroviruses and Opportunistic Infections (CROI) Boston, MA.

    Google Scholar 

  • James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The report of the 2015 U.S. transgender survey. Washington, DC: National Center for Transgender Equality.

    Google Scholar 

  • Kane, R., Nicoll, A. E., Kahn, E., & Groves, S. (2012). Supporting and caring for our Latino LGBT youth. Washington, DC: Human Rights Campaign.

    Google Scholar 

  • Kastanis, A., & Gates, G. J. (2010). LGBT Latino/a Individuals and Latino/a Same-Sex Couples (pp. Available at: https://williamsinstitute.law.ucla.edu/wp-content/uploads/Census-2010-Latino-Final.pdf). Los Angeles, CA: Williams Institute, UCLA School of Law.

  • Kellogg, T. A., Clements-Nolle, K., Dilley, J., Katz, M. H., & McFarland, W. (2001). Incidence of human immunodeficiency virus among male-to-female transgendered persons in San Francisco. Journal of Acquired Immune Deficiency Syndrome, 28(4), 380–384.

    Article  CAS  Google Scholar 

  • Keuroghlian, A. S., Shtasel, D., & Bassuk, E. L. (2014). Out on the street: A public health and policy agenda for lesbian, gay, bisexual, and transgender youth who are homeless. American Journal of Orthopsychiatry, 84(1), 66–72.

    Article  PubMed  Google Scholar 

  • Kost, R. G., Leinberger-Jabari, A., Evering, T. H., Holt, P. R., Neville-Williams, M., Vasquez, K. S., … Tobin, J. N. (2017). Helping basic scientists engage with community partners to enrich and accelerate translational research. Academic Medicine, 92(3), 374.

    Article  PubMed  Google Scholar 

  • Levin, B., & Reitzel, J. D. (2018). Report to the nation: Hate crimes rise in US cities and counties in the time of division & foreign interference. Compilation of Official Data (38 Jurisdictions) (Vol. Available at: https://csbs.csusb.edu/sites/csusb_csbs/files/2018%20Hate%20Final%20Report%205-14.pdf). San Bernardino: Center for the Study of hate and Extremism, California State University, San Bernardino.

  • Lippman, S. A., Moran, L., Sevelius, J., Castillo, L. S., Ventura, A., Treves-Kagan, S., & Buchbinder, S. (2015). Acceptability and feasibility of HIV self-testing among transgender women in San Francisco: A mixed methods pilot study. AIDS Behavior, 20(4), 928–938.

    Google Scholar 

  • Lykens, J. E., LeBlanc, A. J., & Bockting, W. O. (2018). Healthcare experiences among young adults who identify as genderqueer or nonbinary. LGBT Health, 5(3), 191–196.

    Article  PubMed  PubMed Central  Google Scholar 

  • Martell, B. N., Garrett, B. E., & Caraballo, R. S. (2016). Disparities in adult cigarette smoking—United States, 2002–2005 and 2010–2013. MMWR Morbidity Mortality Weekly Report, 65(30), 753–758.

    Article  PubMed  Google Scholar 

  • Martinez, O., Wu, E., Sandfort, T., Dodge, B., Carballo-Dieguez, A., Pinto, R., … Chavez-Baray, S. (2015). Evaluating the impact of immigration policies on health status among undocumented immigrants: A systematic review. Journal of Immigrant and Minority Health, 17(3), 947–970.

    Article  Google Scholar 

  • National Center for Transgender Equality. (2012). Injustice at every turn: A look at Latino/a respondents in the national transgender discrimination survey. Washington, DC: National Center for Transgender Equality.

    Google Scholar 

  • Newlin Lew, K., Dorsen, C., Melkus, G. D., & Maclean, M. (2018). Prevalence of obesity, prediabetes, and diabetes in sexual minority women of diverse races/ethnicities: Findings from the 2014–2015 BRFSS surveys. Diabetes Education, 44(4), 348–360.

    Article  Google Scholar 

  • Newport, F. (2018). In the U.S., estimate of LGBT population rises to 4.5% (pp. Available at: https://news.gallup.com/poll/234863/estimate-lgbt-population-rises.aspx). Gallup.

  • Nuttbrock, L., Hwahng, S., Bockting, W., Rosenblum, A., Mason, M., Macri, M., & Becker, J. (2009). Lifetime risk factors for HIV/sexually transmitted infections among male-to-female transgender persons. Journal of Acquired Immune Deficiency Syndrome, 52(3), 417–421.

    Google Scholar 

  • O’Brien, M. C., McCoy, T. P., Champion, H., Mitra, A., Robbins, A., Teuschlser, H., … DuRant, R. H. (2006). Single question about drunkenness to detect college students at risk for injury. Academic Emergency Medicine, 13(6), 629–636.

    Article  PubMed  Google Scholar 

  • O’Donnell, S., Meyer, I. H., & Schwartz, S. (2011). Increased risk of suicide attempts among Black and Latino lesbians, gay men, and bisexuals. American Journal of Public Health, 101(6), 1055–1059.

    Article  PubMed  PubMed Central  Google Scholar 

  • Office on Smoking and Health, N. C. f. C. D. P. a. H. P. (2018). Hispanics/Latinos and tobacco use (Vol. Available at: https://www.cdc.gov/tobacco/disparities/hispanics-latinos/index.htm). Atlanta, GA: Centers for Disease Control and Prevention.

  • Page, M. (2017). Forgotten youth: Homeless LGBT youth of color and the Runaway and Homeless Youth Act. Northwestern Journal of Law & Social Policy, 12(2), 17–45.

    Google Scholar 

  • Quinn, G. P., Sanchez, J. A., Sutton, S. K., Vadaparampil, S. T., Nguyen, G. T., Green, B. L., … Schabath, M. B. (2015). Cancer and lesbian, gay, bisexual, transgender/transsexual, and queer/questioning (LGBTQ) populations. CA: A Cancer Journal for Clinicians, 65(5), 384–400.

    Google Scholar 

  • Rapues, J., Wilson, E. C., Packer, T., Colfax, G. N., & Raymond, H. F. (2013). Correlates of HIV infection among transfemales, San Francisco, 2010: Results from a respondent-driven sampling study. American Journal of Public Health, 103(8), 1485–1492.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ream, G. L. (2014). Homeless lesbian, gay, bisexual and transgender (LGBT) youth in New York City: Insights from the field. Child Welfare, 93(2), 7–22.

    Google Scholar 

  • Rhodes, S. D. (2014). Authentic engagement and community-based participatory research for public health and medicine. In S. D. Rhodes (Ed.), Innovations in HIV prevention research and practice through community engagement (pp. 1–10). New York, NY: Springer.

    Google Scholar 

  • Rhodes, S. D., Alonzo, J., Mann Jackson, L., Tanner, A. E., Vissman, A. T., Martinez, O., … Reboussin, B. A. (2018). Selling the product: Strategies to increase recruitment and retention of Spanish-speaking Latinos in biomedical research. Journal of Clinical and Translational Science, 2(3), 147–155.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rhodes, S. D., Alonzo, J., Mann, L., Song, E., Tanner, A. E., Arellano, J. E., … Painter, T. M. (2017). Small-group randomized controlled trial to increase condom use and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men. American Journal of Public Health, 107(6), 969–976.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rhodes, S. D., Leichliter, J. S., Sun, C. J., & Bloom, F. R. (2016). The HoMBReS and HoMBReS Por un Cambio interventions to reduce HIV disparities among immigrant Hispanic/Latino men. MMWR. Morbidity and Mortality Weekly Report, 65(1), 51–56.

    Google Scholar 

  • Rhodes, S. D., Mann, L., Alonzo, J., Downs, M., Abraham, C., Miller, C., … Reboussin, B. A. (2014). CBPR to prevent HIV within ethnic, sexual, and gender minority communities: Successes with long-term sustainability. In S. D. Rhodes (Ed.), Innovations in HIV prevention research and practice through community engagement (pp. 135–160). New York, NY: Springer.

    Google Scholar 

  • Rhodes, S. D., Mann, L., Simán, F. M., Song, E., Alonzo, J., Downs, M., … Hall, M. A. (2015). The impact of local immigration enforcement policies on the health of immigrant Hispanics/Latinos in the United States. American Journal of Public Health, 105(2), 329–337.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rhodes, S. D., Martinez, O., Song, E. Y., Daniel, J., Alonzo, J., Eng, E., … Reboussin, B. (2013). Depressive symptoms among immigrant Latino sexual minorities. American Journal of Health Behavior, 37(3), 404–413.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rhodes, S. D., McCoy, T. P., Hergenrather, K. C., Vissman, A. T., Wolfson, M., Alonzo, J., … Eng, E. (2012). Prevalence estimates of health risk behaviors of immigrant Latino men who have sex with men. Journal of Rural Health, 28(1), 73–83.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rhodes, S. D., Tanner, A. E., Mann-Jackson, L., Alonzo, A., Simán, F. M., Song, E. Y., … Aronson, R. E. (2018). Promoting community and population health in public health and medicine: A stepwise guide to initiating and conducting community-engaged research. Journal of Health Disparities Research and Practice, 11(3), 16–31.

    Google Scholar 

  • Rhodes, S. D., Tanner, A. E., Mann-Jackson, L., Alonzo, J., Horridge, D. N., Van Dam, C. N., … Andrade, M. (2018). Community-engaged research as an approach to expedite advances in HIV prevention, care, and treatment: A call to action. AIDS Education and Prevention, 30(3), 243–253.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rosario, M., Corliss, H. L., Everett, B. G., Reisner, S. L., Austin, S. B., Buchting, F. O., & Birkett, M. (2014). Sexual orientation disparities in cancer-related risk behaviors of tobacco, alcohol, sexual behaviors, and diet and physical activity: pooled Youth Risk Behavior Surveys. American Journal of Public Health, 104(2), 245–254.

    Google Scholar 

  • Russell, S. T., & Fish, J. N. (2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annual Review of Clinical Psychology, 12, 465–487.

    Article  PubMed  PubMed Central  Google Scholar 

  • Thoreson, R. (2018). “All We Want is Equality”: Religious exemptions and discrimination against LGBT people in the United States. New York, NY: Human Rights Watch.

    Google Scholar 

  • Tilcsik, A. (2011). Pride and prejudice: Employment discrimination against openly gay men in the United States. American Journal of Sociology, 117(2), 586–626.

    Article  Google Scholar 

  • Toomey, R. B., Syvertsen, A. K., & Shramko, M. (2018). Transgender adolescent suicide behavior. Pediatrics, 142(4), e20174218.

    Article  PubMed  PubMed Central  Google Scholar 

  • United States Government Accountability Office. (2013). Immigration detention: Additional actions could strengthen DHS efforts to address sexual abuse. Washington, DC: United States Government Accountability Office.

    Google Scholar 

  • VanKim, N. A., Erickson, D. J., Eisenberg, M. E., Lust, K., Simon Rosser, B. R., & Laska, M. N. (2014). Weight-related disparities for transgender college students. Health Behavior Policy Review, 1(2), 161–171.

    Article  PubMed  Google Scholar 

  • Wolfson, M., Wagoner, K. G., Rhodes, S. D., Egan, K. L., Sparks, M., Ellerbee, D., … Yang, E. (2017). Coproduction of research questions and research evidence in public health: The study to prevent teen drinking parties. Biomed Research International, 2017, 3639596.

    Google Scholar 

  • Yamanis, T. J., Zea, M. C., Rame Montiel, A. K., Barker, S. L., Diaz-Ramirez, M. J., Page, K. R., … Rathod, J. (2018). Immigration legal services as a structural HIV intervention for Latinx sexual and gender minorities. Journal of Immigrant & Minority Health, Nov, 1–8.

    Google Scholar 

  • Ylitalo, K. R., Lee, H., & Mehta, N. K. (2013). Health care provider recommendation, human papillomavirus vaccination, and race/ethnicity in the US National Immunization Survey. American Journal of Public Health, 103(1), 164–169.

    Article  PubMed  PubMed Central  Google Scholar 

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Rhodes, S.D. et al. (2020). The Health and Well-Being of Latinx Sexual and Gender Minorities in the USA: A Call to Action. In: Martínez, A., Rhodes, S. (eds) New and Emerging Issues in Latinx Health. Springer, Cham. https://doi.org/10.1007/978-3-030-24043-1_10

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