Lesbian, gay, bisexual, transgender, queer, intersex and additional sexual and gender minority (LGBTQI+) people in every region of the world face marginalization and oppression. At least 67 countries ban sexual conduct between consenting adults of the same sex. According to a report from the United Nations High Commissioner for Refugees on LGBTQI+ people in forced displacement and statelessness, regressive laws that foster hostile environments for LGBTQI+ persons will most likely result in increasing numbers of such people fleeing their home countries and seeking sanctuary elsewhere.
and asylum-seekers often choose to migrate to countries with laws that explicitly protect their rights."The journey to destinations perceived as safe can be perilous for LGBTQI+ migrants and asylum-seekers and reception in those countries can also result in further trauma and human rights violations. Consequently,need to be prepared to assess these unique stressors and how they affect the health of their refugee and asylum-seeking patient population," say Carl G. Streed, Jr.
"Through documentation of these issues at the individual and clinic-level, the picture of what LGBTQI+ individuals and communities face emerges," say Streed and Kimball, who are the research lead for the GenderCare Center and Director of the Immigrant & Refugee Health Center at Boston Medical Center, respectively.
In the context of rising anti-LGBTQI+ interpersonal violence and legislative hostility, the health care setting can serve as a safe and reparative space for refugees and asylum-seekers according to Streed and Kimball."Beyond individual clinician training and
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