title: Challenges, health implications, and advocacy opportunities for lesbian, gay, bisexual, and transgender global health providers.
abstract: In this commentary, I reflect on challenges with conducting global health research internationally as a lesbian, gay, bisexual, and transgender (LGBT) person, grapple with decisions related to coming out in regions with anti-LGBT laws, and outline the risks and benefits of different advocacy options related to the promotion of LGBT health globally. Despite significant advances in LGBT rights in many countries, homosexuality remains illegal in many others. Using a critical medical anthropology framework, I argue that anti-LGBT laws constitute structural violence and have many detrimental consequences including discrimination and violence; poorer mental and physical health outcomes; and risky sexual behaviors. As a global health provider, there are many options for the promotion of LGBT health worldwide.
authors.affiliation: Department of Pediatrics, Stanford University, Palo Alto, CA, USA.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Nagata
mesh_terms: D005260:Female; D014943:Global Health; D006291:Health Policy; D006806:Human Rights / Q000331:legislation & jurisprudence*; D006801:Humans; D008297:Male; D008603:Mental Health; D063505:Racism / Q000523:psychology*; D063106:Transgender Persons / Q000523:psychology*
keywords: LGBT health; global health; globalization; human rights; same-sex marriage