Department of Pediatrics, Stanford University, Palo Alto, CA, USA.
Glob Health Promot. 2018 Sep;25(3):70-73. doi: 10.1177/1757975916677504. Epub 2017 Jan 6.
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.
在这篇评论中，我反思了作为一名女同性恋、男同性恋、双性恋和跨性别（LGBT）者在国际上进行全球健康研究所面临的挑战，探讨了在反 LGBT 法律地区出柜的相关决定，并概述了与全球促进 LGBT 健康相关的不同倡导选择的风险和益处。尽管在许多国家 LGBT 权利取得了重大进展，但在许多其他国家，同性恋仍然是非法的。我运用批判医学人类学框架，认为反 LGBT 法律构成了结构性暴力，具有许多有害后果，包括歧视和暴力；更糟糕的心理健康和身体健康结果；以及危险的性行为。作为全球卫生服务提供者，在全球范围内促进 LGBT 健康有许多选择。
