Assistant Professor, School of Social Work, The University of British Columbia, Vancouver, BC.
Associate Professor, Department of Sociology and Social Anthropology, Department of English, Dalhousie University, Halifax, NS.
Healthc Pap. 2024 Apr;22(1):9-25. doi: 10.12927/hcpap.2024.27390.
Two-Spirit, lesbian, gay, bisexual, transgender, queer and other sexual and gender minority (2S/LGBTQ+) populations continue to experience profound health disparities. In this article, we prioritize five issues in 2S/LGBTQ+ health equity and discuss policy interventions to address disparities in each area: (1) poverty in 2S/LGBTQ+ communities; (2) Two-Spirit mental health; (3) health equity issues in migrant and racialized LGBTQ+ populations; (4) challenges in implementing bans on conversion therapy; and (5) the evolving context of gender-affirming care. Multi-level policy interventions, including those in healthcare-adjacent contexts such as housing and immigration, will be critical to address the structural undercurrents driving health inequities for 2S/LGBTQ+ populations. Recognizing growing complexity and political volatility in the lives of 2S/LGBTQ+ people across Canada, we challenge healthcare policy actors to recognize the breadth of structural barriers to 2S/LGBTQ+ health equity issues and act with urgency in this area.
双灵人、女同性恋、男同性恋、双性恋、跨性别、酷儿和其他性与性别少数群体（2S/LGBTQ+）持续面临严重的健康不平等问题。本文将优先讨论 2S/LGBTQ+健康公平中的五个问题，并讨论针对每个领域的政策干预措施：（1）2S/LGBTQ+社区的贫困问题；（2）双灵人的心理健康问题；（3）移民和种族化 LGBTQ+群体中的健康公平问题；（4）实施禁止转换疗法的挑战；（5）性别肯定护理的不断发展背景。多层次的政策干预措施，包括医疗保健相关领域（如住房和移民）的干预措施，对于解决 2S/LGBTQ+群体健康不平等的结构性暗流至关重要。鉴于加拿大 2S/LGBTQ+人群的生活日益复杂和政治动荡，我们呼吁医疗保健政策制定者认识到实现 2S/LGBTQ+健康公平的结构性障碍的广泛性，并在这一领域采取紧急行动。
