Public health has expanded health disparities research to include the importance of mental health. Minority stress theory provides a framework for contextualizing these disparities. Queer people of color (QPOC), who are studied far less often than other marginalized groups, face unique distal and proximal stressors as a consequence of their social location. Historically, the healthcare system has served as a conduit for these stressors, with bias and discrimination occurring at interpersonal and structural levels. The Patient Protection and Affordable Care Act (ACA) served to lessen the stressful impact of the healthcare system, specifically by improving access to mental health services for people of color and queer people. The authors utilize a minority stress framework to present information about the separate mental health access gains for people of color and LGBT people and hypothesize about how these gains affect QPOC. This study then uses these gains to frame a discussion about the positive impact of the ACA and discusses the disproportionate impact that repeal of such policy gains could have on the well‐being of QPOC.

中文翻译：

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废除平价医疗法案的批评：对有色人种的启示

公共卫生扩大了健康差异研究，以涵盖精神卫生的重要性。少数群体压力理论提供了一个框架，可以将这些差异作为背景。有色人种（QPOC）的研究程度远低于其他边缘化群体，由于他们的社交位置，他们面临着独特的远端和近端压力源。从历史上看，医疗保健系统一直是这些压力源的管道，在人际和结构层面都存在偏见和歧视。《患者保护和负担得起的护理法案》（ACA）减轻了医疗保健系统的压力，特别是通过改善有色人种和酷儿提供心理健康服务的机会。作者利用少数群体压力框架来呈现有关有色人种和LGBT人分别获得心理健康的收益的信息，并假设这些收益如何影响QPOC。然后，本研究将利用这些收益来构架有关ACA的积极影响的讨论，并讨论废除此类政策收益可能对QPOC的福祉产生不成比例的影响。