Abstract Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) youth are at an increased risk for social isolation and family rejection. This is particularly true in African American communities where there is an increased lack of social support and acceptance for LGBTQ youth from their biological families, communities, churches, schools and healthcare systems. To counteract the social isolation and develop a sense of community, African American LGBTQ youth often form chosen or created families, with peers and older LGBTQ persons that mimic nuclear family structures, to cope with rejection at home and in their communities. These resilient social networks are created with varying sets of rules and relationship dynamics that may directly impact the social determinants of health among this community. The purpose of this manuscript is to systematically review the literature on African American LGBTQ youth and created families and identify patterns about the unique experiences of African LGBTQ youth who participate in these systems.

中文翻译：

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我们是家庭：选择和创造家庭，作为针对非裔美国性和性别少数族裔的种族创伤和抗LGBTQ压迫的保护因素

摘要女同性恋，男同性恋，双性恋，变性者和同性恋者（LGBTQ）青年处于社会孤立和家庭排斥的风险增加。在非裔美国人社区中尤其如此，那里的LGBTQ青年越来越缺乏来自其生物家庭，社区，教堂，学校和医疗保健系统的社会支持和接受。为了消除社会孤立感并增强社区意识，非洲裔美国人的LGBTQ青年经常与模仿核家庭结构的同龄人和年龄较大的LGBTQ人组成被选择或创建的家庭，以应对家庭和社区的排斥。这些弹性的社交网络是由各种规则和关系动态创建的，这些规则和关系动态可能会直接影响该社区中健康的社会决定因素。