Abstract

Introduction

Latinx transgender people who are also immigrants experience barriers to health services and comprise a marginalized group at risk for poor mental health. Greater understanding of transgender Latinx immigrants’ health needs and experiences with the U.S. healthcare system is needed to improve their access to health services.

Methods

We conducted in-depth interviews with a purposive sample of transgender Latina immigrants (n = 10) in the Seattle, WA area. Analysis of the qualitative data involved a data-reduction process in which emergent themes were identified and coded to yield a set of core themes.

Results

Analyses revealed that Latinx transgender immigrants experience multiple levels and forms of rejection and discrimination depending on their contexts and the spaces they navigate. These experiences highlighted how participants confront frequent shifts in privilege and oppression, which shaped their access to health and mental health services.

Conclusions

Efforts to develop linguistically and culturally appropriate health and mental health services for the Latinx transgender immigrant community must take into account the multiple contexts and communities that they inhabit. Strategies to enhance the health of transgender Latinx ­immigrants should also harness the unique strengths and resilience of the community.

中文翻译：

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“他们已经因为我们是移民而憎恨我们，现在又因为我们是跨性别者而憎恨我们——我们要加倍努力”：一项关于美国跨性别拉丁裔移民获得医疗服务的障碍的定性研究

 抽象的

 介绍

同时也是移民的拉丁裔跨性别者在获得医疗服务方面遇到障碍，并且是面临心理健康状况不佳风险的边缘群体。需要更多地了解跨性别拉丁裔移民的健康需求和美国医疗保健系统的经验，以改善他们获得医疗服务的机会。

 方法

我们对华盛顿州西雅图地区的跨性别拉丁裔移民样本（n = 10）进行了深入访谈。定性数据的分析涉及数据缩减过程，其中对新兴主题进行识别和编码以产生一组核心主题。

 结果

分析显示，拉丁裔跨性别移民根据他们的背景和所处的空间，经历了多种程度和形式的拒绝和歧视。这些经历凸显了参与者如何面对特权和压迫的频繁转变，这影响了他们获得健康和心理健康服务的机会。

 结论

为拉丁裔跨性别移民社区开发语言和文化上适当的健康和心理健康服务的努力必须考虑到他们居住的多种背景和社区。增强跨性别拉丁裔移民健康的战略还应该利用社区的独特优势和适应力。