Journal of General Internal Medicine

, Volume 32, Issue 12, pp 1390–1395 | Cite as

High Stakes for the Health of Sexual and Gender Minority Patients of Color

  • Judy Y. Tan
  • Arshiya A. Baig
  • Marshall H. Chin


As clinicians, educators, and researchers, our ability to provide the best possible care to our patients who are sexual and gender minority (SGM) people of color is increasingly challenged. Relative to the general population, SGM patients often have worse health outcomes, and among SGM patients, racial and ethnic minorities are particularly vulnerable. Healthcare policies proposed by the current administration, along with an increasingly hostile and dangerous social climate, have the potential to seriously harm SGM patients of color. In this paper, we discuss these key policy issues impacting the health of SGM patients of color. We then suggest questions for clinicians to consider to help them decide which advocacy activities are right for them, recommending self-examination, skills development, and political action. We end by outlining concrete, actionable steps to advocate for SGM patients of color in patient care, healthcare organizations, medical education, research, and public policy.



We would like to thank Alison El Ayadi, the K-Scholars Program, Daryl A. Mangosing, and our many colleagues from UCSF for their comments on versions of this manuscript, and our many colleagues at the University of Chicago for their review of earlier versions of the tables.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Society of General Internal Medicine 2017

Authors and Affiliations

  • Judy Y. Tan
    • 1
  • Arshiya A. Baig
    • 2
  • Marshall H. Chin
    • 2
  1. 1.Division of Prevention Science, Department of MedicineUniversity of California San FranciscoSan FranciscoUSA
  2. 2.Department of MedicineUniversity of ChicagoChicagoUSA

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