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The Asian/American LGBTQ+ Migration and Health Equity (AQMHE) Framework
James Huynh1, Nguyen Khai Tran2, Arjee J Restar3
1Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Social Science & Medicine (1982)
|July 8, 2026
Summary
This study introduces the Asian/American LGBTQ+ Migration and Health Equity (AQMHE) Framework to address health disparities. The framework integrates multiple theories to understand the unique sociohistorical factors impacting Asian/American LGBTQ+ health.
Area of Science:
- Public Health
- Sociology
- Health Equity
Background:
- Existing frameworks inadequately address health challenges of Asian/American LGBTQ+ individuals.
- Complex interplay of historical, cultural, and social determinants requires novel theoretical approaches.
Purpose of the Study:
- Introduce the Asian/American LGBTQ+ Migration and Health Equity (AQMHE) Framework.
- Provide an anti-colonial, sociohistorical understanding of health inequities in this population.
- Guide future research, policy, and practice.
Main Methods:
- Integrates intersectionality, minority stress theory, Asian critical race theory, critical refugee studies, and queer/trans of color critiques.
- Emphasizes interconnected impacts of colonial legacies, migration experiences, and systemic exclusions.
- Focuses on structural, distal, and internalized factors, intergenerational trauma, and data disaggregation.
Main Results:
- The AQMHE Framework offers a transdisciplinary approach to understanding health inequities.
- Highlights the role of intergenerational trauma and the need for subgroup-specific data.
- Recognizes the interconnectedness of colonial legacies and migration on health outcomes.
Conclusions:
- The AQMHE Framework provides a comprehensive model for addressing Asian/American LGBTQ+ health disparities.
- Advocates for structurally and community-driven interventions.
- Centers the experiences and resilience of Asian/American LGBTQ+ people.
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