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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.
Abstract:
The health challenges faced by Asian/American LGBTQ + people remain vastly underexplored and undertheorized due to the limitations of existing theoretical frameworks in capturing the complex interplay of historical, cultural, and social determinants of this population. This article introduces the Asian/American LGBTQ + Migration and Health Equity (AQMHE) Framework. The AQMHE Framework integrates insights from intersectionality, minority stress theory, Asian critical race theory, and critical refugee studies with queer and trans of color critiques, aiming to provide an anti-colonial sociohistorical understanding of Asian/American LGBTQ + health inequities. Central to this framework is the recognition of the interconnected impacts of colonial legacies, pre- and post-migration experiences, and systemic exclusions that shape the mental and physical health outcomes of this population. By emphasizing the intersection of structural, distal, and internalized factors, the AQMHE Framework offers a transdisciplinary approach to reimagining public health research and practice. It foregrounds the role of intergenerational trauma and data disaggregation in understanding subgroup-specific challenges, advocating for structurally and community-driven responsive interventions. The AQMHE Framework seeks to guide future research, policymaking, and healthcare practices by centering the experiences and survivance strategies of Asian/American LGBTQ + people.
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