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1.
J Health Care Poor Underserved ; 35(2): 731-742, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38828592

RESUMEN

Despite facing many social and structural challenges inside and outside of health systems, transgender and gender diverse (TGD) Brazilian immigrants in the U.S. are understudied, and their barriers to care are largely unnamed. In this commentary, we build on existing literature and our experiences at a safety-net community health system that sees a high volume of Brazilian patients to discuss challenges facing TGD Brazilian immigrant populations. We highlight that while Brazilian TGD populations face discrimination in Brazil, major challenges persist upon immigrating to the U.S., and include: difficulty updating identity documents and changing immigration status, barriers seeking general and specialized health care (including finding bilingual and bicultural providers), challenges navigating complex health and insurance systems, and a lack of community supports. We end by recommending more coordinated efforts between health care and community organizations to help ensure the health and wellness of TGD Brazilian immigrants in the United States.


Asunto(s)
Accesibilidad a los Servicios de Salud , Personas Transgénero , Humanos , Brasil , Personas Transgénero/estadística & datos numéricos , Personas Transgénero/psicología , Estados Unidos , Femenino , Masculino , Emigrantes e Inmigrantes/estadística & datos numéricos
2.
J Health Care Poor Underserved ; 35(1): 37-54, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38661858

RESUMEN

The COVID-19 pandemic disproportionately affected populations that were already facing socioeconomic disadvantages and limited access to health care services. The livelihood of millions was further compromised when strict shelter-in-place measures forced them out of their jobs. The way that individuals accessed food during the early stages of the COVID-19 pandemic drastically changed as a result of declines in household income, food chain supply disruptions, and social distance measures. This qualitative study examined the food access experiences of participants enrolled in a safety-net health care system-based, free, monthly fruit and vegetable market in the Metro Boston area during the first six months of the COVID-19 pandemic. The findings offer rich qualitative information to understand the financial repercussions of the pandemic on food access.


Asunto(s)
COVID-19 , Abastecimiento de Alimentos , Investigación Cualitativa , Proveedores de Redes de Seguridad , Humanos , COVID-19/epidemiología , COVID-19/prevención & control , Boston/epidemiología , Femenino , Masculino , Adulto , Persona de Mediana Edad , Accesibilidad a los Servicios de Salud , Anciano
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