Healthcare and Social Services Providers Who Serve Sexual and Gender Minorities in a U.S.-Mexico Border City

J Immigr Minor Health. 2018 Dec;20(6):1537-1540. doi: 10.1007/s10903-018-0688-7.


Sexual and gender minorities, including lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, experience barriers to healthcare as a result of stigma, discrimination, and poor cultural competence by healthcare and social services providers (HCSSP). The purpose of the study is to increase access to care and services for the LGBTQ community in a U.S.-Mexico border city by identifying LGBTQ-friendly HCSSP. A survey, developed based on concerns voiced in a predominantly Hispanic LGBTQ community, was administered to HCSSP and used to create a referral list, "The Purple Pages of El Paso" (PPoEP). Overall, 77 HCSSP have responded and 43 are included in the most recent version of the PPoEP. This model for developing a referral list of providers can be adapted in areas where LGBTQ communities face similar barriers to care and services. To be effective in reducing barriers to care, PPoEP must be updatable and sustainable.

Keywords: Community-based participatory research; Cultural competence; Healthcare and social service providers; Hispanic populations; LGBT health; Sexual and gender minorities.

MeSH terms

  • Community-Based Participatory Research
  • Cultural Competency
  • Female
  • Health Personnel / psychology*
  • Health Services Accessibility / organization & administration*
  • Hispanic or Latino*
  • Humans
  • Male
  • Qualitative Research
  • Referral and Consultation / organization & administration*
  • Sexual and Gender Minorities*
  • Social Stigma
  • Social Workers / psychology*
  • Texas