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In the United States, lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals experience a preponderance of health disparities. 1 These health challenges are predicated on the chronic marginalization and discrimination, 2, 3 some of which are state sanctioned, 4, 5 experienced by the population, coupled with a health care a Center for Health, Identity, Behavior & Prevention Studies, Rutgers School of Public Health, One Riverfront Plaza, Newark, NJ 07102, USA; b Department of Biostatistics, Rutgers School of Public Health, 683 Hoes Lane West, Piscataway, NJ 08854, USA; c Department of Urban-Global Health, Rutgers School of Public Health, 683 Hoes Lane West, Piscataway, NJ 08854, USA; d Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, New Haven, CT 06510, USA; e Center for Interdisciplinary Research on AIDS, Yale University, 135 College …