Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.


No Borders for Those Who Fight

"Não há fronteiras para os que exploram… não deve haver para os que lutam”—there are no borders for those who explore… there should not be for those who fight. This powerful statement was the rallying cry of representatives from dozens of waste picker organizations to the 2nd Latin American Congress. The gathering, held in 2005 in São Leopoldo, Brazil, unified a collection of marginalized peoples into a single voice calling for an end to ...

Black Birthing Persons Matter—All of Them

A Black trans dad, Kayden Coleman shares his clinical experience during his two pregnancies. He recounts horrible encounters with gestational care providers, such as being offered an abortion a “ridiculous” number of times, misgendered by physicians, virtually forgotten during his postpartum period, and even turned away from care.

Menstrual Justice Is a Matter of Health Equity: How to Fight Period Poverty and Stigma

While assisting patients in the Emergency Department (ED) one morning, I met a patient I’ll refer to as Mary. When I walked in, she was hunched over the edge of the bed, gripping her abdomen in distress. As I approached her, asking how I could make her more comfortable, she sat up slightly. She sounded ashamed as she opened up to me about not having access to menstrual products and unexpectedly starting her period while waiting in ...

Health Equity & Reproductive Justice: Transforming Perinatal Care Now

Drug-involved fatal poisonings for 2020 are expected to reach over

Men and Primary Care: Removing the Barriers

A recent study of British dental patients found that men are more likely than women to be hospitalized due to severe dental disease. Why? Because men delay seeking help at earlier disease stages when their condition would be easier to treat. While it’s a myth to assume that all or even most men do not use, or largely avoid, primary care, there is nevertheless good evidence that services are under-utilized by many. In one Australian study,

Well-Being of LGBTQI+ People in the United States Today

More than 11 million lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) people live in the United States today, but we know far too little about their overall health and well-being. For LGBTQI+ people, we do know that some aspects of life are better than they once were. Whereas LGBTQI+ people were once viewed negatively by many ...

COVID-19 Magnifies Existing Inequities Faced by Transgender and Gender-Expansive Communities

As COVID-19 devastates lives throughout the world, the inequities experienced by transgender and gender-diverse individuals have become further illuminated. The ...

LGBTQ Youth Face Unique Challenges Amidst COVID-19

The physical toll of the COVID-19 pandemic is tangible, though its impact on mental health is just starting to be understood—and this includes the mental health impact on LGBTQ youth. At baseline, LGBTQ youth are more than four times as likely to attempt suicide compared ...

The State of the South

I refuse to write another state of emergency article. I have no more words to say about the epidemic of anti-Black violence and white supremacy’s murderous impact on Black bodies. I’ve lost count of how many names we’ve typed of siblings murdered by police officers. We’ve screamed at our computer screens about the disproportionate impact of COVID-19 on Black communities, and for so ...
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