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It is important to be aware of the potential impact both of migration as a stressor and also leading to long-term physical changes related to changes in diet and lifestyle. Migrants' health is important at all levels, including the community of origin, transit and destination, and also includes periodical migration as well as permanent migration. The relationship between population migration and the emergence of previously unknown diseases such as HIV or SARS, as well as the re-emergence of known diseases such as tuberculosis and malaria, is increasingly being recognised as a major health problem. Medically unexplained symptoms (MUS) are one of the most commonly presenting quagmires in medical practice. Migrant populations have undergone a change in their sociocultural and physical environment, which has led to a corresponding change in risk for different cancers. Addressing migrant health provides certain benefits to the host societies.
Lesbians, gays, bisexual and transgender (LGBT) individuals have specific problems related to migration, adjustment and acculturation. In this chapter, the process of coming out and related issues, homophobia and heterosexism and bi-negativity are highlighted. It attempts to link these attitudes with migratory and post-migratory experiences, and explores specific issues in managing LGBT individuals. The number of LGBT individuals migrating and/or seeking refuge or asylum will vary according to a number of factors. In addition to the usual factors affecting migrants, there are specific complicating factors related to sexual identity. LGBT individuals may or may not feel comfortable with their own sexual identity, which will be influenced by social, biological and cultural factors. Coming out is described as the cultural process of gay existence. Homophobia is a term used to describe anti-homosexual feelings related to prejudice and negative attitudes expressed by individuals against gays and lesbians.
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