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Macro-level (distal) stressors, such as discriminatory funding cuts, institutional censorship, and sociopolitical hostility interact with proximal stressors (i.e., expectations of rejection, concealment, internalized stigma, and moral injury) to undermine trainee retention. Without mitigation strategies\u2014such as enhanced structural support\u2014these compounded stressors could cause a significant loss to the public health infrastructure and workforce.<\/jats:p>","DOI":"10.1177\/23258292261454728","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T13:33:37Z","timestamp":1781098417000},"page":"269-272","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sociopolitical Threats Heighten Minority Stress for Current Sexual and Gender Minority Public Health Trainees in the United States"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4065-1820","authenticated-orcid":false,"given":"Elizabeth A.","family":"Yonko","sequence":"first","affiliation":[{"name":"Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA."},{"name":"UCLA Center for LGBTQ+ Advocacy, Research and Health, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9256-2905","authenticated-orcid":false,"given":"Matthew J.","family":"Mimiaga","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA."},{"name":"UCLA Center for LGBTQ+ Advocacy, Research and Health, Los Angeles, California, USA."},{"name":"Department of Psychiatry and Biobehavioral Sciences, UCLA Geffen School of Medicine, Los Angeles, California, USA."},{"name":"The Fenway Institute, Fenway Health, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2508916"},{"key":"e_1_3_3_3_1","unstructured":"2.Neuman S. 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