Hmong LGBTQIA group formed and organized support groups for Hmong LGBTQIA people, and founder Dee Lee participated in the 2016 The Asian Pacific Islander Queer Sacramento Coalition conference. Sexual health is critical to the LGBTQ+ Hmong community as it is for the general Southeast Asian (SEA) community throughout the country. Sexual education and awareness, as well as education regarding online sex culture, is recommended when considering sexual health. Mental health Compared to other Southeast Asian refugees in America, Hmong refugees have the highest rates of mental health disorders, with an overall mental illness incidence rate at around 33.5%. This mental health problem has been attributed to traumatic past experiences and problems adjusting to life in the United States. Gender roles play an integral factor for the mental health of Hmong women. Gender construct of Hmong women, traditionally, socially and politically, have historically been oppressive and marginalizing. Even in traditional Hmong cloth (paj ntaub) and folklore (dab neej) Hmong gender roles are concretely sewn and told, and repeated. Misogyny and patriarchy in the Hmong community is present to this day which calls for Hmong women empowerment initiatives throughout the United States. In religious and traditional Hmong families the subject of mental health is taboo because of Shamanism, with the belief that remedy to health is through communication and exchanges with spirits. Through spiritual ceremonies, overall health is remedied, not through health facilities or specialists, not through science. In addition, LGBTQ+ Hmong individuals struggle with mental health due to the lack of education and attention on mental health in Hmong communities, deals with depression, anxiety, substance abuse, and suicide. Health disparities In other aspects of health, like cancer, Hmong Americans have the highest cancer mortality rates compared to other Asian American groups. Low cancer screenings and lack of interventions to address stigma of utilizing public health services are among some reasons for this trend. Access to education can help with increasing health practices like receiving a Pap test for cervical cancer screening. A Patient Navigation Program implemented in San Francisco for Hmong Americans led to a 38% increase in Pap test participation, highlighting progress made in increasing participation via education. A cross-sectional study of 168 immigrant Hmong Americans found that half of them reported not understanding health information. Factors like acculturation and number of years in the US were positively correlated with health literacy rate, and lower health literacy rates were associated