“…Social determinants of health such as limited access to affordable health U.S. Immigration and Citizenship Services, 2020) or child care, language barriers, challenges navigating health-care systems, limited health literacy, discordant beliefs about health and illness, profound distrust of the health-care system, gender and ethnocultural incongruence between patients and providers, experiences of discrimination, microaggressions and implicit bias, as well as providers' lack of knowledge, confidence and cultural sensitivity in caring for FGC-affected populations, further compound distrust and fear due to the political environment (Dawson, Homer, Turkmani, Black, & Varol, 2015;Degni, Suominen, Essén, El Ansari, & Vehviläinen-Julkunen, 2012;Essén et al, 2000Essén et al, , 2011Evans et al, 2019b;Herrel et al, 2004;Johnsdotter, 2019;Johnson, Reed, & Batra, 2005;Lane et al, 2019;Lazar et al, 2013;Moxey & Jones, 2016;Pavlish, Noor, & Brandt, 2010;Relph, Inamdar, Singh, & Yoong, 2012;Smith & Stein, 2017;Sureshkumar et al, 2016;Tracy, 2007;Turkamani et al, 2019). A cross-sectional study in Oslo, Norway, found that only 20% of Somali migrants sought health care for FGCrelated concerns (Mbanya, Gele, Diaz, & Kumar, 2018).…”