LGBTQ1 Latino/a Young People’s Interpretations of Stigma and Mental Health: An Intersectional Minority Stress Perspective Rachel M. Schmitz 1 , Brandon Andrew Robinson 2 , Jennifer Tabler 3 , Brett Welch 4 , and Sidra Rafaqut 5 Abstract Lesbian, gay, bisexual, transgender, and/orqueer (LGBTQ1) young people of color encounter interlocking systems of social prejudice and discrimination. However, little is understood about how subjective mean- ings of perceived structural stigma associated with multiple marginalized social statuses influence mental health. We document how perceived stigma can shape mental health inequalities among multiply margin- alized individuals if they also encounter stigmatizing societal frameworks. Data come from in-depth inter- views with 41 LGBTQ1 Latino/a young adults in the Rio Grande Valley collected from 2016 to 2017. Uti- lizing an intersectional minority stress framework, we qualitatively examine how young people conceptualize structural stigma, their multiple social locations (e.g., sexuality, gender, race/ethnicity, age), and their mental health. Findings highlight how LGBTQ1 Latino/a young adults experience structural racism, gender policing, and anti-LGBTQ1 religious messages in relation to their mental health. This study showcases the importance of an intersectional minority stress framework for documenting processes that can shape mental health inequalities. Keywords LGBTQ1 young adults, Latino/a, structural stigma, mental health, minority stress In the United States, around 7 percent of young adults identify as lesbian, gay, bisexual, transgen- der, and/or queer (LGBTQ1) (Gates 2017), and as LGBTQ1 youth come out earlier, they may man- age social prejudice and discrimination for longer periods of time, often resulting in their dispropor- tionate experiences of adverse mental health outcomes (Hatzenbuehler 2017). Particularly, LGBTQ1 youth of color contend with multiple sources of marginalization and structural stigma—the “societal-level conditions, cultural norms, and institutional practices that constrain the opportunities, resources, and wellbeing for stigmatized populations” (Hatzenbueher and Link 2014: 2). Indeed, the current sociohistorical moment underscores the critical need for 1 Oklahoma State University, Stillwater, OK, USA 2 University of California, Riverside, CA, USA 3 University of Wyoming, Laramie, WY, USA 4 University of Pittsburgh, Pittsburgh, PA, USA 5 University of Texas Rio Grande Valley, Edinburg, TX, USA Corresponding Author: Rachel M. Schmitz, Department of Sociology, Oklahoma State University, 431 Murray Hall, Stillwater, OK 74078, USA. Email: rachel.schmitz@okstate.edu Society and Mental Health 00(0) 1–17 Ó American Sociological Association 2019 DOI: 10.1177/2156869319847248 http://smh.sagepub.com Original Article