Factors Associated with Transgender-Based Discrimination Among Travestis and Transgender Women in Rio de Janeiro, Brazil.
Autor: | Razek L; Department of Biology, McGill University, Montréal, Canada., Henry RS; Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, Canada.; Department of Psychiatry, McGill University, Montréal, Canada., Jalil EM; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., Friedman RK; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., Derrico M; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., Fernandes B; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., Moura I; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., Veloso VG; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., Grinsztejn B; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil., Thombs BD; Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, Canada.; Department of Psychiatry, McGill University, Montréal, Canada., Luz PM; Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. |
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Jazyk: | angličtina |
Zdroj: | Transgender health [Transgend Health] 2024 Dec 16; Vol. 9 (6), pp. 582-590. Date of Electronic Publication: 2024 Dec 16 (Print Publication: 2024). |
DOI: | 10.1089/trgh.2023.0002 |
Abstrakt: | Purpose: Transgender-based discrimination is associated with poor mental health, unemployment, and poverty. Travestis and transgender women (trans women) frequently experience transgender-based discrimination, but associated factors are understudied. Our objective was to identify the factors associated with transgender-based discrimination among trans women from Brazil. Methods: We used data from Transcendendo, a clinic-based cohort of trans women in Rio de Janeiro, Brazil. Eligible participants were ≥18 years old, assigned male sex at birth, and self-identified as travestis , transgender women, or other trans feminine identities. We analyzed baseline data for participants enrolled from August 2015 to March 2020. Face-to-face questionnaires collected data on socio-demographics, gender identity and expression, and transgender-based discrimination experience. Factors associated with transgender-based discrimination were evaluated through multivariable linear regression. Results: Out of the 587 participants, 559 (95%) were included (28 excluded due to missing data). Mean age was 33 years, the majority identified as transgender women (40%), 71% reported current or past sex work, and 43% self-reported as living with HIV. In multivariable regression models, factors significantly associated with transgender-based discrimination included having no supporting or one supporting parental figure (vs. support from both parents), living in poverty (vs. not), and current and past sex work (vs. never). Conclusions: Trans women without family support, who engaged in sex work or were economically deprived were more prone to transgender-based discrimination. A lack of parental support, the strongest independent predictor of transgender-based discrimination experiences, likely contributes to emotional and structural vulnerabilities. (Copyright 2024, Mary Ann Liebert, Inc., publishers.) |
Databáze: | MEDLINE |
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