Jessica L Maksut1, Travis H Sanchez2, John Mark Wiginton3, Ayden I Scheim4, Carmen H Logie5, Maria Zlotorzynska2, Carrie E Lyons6, Stefan D Baral6. 1. Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Electronic address: jmaksut1@jhu.edu. 2. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA. 3. Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. 4. Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA. 5. Factor-Inwentash Faculty of Social Work, University of Toronto and Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada. 6. Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Abstract
PURPOSE: The objective of this study is to (1) quantify burden of perceived, anticipated, and enacted gender identity (GI) and sexual behavior (SB) stigmas and (2) explore associations between GI and SB stigmas with key mental health factors among transgender women in the United States. METHODS: We estimated associations between GI and SB stigmas with severe psychological distress, suicidal ideation, and suicide attempt using cross-sectional data from the Transgender Women's Internet Survey and Testing study from March to April, 2019. Modified Poisson regression produced prevalence ratios and 95% confidence intervals for severe psychological distress, suicidal ideation, and suicide attempt with GI and SB stigma items individually, as well as the GI and SB stigma items treated as two scales. RESULTS: Of 381 transgender women, 52% experienced severe psychological distress in the past month, whereas 59.3% and 13.12% reported suicide ideation and attempt in the past year, respectively. In adjusted models, GI and SB stigma scales were significantly, positively associated with severe psychological distress, suicidal ideation, and suicide attempt. CONCLUSIONS: Continued training for providers in trans-competent mental health care and the development of newer engagement and delivery strategies for stigma mitigation interventions are needed.
PURPOSE: The objective of this study is to (1) quantify burden of perceived, anticipated, and enacted gender identity (GI) and sexual behavior (SB) stigmas and (2) explore associations between GI and SB stigmas with key mental health factors among transgender women in the United States. METHODS: We estimated associations between GI and SB stigmas with severe psychological distress, suicidal ideation, and suicide attempt using cross-sectional data from the Transgender Women's Internet Survey and Testing study from March to April, 2019. Modified Poisson regression produced prevalence ratios and 95% confidence intervals for severe psychological distress, suicidal ideation, and suicide attempt with GI and SB stigma items individually, as well as the GI and SB stigma items treated as two scales. RESULTS: Of 381 transgender women, 52% experienced severe psychological distress in the past month, whereas 59.3% and 13.12% reported suicide ideation and attempt in the past year, respectively. In adjusted models, GI and SB stigma scales were significantly, positively associated with severe psychological distress, suicidal ideation, and suicide attempt. CONCLUSIONS: Continued training for providers in trans-competent mental health care and the development of newer engagement and delivery strategies for stigma mitigation interventions are needed.
Authors: María Eugenia Socías; Brandon D L Marshall; Inés Arístegui; Marcela Romero; Pedro Cahn; Thomas Kerr; Omar Sued Journal: Int J Equity Health Date: 2014-09-27
Authors: Katherine Rucinski; Louis Masankha Banda; Oluwasolape Olawore; Chris Akolo; Allison Zakaliya; David Chilongozi; Sheree Schwartz; Rose Wilcher; Navindra Persaud; Melchiade Ruberintwari; Stefan Baral Journal: Open Forum Infect Dis Date: 2022-03-07 Impact factor: 3.835