巴西里约热内卢Travestis和跨性别妇女中基于跨性别歧视的相关因素

IF 2 4区 医学 Q1 Social Sciences Transgender Health Pub Date : 2024-12-16 eCollection Date: 2024-12-01 DOI:10.1089/trgh.2023.0002
Layla Razek, Richard S Henry, Emilia M Jalil, Ruth K Friedman, Monica Derrico, Biancka Fernandes, Isabele Moura, Valdilea G Veloso, Beatriz Grinsztejn, Brett D Thombs, Paula M Luz
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引用次数: 0

摘要

目的:基于跨性别的歧视与心理健康状况不佳、失业和贫困有关。Travestis和跨性别女性(trans women)经常遭受基于跨性别的歧视,但相关因素尚未得到充分研究。我们的目标是确定与巴西跨性别女性中基于跨性别的歧视相关的因素。方法:我们使用了来自超验的数据,超验是巴西里约热内卢一个基于临床的跨性别女性队列。符合条件的参与者年龄≥18岁,出生时性别为男性,自我认定为travestis,变性女性或其他变性女性身份。我们分析了2015年8月至2020年3月登记的参与者的基线数据。面对面的调查问卷收集了社会人口统计、性别认同和表达以及基于跨性别的歧视经历的数据。通过多变量线性回归评估与跨性别歧视相关的因素。结果:在587名参与者中,559名(95%)被纳入(28名因缺少数据而被排除)。平均年龄为33岁,大多数为变性女性(40%),71%报告目前或过去有性工作,43%自我报告感染艾滋病毒。在多变量回归模型中,与基于跨性别的歧视显著相关的因素包括没有或只有一个支持父母的人(与父母双方的支持相比),生活贫困(与没有),以及目前和过去的性工作(与从未)。结论:无家庭支持、从事性工作或经济困难的跨性别女性更容易受到基于跨性别的歧视。缺乏父母的支持是跨性别歧视经历的最有力的独立预测因素,可能会导致情感和结构上的脆弱性。
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Factors Associated with Transgender-Based Discrimination Among Travestis and Transgender Women in Rio de Janeiro, Brazil.

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.

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来源期刊
Transgender Health
Transgender Health Social Sciences-Gender Studies
CiteScore
4.30
自引率
10.00%
发文量
122
期刊最新文献
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