Discrimination keeps transgender people awake at night: A nationwide cross-sectional survey of 583 transgender adults in South Korea

Eom, Yun-Jung; Lee, Hyemin; Kim, Ranyeong; Choo, Sungsub; Yi, Horim; Kim, Seung-Sup

doi:10.1016/j.sleh.2022.06.012

Cited by 12 publications

(4 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 29 A total of 17 studies were included, and the association between organizational justice, 30 31 32 low income, 31 race, 33 34 35 36 37 38 ethnicity, 35 36 37 38 39 40 41 nationality, 42 unfair treatment, 43 job stress, 44 sex, 45 age, 45 and sleep problems 29 was examined. The association between discrimination based on sex, 46 sexual orientation, 47 48 49 religion, 50 disability, 51 educational level, 52 and sleep problems was identified in other studies published after 2014. There was only one paper on employment status based discrimination and sleep, but it was categorized according to whether or not the person was working, as opposed to our study, which was divided into regular, temporary, and daily workers.…”

Section: Discussionmentioning

confidence: 81%

“… 63 The fifth study was conducted on the discrimination experienced by transgender people which observed that individuals who experienced transgender discrimination had more sleep problems than those who did not. 48 The sixth study examined the influence that discrimination experienced by lesbian, gay, and bisexual Korean adults had on sleep health effects and it revealed a correlation between sexual orientation and sleep problems. 49 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association between discrimination in the workplace and insomnia symptoms

Ju,

Cho,

Kim

et al. 2023

Ann Occup Environ Med

View full text Add to dashboard Cite

Background In Korea, little research has focused on the relationship between discrimination in the workplace and sleep health. Thus, this study aims to investigate the association between such discriminatory experiences and insomnia, a common sleep disorder, using Korean employees’ data. Methods This study used data from the 6th Korea Working Conditions Survey. Discrimination experiences due to age, ethnic background, nationality, race, sex, religion, disability, sexual orientation, educational level, hometown, and employment status were investigated. The Minimal Insomnia Symptom Scale estimated insomnia symptoms. The association between discrimination experience and insomnia symptoms were analyzed using survey-weighted logistic regression analysis. Results Based on experiences of discrimination over the past 12 months, insomnia symptoms were associated with discrimination experience due to religion (odds ratio [OR]: 3.70; 95% confidential interval [CI]: 1.58–8.69), sex (OR: 2.51; 95% CI: 1.87–3.37), age (OR: 2.30; 95% CI: 1.88–2.81), hometown (OR: 2.07; 95% CI: 1.44–2.97), employment status (OR: 1.69; 95% CI: 1.37–2.10), and educational level (OR: 1.67; 95% CI: 1.31–2.14). Furthermore, the prevalence of insomnia symptoms increased with the number of discrimination experiences. Conclusions In this study, discrimination experiences due to religion, sex, age, hometown, employment status, and educational level were significantly associated with insomnia symptoms. Furthermore, as the number of discrimination experiences increased, so did the prevalence of insomnia. Preventing workplace discrimination may improve workers’ sleep health.

show abstract

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Association between discrimination in the workplace and insomnia symptoms

Ju,

Cho,

Kim

et al. 2023

Ann Occup Environ Med

View full text Add to dashboard Cite

show abstract

“…TGD individuals who faced discrimination due to their gender identity reported worse sleep health. Additionally, those who avoided public bathrooms, jobseeking activities, or healthcare services because of their gender identity experienced higher levels of anxiety symptoms [48,49]. TGD individuals identified several significant barriers to accessing GAC, including costs, negative experiences in healthcare settings, a scarcity of healthcare providers and facilities with expertise in GAC, and societal stigma [50].…”

Section: Studies Of the Health Of Gender Minoritiesmentioning

confidence: 99%

Health of Korean sexual and gender minorities: a narrative review of quantitative studies

So,

Kim,

Lee

2024

Ewha Med J

View full text Add to dashboard Cite

This study reviewed quantitative research on the health of sexual and gender minorities (SGMs) in Korea and aimed to propose a role for healthcare professionals in improving their health and access to medical care. We searched PubMed through February 29, 2024 for articles published since 2000, using terms related to SGMs and the keyword "Korea." This process yielded 33 quantitative studies on Korean SGMs. Of these, 17 focused on sexual minorities and 16 on gender minorities. The findings indicate that Korean SGMs experience many symptoms of depression and anxiety, as well as high rates of suicidal ideation, planning, and attempts. They also report diminished health-related quality of life. SGM individuals who have faced discrimination or pressure to change their sexual or gender identity face an elevated risk of mental health issues. To improve the health of Korean SGMs and improve their access to healthcare, we recommend several approaches. First, more research on the health of Korean SGMs is necessary. Second, education and training programs for health professionals are essential to promote their understanding of SGM health issues and their advocacy for SGM health. Third, strategies are required to develop and implement program interventions that improve SGM health, such as increasing the availability of gender-affirming care, which is known to benefit the health of transgender and gender-diverse individuals. Finally, healthcare professionals should actively advocate for SGM health and call for shifts in public perception and institutional change, grounded in a broad understanding of SGMs and their health needs.

show abstract

“…While less studied, a similar pattern has been found for LGBTQIA+ individuals. Men with minoritized sexual orientation identities experience worse sleep than heterosexual individuals (Gibbs & Fusco, 2023); adolescents with minoritized gender identities are more likely to report inadequate sleep, shorter sleep duration, and poorer sleep quality than heterosexual cisgender adolescents (Levenson et al, 2021); and transgender adults who experience discrimination are more likely to have sleep problems that include poor sleep quality, short sleep duration, and use of alcohol or sleep medications to fall asleep (Eom et al, 2022).…”

mentioning

confidence: 99%

Effect of daily discrimination on naturalistic sleep health features in young adults.

Tapia,

Wallace,

Hasler

et al. 2024

Health Psychology

View full text Add to dashboard Cite

Objective: Racial inequities in sleep health are well documented and may be partially attributable to discrimination experiences. However, the effects of acute discrimination experiences on same-night sleep health are understudied. We quantified naturalistic discrimination experiences captured using ecological momentary assessment (EMA) and examined whether reporting discrimination on a given day predicted sleep health that night. Method: Participants completed baseline assessments and a 17-day EMA protocol, with text prompts delivered four times daily to collect discrimination experiences. Seven different daily sleep characteristics were ascertained each morning. Discrimination reasons (e.g., because of my racial identity) were reported by participants and categorized into any, racial, or nonracial discrimination. Outcomes included the seven sleep diary characteristics. We fit generalized linear mixed effects models for each sleep outcome and discrimination category, controlling for key covariates. Results: The analytic sample included 116 self-identified Black and White individuals (48% Black, 71% assigned female at birth, average age = 24.5 years). Among Black participants, race-based discrimination was associated with a 0.5-hr reduction in total sleep time (TST). Among White individuals, nonracial discrimination was associated with a 0.6-hr reduction in TST, an earlier sleep offset, and reduced sleep efficiency (partly attributable to more nighttime awakenings). Conclusions: Young adults may sleep worse on nights after experiencing discrimination, and different types of discrimination affect different sleep outcomes for Black and White individuals. Future studies may consider developing treatments that account for different sleep vulnerabilities for people experiencing discrimination on a given day. Public Significance StatementDaily acute discrimination experiences adversely affect same-night sleep health which contributes to racial inequities in sleep and, subsequently, to poor health outcomes. Treatments must be developed to account for different sleep vulnerabilities for individuals experiencing discrimination.

show abstract

Discrimination keeps transgender people awake at night: A nationwide cross-sectional survey of 583 transgender adults in South Korea

Cited by 12 publications

References 34 publications

Association between discrimination in the workplace and insomnia symptoms

Association between discrimination in the workplace and insomnia symptoms

Health of Korean sexual and gender minorities: a narrative review of quantitative studies

Effect of daily discrimination on naturalistic sleep health features in young adults.

Contact Info

Product

Resources

About