Gender identity and sexual behavior stigmas, severe psychological distress, and suicidality in an online sample of transgender women in the United States

Maksut, Jessica L.; Sanchez, Travis; Wiginton, John Mark; Scheim, Ayden I.; Logie, Carmen H.; Zlotorzynska, María; Lyons, Carrie; Baral, Stefan

doi:10.1016/j.annepidem.2020.07.020

Cited by 15 publications

(9 citation statements)

References 26 publications

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“…Six reported no significant correlation between age and self-harm and/or suicidality [78,66,102,71,36,93] and one [26] found older age associated with increased suicide attempts. The remaining studies found younger age significantly correlated with self-harm and/or suicidality [13,92,39,55,73,86,42,50,70,74,41,61,68,72,46,100,101]. This is in line with evidence regarding self-harm/suicidality in the general population [5] and highlights the need for interventions targeting young TGD people.…”

Section: Agesupporting

confidence: 66%

“…Overall, sixteen studies examined discrimination as a distinct risk factor. Two found no correlation 43,66. However, fourteen reported a significant correlation between discrimination and self-harm [15,39,84,94,103,47,91,79,74,37,49,54,59,93]. A further study did not investigate a correlational relationship but reported TGD people experienced high levels of discrimination.…”

Section: Gender-minority Stressorsmentioning

confidence: 91%

See 1 more Smart Citation

Risk and Protective Factors for Self-Harm Thoughts and Behaviours in Transgender and Gender Diverse People: A Systematic Review

Bird,

Arcelus,

Matsagoura

et al. 2023

Preprint

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Section: Agesupporting

confidence: 66%

Section: Gender-minority Stressorsmentioning

confidence: 91%

Risk and Protective Factors for Self-Harm Thoughts and Behaviours in Transgender and Gender Diverse People: A Systematic Review

Bird,

Arcelus,

Matsagoura

et al. 2023

Preprint

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“…Com o objetivo de quantificar a carga de estigmas de identidade de gênero (GI) e comportamento sexual (SB) percebidos, antecipados e promulgados e explorar associações entre estigmas GI e SB com fatores-chave de saúde mental entre mulheres transexuais nos Estados Unidos, Maksut et al (2021) observam que, de 381 mulheres transexuais, 52% experimentaram sofrimento psicológico grave no último mês, enquanto 59,3% e 13,12%…”

Section: Resultsunclassified

Incidência de Ideação Suicida (IS) e principais fatores associados entre a população trans – revisão de literatura

Vaz¹,

Jaques²,

Salomé³

2022

Braz. J. Hea. Rev.

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O número alarmante de suicídios - consumados e tentativas - é considerado prioridade da Saúde Pública em todo o mundo. Estudos nacionais e internacionais evidenciam a relação direta entre aspectos psicológicos e sociais na Ideação Suicida (IS) de transgêneros, transsexuais e travestis (população trans em geral). Diante desse cenário, analisam-se a prevalência e os fatores associados ao suicídio cometido pela população trans, descrevendo a violência sofrida, cotidianamente, por esse grupo, em determinados contextos (família, escola, delegacias e serviços de saúde). Para realização da revisão de literatura, como metodologia, utilizam-se as bases de dados eletrônicas PUBMED e SciELO, verificando artigos científicos, teses, dissertações e livros publicados nos últimos 10 anos. Dessa forma, atesta-se que a IS está associada a situações cotidianas vexatórias, discriminatórias, preconceituosas e violentas, aos quais esses indivíduos estão expostos, promovendo sentimentos e sintomas de egodistonia, depressão, tristeza profunda e melancolia. Ainda, alerta-se para a necessidade da implementação de intervenções que objetivem o controle da IS, enquanto agravo à Saúde Pública, na população analisada, sendo necessárias ações de sensibilização e de mobilização na área da saúde e nos demais setores responsáveis para atuar nas determinantes sociais relacionadas ao suicídio e sua intersecção com a identidade de gênero.

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“…Enacted stigma refers to acts of prejudice or discrimination that one believes are due to a stigmatized identity/attribute (Herek, 2007), while anticipated stigma refers to the degree to which one expects to be stigmatized by others (i.e., experience prejudice, discrimination, and stereotyping) due to a particular stigmatized identity/attribute (Earnshaw & Quinn, 2012; Quinn & Chaudoir, 2009). Anticipated stigma may include affective (e.g., fear) as well as behavioral (e.g., avoidance) responses to stigma (Furukawa et al, 2020; Maksut et al, 2020; Reisner et al, 2015; Ricci & Dixon, 2015). Enacted and anticipated HIV-related stigma have both been linked to mental distress, such as depression and anxiety (Algarin et al, 2020a; Peltzer & Pengpid, 2019; Rice et al, 2019), and physical health and functioning (Algarin et al, 2020b; Parcesepe et al, 2020; Peltzer & Pengpid, 2019; Reinius et al, 2018).…”

mentioning

confidence: 99%

HIV-related stigma and discrimination in health care and health-related quality of life among people living with HIV in England and Wales: A latent class analysis.

et al. 2023

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Though life expectancy of people living with HIV (PLHIV) is now comparable to that of HIV-negative persons, their health-related quality of life (HRQoL) lags behind. Lower HRQoL among PLHIV may vary meaningfully, shaped in part by social factors, including stigma. Using data from Positive Voices, a national cross-sectional probability survey of adults ≥18 years living with HIV and accessing HIV care services in England and Wales (N = 4,422), we conducted latent class analysis on responses to a HRQoL measure (problems with mobility, usual activities, self-care, pain/discomfort, anxiety/depression) to identify HRQoL patterns, followed by multinomial logistic regression to examine relationships between HRQoL classes and a 4-item measure of HIV-related stigma and discrimination in health care. Four classes emerged: All Problems (18% prevalence); Pain and Distress (18%); Pain and Mobility (9%); No Problems (55%). Scale scores of HIV-related stigma and discrimination in health care were positively, significantly associated with membership in the All Problems (adjusted odds ratio [aOR] = 2.16; 95% confidence interval [CI] = 1.94, 2.41), Pain and Distress (aOR = 1.62; CI = 1.46, 1.81), and Pain and Mobility classes (aOR = 1.33; CI = 1.16, 1.52) compared to the No Problems class. A similar trend was observed for individual stigma and discrimination items. HRQoL among PLHIV in England and Wales varies and may be underpinned or exacerbated by HIV-related stigma and discrimination in health care. Ensuring stigma-mitigation interventions reach all health care systems/providers and emotional support services reach all PLHIV may improve HRQoL for PLHIV.

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Gender identity and sexual behavior stigmas, severe psychological distress, and suicidality in an online sample of transgender women in the United States

Cited by 15 publications

References 26 publications

Risk and Protective Factors for Self-Harm Thoughts and Behaviours in Transgender and Gender Diverse People: A Systematic Review

Risk and Protective Factors for Self-Harm Thoughts and Behaviours in Transgender and Gender Diverse People: A Systematic Review

Incidência de Ideação Suicida (IS) e principais fatores associados entre a população trans – revisão de literatura

HIV-related stigma and discrimination in health care and health-related quality of life among people living with HIV in England and Wales: A latent class analysis.

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