“…Khan and colleagues (2009), for example, found that Bangladeshi transgender persons are likely to have difficult lives from early childhood; they are excluded from society and live their lives as marginalized people, an experience that often adversely affects their health and well-being. Similarly, transgender individuals living in Western countries face various forms of discrimination in many different settings, including workplaces, educational institutions, health care services, religious or church organizations, and social welfare agencies, and also as a consequence of government policies (Budge, Tebbe, & Howard, 2010 Dentice, 2009;Dispenza, Watson, Chung, & Brack, 2012;McKinney, 2005;Sausa et al, 2007;Yarhouse & Carrs, 2012). Furthermore, in part as a result of their marginalization from other work environments, transgender individuals tend to engage in sex work, and therefore have a higher risk of HIV infection (Bockting, Robinson, & Rosser, 1998;Khan et al, 2009;Melendez & Pinto, 2007;Nemoto, Sausa, Operario, & Keatley, 2006;Sausa et al, 2007).…”