Resilience to Discrimination and Rejection Among Young Sexual Minority Males and Transgender Females: A Qualitative Study on Coping With Minority Stress

Bry, Laura J.; Mustanski, Brian; Garofalo, Robert; Burns, Michelle Nicole

doi:10.1080/00918369.2017.1375367

Cited by 46 publications

(43 citation statements)

References 38 publications

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“…This study is the one of the first of its kind to assess the basic needs of a telehealth intervention and incorporate formative findings into the development of a telehealth program tailored for TWC. Our findings regarding Individual, Organizational, and Environmental barriers were consistent with findings from previous studies looking at health care engagement for the transgender population (Adelson et al, ; Ayala & Ibanez, ; Baral et al, ; Bradford et al, ; Brennan et al, ; Bry et al, ; Cicero et al, ; Eaton, Kalichman, et al, ; Eaton, Matthews, et al, ; Frank et al, ; Garofalo et al, ; Jin et al, ; Kussin‐Shoptaw et al, ; MacCarthy et al, ; Poteat et al, ; Reisner et al, ; Siembida et al, ) and are helpful in leveraging technology and telemedicine approaches to better serve TWC. Upon completion of the formative data collection, several day‐long meetings with study faculty and staff and key TWC stakeholders were convened to discuss the findings and propose the intervention, which was subsequently evaluated in a pre–post test pilot study (Magnus et al, ).…”

Section: Discussionsupporting

confidence: 90%

“…Environmental barriers were consistent with findings from previous studies looking at health care engagement for the transgender population (Adelson et al, 2016;Ayala & Ibanez, 2017;Baral et al, 2013;Bradford et al, 2013;Brennan et al, 2012;Bry et al, 2018;Cicero et al, 2019;Eaton, Kalichman, et al, 2017;Eaton, Matthews, et al, 2017;Frank et al, 2019;Garofalo et al, 2006;Jin et al, 2019;Kussin-Shoptaw et al, 2017;MacCarthy et al, 2017;Poteat et al, 2019;Reisner et al, 2016;Siembida et al, 2016) and…”

Section: Findings and Implicationssupporting

confidence: 89%

“…The transgender population is a medically underserved and largely understudied population with extensive barriers to health care. Significant stigma, violence, mental health disorders, elevated human immunodeficiency virus (HIV), sexually transmitted infections (STI), and comorbidities that are indicators of suboptimal health care have been well documented among transgender persons in general, and among transgender women of color (TWC) in particular (Adelson, Dowshen, Makadon, & Garofalo, ; Ayala & Ibanez, ; Baral et al, ; Bradford, Reisner, Honnold, & Xavier, ; Brennan et al, ; Bry, Mustanski, Garofalo, & Burns, ; Cicero, Reisner, Silva, Merwin, & Humphreys, ; Eaton, Kalichman, et al, ; Eaton, Matthews, et al, ; Frank et al, ; Garofalo, Deleon, Osmer, Doll, & Harper, ; Jin et al, ; Kussin‐Shoptaw, Fletcher, & Reback, ; MacCarthy et al, ; Poteat, Wirtz, & Reisner, ; Reisner et al, ; Siembida, Eaton, Maksut, Driffin, & Baldwin, ). TWC (for the purposes of this study, we considered TWC as transgender women who identify as African‐American, Native American, Latina, Asian Pacific Islander, and/or mixed race/ethnicity) often experience compounded risks to health care that may result from prejudices associated with gender identity, poverty, racism, and heterosexism and often result in structural barriers to care (Adelson et al, ; Eaton, Kalichman, et al, ; Eaton, Matthews, et al, ; Nuttbrock, ; Nuttbrock et al, ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Development of a telehealth intervention to promote care‐seeking among transgender women of color in Washington, DC

Magnus

Edwards

Dright

et al. 2020

Public Health Nursing

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Background Transgender women of color (TWC) are an underserved population who often experience high rates of HIV and barriers to care including stigma, violence, and trauma. Few health information technology interventions are tailored to serve TWC. The purpose of this study was to inform the development of a TWC‐specific telehealth intervention to increase access to care. Methods Formative qualitative semi‐structured interviews and focus groups were conducted to develop a customized telehealth intervention for TWC. Participants were TWC ≥ 18 years living in the Washington, DC metropolitan area, with at least one structural barrier to care and clinicians ≥18 years who provide care to TWC. Transcripts were analyzed using thematic coding and content analysis; barriers for TWC were categorized into Individual, Organizational, and Environmental levels. Several day‐long meetings with TWC and stakeholders were convened to develop the intervention. Results Saturation of theme on barriers to care was reached with 22 interviews. Identified barriers to service receipt included survival, instability, temporal discounting, and prioritizing hormone therapy over care, incongruence between providers and patients, pessimism, and lack of cultural competency. Each was intentionally addressed with the telehealth intervention. Conclusions Data informed the development of an innovative and customized telehealth intervention for TWC. Through the integration of technology and peer consultant outreach, we developed a novel approach that can address population‐specific challenges to care. Further development of this model may be able to improve health outcomes among TWC.

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Section: Discussionsupporting

confidence: 90%

Section: Findings and Implicationssupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development of a telehealth intervention to promote care‐seeking among transgender women of color in Washington, DC

Magnus

Edwards

Dright

et al. 2020

Public Health Nursing

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“…Widely used, broad scales may only capture the ways people cope with stress generally and may not provide the most accurate information for how individuals cope in response to gender minority stressors. In the case of TGD individuals coping with discrimination, responses may include more approach-oriented strategies, such as providing education (Nadal, Davidoff, Davis, & Wong, 2014), confrontation, using resources (e.g., social support, activity-based coping; Bry, Mustanski, Garofalo, & Burns, 2017), seeking out people and places that would be accepting (Budge, Chin, & Minero, 2017), or engaging in social activism. TGD people may also react to discrimination by coping with detachment/withdrawal strategies, such as avoiding potentially hostile environments, emotionally detaching, or isolating from others (Mizock & Mueser, 2014).…”

Section: Coping With Discriminationmentioning

confidence: 99%

Coping with discrimination: The insidious effects of gender minority stigma on depression and anxiety in transgender individuals

et al. 2019

Self Cite

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Objectives We examined types of discrimination encountered by transgender and gender diverse (TGD) individuals and the associations with symptoms of depression and anxiety, as well as the mediating and moderating effects of coping responses. Method This online study included 695 TGD individuals ages 16 years and over (M = 25.52; standard deviation = 9.68). Results Most participants (76.1%) reported discrimination over the past year. Greater exposure to discrimination was associated with more symptoms of depression and anxiety. These associations were mediated by coping via detachment and via internalization, although a direct effect remained. Conclusions Many TGD people will encounter discrimination and this is associated with greater psychological distress. Engagement in the internalization of blame or detachment partially explains the association between discrimination and mental health issues. These findings elucidate possible avenues for interventions to bolster adaptive coping responses for TGD people and highlight that actions to decrease discrimination are urgently needed.

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“…Despite the positive shift in attitudes toward transgender people, many still experience stigmatization (Kuyper, 2016). Although the stigmatization of transgender individuals has been the subject of scientific research, most research attention has been paid to stigmatizing experiences of transgender individuals during their transition (Bry et al, 2018;Miller & Grollman, 2015;Norton & Herek, 2013). The stigma experiences of transgender people who consider their transition to be completed are under researched.…”

Section: Introductionmentioning

confidence: 99%

Experiences with stigmatization among transgender individuals after transition: A qualitative study in the Netherlands

Verbeek

Hommes

Stutterheim

et al. 2020

International Journal of Transgender Health

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Background: Transgender individuals belong to one of the most stigmatized groups in society. Although the social stigma of transgender individuals has been examined many times, post transition stigma experiences among transgender individuals have received limited research attention. The aim of this study was to examine experiences with stigmatization among Dutch transgender individuals after their transition. Method: Ten trans women (age: M ¼ 58.50, SD ¼ 9.49) and 10 trans men (age: M ¼ 42.90, SD ¼ 13.62) participated in face-to-face semistructured interviews. Grounded theory was used to conceptualize and analyze the data. We examined the positive and negative reactions that transgender individuals experienced in the period after their transition. Furthermore, we explored differences between experiences of trans men and trans women. Finally, we examined differences between cisgender men and women regarding their reactions toward transgender individuals. Results: Participants reported improved psychological well-being since transition. However, they still experienced different forms of stigmatization. Trans women appeared to experience stronger social stigma than trans men. Trans women also experienced lower social status after their transition. They mainly experienced negative responses from cisgender men. Participants emphasized the importance of social and peer support. Conclusion: The current study findings demonstrate the presence of stigmatization after transition and argue for psychological aftercare. Social and peer support appeared to be important for coping with stigmatization, and improving the social network of transgender individuals is beneficial. Health providers and researchers are recommended to promote the development of constructive coping skills for transgender individuals with interventions especially targeting trans women.

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Resilience to Discrimination and Rejection Among Young Sexual Minority Males and Transgender Females: A Qualitative Study on Coping With Minority Stress

Cited by 46 publications

References 38 publications

Development of a telehealth intervention to promote care‐seeking among transgender women of color in Washington, DC

Development of a telehealth intervention to promote care‐seeking among transgender women of color in Washington, DC

Coping with discrimination: The insidious effects of gender minority stigma on depression and anxiety in transgender individuals

Experiences with stigmatization among transgender individuals after transition: A qualitative study in the Netherlands

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