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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
Journal article   Open access   Peer reviewed

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

Jessica L Maksut, Travis H Sanchez, John Mark Wiginton, Ayden I Scheim, Carmen H Logie, Maria Zlotorzynska, Carrie E Lyons and Stefan D Baral
Annals of epidemiology, v 52, pp 15-22
Dec 2020
DOI: https://doi.org/10.1016/j.annepidem.2020.07.020
PMID: 32768521
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725857View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Adolescent Adult Female Gender Identity Humans Male Mental Health - statistics & numerical data Prevalence Psychological Distress Risk Factors Sexual Behavior Social Stigma Suicide - psychology Suicide - statistics & numerical data Suicide, Attempted - statistics & numerical data Surveys and Questionnaires Transgender Persons - statistics & numerical data Transsexualism - psychology Young Adult
The objective of this study is to (1) quantify burden of perceived, anticipated, and enacted gender identity (GI) and sexual behavior (SB) stigmas and (2) explore associations between GI and SB stigmas with key mental health factors among transgender women in the United States. We estimated associations between GI and SB stigmas with severe psychological distress, suicidal ideation, and suicide attempt using cross-sectional data from the Transgender Women's Internet Survey and Testing study from March to April, 2019. Modified Poisson regression produced prevalence ratios and 95% confidence intervals for severe psychological distress, suicidal ideation, and suicide attempt with GI and SB stigma items individually, as well as the GI and SB stigma items treated as two scales. Of 381 transgender women, 52% experienced severe psychological distress in the past month, whereas 59.3% and 13.12% reported suicide ideation and attempt in the past year, respectively. In adjusted models, GI and SB stigma scales were significantly, positively associated with severe psychological distress, suicidal ideation, and suicide attempt. Continued training for providers in trans-competent mental health care and the development of newer engagement and delivery strategies for stigma mitigation interventions are needed.

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22 citations in Web of Science
19 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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