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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Sexual behavior stigma and depression among transgender women and cisgender men who have sex with men in Cote d'Ivoire
Annals of epidemiology, v 33
01 May 2019
PMCID: PMC6980364
PMID: 30955993
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: Transgender women (TGW) and cisgender men who have sex with men (cisMSM) across sub-Saharan Africa experience health inequalities relative to other adults. Recent research has also revealed health inequalities between these often-conflated groups. Among TGW and cisMSM in Cote d'Ivoire, we sought to determine whether transgender female identity was associated with probable depression, and whether sexual behavior stigma mediated this association.
Methods: In 2015-2016, a cross-sectional respondent-driven sampling survey of adult TGW and cisMSM was conducted across five cities. We conducted a three-way decomposition of mediation and interaction of gender identity and sexual behavior stigma. Depression was measured by the nine-item Patient Health Questionnaire (PHQ-9).
Results: Of 1301 participants, 339 (26.1%) were TGW. The prevalence of probable depression was 22.7% among TGW and 12.2% among cisMSM (P < .001). After confounder adjustment, the relative risk of depression attributable to transgender female gender identity was 1.68 (95% CI = 1.36, 2.00) with 69.9% (95% CI = 42.6, 97.1) of this effect mediated by sexual behavior stigma. The effect of stigma on depression did not differ significantly by gender.
Conclusions: These data suggest that stigma mitigation interventions specifically addressing the stigma affecting transgender women may also address mental health inequalities between transgender women and cisMSM in Cote d'Ivoire. (C) 2019 Elsevier Inc. All rights reserved.
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Details
- Title
- Sexual behavior stigma and depression among transgender women and cisgender men who have sex with men in Cote d'Ivoire
- Creators
- Ayden Scheim - University of California, San DiegoCarrie Lyons - Johns Hopkins UniversityRebecca Ezouatchi - Environment and Development Action Third WorldBenjamin Liestman - Johns Hopkins UniversityFatou Drame - Université Gaston BergerDaouda Diouf - Environment and Development Action Third WorldIbrahima Ba - Environment and Development Action Third WorldAmara Bamba - Enda Santé, Abidjan, Cote d'Ivoire.Abo Kouame - Comité National de Lutte contre le SIDAStefan Baral - Johns Hopkins University
- Publication Details
- Annals of epidemiology, v 33
- Publisher
- Elsevier
- Number of pages
- 5
- Grant note
- NCI, United States; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) NIA, United States R01MH110358 / National Institutes of Mental Health of the National Institutes of Health, United States FIC, NIGMS, United States OAR NIMH, United States R01MH110358 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) P30A1094189 / Johns Hopkins University Center for AIDS Research, an NIH NIH Co-Funding and Participating Institutes and Centers: NIAID, United States NICHD, NHLBI, United States R01MH110358 / Office of AIDS Research of the National Institutes of Health, United States; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA NIDDK, United States NIDA, United States Canadian Institutes of Health Research Fellowship; Canadian Institutes of Health Research (CIHR) Global Fund P30AI094189 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000469160800011
- Other Identifier
- 991020100073504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health