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Area of Science:

  • Social Psychology
  • Public Health
  • Sociology

Background:

  • Transgender populations face significant health disparities, including higher rates of risky behaviors, substance use, and suicidality.
  • Existing research lacks a deep understanding of the specific mechanisms driving these adverse outcomes in transgender individuals.

Purpose of the Study:

  • To investigate differences in risky sexual behaviors, substance use, and suicidality between transgender women and transgender men.
  • To explore the role of discrimination as a source of strain influencing these outcomes within the transgender community.

Main Methods:

  • Analysis of data from the Virginia Transgender Health Initiative Study (THIS).
  • Statistical examination of self-reported risky sexual behaviors, substance use, and suicidality.
  • Assessment of the relationship between discrimination and adverse health outcomes.

Main Results:

  • Significant divergence observed in risky sexual behaviors, substance use, and suicidality between transwomen and transmen.
  • Increased discrimination correlates with higher odds of suicidality and elevated substance use.
  • Discrimination did not show a significant relationship with risky sexual behavior.

Conclusions:

  • Discrimination significantly impacts suicidality and substance use among transgender individuals, irrespective of gender identity (transwoman or transman).
  • The findings highlight discrimination as a critical stressor contributing to negative health outcomes in the transgender population.
  • Further research is needed to understand the nuanced pathways affecting risky sexual behaviors.