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Age, Intersectional Discrimination, and Health in Black Transgender Women
Sophie Grant1, Elijah Goldberg2, Anvitha Gadipudi2
1Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA, 30322, USA. Sophieggrant@gmail.com.
Journal of Racial and Ethnic Health Disparities
|November 29, 2025
Summary
Intersectional discrimination significantly impacts the health-related quality of life for Black transgender women, worsening general health and reducing healthy days. Further research is needed to understand these complex health effects.
Area of Science:
- Health disparities
- Social determinants of health
- Transgender health
Background:
- Black transgender women face high discrimination, linked to poor health outcomes.
- Intersectional discrimination, from overlapping social identities, may uniquely affect health-related quality of life.
- Limited research exists on intersectional discrimination's impact on Black transgender women's health.
Purpose of the Study:
- To examine the association between intersectional discrimination and health-related quality of life (HRQoL) among Black transgender women.
- To investigate the roles of age and intersectional discrimination in HRQoL.
- To explore potential moderation and mediation effects in these relationships.
Main Methods:
- Cross-sectional survey data from 151 Black transgender women (ages 18-67).
- Utilized the Day-to-Day Intersectional Discrimination Index (INDI-D) to measure discrimination.
- Employed T-tests, Pearson's correlations, stepwise sequential linear regression (SSLR), and PROCESS macro for analysis.
Main Results:
- Increased INDI-D scores were significantly associated with worse self-perceived general health (GenHealth) and fewer health days.
- These associations remained consistent across adjusted and unadjusted models.
- Moderation and mediation analyses did not support hypotheses regarding these effects.
Conclusions:
- Intersectional discrimination is a significant factor negatively associated with the health-related quality of life in Black transgender women.
- Current analyses did not support moderation or mediation by age.
- Future research should explore discrimination, aging, weathering, and coping mechanisms to inform interventions for this community.
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