Factors associated with transgender people mortality due to violent causes: a cross-sectional study, Brazil,...

To identify factors associated with transgender people mortality due to violent causes in Brazil between 2014 and 2022.

This was a cross-sectional study that matched records of reports of violence against transgender people held on the Notifiable Health Conditions Information System between 2014 and 2022 with deaths recorded on the Mortality Information System between 2014 and 2022. Frequency and proportion of reported violence were calculated, in addition to a Poisson model to estimate the prevalence ratio (PR) and the association of violence with risk factors.

In all, 36,452 cases of violence against transgender people were reported, of which 563 (42.5%) resulted in deaths from violent causes. Mortality due to violent causes was higher among transgender people for whom violence had been reported in the 10-14 years age group (PR 4.29; 95% confidence interval [95%CI] 2.82; 6.53) and the 15-19 age group (PR 3.82; 95%CI 2.80; 5.21), with records of self-harm (PR 1.50; 95%CI 1.28; 1.76), aggression with firearms (PR 2.00; 95%CI 1.65; 2.43) and time between reported violence and death of less than six months (PR 2.07; 95%CI 1.80; 2.39).

The findings of this study highlighted the severity of violence against transgender people and identified individual characteristics, violence and aggression associated with mortality among transgender people in Brazil.