Background.-Transgender women (TW) in Puerto Rico (PR) face social stigmatization. Physicians' transgender stigma can have detrimental consequences for TW's health. Purpose.-The objective of this study was to document physicians' knowledge, competencies, and attitudes towards TW in PR and study their associations with stigma towards TW. Methods.-We implemented an exploratory sequential mixed-methods study. We used in-depth interviews (n=30) and self-administered questionnaire (n=255). Results.-Qualitative results illustrated lack of recognition of the needs of TW; they also evidenced the impact of stigmatizing attitudes on clinical decisions. Quantitative results showed that more willingness and knowledge to provide health services to TW were negatively associated with stigma. Participants who reported history of training in working with TW presented significantly less stigma than participants who had not received such training. Conclusion.-In order to provide stigma-free services for TW in PR, specialized training regarding the particular needs of this population is needed.
A sample of 302 Puerto Rican gay males living in Puerto Rico and New York participated in this study with the objective of assessing the prevalence of domestic violence. A self-administered questionnaire was developed addressing issues of intergenerational violence, addictive behaviors, and domestic violence in three dimensions: emotional, physical, and sexual violence. The results concluded that close to half of the participants had experienced some sort of violence in their intimate relationships, have a history of being witness to domestic violence in their family of origin, and had identified in themselves and their families, addictive behaviors. Other variables measured are HIV and sexual coercion, drug and alcohol abuse, and levels of acculturation among participants living in the United States. The main objective of this work is to describe the development of the instrument used in the study. Based on the results of this study we describe the psychometric characteristics and content of the final questionnaire. Final recommendations are made for other researchers interested in doing domestic violence studies with Latino gay men and men who have sex with men.
Transgender or trans people are deeply affected by social stigma in a wide range of forms and contexts including family, school, neighbourhood, work and clinical settings. Studies have rarely focused on how stigmatisation affects trans individuals’ experiences of travel and tourism. This research sought to critically explore the constraints that prevent trans people from engaging in tourism in Mexico. We conducted in-depth interviews with 15 trans participants. Experiences related to intrapersonal, interpersonal and structural constraints on tourism were explored during interviews. The findings include that trans men and women do not experience tourism constraints equally, and interpersonal constraints are closely related to social stigma that in turn influence these individuals’ fear of being discriminated against, abused or killed while travelling or engaging in leisure activities. The results are discussed in light of leisure and tourism constraints theory. Managerial implications include ways that the tourism industry can contribute to reducing constraints for trans travellers.
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