Mental health among transgender women living with HIV in Canada: findings from a national community-based research study

Lacombe‐Duncan, Ashley; Warren, Laura; Kay, Emma Sophia; Persad, Yasmeen; Soor, Jaspreet; Kia, Hannah; Underhill, Angela; Logie, Carmen H.; Kazemi, Mina; Kaida, Angela; Pokomandy, Alexandra de; Loutfy, Mona

doi:10.1080/09540121.2020.1737640

Cited by 19 publications

(16 citation statements)

References 39 publications

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“…This corroborates previous findings showing that resilience may reduce depressive symptoms. 9 , 12 , 25 The extreme violence and discrimination transgender women face along with the structural impact of multiple intersecting stigmas must be addressed. In addition, resilience may be an important focus for the maintenance of transgender women's mental health and well-being.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, resilience may be an important focus for the maintenance of transgender women's mental health and well-being. 12 …”

Section: Discussionmentioning

confidence: 99%

“…Different from coping, resilience is an individual's ability to successfully adapt or recover despite adversity. 12 Resilience is healthy development despite growing up in high-risk environments, functioning in adverse environments, and recovering after an adverse event or deprivation. 13 Transgender people experience extreme adversity, often beginning in early childhood, yet resilience is an understudied phenomena in trans health research.…”

Section: Introductionmentioning

confidence: 99%

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Association of Discrimination, Violence, and Resilience with Depressive Symptoms Among Transgender Women in Rio de Janeiro, Brazil: A Cross-Sectional Analysis

et al. 2022

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Transgender women experience violence and discrimination that lead to stress responses and contribute to poor mental health. In this analysis of baseline data from Transcendendo , a trans-specific open cohort in Rio de Janeiro, Brazil, we hypothesized that the experience of discrimination and violence would be associated with depressive symptoms and that resilience could mitigate this association. Results showed that prior experiences with discrimination and sexual and physical violence were associated with depressive symptoms, while resilience was inversely associated with depressive symptoms. Resilience did not moderate nor mediate the strong effects of discrimination and violence on depressive symptoms in adjusted models.

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Section: Discussionmentioning

confidence: 99%

“…In addition, resilience may be an important focus for the maintenance of transgender women's mental health and well-being. 12 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association of Discrimination, Violence, and Resilience with Depressive Symptoms Among Transgender Women in Rio de Janeiro, Brazil: A Cross-Sectional Analysis

et al. 2022

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“… 35 Moreover, transgender women living with HIV (LWH) are more likely than transgender women without HIV to have depressive symptoms, which may be due to the negative impact of the pervasive stigma and discrimination related to HIV status on the mental health of transgender women with LWH. 36 …”

Section: Discussionmentioning

confidence: 99%

Associations between Clusters of Perceived Social Support Level, Depression, and Suicidal Ideation among Transgender Women: A Latent Class Analysis

Tantirattanakulchai

Hounnaklang

2022

Journal of Public Health Research

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Background: Suicide is recognized as a pivotal public health issue and has become a significant cause of death worldwide. Transgender persons are at greater risk of suicide than the general population. This study aims to identify suicidal ideation in transgender women according to clusters of depressive symptoms, and levels of perceived social support using latent class analysis (LCA), and identify associations between the identified classes and suicidal ideation.Design and methods: This cross-sectional study was conducted between March 2019 and May 2019 using the snowball sampling method in a sample of 280 transgender women in Bangkok, Thailand. Data were collected using a self-administered questionnaire, and LCA was performed according to the level of perceived social support and depression. The questionnaire included the following: demographic information, measures of social support (MSPSS), depression (CES-D), and suicidal ideation (C-SSRS). Multivariable logistic regression was used to examine the associations between the identified classes and suicidal ideation.Results: The multivariable logistic regression analysis showed that suicidal ideation was significantly associated with perceived moderate social support with depression (class 1; odds ratio [OR] 5.57, 95% confidence interval [CI] 2.64–11.71; p < 0.001) and perceived low social support with depression (class 4; OR 4.55, 95% CI 1.67–12.42; p = 0.003) after adjusting for income sufficiency, chronic disease, and alcohol drinking.Conclusion: The findings indicate that less perceived social support and depression significantly increased suicidal ideation among transgender women. To tackle this issue efficiently, it is necessary for public health service providers, parties, and individuals concerned to collaborate and prioritize key agendas that support the social and psychological aspects of transgender women.

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“…8 Similarly to MSM, behaviors such as condomless anal intercourse (CAI) put transgender women at higher risk of HIV/STI acquisition and transmission. 3 Consensus has emerged, however, that transgender women face unique vulnerabilities, including higher burdens of stigma, 9 economic instability, 10 and mental health morbidity 11,12 compared with cisgender MSM. Thus, the context in which transgender women engage in risk behaviors is unique and must be characterized as part of ongoing assessments of population-level trends in HIV/STI risk and prevention behaviors.…”

Section: Introductionmentioning

confidence: 99%

Transgender Women's Internet Survey and Testing: Protocol and Key Indicators Report

et al. 2021

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There is a need for ongoing behavioral surveillance of human immunodeficiency virus (HIV)/sexually transmitted infection (STI) risk among transgender women, using assessments adapted to this population. We therefore developed and piloted the Transgender Women's Internet Survey and Testing (TWIST) study, a cross-sectional behavioral survey of transgender women in the United States coupled with remote biospecimen collection and testing. Methods: Participants age 15 + were recruited by using social media advertisements. Participants were eligible to take the survey if they reported male sex at birth, identified as female or as a transgender woman, resided in the United States, and reported ever having oral, vaginal, or anal sex. We examined a number of behavioral indicators by age, county population density, and medical gender affirmation treatment, using multivariable regression modeling. A sample of respondents was invited to receive a home biospecimen collection kit for HIV/ STI testing. Results: The 401 participants were mainly non-Hispanic white and younger than 25 years. Self-reported HIV prevalence was 1.3% (5/401), and almost half (47.1%, 189/401) did not know their HIV status. Receiving medical gender affirmation was strongly associated with past-year HIV and STI testing, independent of general health care engagement. Of the 155 participants invited to receive home biospecimen collection kits, 48 (31.0%) consented and of those, 21 (43.8%) returned specimens for testing. Conclusion: This pilot study successfully reached its recruitment target and generated useful behavioral measures from an online sample of transgender women. We anticipate that online recruitment combined with selfcollection of biospecimens will serve as an innovative and scalable strategy for ongoing monitoring of HIV/STI behavioral trends among U.S. transgender women.

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Mental health among transgender women living with HIV in Canada: findings from a national community-based research study

Cited by 19 publications

References 39 publications

Association of Discrimination, Violence, and Resilience with Depressive Symptoms Among Transgender Women in Rio de Janeiro, Brazil: A Cross-Sectional Analysis

Association of Discrimination, Violence, and Resilience with Depressive Symptoms Among Transgender Women in Rio de Janeiro, Brazil: A Cross-Sectional Analysis

Associations between Clusters of Perceived Social Support Level, Depression, and Suicidal Ideation among Transgender Women: A Latent Class Analysis

Transgender Women's Internet Survey and Testing: Protocol and Key Indicators Report

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