2019
DOI: 10.1590/1516-4446-2018-0052
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Psychological distress among transgender people in Brazil: frequency, intensity and social causation – an ICD-11 field study

Abstract: Objective:To describe self-reported experiences of gender incongruence related to discomfort and body changes to be more congruent to the desired gender, and to examine whether experiences of psychological distress related to gender identity were more strongly related to the experience of gender incongruence per se or to experiences of social rejection.Methods:This field study used a structured interview design in a purposive sample of transgender adults (aged >18 years or older) receiving health-care services… Show more

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Cited by 20 publications
(17 citation statements)
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“… 43 The other five studies from Brazil also addressed gender-affirming care, including a community survey (116 trans men) 42 and a clinic-based survey (24 trans men) conducted as part of field tests for the new diagnosis of Gender Incongruence in the International Classification of Diseases, V.11 (ICD-11). 45 Qualitative studies described obstacles to hormones and gender-affirming surgery including cost, need for psychiatric diagnosis, and a lack of physicians willing to prescribe hormones, leading to medically unsupervised use. 26 34 47…”
Section: Resultsmentioning
confidence: 99%
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“… 43 The other five studies from Brazil also addressed gender-affirming care, including a community survey (116 trans men) 42 and a clinic-based survey (24 trans men) conducted as part of field tests for the new diagnosis of Gender Incongruence in the International Classification of Diseases, V.11 (ICD-11). 45 Qualitative studies described obstacles to hormones and gender-affirming surgery including cost, need for psychiatric diagnosis, and a lack of physicians willing to prescribe hormones, leading to medically unsupervised use. 26 34 47…”
Section: Resultsmentioning
confidence: 99%
“…Educational attainment varied; some samples were predominantly university educated 26 31 but completion of secondary school was the norm in most. [42][43][44][45][46] Two Brazilian studies drew on the same survey of trans people recruited via a gender clinic and an online survey, with 156-188 trans men identified using the two-step approach. 43 46 One study described HIV testing and postexposure prophylaxis histories 46 while the other focused on gender-affirming care, including barriers to hormonal and surgical care, and use of unprescribed hormones.…”
Section: Findings By World Regionmentioning
confidence: 99%
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“…For this interview, a questionnaire used in the Brazilian field study for the ICD-11 (WHO) was applied, which overlapped the diagnostic criteria for GI (ICD-11-2018) with the diagnostic criteria of DG (DSM-5-2013) ( 26 , 29 , 30 ). The survey instrument, based on participants' reports, evaluated a particular period of time, that is, when they first became consciously aware that they might be trans (incongruence between one's experienced gender and assigned sex).…”
Section: Methodsmentioning
confidence: 99%
“…The structured interview used in the study was the same one used in the Mexican study (Robles et al, 2016) but translated, cultural adapted, and applied to the Brazilian population (Soll et al, 2018; Lobato et al, 2019). For this study, three categories were considered: diagnostic criteria, psychological distress, and loss in social functioning.…”
Section: Methodsmentioning
confidence: 99%