Sexual behavior stigma and depression among transgender women and cisgender men who have sex with men in Côte d'Ivoire

Scheim, Ayden I.; Lyons, Carrie; Ezouatchi, Rebecca; Liestman, Benjamin; Dramé, Fatou Maria; Diouf, Daouda; Ba, Ibrahima; Bamba, Amara; Kouamé, Abo; Baral, Stefan

doi:10.1016/j.annepidem.2019.03.002

Cited by 15 publications

(13 citation statements)

References 41 publications

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“…In the countries where RDS was used, 3–16 seeds selected by/from community-based organizations recruited participants across 12–20 waves of recruitment [ 4 , 35 – 40 ]. Given that the lived experience of being transgender or nonbinary is distinct from that of being cisgender, we excluded data from gender minorities in this study, which require separate analyses focused on intersectional stigmas [ 41 , 42 ]. Cisgender men age ≥ 18 years reporting past-year anal sex with a man completed a face-to-face survey assessing sexual behavior stigma, sexuality disclosure, HIV diagnosis and treatment, and sociodemographic and other characteristics.…”

Section: Methodsmentioning

confidence: 99%

Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries

et al. 2021

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Background For men who have sex with men (MSM) across sub-Saharan Africa (SSA), disclosure of same-sex practices to family and healthcare workers (HCWs) can facilitate access to HIV prevention services and support, but can also lead to experiences of stigma. Methods We performed mixed-effects regressions on pooled data from MSM in Cameroon, Senegal, Côte d’Ivoire, Lesotho, and eSwatini to assess associations between disclosure and sexual behavior stigma in healthcare contexts; we used logistic regressions to analyze country-specific data. Results Compared to participants who had not disclosed to either family or HCWs, those who had disclosed only to family were more likely to have been gossiped about by HCWs (aOR = 1.70, CI = 1.18, 2.45); the association between having disclosed to family and having felt mistreated in a health center approached, but did not achieve, statistical significance (aOR = 1.56, CI = 0.94, 2.59). Those who had disclosed only to HCWs were more likely to have feared to seek health services (aOR = 1.60, CI = 1.14, 2.25), avoided health services (aOR = 1.74, CI = 1.22, 2.50), and felt mistreated in a health center (aOR = 2.62, CI = 1.43, 4.81). Those who had disclosed to both were more likely to have feared to seek health services (aOR = 1.71, CI = 1.16, 2.52), avoided health services (aOR = 1.59, CI = 1.04, 2.42), been gossiped about by HCWs (aOR = 3.78, CI = 2.38, 5.99), and felt mistreated in a health center (aOR = 3.39, CI = 1.86, 6.20). Country-specific analyses suggested that data from Cameroon drove several of these associations. Conclusions Research to determine the factors driving disclosure’s differential effect on healthcare stigma across contexts is needed. Ultimately, supportive environments enabling safe disclosure is critical to understanding HIV-acquisition risks and informing differentiated HIV-prevention, treatment, and testing services for MSM across SSA.

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Section: Methodsmentioning

confidence: 99%

Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries

et al. 2021

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“…Os resultados ilustram a importância do estresse de minorias e estruturas diádicas de estresse na compreensão e intervenção nas disparidades de saúde mental entre mulheres transgênero e seus parceiros masculinos (Veale et al, 2017). O estudo de Scheim et al (2019) realizado na Costa do Marfim, sugere que as intervenções de mitigação do estigma que abordam especificamente o estigma que afeta as mulheres transgênero também podem abordar as desigualdades de saúde mental entre mulheres trans (White-Hughto et al, 2017). Para Nascimento et al (2020) é essencial o reconhecimento da sua identidade de gênero na sociedade, a fim de que possam usufruir dos direitos e acesso à educação, saúde, moradia, cidadania, oportunidade de emprego, entre outros, igualitariamente, sem distinção de qualquer natureza, com respeito e dignidade (Nascimento et al, 2020).…”

Section: Resultsunclassified

“…Há uma terminologia variada usada para descrever pessoas de minorias de gênero em diferentes contextos e configurações geográficas e culturais; a linguagem e os Research, Society and Development, v. 10, n. 3, e51610313693, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i3.13693 termos também evoluem e mudam continuamente para descrever definições e identidades trans ao longo do tempo (Peng, Zhu & Gillespie, 2019). O termo mulher trans para se referir a indivíduos atribuídos ao sexo masculino no nascimento que se identificam como mulheres e, homens trans, para mulheres que se identificam como homens (Scheim et al, 2019). E não binários para nos referirmos a transgêneros ou pessoas não conformes de gênero que podem não se identificar com um sistema binário masculino / feminino de categorização de gênero por exemplo, queer, intersexo, assexual (Jones, Hayter & Jomeen, 2017).…”

Section: Introductionunclassified

Estresse de minoria de gênero e seus efeitos na saúde mental como fator de risco para depressão em pessoas transgênero: Revisão da literatura

Silva

Souza

et al. 2021

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Pessoas transgênero experimentam disparidades na saúde mental quando comparadas população em geral, estudos apontam que esse comportamento possa impactar no bem-estar dessa população. No entanto, pouco se sabe sobre como o estigma social é vivenciado ao longo da vida. Objetivo: Evidenciar os efeitos do estresse de minoria na vida da população transgênero. Método: Trata-se de uma revisão integrativa da literatura que seguiu a estratégia PICO para identificar os fatores associados ao estresse de minoria de gênero. A busca dos artigos foi realizada em três bases de dados eletrônicas: Medline, Lilacs e Scielo. Foram utilizados os descritores “Minorias Sexuais e de Gênero”, “Pessoas Transgênero”, “Estigma Social”, “Saúde Mental”, com textos completos, publicados no período de 2011 a 2021, no idioma inglês, português e espanhol e foi usado o operador booleano AND. Resultado: Foram encontrados 157 artigos. Trinta e cinco artigos foram selecionados para serem lidos na íntegra e 15 atenderam aos critérios desta revisão. Conclusão: As evidências mostram que a população transgênero apresenta maior risco para transtornos mentais, entre eles a ansiedade, quando comparada aos heterossexuais. O aparecimento dos sinais e sintomas de ansiedade estão relacionados com a vergonha e o comportamento evitativo dessa população devido à forte discriminação e à ausência de apoio social e familiar, o que ocasiona altos níveis de angústia.

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“…In addition, increased suicidality for trans * gender people compared to the cisgender population has been reported (Goldblum et al, 2012;Bailey et al, 2014;Reisner et al, 2016;Adams et al, 2017;Yüksel et al, 2017). This increased risk of comorbidities could be replicated in several countries worldwide, including data from the Lebanon (Ibrahim et al, 2016), the United States (Hanna et al, 2019), and the Republic of Côte d'Ivoire (Scheim et al, 2019). Consequently, mental health issues do not result from gender incongruence and stress/rejection/discomfort experienced by the individuals alone but are possibly further promoted by the binary-gendered thinking and treatment routines of the healthcare systems as they exist in most societies around the globe.…”

Section: Introduction -Gaps and Challengesmentioning

confidence: 92%

Healthcare for Trans*gender People in Germany: Gaps, Challenges, and Perspectives

et al. 2021

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People whose gender does not correspond to the binary gender system, i.e., trans∗gender people, face two main problems when it comes to healthcare in Germany: (1) They often suffer from general psychiatric comorbidities as well as specific and significant mental distress due to gender dysphoria, and (2) the German healthcare system lacks sufficiently educated and clinically experienced medical personnel who are able to provide specialized healthcare. Aside from transition, it often is extremely difficult for trans∗gender people to get access to and be integrated into the medical system. Stigmatization and pathologization in treatment are widespread, as are long waiting times for specialized healthcare providers who are often only accessible to those trans∗gender people willing to travel long distances. Frequently, trans∗gender people face further difficulties and barriers after transition, as some healthcare professionals fail to provide suitable care (e.g., gynecological consultation for transmen). The ICD-11 German Modification (ICD-11-GM), which should be routinely used by 2022, implements a depathologization of trans∗gender people in the medical system. This paper compares the issues related to health and healthcare of trans∗gender people in Germany with those in other European countries. We review the care offered by specialized centers with regard to treatment of and support for trans∗gender people. We conclude with specific proposals that may contribute to establish an improved, up-to-date, gender-sensitive healthcare system.

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Sexual behavior stigma and depression among transgender women and cisgender men who have sex with men in Côte d'Ivoire

Cited by 15 publications

References 41 publications

Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries

Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries

Estresse de minoria de gênero e seus efeitos na saúde mental como fator de risco para depressão em pessoas transgênero: Revisão da literatura

Healthcare for Trans*gender People in Germany: Gaps, Challenges, and Perspectives

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