The Association Between Sexual Violence and Suicidal Ideation Among Transgender Women and the Role of Gender-Affirming Healthcare Providers in Seven Urban Areas in the United States, 2019 to 2020

Details

• Alternative Title:
  J Interpers Violence
• Personal Author:
  Eustaquio, Patrick C. ; Olansky, Evelyn ; Lee, Kathryn ; Marcus, Ruthanne ; Cha, Susan
• Corporate Authors:
  NHBS-Trans Study Group
• Description:
  Transgender women are disproportionately affected by sexual violence and corresponding mental health sequelae; however, many do not access healthcare due to experiences with transphobia. This analysis evaluated the association between sexual violence and suicidal ideation and the moderating effect of having a healthcare provider (HCP) with whom transgender women were comfortable discussing gender-related issues ("gender-affirming HCP"). We analyzed cross-sectional data from the Centers for Disease Control and Prevention's National HIV Behavioral Surveillance among Transgender Women (NHBS-Trans). Transgender women were recruited using respondent-driven sampling from seven urban areas from 2019 to 2020 and participated in an HIV biobehavioral survey. This analysis was restricted to transgender women who visited a HCP in the past 12 months ("healthcare-seeking transgender women" [HSTW]) (| = 1,489). Log-linked Poisson regression models provided adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) to estimate the association between sexual violence and suicidal ideation in the past 12 months. The interaction between sexual violence and having a gender-affirming HCP was statistically significant (|-value = .034). Among 1,489 HSTW, 225 (15.1%) experienced sexual violence and 261 (17.5%) reported suicidal ideation; 1,203 (80.8%) reported having a gender-affirming HCP. Sexual violence was associated with suicidal ideation (aPR = 2.65, 95% CI [2.08, 3.38]); the association was notably higher among those who did | have a gender-affirming HCP (aPR = 3.61, [2.17, 6.02]) than among those who did (aPR = 1.87, [1.48, 2.37]). Eliminating transphobia and promoting trauma- and violence-informed approaches in healthcare are necessary for sexual violence and suicide prevention among HSTW.
• Keywords:
  Coerced Sex Healthcare Discrimination Sexual Violence Suicide Transgender Women
• Source:
  J Interpers Violence. :8862605241257592
• Pubmed ID:
  38842225
• Pubmed Central ID:
  PMC11621224
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2b68e75126f4e4fb1c6ab5c1dd1e617a0d2be79527067176db76f05eeaa0f59e0eb3d3267ade4f0602243c09087e501c76b5b376bb2aa90c0eab427d2ecafb11
• Download URL:
  https://stacks.cdc.gov/view/cdc/174547/cdc_174547_DS1.pdf
• File Type:
  [PDF - 467.37 KB ]