Transgender Stigma and Health: A Critical Review of Stigma Determinants, Mechanisms, and Interventions
Identifieur interne : 007B52 ( Ncbi/Merge ); précédent : 007B51; suivant : 007B53Transgender Stigma and Health: A Critical Review of Stigma Determinants, Mechanisms, and Interventions
Auteurs : Jaclyn M. White Hughto [États-Unis] ; Sari L. Reisner [États-Unis] ; John E. Pachankis [États-Unis]Source :
- Social science & medicine (1982) [ 0277-9536 ] ; 2015.
Abstract
Transgender people in the United States experience widespread prejudice, discrimination, violence, and other forms of stigma.
This critical review aims to integrate the literature on stigma towards transgender people in the US.
This review demonstrates that transgender stigma limits opportunities and access to resources in a number of critical domains (e.g., employment, healthcare), persistently affecting the physical and mental health of transgender people. The applied social ecological model employed here elucidates that transgender stigma operates at multiple levels (i.e., individual, interpersonal, structural) to impact health. Stigma prevention and coping interventions hold promise for reducing stigma and its adverse health-related effects in transgender populations.
Additional research is needed to document the causal relationship between stigma and adverse health as well as the mediators and moderators of stigma in US transgender populations. Multi-level interventions to prevent stigma towards transgender people are warranted.
Url:
DOI: 10.1016/j.socscimed.2015.11.010
PubMed: 26599625
PubMed Central: 4689648
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Rationale</title>
<p id="P1">Transgender people in the United States experience widespread prejudice, discrimination, violence, and other forms of stigma.</p>
</sec>
<sec id="S2"><title>Objective</title>
<p id="P2">This critical review aims to integrate the literature on stigma towards transgender people in the US.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">This review demonstrates that transgender stigma limits opportunities and access to resources in a number of critical domains (e.g., employment, healthcare), persistently affecting the physical and mental health of transgender people. The applied social ecological model employed here elucidates that transgender stigma operates at multiple levels (i.e., individual, interpersonal, structural) to impact health. Stigma prevention and coping interventions hold promise for reducing stigma and its adverse health-related effects in transgender populations.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Additional research is needed to document the causal relationship between stigma and adverse health as well as the mediators and moderators of stigma in US transgender populations. Multi-level interventions to prevent stigma towards transgender people are warranted.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8303205</journal-id>
<journal-id journal-id-type="pubmed-jr-id">7517</journal-id>
<journal-id journal-id-type="nlm-ta">Soc Sci Med</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Transgender Stigma and Health: A Critical Review of Stigma Determinants, Mechanisms, and Interventions</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>White Hughto</surname>
<given-names>Jaclyn M.</given-names>
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<degrees>MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Reisner</surname>
<given-names>Sari L.</given-names>
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<degrees>ScD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
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<contrib contrib-type="author"><name><surname>Pachankis</surname>
<given-names>John E.</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<aff id="A1"><label>1</label>
Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, CT</aff>
<aff id="A2"><label>2</label>
The Fenway Institute, Fenway Health, Boston, MA</aff>
<aff id="A3"><label>3</label>
Division of General Pediatrics, Children’s Hospital/Harvard Medical School, Boston, MA</aff>
<aff id="A4"><label>4</label>
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA</aff>
<author-notes><corresp id="FN1"><bold>Corresponding Author:</bold>
Jaclyn M. White Hughto, MPH, Yale School of Public Health, 60 College Street, New Haven, CT 06520, PH: 508-340-7715, <email>Jaclyn.White@Yale.edu</email>
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<pub-date pub-type="nihms-submitted"><day>22</day>
<month>11</month>
<year>2015</year>
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<pub-date pub-type="epub"><day>11</day>
<month>11</month>
<year>2015</year>
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<pub-date pub-type="ppub"><month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>147</volume>
<fpage>222</fpage>
<lpage>231</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.socscimed.2015.11.010</pmc-comment>
<abstract><sec id="S1"><title>Rationale</title>
<p id="P1">Transgender people in the United States experience widespread prejudice, discrimination, violence, and other forms of stigma.</p>
</sec>
<sec id="S2"><title>Objective</title>
<p id="P2">This critical review aims to integrate the literature on stigma towards transgender people in the US.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">This review demonstrates that transgender stigma limits opportunities and access to resources in a number of critical domains (e.g., employment, healthcare), persistently affecting the physical and mental health of transgender people. The applied social ecological model employed here elucidates that transgender stigma operates at multiple levels (i.e., individual, interpersonal, structural) to impact health. Stigma prevention and coping interventions hold promise for reducing stigma and its adverse health-related effects in transgender populations.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Additional research is needed to document the causal relationship between stigma and adverse health as well as the mediators and moderators of stigma in US transgender populations. Multi-level interventions to prevent stigma towards transgender people are warranted.</p>
</sec>
</abstract>
<kwd-group><kwd>Transgender</kwd>
<kwd>Stigma</kwd>
<kwd>Health</kwd>
<kwd>Inequities</kwd>
<kwd>Interventions</kwd>
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