142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Correlates of discrimination: Understanding sexual health and well-being among transgender female youth in Northern California

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 3:00 PM - 3:15 PM

Gabriel Galindo, DrPH MPH CHES , SF Dept of Public Health, San Francisco, CA
Objective: This study examines the extent to which ethnoracial-based and gender-based discrimination are associated with sexual health and feminization outcomes among transgender female youth.

Methods: We used preliminary baseline data collected from the Shine Study, a respondent-driven sample survey of youth (ages 16-24) who self-identified as transgender female. We initially calculated Pearson product-moment and Spearman rho correlations to assess relationships between discrimination type and sexual health, as well as between feminization procedures. Next, partial correlations were computed to assess the role of social support type and insurance status as correlation influences.

Results: The sample (N=239) was ethnoracially diverse (Asian=6%, Black=13%, Latino=31%, White=34%, Multiracial=10%), with a mean age of 21. Significant relationships were seen between ethnoracial-based discrimination and ever having done sex work (p=0.019), as well as inverse relationships between current hormone use (p=0.002) and having had feminization surgery (p=0.005). With respect to gender-based discrimination, significant relationships were seen between ever having done sex work (p<0.001), drug use during sex (p=0.037), and total instances of unprotected anal intercourse (p=0.019). While 79% of the sample reported having insurance, no significant associations were seen when controlling for insurance status. Further, 30% of the sample reported receiving most support from their friends, followed by parents (16%) and chosen family (14%); however, controlling for support type did not reveal significant correlations.  

Conclusion: The effects of ethnoracial-based and gender-based discrimination type can vary greatly among health outcomes of transgender female youth. Devising strategies specific to these differences may help in reducing health disparities among the population.

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify, at least, three (3) associations of gender-based discrimination among transgender female youth; Identify, at least, three (3) associations of ethnoracial-based discrimination among transgender female youth; and Describe, at least, two (2) potential strategies to reduce discrimination among transgender female youth.

Keyword(s): Youth, Lesbian, Gay, Bisexual and Transgender (LGBT)

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: n/a

Qualified on the content I am responsible for because: I am a research specialist at the SF Department of Public Health. My research interests lie at the intersection of exploring health disparities among gender, ethnoracial and sexual minorities. Further, I possess over 10 years of experiences in conducting research and applied public health interventions relating to sexual risk and resilience within disadvantaged populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.