@article{ref1,
title="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",
journal="Journal of interpersonal violence",
year="2024",
author="Eustaquio, Patrick C. and Olansky, Evelyn and Lee, Kathryn and Marcus, Ruthanne and Cha, Susan",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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 (&quot;gender-affirming HCP&quot;). 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 (&quot;healthcare-seeking transgender women&quot; [HSTW]) (N = 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 (p-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 not 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.<p /> <p>Language: en</p>",
language="en",
issn="0886-2605",
doi="10.1177/08862605241257592",
url="http://dx.doi.org/10.1177/08862605241257592"
}