A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil

Detalhes bibliográficos
Autor(a) principal: Reis, Arianne
Data de Publicação: 2021
Outros Autores: Sperandei, Sandro, Carvalho, Paula Galdino Cardin de, Pinheiro, Thiago Félix, Moura, Ferdinando Diniz de, Gomez, José Luis, Porchat, Patrícia, Bastos, Francisco Inácio Pinkusfeld Monteiro, McFarland, Willi, Wilson, Erin C., Veras, Maria Amélia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/59882
Resumo: Western Sydney University. School of Health Sciences. Penrith, Australia / Western Sydney University. Translational Health Research Institute. Penrith, Australia.
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spelling Reis, ArianneSperandei, SandroCarvalho, Paula Galdino Cardin dePinheiro, Thiago FélixMoura, Ferdinando Diniz deGomez, José LuisPorchat, PatríciaBastos, Francisco Inácio Pinkusfeld MonteiroMcFarland, WilliWilson, Erin C.Veras, Maria Amélia2023-08-02T16:11:33Z2023-08-02T16:11:33Z2021REIS, Arianne et al. A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil. BMC Psychiatry, v. 21, p. 1-13, 2021.1471-244Xhttps://www.arca.fiocruz.br/handle/icict/5988210.1186/s12888-021-03557-9engBMCA cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleWestern Sydney University. School of Health Sciences. Penrith, Australia / Western Sydney University. Translational Health Research Institute. Penrith, Australia.Western Sydney University. Translational Health Research Institute. Penrith, Australia.Santa Casa de São Paulo. Faculdade de Ciências Médicas. São Paulo, SP, Brasil.Santa Casa de São Paulo. Faculdade de Ciências Médicas. São Paulo, SP, Brasil.Santa Casa de São Paulo. Faculdade de Ciências Médicas. São Paulo, SP, Brasil.Santa Casa de São Paulo. Faculdade de Ciências Médicas. São Paulo, SP, Brasil.Universidade Estadual Paulista. Faculdade de Ciências. Bauru, SP, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Center for Public Health Research. San Francisco Department of Public Health. San Francisco, CA, USA / University of California. Department of Epidemiology and Statistics. San Francisco, CA, USA.Trans Research unit for Equity. San Francisco Department of Public Health. San Francisco, CA, USA.Santa Casa de São Paulo. Faculdade de Ciências Médicas. São Paulo, SP, Brasil.Background: Trans women have been shown to experience disproportionately poor outcomes in physical and mental health. Although it is common to talk about the violence against trans people, little is still known about mental health outcomes and experiences of suicidality among trans women, particularly in developing countries. This study aims to investigate risk factors and associations with mental health, suicide ideation and suicide attempts among trans women in the largest metropolitan area in Brazil. Methods: Trans women living in São Paulo were recruited between May 2017 and July 2019 using the long-chain peer referral method Respondent-Driven Sampling. Multivariate regression models were used to investigate the associations with K10 score classification (logistic) and suicidal ideation/suicide attempt (ordinal logistic). Results: A total of 763 trans women were included in the study. Over one quarter (26.5%) of trans women had been diagnosed with anxiety in the past, and close to one in five (19.1%) trans women had received a diagnosis of depression. More than two in five (41.9%) trans women had moderate to severe psychological distress. More than half of all participating trans women reported having previously either experienced suicidal ideation or attempted to take their own lives (25.0 and 31.2% respectively). In multivariate regression, moderate to severe psychological distress was associated with homelessness, income, current sex work, use of stimulant drugs, history of physical abuse, depression diagnosis and access to mental health treatment. Suicidal ideation and suicide attempts were associated with race/skin color, living arrangements, marital status, current sex work, history of sexual violence, depression and PTSD diagnoses, access to mental health treatment and psychological distress. Conclusions: This study showed that there is a significant association between mental health conditions, lack of treatment for these conditions and suicidality among trans gender women. Findings point to the need for a structural transformation in Brazil that enables a reduction in the social inequality and violence that impact the mental health of trans women. A number of recommendations to achieve this are provided.Transgender womenMental healthSuicidal ideationSuicide attemptRisk factorsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/59882/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALva_Reis_Arianne_etal_ICICT_2021.pdfva_Reis_Arianne_etal_ICICT_2021.pdfapplication/pdf1032208https://www.arca.fiocruz.br/bitstream/icict/59882/2/va_Reis_Arianne_etal_ICICT_2021.pdff2dc09649f664f676f8982fea32a3a5dMD52icict/598822023-10-27 14:28:32.97oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-10-27T17:28:32Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.en_US.fl_str_mv A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
title A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
spellingShingle A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
Reis, Arianne
Transgender women
Mental health
Suicidal ideation
Suicide attempt
Risk factors
title_short A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
title_full A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
title_fullStr A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
title_full_unstemmed A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
title_sort A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil
author Reis, Arianne
author_facet Reis, Arianne
Sperandei, Sandro
Carvalho, Paula Galdino Cardin de
Pinheiro, Thiago Félix
Moura, Ferdinando Diniz de
Gomez, José Luis
Porchat, Patrícia
Bastos, Francisco Inácio Pinkusfeld Monteiro
McFarland, Willi
Wilson, Erin C.
Veras, Maria Amélia
author_role author
author2 Sperandei, Sandro
Carvalho, Paula Galdino Cardin de
Pinheiro, Thiago Félix
Moura, Ferdinando Diniz de
Gomez, José Luis
Porchat, Patrícia
Bastos, Francisco Inácio Pinkusfeld Monteiro
McFarland, Willi
Wilson, Erin C.
Veras, Maria Amélia
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Reis, Arianne
Sperandei, Sandro
Carvalho, Paula Galdino Cardin de
Pinheiro, Thiago Félix
Moura, Ferdinando Diniz de
Gomez, José Luis
Porchat, Patrícia
Bastos, Francisco Inácio Pinkusfeld Monteiro
McFarland, Willi
Wilson, Erin C.
Veras, Maria Amélia
dc.subject.en.en_US.fl_str_mv Transgender women
Mental health
Suicidal ideation
Suicide attempt
Risk factors
topic Transgender women
Mental health
Suicidal ideation
Suicide attempt
Risk factors
description Western Sydney University. School of Health Sciences. Penrith, Australia / Western Sydney University. Translational Health Research Institute. Penrith, Australia.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2023-08-02T16:11:33Z
dc.date.available.fl_str_mv 2023-08-02T16:11:33Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv REIS, Arianne et al. A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil. BMC Psychiatry, v. 21, p. 1-13, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/59882
dc.identifier.issn.en_US.fl_str_mv 1471-244X
dc.identifier.doi.none.fl_str_mv 10.1186/s12888-021-03557-9
identifier_str_mv REIS, Arianne et al. A cross-sectional study of mental health and suicidality among trans women in São Paulo, Brazil. BMC Psychiatry, v. 21, p. 1-13, 2021.
1471-244X
10.1186/s12888-021-03557-9
url https://www.arca.fiocruz.br/handle/icict/59882
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/59882/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/59882/2/va_Reis_Arianne_etal_ICICT_2021.pdf
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