Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre 90619-900, Brazil.
Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro 22290-140, Brazil.
Int J Environ Res Public Health. 2021 May 1;18(9):4850. doi: 10.3390/ijerph18094850.
This cross-sectional exploratory study aims to verify associations between condom-protected sex, condom negotiation self-efficacy, self-esteem, and four minority stressors (experiences with misgendering, "passing" concerns, anticipated prejudice, and perceived prejudice) among transgender men (TM) and transgender women (TW). 260 individuals (192 TW and 68 TM) residing in two Brazilian states participated in the study. Data was collected online and in two hospital programs for transgender people and included sociodemographic data, condom-protected sex, the Trans-Specific Condom/Barrier Negotiation Self-Efficacy (T-Barrier) Scale, the Rosenberg Self-Esteem Scale, and four minority stressors. Measures that were significantly associated with condom-protected sex were tested as independent variables in a linear regression model. The main results suggest that lower condom negotiation self-efficacy, higher "passing" concerns, and higher experiences with misgendering were predictors of lower frequency of condom-protected sex. These negative outcomes were found among both TM and TW, which justifies their inclusion in public health policies. Structural strategies and clinical interventions are suggested to address condom negotiation self-efficacy and "passing" concerns in transgender populations.
本横断面探索性研究旨在验证男跨女(transgender women,TW)和男跨男(transgender men,TM)群体中,安全套性行为、安全套使用协商自我效能、自尊与四种少数群体压力源(被误称、“扮相”担忧、预期偏见和感知偏见)之间的关联。来自巴西两个州的 260 名个体(192 名 TW 和 68 名 TM)参与了这项研究。数据通过在线和两个跨性别者医院项目收集,包括社会人口统计学数据、安全套性行为、跨性别者特异性安全套/屏障协商自我效能(T-Barrier)量表、罗森伯格自尊量表以及四种少数群体压力源。与安全套性行为显著相关的测量指标被作为自变量纳入线性回归模型进行检验。主要结果表明,较低的安全套使用协商自我效能、较高的“扮相”担忧以及更多的被误称经历是安全套性行为频率较低的预测因素。这些负面结果在 TM 和 TW 中均有发现,这证明了将其纳入公共卫生政策的合理性。建议采取结构策略和临床干预措施来解决跨性别群体中的安全套使用协商自我效能和“扮相”担忧问题。
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