Communicable Disease Division, Department of Public Health, Ministry of Health, National HIV, AIDS and STIs Control Program, Thimphu, Bhutan.
National HIV, AIDS, and STIs Control Program, Health Information and Service Center, Thimphu, Bhutan.
PLoS One. 2022 Oct 7;17(10):e0271853. doi: 10.1371/journal.pone.0271853. eCollection 2022.
Transgender persons experience health disparities and are marginalized in many societies worldwide. Even their numbers are unknown in many countries. We conducted the first effort to estimate the population size of transgender women (TGW) and transgender men (TGM) in Bhutan from November 2019 to January 2020.
Community-based surveys of TGW and TGM integrated several methods to estimate the size of hidden populations, including key informant mapping, wisdom-of-the-crowd, the service multiplier, and the unique object multiplier. Results of the several methods were synthesized using a Bayesian approach.
Surveys included 34 TGW and 124 TGM. TGW was persons assigned to the male sex at birth and currently self-identified as "trans women" (91%), "women" (6%), or another gender (3%). TGM were persons assigned female sex at birth and self-identified as "trans men" (100%). Bayesian synthesis of the multiple methods estimated 84 TGW (credible interval 61-110) and 166 TGM (credible interval 124-211) in Bhutan.
Our study documented that TGW and TGM are part of Bhutanese society, with TGW constituting 0.03% of adult women and TGM 0.06% of adult men. Estimates can help advocate for resources and programs to address the health and well-being of these communities.
跨性别者在世界上许多国家和社会中都面临健康差距和边缘化问题。甚至在许多国家,他们的数量都未知。我们首次努力从 2019 年 11 月至 2020 年 1 月在不丹估算跨性别女性(TGW)和跨性别男性(TGM)的人口规模。
基于社区的 TGW 和 TGM 调查采用了多种方法来估计隐藏人口的规模,包括关键知情人映射、众包、服务倍增和独特对象倍增。使用贝叶斯方法综合几种方法的结果。
调查包括 34 名跨性别女性和 124 名跨性别男性。跨性别女性是指出生时被分配为男性性别,目前自我认同为“跨女性”(91%)、“女性”(6%)或其他性别(3%)的人。跨性别男性是指出生时被分配为女性性别,自我认同为“跨男性”(100%)的人。多种方法的贝叶斯综合估计不丹有 84 名跨性别女性(可信区间 61-110)和 166 名跨性别男性(可信区间 124-211)。
我们的研究记录了跨性别女性和跨性别男性是不丹社会的一部分,跨性别女性占成年女性的 0.03%,跨性别男性占成年男性的 0.06%。这些估计数可以帮助倡导为这些群体提供资源和项目,以解决他们的健康和福祉问题。