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印度东北部曼尼普尔邦跨性别者的规模估计与脆弱性评估:一项横断面研究。

Size estimation and vulnerability assessment of transgender people in Manipur, North-east India: A cross-sectional study.

作者信息

Suriya Phanjoubam, Rajkumari Bishwalata, Sharma Choudhurimayum Robedi

机构信息

Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India.

Multi-Discipinary Research Unit, Regional Institute of Medical Sciences, Imphal, Manipur, India.

出版信息

J Family Med Prim Care. 2024 Dec;13(12):5853-5860. doi: 10.4103/jfmpc.jfmpc_1251_24. Epub 2024 Dec 9.

DOI:10.4103/jfmpc.jfmpc_1251_24
PMID:39790756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11709078/
Abstract

CONTEXT

Transgender people commonly faced stigma which has been linked to violence, abuse, and discrimination, often forcing them to remain hidden.

OBJECTIVES

This study plans to estimate the size of the transgender population and to assess the vulnerability and risk of transgender people in the society.

METHODS

This cross-sectional study was conducted among 171 transwomen aged 18 years and above residing in two districts in Manipur recruited using the respondent-driven sampling (RDS) method. Interviews were conducted using a semistructured questionnaire, and the multiplier method was applied for the size estimation. Descriptive statistics were generated. Ethical approval for the study was obtained from the institutional ethics committee.

RESULTS

The mean ± SD age of realization of their sexual identity and age of expressing gender identity was 9.06 ± 2.9 and 17.3 ± 2.7 year, respectively. The reported network size was found to be 40.37 ± 38.7, and the estimated size of the transgender population was found to be 2201 (95% CI 1987.6-2403.1). Most of the respondents (157, 91.8%) had 'Ever experienced harassment due to their sexual identity', with the majority (138, 87.9%) reporting 'verbal abuse', while (108, 63.1%) reported 'sexual abuse' and 43.9% of them said they had a 'psychological effect' due to the abuse.

CONCLUSION

The majority of the respondents had faced some form of harassment or abuse due to their gender identity, leading to the psychological effect on them. There is an urgent need for developing a comprehensive measure focusing on mainstreaming the transgender persons by creating an enabling environment for their holistic development.

摘要

背景

跨性别者普遍面临耻辱,这与暴力、虐待和歧视有关,常常迫使他们隐藏自己。

目的

本研究计划估计跨性别群体的规模,并评估社会中跨性别者的脆弱性和风险。

方法

本横断面研究在曼尼普尔邦两个地区居住的171名18岁及以上的变性女性中进行,采用应答驱动抽样(RDS)方法招募。使用半结构化问卷进行访谈,并应用乘数法进行规模估计。生成描述性统计数据。该研究获得了机构伦理委员会的伦理批准。

结果

他们意识到自己性身份的平均年龄±标准差以及表达性别身份的年龄分别为9.06±2.9岁和17.3±2.7岁。报告的社交网络规模为40.37±38.7,估计跨性别群体的规模为2201人(95%可信区间1987.6 - 2403.1)。大多数受访者(157人,91.8%)“曾因性身份遭受骚扰”,其中大多数(138人,87.9%)报告“言语虐待”,而(108人,63.1%)报告“性虐待”,43.9%的人表示虐待对他们有“心理影响”。

结论

大多数受访者因性别身份面临某种形式的骚扰或虐待,这对他们产生了心理影响。迫切需要制定一项综合措施,通过为跨性别者的全面发展创造有利环境,使其融入主流社会。

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The significance of structural stigma towards transgender people in health care encounters across Europe: Health care access, gender identity disclosure, and discrimination in health care as a function of national legislation and public attitudes.跨性别者在欧洲医疗保健遭遇中结构性污名的意义:医疗保健的可及性、性别认同的披露,以及国家立法和公众态度对医疗保健中歧视的影响。
BMC Public Health. 2023 May 31;23(1):1031. doi: 10.1186/s12889-023-15856-9.
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A global cautionary tale: discrimination and violence against trans women worsen despite investments in public resources and improvements in health insurance access and utilization of health care.一个全球警示故事:尽管在公共资源方面进行了投资,改善了健康保险的获取和利用,针对跨性别女性的歧视和暴力仍在加剧。
Int J Equity Health. 2022 Mar 3;21(1):32. doi: 10.1186/s12939-022-01632-5.
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Narratives of transphobic violence in the Mexican province of Colima: A psychosocial analysis.墨西哥科利马州恐跨性别暴力事件的叙述:一项社会心理分析。
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