Familial Rejection and Psychological Distress Among Young Transgender Women in Chicago and Boston Pubblico
Scully, Kate (2016)
Published
Abstract
Purpose: The central aim of this analysis is to investigate the association between transphobia, sex work, familial rejection and psychological distress and social support, among young transgender women (YTW) aged 16-29.
Methods: These data were collected via in-person surveys. A total of 300 YTW ages 16-29 were recruited through multiple convenience and referral-based sampling techniques and were enrolled over a period of 36 months. Three surveys were incomplete, thus this analysis examines data from a sample of n=297 YTW. Two outcomes were modeled using multivariate regression: self-reported psychological distress and social support. Key covariates included internalized, perceived, and experienced stigma; history of sex work, and relationship equity. Models controlled for age, race/ethnicity, and education.
Results: Nearly half of the sample reported a history of sex work (n=147), and more than 30% reported having attempted suicide in their lifetime (n=90). In this sample, 39.4% (n=117) reported at least one instance of familial rejection from an immediate family member. Women who reported instances of familial rejection experienced a 6.23 unit increase in psychological distress (95% CI: 2.38, 10.08; p: 0.002).
Conclusion: There are significant gaps in the literature addressing transgender health, and too few studies explore familial rejection and psychological distress among transgender women with a history of sex work. The strong association between familial rejection and experiences of psychological distress and suicidality highlights a need for more research. This finding also suggests a critical gap in education for the families of YTW, which could be addressed through evidence-based public health interventions.
Table of Contents
CHAPTER I: INTRODUCTION ---- 1
OBJECTIVES AND AIMS ---- 4
TRANSPHOBIA - INTERNALIZED STIGMA; PERCEIVED STIGMA; AND EXPERIENCED STIGMA ---- 5
SEX WORK ---- 6
RELATIONSHIP POWER ---- 7
CHAPTER II: MANUSCRIPT ---- 8
INTRODUCTION ---- 12
BACKGROUND ---- 12
DATA & METHODS ---- 14
MEASUREMENTS ---- 17
Relationship Power ---- 17
Psychological Distress ---- 18
Social Support ---- 18
Transphobia ---- 19
RESULTS ---- 24
DISCUSSION ---- 29
CONCLUSION ---- 35
APPENDICES ---- 37
CHAPTER III: RECOMMENDATIONS ---- 42
PUBLIC HEALTH IMPLICATIONS ---- 42
CHAPTER IV: REFERENCES ---- 50
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