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      Depressive symptoms and associated factors among travestis and transsexuals: a cross-sectional study Translated title: Síntomas depresivos y factores asociados entre travestis y transexuales: estudio transversal

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          ABSTRACT

          Objectives:

          to estimate the prevalence of depressive levels and their associated factors among transvestite and transsexual individuals.

          Methods:

          this cross-sectional study involved 58 participants assisted by non-governmental organizations. The Beck Depression Inventory was utilized to assess levels of depression, complemented by a sociodemographic questionnaire and a questionnaire on experiences of violence. Data were analyzed using descriptive statistics and Poisson regression with robust variance.

          Results:

          a prevalence of 27.6% (95% CI = 11.50-39.10) for moderate to severe levels of depression was observed. This prevalence was associated with being unmarried (PR = 1.19; 95% CI = 1.10-1.28) and experiencing violence in healthcare services (PR = 2.30; 95% CI = 1.10-4.81).

          Conclusions:

          the absence of a partner and experiences of violence in healthcare settings negatively impacted mental health, leading to an increased prevalence of depressive symptoms among transvestite and transsexual individuals. Advocating for transgender rights and providing ongoing education in health care for professionals are critical strategies in promoting the mental health of this population.

          RESUMEN

          Objetivos:

          estimar la prevalencia de niveles depresivos y factores asociados entre personas travestis y transexuales.

          Métodos:

          estudio transversal con 58 participantes asistidos por organizaciones no gubernamentales. Se utilizó el Inventario de Depresión de Beck para la evaluación de los niveles depresivos y un cuestionario sociodemográfico y de experiencias de violencia. Los datos fueron analizados mediante estadística descriptiva y regresión de Poisson con varianza robusta.

          Resultados:

          se observó una prevalencia del 27,6% (IC95%=11,50-39,10) de niveles depresivos moderados a graves, asociada al estado civil soltero (RP=1,19; IC95%=1,10-1,28) y a la violencia en los servicios de salud (RP=2,30; IC95%=1,10-4,81).

          Conclusiones:

          vivir sin pareja y experimentar violencias en los servicios de salud perjudicaron la salud mental y aumentaron la prevalencia de síntomas depresivos entre personas travestis y transexuales. La defensa de los derechos de las personas trans y la educación permanente en salud para los profesionales son estrategias esenciales para promover la salud mental de esta población.

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          Most cited references33

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          Applied Logistic Regression

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            Health disparities between genderqueer, transgender, and cisgender individuals: An extension of minority stress theory.

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              Gender Minority Stress: A Critical Review

              Past studies that compare cisgender to transgender (or trans) and gender diverse people have found a higher prevalence of mental health problems among the latter groups. This article uses Testa's gender minority stress framework, which is an expansion of minority stress theory, to assess minority stressors that are specific to the experiences of trans and gender diverse people. The concept of cisnormativity, an ideology that positions cisgender identities as a norm, is used in relation to the gender minority stress framework to describe the marginalizing nature of social environments for trans and gender diverse people. This article provides a critical review that integrates and expands on past theoretical perspectives on gender minority stressors and protective factors. Specifically, this article demonstrates the relevance of cultural and ethnic backgrounds to complement the application of intersectionality in research on health disparities experienced by trans and gender diverse people.
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                Author and article information

                Contributors
                Role: conception or design of the study/researchRole: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: analysis and/or interpretation of dataRole: final review with criticalRole: intellectual participation in the manuscript
                Role: final review with criticalRole: intellectual participation in the manuscript
                Journal
                Rev Bras Enferm
                Rev Bras Enferm
                reben
                Revista Brasileira de Enfermagem
                Associação Brasileira de Enfermagem
                0034-7167
                1984-0446
                15 July 2024
                2024
                : 77
                : Suppl 3
                : e20230071
                Affiliations
                [I ]Secretaria de Saúde Pública do Estado do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil
                [II ]Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil
                [III ]Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil
                [IV ]Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil
                [I ]Secretaria de Saúde Pública do Estado do Rio Grande do Norte. Natal, Rio Grande do Norte, Brasil
                [II ]Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brasil
                [III ]Universidade Federal de São Paulo. São Paulo, São Paulo, Brasil
                [IV ]Universidade Federal da Paraíba. João Pessoa, Paraíba, Brasil
                Author notes
                Corresponding author: Glauber Weder dos Santos Silva, E-mail: glauberweder@ 123456hotmail.com

                EDITOR IN CHIEF: Dulce Barbosa

                ASSOCIATE EDITOR: Anderson Sousa

                Autor Correspondente: Glauber Weder dos Santos Silva, E-mail: glauberweder@ 123456hotmail.com

                EDITOR CHEFE: Dulce Barbosa

                EDITOR ASSOCIADO: Anderson Sousa

                Author information
                https://orcid.org/0000-0002-0570-1944
                https://orcid.org/0000-0002-1722-5703
                https://orcid.org/0000-0002-6595-6105
                https://orcid.org/0000-0002-6320-2502
                https://orcid.org/0000-0002-0299-2977
                https://orcid.org/0000-0002-8648-811X
                Article
                00153
                10.1590/0034-7167-2023-0071
                11253834
                39016427
                484cc7b1-a98e-46da-b008-9b50033fd164

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 March 2023
                : 25 November 2023
                Categories
                Original Article

                transgender persons,sexual and gender minorities,gender-based violence,depression,cross-sectional studies,personas transgénero,minorías sexuales y de género,violencia de género,depresión,estudios transversales

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