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Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area

Trans women face numerous structural barriers to health due to discrimination. Housing instability is an important structural determinant of poor health outcomes among trans women. The purpose of this study was to determine if experiences of intersectional anti-trans and racial discrimination are as...

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Autores principales: Beltran, Theo, Allen, Amani M., Lin, Jess, Turner, Caitlin, Ozer, Emily J., Wilson, Erin C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888394/
https://www.ncbi.nlm.nih.gov/pubmed/31731739
http://dx.doi.org/10.3390/ijerph16224521
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author Beltran, Theo
Allen, Amani M.
Lin, Jess
Turner, Caitlin
Ozer, Emily J.
Wilson, Erin C.
author_facet Beltran, Theo
Allen, Amani M.
Lin, Jess
Turner, Caitlin
Ozer, Emily J.
Wilson, Erin C.
author_sort Beltran, Theo
collection PubMed
description Trans women face numerous structural barriers to health due to discrimination. Housing instability is an important structural determinant of poor health outcomes among trans women. The purpose of this study was to determine if experiences of intersectional anti-trans and racial discrimination are associated with poor housing outcomes among trans women in the San Francisco Bay Area. A secondary analysis of baseline data from the Trans *National study (n = 629) at the San Francisco Department of Public Health (2016–2018) was conducted. Multivariable logistic regression was used to analyze the association between discrimination as an ordered categorical variable (zero, one to two, or three or more experiences) and housing status adjusting for age, years lived in the Bay Area, and gender identity. We found that the odds of housing instability increased by 1.25 for every categorical unit increase (1–2, or 3+) in reported experiences of intersectional (both anti-trans and racial) discrimination for trans women (95% CI = 1.01–1.54, p-value < 0.05). Intersectional anti-trans and racial discrimination is associated with increased housing instability among trans women, giving some insight that policies and programs are needed to identify and address racism and anti-trans stigma towards trans women. Efforts to address intersectional discrimination may positively impact housing stability, with potential for ancillary effects on increasing the health and wellness of trans women who face multiple disparities.
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spelling pubmed-68883942019-12-09 Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area Beltran, Theo Allen, Amani M. Lin, Jess Turner, Caitlin Ozer, Emily J. Wilson, Erin C. Int J Environ Res Public Health Article Trans women face numerous structural barriers to health due to discrimination. Housing instability is an important structural determinant of poor health outcomes among trans women. The purpose of this study was to determine if experiences of intersectional anti-trans and racial discrimination are associated with poor housing outcomes among trans women in the San Francisco Bay Area. A secondary analysis of baseline data from the Trans *National study (n = 629) at the San Francisco Department of Public Health (2016–2018) was conducted. Multivariable logistic regression was used to analyze the association between discrimination as an ordered categorical variable (zero, one to two, or three or more experiences) and housing status adjusting for age, years lived in the Bay Area, and gender identity. We found that the odds of housing instability increased by 1.25 for every categorical unit increase (1–2, or 3+) in reported experiences of intersectional (both anti-trans and racial) discrimination for trans women (95% CI = 1.01–1.54, p-value < 0.05). Intersectional anti-trans and racial discrimination is associated with increased housing instability among trans women, giving some insight that policies and programs are needed to identify and address racism and anti-trans stigma towards trans women. Efforts to address intersectional discrimination may positively impact housing stability, with potential for ancillary effects on increasing the health and wellness of trans women who face multiple disparities. MDPI 2019-11-15 2019-11 /pmc/articles/PMC6888394/ /pubmed/31731739 http://dx.doi.org/10.3390/ijerph16224521 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Beltran, Theo
Allen, Amani M.
Lin, Jess
Turner, Caitlin
Ozer, Emily J.
Wilson, Erin C.
Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area
title Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area
title_full Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area
title_fullStr Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area
title_full_unstemmed Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area
title_short Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area
title_sort intersectional discrimination is associated with housing instability among trans women living in the san francisco bay area
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888394/
https://www.ncbi.nlm.nih.gov/pubmed/31731739
http://dx.doi.org/10.3390/ijerph16224521
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