ArticlePloS one2015
Sex Partnership and Self-Efficacy Influence Depression in Chinese Transgender Women: A Cross-Sectional Study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Cultural Adaptation and Evaluation of Evidence for Validity of a Gender Minority Stress Measure Among Transgender Women and Transfeminine People in China.Transgender health · 2026Article
- Forms of transphobia and their influence on health outcomes among transgender, nonbinary, and gender diverse individuals: a global systematic review.International journal of transgender health · 2025Article
- The relationship between gender identity and depressive symptoms in adolescents: a moderated mediation model of self-efficacy and family functioning.BMC public health · 2025Article
- A scoping review examining measurement of anti-transgender stigma in low- and middle-income countries.PLOS global public health · 2025Article
- Health Service Utilization and Its Associations with Depression and Sexual Risk Behaviors Among Transgender Women in Shanghai, China.Transgender health · 2023Article
- "Be the Dream Queen": Gender Performativity, Femininity, and Transgender Sex Workers in China.International journal of environmental research and public health · 2021Article
- Physical and Sociodemographic Features Associated With Quality of Life Among Transgender Women and Men Using Gender-Affirming Hormone Therapy.Frontiers in psychiatry · 2021Article
- Preference for Masculine or Feminine Gender Roles and Its Relationship to Well-Being in Transgender Persons: Comparing Pre-Treatment, Hormonal Therapy, and Post-Surgery Groups.Behavioral sciences (Basel, Switzerland) · 2020Article
- Gender Identity and Sexual Orientation in Chinese Men Who Have Sex with Men: A Latent Class Analysis.Archives of sexual behavior · 2020Article
- Trans, gender diverse and non-binary adult experiences of social support: A systematic quantitative literature review.International journal of transgender health · 2020Review
- Identity, stigma, and HIV risk among transgender women: a qualitative study in Jiangsu Province, China.Infectious diseases of poverty · 2019Article
- Article
- Correlates of HIV infection among transgender women in two Chinese cities.Infectious diseases of poverty · 2018Article
- Exposure to gender-based violence and depressive symptoms among transgender women in Cambodia: findings from the National Integrated Biological and Behavioral Survey 2016.International journal of mental health systems · 2018Article
- Assigning Clinical Significance and Symptom Severity Using the Zung Scales: Levels of Misclassification Arising from Confusion between Index and Raw Scores.Depression research and treatment · 2018Article
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8 authors.
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Abstract
backgroundTransgender women often suffer from transition-related discrimination and loss of social support due to their gender transition, which may pose considerable psychological challenges and may lead to a high prevalence of depression in this population. Increased self-efficacy may combat the adverse effects of gender transition on depression. However, few available studies have investigated the protective effect of self-efficacy on depression among transgender women, and there is a scarcity of research describing the mental health of Chinese transgender women. This study aims to describe the prevalence of depression among Chinese transgender women and to explore the associated factors.
methodsA cross-sectional study was conducted in Shenyang, Liaoning Province of China by convenience sampling from January 2014 to July 2014. Two hundred and nine Chinese transgender women were interviewed face-to-face with questionnaires that covered topics including the Zung Self-Rating Depression Scale (SDS), demographic characteristics, transition status, sex partnership, perceived transgender-related discrimination, the Multidimensional Scale of Perceived Social Support (MSPSS) and the adapted General Self-efficacy Scale (GSES). A hierarchical multiple regression analysis was performed to explore the factors associated with SDS scores.
resultsThe prevalence of depression among transgender women was 45.35%. Transgender women with regular partners or casual partners exhibited higher SDS scores than those without regular partners or casual partners. Regression analyses showed that sex partnership explained most (16.6%) of the total variance in depression scores. Self-efficacy was negatively associated with depression.
conclusionsChinese transgender women experienced high levels of depression. Depression was best predicted by whether transgender women had a regular partner or a casual partner rather than transgender-related discrimination and transition status. Moreover, self-efficacy had positive effects on attenuating depression due to gender transition. Therefore, interventions should focus on improving the sense of self-efficacy among these women to enable them to cope with depression and to determine risky sex partnership characteristics, especially for regular and casual partners.
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