ArticleAnnals of epidemiology2019
Sexual behavior stigma and depression among transgender women and cisgender men who have sex with men in Côte d'Ivoire.
Article in Annals of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Pooled it
- The moderating role of HIV status in the association between gender identity and depression among sexual and gender minorities in Abuja, Nigeria.PLOS mental health · 2026Article
- Depressive symptoms, violence, and discrimination among transgender women during the COVID-19 pandemic: a cross-sectional study.Revista peruana de medicina experimental y salud publica · 2025Article
- Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa.AIDS care · 2023Article
- The Relationship Between Sexual Behavior Stigma and Depression Among Men Who have Sex with Men and Transgender Women in Kigali, Rwanda: a Cross-sectional Study.International journal of mental health and addiction · 2022Article
- Associations between mental health and HIV status among sexual minority and heterosexual adolescents in Nigeria.BMJ global health · 2022Article
- Associations of gender identity with sexual behaviours, social stigma and sexually transmitted infections among adults who have sex with men in Abuja and Lagos, Nigeria.Journal of the International AIDS Society · 2022Article
- Factors associated with symptoms of major depression disorder among transgender women in Northeast Brazil.PloS one · 2022Article
- Disclosure of same-sex practices and experiences of healthcare stigma among cisgender men who have sex with men in five sub-Saharan African countries.BMC public health · 2021Article
- Uptake of antiretroviral treatment and viral suppression among men who have sex with men and transgender women in sub-Saharan Africa in an observational cohort study: HPTN 075.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021Observational
- Healthcare for Trans*gender People in Germany: Gaps, Challenges, and Perspectives.Frontiers in neuroscience · 2021Article
- Characterizing Cross-Culturally Relevant Metrics of Stigma Among Men Who Have Sex With Men Across 8 Sub-Saharan African Countries and the United States.American journal of epidemiology · 2020Article
- Characterizing social cohesion and gender identity as risk determinants of HIV among cisgender men who have sex with men and transgender women in Côte d'Ivoire.Annals of epidemiology · 2020Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
Abstract
purposeTransgender women (TGW) and cisgender men who have sex with men (cisMSM) across sub-Saharan Africa experience health inequalities relative to other adults. Recent research has also revealed health inequalities between these often-conflated groups. Among TGW and cisMSM in Côte d'Ivoire, we sought to determine whether transgender female identity was associated with probable depression, and whether sexual behavior stigma mediated this association.
methodsIn 2015-2016, a cross-sectional respondent-driven sampling survey of adult TGW and cisMSM was conducted across five cities. We conducted a three-way decomposition of mediation and interaction of gender identity and sexual behavior stigma. Depression was measured by the nine-item Patient Health Questionnaire (PHQ-9).
resultsOf 1301 participants, 339 (26.1%) were TGW. The prevalence of probable depression was 22.7% among TGW and 12.2% among cisMSM (P < .001). After confounder adjustment, the relative risk of depression attributable to transgender female gender identity was 1.68 (95% CI = 1.36, 2.00) with 69.9% (95% CI = 42.6, 97.1) of this effect mediated by sexual behavior stigma. The effect of stigma on depression did not differ significantly by gender.
conclusionsThese data suggest that stigma mitigation interventions specifically addressing the stigma affecting transgender women may also address mental health inequalities between transgender women and cisMSM in Côte d'Ivoire.
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