Evidence map›Paper›PMID 31785621›Full record

ArticleInfectious diseases of poverty2019

Identity, stigma, and HIV risk among transgender women: a qualitative study in Jiangsu Province, China.

Zi-Han Yan, Jessica Lin, Wen-Jing Xiao, Keh-Ming Lin, Willi McFarland, Hong-Jing Yan, Erin Wilson

Abstract read
In one paragraph

Article in Infectious diseases of poverty, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Adaptation of the U.S.-oriented evidence-based interventionInternational journal of transgender health · 2024
    Article
  13. Gender Identity Disclosure and Healthcare Services Uptake Among Chinese Transgender Individuals in China: Results from a Cross-Sectional Study.International journal of sexual health : official journal of the World Association for Sexual Health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zi-Han YanUniversity of California, Berkeley, USA.ORCID http://orcid.org/0000-0001-5845-7191
Jessica LinSan Francisco Department of Public Health, 25 Van Ness Avenue, Suite 710, San Francisco, CA, 94102-6033, USA.
Wen-Jing XiaoJiangsu Provincial Center for Disease Control and Prevention, 172 Jiangsu Road, Gulou District, Nanjing, 210009, Jiangsu, China.
Keh-Ming LinUniversity of California, Los Angeles, USA.
Willi McFarlandSan Francisco Department of Public Health, 25 Van Ness Avenue, Suite 710, San Francisco, CA, 94102-6033, USA.
Hong-Jing YanJiangsu Provincial Center for Disease Control and Prevention, 172 Jiangsu Road, Gulou District, Nanjing, 210009, Jiangsu, China. yanhongjing@hotmail.com.
Erin WilsonSan Francisco Department of Public Health, 25 Van Ness Avenue, Suite 710, San Francisco, CA, 94102-6033, USA. erincwilson@gmail.com.

Funding

The Transnational Cohort: global HIV epidemiology and prevention research for transwomen.R01MD010678 · NIMHD · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI MCFARLAND, WILLIAM, MEEK, ERIN CATHERINE · 2015 to 2019
$2.4M
NIMHD NIH HHS R01 MD010678NIMHD NIH HHS R01MD010678
6 · The paper itself

Abstract

backgroundTransgender women have multiple disparities globally, including social rejection and stigma, HIV infection and untreated mental health problems. However, few data on transgender women are available in China. Therefore, this study aimed to explore transgender women's experiences on gender identity, disclosure, discrimination, transgender-specific medical care, and perceptions of HIV and sexually transmitted infections (STI) risk in China.

methodsA qualitative study was conducted in Nanjing and Suzhou city, China in 2018. Key informant interviews (n = 14) and focus group discussions (n = 2) with diverse transgender women were implemented. Text was transcribed and translated, and Dedoose™ software was used for coding, analysis and interpretation by the research team.

resultsChinese transgender women share experiences with transgender women worldwide, including a long and challenging identity search, stigma and discrimination, poor access to trans-specific services and unmet needs for mental health care. Features unique to them include terms used for self-identification, culturally-shaped expectations for reproduction, and ideals of placing the familial and societal welfare over personal fulfillment. Social networks of this population appear sparse, scattered, and underground. Familial rejection was experienced by nearly all respondents. Perceptions of HIV and STI risk and history of HIV testing were notably low.

conclusionsTransgender women in China face high social rejection and discrimination along with unmet need for various types of healthcare. Scaling up transgender-specific services including gender-affirming medical care, mental health care and HIV/STI prevention are warranted to address the social, medical and mental health of transgender women in China.

Indexed as

Gender IdentityHealth Knowledge, Attitudes, PracticeSocial StigmaAdultChinaFemaleHIV InfectionsHumansMaleMiddle AgedPerceptionQualitative ResearchRiskSexually Transmitted DiseasesTransgender PersonsWomenChinaDiscriminationGender identityHIVSexual and gender minoritiesStigmaTransgender women

Identifiers

PMID31785621
PMCPMC6885322

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.