Evidence map›Paper›PMID 33065828›Full record

ArticleJournal of affective disorders2020

A cross-sectional study of mental health, suicidal ideation and suicide attempt among transgender women in Jiangsu province, China.

Yuanfang Chen, Shi Chen, Sean Arayasirikul, Erin Wilson, Willi McFarland, Jing Lu, Yunting Chen, Hongjing Yan

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

12 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Factors associated with transgender people mortality due to violent causes: a cross-sectional study, Brazil, 2014-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
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

8 authors at 3 institutions in 2 countries.

Yuanfang ChenInstitute of HIV/AIDS/STI Prevention and Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China; Public Health Research Institute of Jiangsu Province, Nanjing 210009, China.
Shi ChenDepartment of Public Health Sciences, College of Health and Human Services, University of North Carolina Charlotte, Charlotte 28262, USA.
Sean ArayasirikulCenter for Public Health Research, San Francisco Department of Public Health, San Francisco 94102, USA; Department of Pediatrics, University of California San Francisco, San Francisco 94115, USA.
Erin WilsonCenter for Public Health Research, San Francisco Department of Public Health, San Francisco 94102, USA; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco 94115, USA.
Willi McFarlandCenter for Public Health Research, San Francisco Department of Public Health, San Francisco 94102, USA; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco 94115, USA.
Jing LuInstitute of HIV/AIDS/STI Prevention and Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China; Public Health Research Institute of Jiangsu Province, Nanjing 210009, China.
Yunting ChenInstitute of HIV/AIDS/STI Prevention and Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China; Public Health Research Institute of Jiangsu Province, Nanjing 210009, China.
Hongjing YanInstitute of HIV/AIDS/STI Prevention and Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China; Public Health Research Institute of Jiangsu Province, Nanjing 210009, China. Electronic address: yanhongjing@hotmail.com.
Jiangsu Provincial Center for Disease Control and Prevention · CNUniversity of California, San Francisco · USUniversity of North Carolina at Charlotte · US

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 MD010678
6 · The paper itself

Abstract

objectivesTo measure prevalence and risk factors of poor mental health, suicidal ideation, and suicide attempt among transgender women in Jiangsu province, China.

methodsWe surveyed 250 transgender women with mean age of 27.9 years from July 2018 to May 2019 in Jiangsu province, China. Logistic regression analysis characterized risk factors for mental health, suicidal ideation, and suicide attempt.

resultsMany transgender women experienced discrimination, including verbal abuse (56.0%), physical abuse (32.0%), and sexual violence (32.0%) during their lifetime. Classification by the Kessler Psychological Distress Scale found 32.4%% to be in good mental health, while 24.0%, 16.8%, and 26.8% had mild, moderate, and severe psychological distress respectively. In multivariable logistic regression, severe psychological distress was correlated with bisexual orientation (vs. gay/lesbian, aOR = 2.9, 95%CI = 1.5-5.8), being unsure of sexual orientation (vs. gay/lesbian, aOR = 4.7, 95%CI = 1.8-12.8), experience of verbal abuse (aOR = 1.8, 95%CI = 1.1-3.1), and less severe with alcohol use (aOR = 0.6, 95%CI = 0.3-0.9) (P< 0.05). Many transgender women also reported suicidal ideation (22.0%) and prior suicide attempt (25.6%). Compared to no suicidal ideation, moderate (aOR = 4.9, 95%CI = 1.6-15.2) or severe psychological distress (aOR = 38.6) were associated with prior suicide attempt (P< 0.05). Residing in Jiangsu province (vs. not residing in Jiangsu, aOR = 0.3, 95%CI = 0.1-0.6) and higher income (vs. lower income, aOR = 0.6, 95%CI = 0.4-0.9) were protective factors for suicide attempt (P< 0.05).

conclusionChinese transgender women experience high levels of discrimination, abuse, poor mental health, suicidal ideation, and suicide attempts in Jiangsu province. Society-wide interventions need to be developed to mitigate transphobic discrimination among transgender women in China.

Indexed as

Suicide, AttemptedTransgender PersonsAdultChinaCross-Sectional StudiesFemaleHumansMaleMental HealthRisk FactorsSuicidal IdeationMental healthRisk factorsSuicidal ideationSuicide attemptTransgender women

Identifiers

PMID33065828
PMCPMC8064745
OpenAlexW3084396950

What OpenQuestion holds

Textmetadata
LicenceTDM
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.