ArticlePloS one2022
Barriers to accessing and engaging in healthcare as potential modifiers in the association between polyvictimization and mental health among Black transgender women.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Mental Health Supports for Sexual and Gender Minorities Who Experience Intimate Partner Violence and Abuse: A Systematic Review of North American Literature.Trauma, violence & abuse · 2026Pooled it
- Interpersonal Victimization and Post-Traumatic Stress Among Transgender and Gender Expansive People: A Systematic Review.International journal of environmental research and public health · 2026Pooled it
- Prevalence and associated factors of post-traumatic stress disorders among LGBTQI+ adults: a systematic literature review.BMC public health · 2025Pooled it
- Institutional Violence Perpetrated against Transgender Individuals in Health Services: A Systematic Review of Qualitative Studies.International journal of environmental research and public health · 2024Pooled it
- A Comparison of Post-Traumatic Stress and Depressive Symptoms by Suicidal Ideation Among Black Transgender Women.Research in nursing & health · 2026Article
- Experienced and Anticipated Intersectional Violence and Psychological Distress Symptom Severity Among Black Transgender Women in the United States of America.Healthcare (Basel, Switzerland) · 2026Article
- A Demographic Look at Cancer Treatment Behaviors during the COVID-19 Pandemic.medRxiv : the preprint server for health sciences · 2026Article
- PrEP Intentions, Heavy Substance Use, and Gender Affirmation among Black and Latine Transgender and Gender-Expansive Youth: A Structural Equation Modeling Analysis.AIDS and behavior · 2026Article
- Discrimination and Symptoms of Post-Traumatic Stress Among Black Transgender Women in the United States: The Moderating Effect of Sleep.Healthcare (Basel, Switzerland) · 2026Article
- The intersection between transgender identity and migrant background: Experienced barriers and facilitators to healthcare in The Netherlands.International journal of transgender health · 2026Article
- Transgender and gender diverse adults are under-enrolled in food assistance programmes and report negative experiences when accessing benefits: an analysis of the US Transgender Survey.Public health nutrition · 2025Article
- The TRANS-SAFE Patient Safety Learning Laboratory: A Protocol for Systems Improvement for Psychosocial Safety in Transgender Care.Journal of patient safety · 2025Article
- Article
- Structural barriers to sexual and reproductive health care among Black and Latina cisgender and transgender U.S. women who use drugs: a qualitative study.BMC health services research · 2025Article
- Protocol for a scoping review of PTSD and minority stress interventions for LGBTQIA + adults.Discover psychology · 2025Article
- Risks of Severe Assault and Intimate Partner Homicide among Transgender and Gender Diverse Intimate Partner Violence Survivors: Preliminary Findings from Community Listening Sessions.Violence against women · 2024Article
- Breaking barriers: How transwomen meet their healthcare needs.African journal of primary health care & family medicine · 2024Article
- Prevalence of Sexually Transmitted Infections Among Transgender Women With and Without HIV in the Eastern and Southern United States.The Journal of infectious diseases · 2024Article
- Stigma, social and structural vulnerability, and mental health among transgender women: A partial least square path modeling analysis.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2024Article
- Intersectionality in nursing research: A scoping review.International journal of nursing studies advances · 2023Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundBlack transgender women endure pervasive polyvictimization (experiencing multiple forms of violence throughout the lifespan). Polyvictimization is associated with poor mental health. Black transgender women also face barriers in access to healthcare, but the extent that such barriers modify the association between polyvictimization and poor mental health has not been described using convergent mixed-methods analysis.
methodsThis convergent mixed-methods secondary analysis employs an intersectional lens and integrates two inter-related datasets to describe barriers to healthcare and the extent that such barriers modify the association between polyvictimization and mental health among Black transgender women. Investigators used survey data (n = 151 participants) and qualitative interview data (n = 19 participants) collected from Black transgender women (age 18 years and older) in Baltimore, MD and Washington, DC between 2016 and 2018. Analyses include thematic content analysis, bivariate analysis, joint display, and multivariate linear regression analysis examining mediation and moderation.
resultsJoint display illuminated three domains to describe how barriers to healthcare present among Black transgender women-Affordability, Accessibility, and Rapport and Continuity. Independent t-tests revealed significantly higher polyvictimization, Post Traumatic Stress Disorder (PTSD), and depression scores among participants who reported at least one barrier to healthcare (BHI) compared to those who reported no barriers. BHI significantly moderated and partially mediated the association between polyvictimization and PTSD symptom severity and BHI fully mediated the association between polyvictimization and depressive symptom severity-when accounting for age and location. DISCUSSION: Findings highlight the importance of access to healthcare in modifying the association between polyvictimization and PTSD and depression symptom severity among Black transgender women. Findings call for immediate interventions aimed at reducing barriers to healthcare and improved training for clinical providers serving Black transgender women.
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Registered trials
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