Evidence map›Paper›PMID 40969235›Full record

ArticlePreventive medicine reports2025

Increased vulnerability to psychological distress and suicidal ideation among transgender women with self-reported disabilities in San Francisco, California.

Abtin Shafie, Alexis Salvatore, Riley Shea, Eileen Yu, Oyku Ozyucel, Ansharan Akbar, Bow Suprasert, Erin C Wilson, Willi McFarland, Kelly D Taylor and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

11 authors.

Abtin ShafieUniversity of California Riverside (UCR), 900 University Ave, Riverside, CA 92521, USA.
Alexis SalvatoreSan Diego State University (SDSU), 5500 Campanile Dr, San Diego, CA 92182, USA.
Riley SheaUniversity of San Francisco (USF), 2130 Fulton Street, San Francisco, CA 94117, USA.
Eileen YuUniversity of California Irvine (UCI), 260 Aldrich Hall, Irvine, CA 92697, USA.
Oyku OzyucelUniversity of California Los Angeles (UCLA), 405 Hilgard Ave, Los Angeles, CA 90095, USA.
Ansharan AkbarUniversity of Maryland (UMD), 7901 Regents Drive, College Park, MD 20742, USA.
Bow SuprasertCenter for Public Health Research, San Francisco Department of Public Health (SF DPH), 25 Van Ness Ave., San Francisco, CA 94102, USA.
Erin C WilsonCenter for Public Health Research, San Francisco Department of Public Health (SF DPH), 25 Van Ness Ave., San Francisco, CA 94102, USA.
Willi McFarlandCenter for Public Health Research, San Francisco Department of Public Health (SF DPH), 25 Van Ness Ave., San Francisco, CA 94102, USA.
Kelly D TaylorDivision of Prevention Science, University of California San Francisco (UCSF), 550 16th Street, San Francisco, CA 94158, USA.
Sean ArayasirikulThe Legacy Center and Department of Health, Society, and Behavior, Joe C. Wen School of Population & Public Health, University of California Irvine (UCI), 856 Health Sciences Quad, Irvine, CA 92697, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveResearch among transgender women has found health, but especially mental health, to be shaped by social inequities and multiple, intersectional, structural vulnerabilities. While some studies have shown that transgender adults are also more likely to have a disability than cisgender adults, few studies have explored this intersection. We assess possible associations between disability status and psychological stress and suicidal ideation among transgender women.

methodsWe analyzed data from the San Francisco site of the National HIV Behavioral Surveillance Transgender (NHBS-Trans) Study (2019-2020) to explore how disability status among transgender women influences mental health. Chi-squared and Fisher's exact tests to assess associations between disability status and psychological distress. Multivariable logistic regression models assessed the magnitude of these associations adjusted for potential confounders.

results71.14 % of the sample (

conclusionsTransgender women living with disabilities face multiple intersecting inequities likely attributable to living in a world that is not built for them on the basis of gender identity and disability status. The resulting psychological distress, alongside transphobia and ableism, can exacerbate mental health issues.

Indexed as

DisabilityHealth equityPsychological distressSuicidal ideationTransgender women

Identifiers

PMID40969235
PMCPMC12442318

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.