Age, Intersectional Discrimination, and Health in Black Transgender Women.

Black transgender women report high levels of discrimination, which is associated with poor health outcomes. Some evidence suggests that intersectional discrimination-that is, interacting forms of marginalization related to one's real or perceived social identities or positions that contribute to unique dynamics and effects on health-is associated with worse health-related quality of life; however, little evidence explores this possible association among Black transgender women. Addressing this gap is crucial in understanding how overlapping experiences of racism and cisgenderism contribute to poor health outcomes in this population. We used cross-sectional survey data from 151 Black transgender women ages 18 to 67 (mean = 35.9 ± 11 years) to examine the associations between age, intersectional discrimination via the Day-to-Day Intersectional Discrimination Index (INDI-D), and aspects of Health-Related Quality of Life (HRQoL; i.e., self-perceived quality of general health [GenHealth] and number of health days in the past 30 days), via T-tests, Pearson's correlations, stepwise sequential linear regression (SSLR) to test for moderation, and the PROCESS macro for SPSS to test for indirect effects. Increased INDI-D was consistently significantly associated with worse GenHealth and decreased number of healthy days across adjusted and unadjusted models. However, adjusted moderation and indirect effects analyses did not support moderation or mediation hypotheses. Future research should further investigate how discrimination and aging affect the health of Black transgender women, with attention to weathering and coping. Additional studies are needed to develop and improve interventions to support the well-being of this marginalized community.