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Title: Alcohol use, high risk behaviors, and experiences of discrimination among transgender women in the Dominican Republic
Autores: Hearld, K. R.
Milner, A. N.
Budhwani, H.
Abreu, Nicole
Rodríguez-Lauzurique, Rosa Mayra
Charow, Rebecca
Paulino-Ramírez, Robert
Researchers (UNIBE): Abreu, Nicole 
Rodríguez-Lauzurique, Rosa Mayra 
Charow, Rebecca 
Paulino-Ramírez, Robert 
Affiliations: Instituto de Medicina Tropical y Salud Global (IMTSAG) 
Instituto de Medicina Tropical y Salud Global (IMTSAG) 
Instituto de Medicina Tropical y Salud Global (IMTSAG) 
Instituto de Medicina Tropical y Salud Global (IMTSAG) 
Research area: Ciencias de la Salud
Keywords: Dominican Republic; Transgender; Alcohol; Sex work; Stigma
Issue Date: 2019
Source: Substance Use & Misuse, 54(10), 1725-1733
Project: Diagnóstico de salud de personas trans en la República Dominicana 
Journal: Substance Use & Misuse 
Volume: 54
Issue: 10
Start page: 1725
End page: 1733
Objectives: This study examines associations between alcohol use, high risk sexual behaviors, and experiences of stigma among transgender women across the Dominican Republic. Data from the 2015 Transgender Health Needs Study were analyzed using bivariate analyses (N = 291). Results: High rates of stigma, verbal abuse, alcohol use, and sex work are found and are associated with each other. Almost 45% of regular alcohol users are engaging in sex work (43.6%), compared with 31.1% of the non-regular alcohol users (χ2=4.82, p < .05). Having sex under the influence of alcohol is statistically associated with high risk behaviors, such as engaging in sex work, sometimes or never using a condom when receiving anal sex, and higher numbers of sexual partners. Furthermore, transgender women who have had sex under the influence of alcohol report statistically significantly higher levels of verbal abuse, discrimination, and levels of perceived transgender stigma. Conclusions/Importance: Findings suggest that although anti-discrimination laws exist, policies may not protect transgender women from experiencing stigma and discrimination at work, potentially forcing them to seek alternative careers and engage in behaviors that expose them to greater personal risk and harm. This intersection of factors may indicate a notable public health gap in transgender health in the Dominican Republic.
DOI: 10.1080/10826084.2019.1608253
Appears in Collections:Publicaciones del IMTSAG-UNIBE

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