Stigma and discrimination related to gender identity and vulnerability to HIV/AIDS among transgender women: a systematic review
Stigma and discrimination related to gender identity and vulnerability to HIV/AIDS among transgender women: a systematic review
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DOI：
10.1590/0102-311x00112718
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发表时间：
2019-01-01
期刊：
影响因子：
--
通讯作者：
Dourado, Ines
中科院分区：
文献类型：
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作者：
Magno, Laio;Silva, Luis Augusto Vasconcelos da;Dourado, Ines
在许多国家，变性妇女的艾滋病毒感染率与总人口相比不成比例。基于性别认同的羞辱和歧视往往与易感染艾滋病毒/艾滋病有关。目的是进行系统的文献综述，分析与跨性别妇女的性别认同和易感染艾滋病毒/艾滋病的耻辱和歧视之间的关系。该系统性文献综述涉及五个数据库中发现的研究结果的识别、汇编、分析和解释阶段：PubMed、Scopus、Web of Science、Science Direct和LILACS。本综述未提前确定发表时间。根据纳入和排除标准对研究进行评估。该审查包括英文、葡萄牙文或西班牙文的文章，这些文章将污名化和歧视与变性妇女易感染艾滋病毒的脆弱性联系起来。我们发现了2004年至2018年发表的41项研究，其中大部分是定性研究，并按污名的三个维度进行分类：个人，人际和结构。数据突出表明，与性别认同有关的污名化的影响，如暴力、歧视和变性恐惧症，是变性妇女易感染艾滋病毒/艾滋病的结构性因素。这些研究表明，羞辱和歧视与变性妇女易感染艾滋病毒/艾滋病之间存在关系，并表明需要制定公共政策，打击社会上的歧视。
HIV prevalence among transgender women is disproportional when compared to the general population in various countries. Stigma and discrimination based on gender identity have frequently been associated with vulnerability to HIV/AIDS. The objective was to conduct a systematic literature review to analyze the relationship between stigma and discrimination related to gender identity in transgender women and vulnerability to HIV/AIDS. This systematic literature review involved the stages of identification, compilation, analysis, and interpretation of results of studies found in five databases: PubMed, Scopus, Web of Science, Science Direct, and LILACS. No publication time period was determined in advance for this review. The studies were assessed according to the inclusion and exclusion criteria. The review included articles in English, Portuguese, or Spanish that related stigma and discrimination to transgender women's vulnerability to HIV. We found 41 studies, mostly qualitative, published from 2004 to 2018, and categorized in three dimensions of stigma: individual, interpersonal, and structural. The data highlighted that the effects of stigma related to gender identity, such as violence, discrimination, and transphobia, are structuring elements in transgender women's vulnerability to HIV/AIDS. The studies showed a relationship between stigma and discrimination and transgender women's vulnerability to HIV/AIDS and indicated the need for public policies to fight discrimination in society.