Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal.
BMC Psychiatry
; 21(1): 476, 2021 09 29.
Article
en En
| MEDLINE
| ID: mdl-34587934
ABSTRACT
INTRODUCTION:
The prevalence of depression and suicidality is high among men who have sex with men (MSM) and transgender women (TGW) worldwide. Stigma and discrimination are likely contributing factors. More research is needed in low-income, non-English speaking countries to assess the effects of social and structural factors on depression and suicidality among MSM and TGW.METHODS:
Nepalese MSM and TGW (n = 340) were recruited using a respondent-driven sampling design and filled out a survey questionnaire. The outcomes were depression and suicidality. Data was analyzed using bivariate and multivariable logistic regression.RESULTS:
More than half of the participants (59%) suffered from depression. Severe depression was more common among TGW compared to MSM (41 and 20%, respectively). When it comes to suicidality, TGW had higher lifetime prevalence of suicidal thoughts compared to MSM (32 and 5%, respectively). Depression was positively associated with sex work both for MSM (AOR 7.9; 95% CI 3.4-18.2) and TGW (AOR 6.5; 95% CI 2.3-18.2). MSM who were evicted by family had high odds of suicidal thoughts (AOR 6.2; 95% CI 1.3-28.8). For TGW, suicidality was associated with being cheated and threatened (AOR 3.9; 95% CI 1.2-12.5) and having forced to marry a female (AOR 2.2; 95% CI 1.1-5.1).CONCLUSIONS:
Nepalese MSM and TGW suffer from a high degree of mental and psychosocial health issues. Future studies should focus on intervention research and on collecting data from a larger variety of gender and sexual minorities.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Suicidio
/
Infecciones por VIH
/
Personas Transgénero
/
Minorías Sexuales y de Género
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
BMC Psychiatry
Asunto de la revista:
PSIQUIATRIA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Suecia