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Studying physical and mental health status among hijra, kothi and transgender community in Kolkata, India

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  • Bhattacharya, Shamayeta
  • Ghosh, Debarchana

Abstract

Individuals with diverse sexual orientation and gender identities have historically experienced the major share of stigma, discrimination, and marginalization among all the LGTBIQ+ communities in India. Transgender, intersex, or queer individuals are deprived of their basic rights, self-dignity, bodily autonomy, and healthcare leading to significant negative health status. Recent legal reforms such as the decriminalization of Section 377 of the Indian Penal Code (prohibited same-sex activity) and amendments to the Transgender Persons (Protection of Rights) Bill may improve their health. In this context, the study has the following objectives: 1) to measure the physical and the mental health status of hijra, kothi, and transgender (HKT) individuals using the Short Form 12 (SF-12) questionnaire; 2) understand the variation in their health status by social determinants; and 3) identify spatial patterns of HKTs general, physical, and mental health. Data was collected using a Bengali version of SF-12 (N = 98). We calculated physical (PCS) and mental (MCS) health composite scores and conducted relevant statistical and spatial analysis. Findings revealed that HKT individuals had poor mental health (mean MCS = 42.3) compared to their physical health (mean PCS = 49.0). ANOVA tests showed statistically significant variation of PCS and MCS among HKTs by their age and income. Participants with both poor and good health conditions were evenly distributed in the study area, with no significant spatial clustering. This study was the first attempt to assess the health-related quality of life among the HKT individuals using SF-12, not previously adapted to gender-diverse communities in India. Results clearly indicate that there is a pressing need to address both physical and mental health among gender-diverse communities by not only improving awareness of their healthcare rights but by also removing social and structural barriers to health programs, increasing targeted health interventions, grassroot level activism, and government advocacy.

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  • Bhattacharya, Shamayeta & Ghosh, Debarchana, 2020. "Studying physical and mental health status among hijra, kothi and transgender community in Kolkata, India," Social Science & Medicine, Elsevier, vol. 265(C).
    • Handle: RePEc:eee:socmed:v:265:y:2020:i:c:s0277953620306316
    DOI: 10.1016/j.socscimed.2020.113412
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    1. Antony Chum & Anna Skosireva & Juliana Tobon & Stephen Hwang, 2016. "Construct Validity of the SF-12v2 for the Homeless Population with Mental Illness: An Instrument to Measure Self-Reported Mental and Physical Health," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-19, March.
    2. White Hughto, Jaclyn M. & Reisner, Sari L. & Pachankis, John E., 2015. "Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions," Social Science & Medicine, Elsevier, vol. 147(C), pages 222-231.
    3. Vaitses Fontanari, Anna Martha & Zanella, Gabriel Ibarra & Feijó, Marina & Churchill, Siobhan & Rodrigues Lobato, Maria Inês & Costa, Angelo Brandelli, 2019. "HIV-related care for transgender people: A systematic review of studies from around the world," Social Science & Medicine, Elsevier, vol. 230(C), pages 280-294.
    4. Cruz, Taylor M., 2014. "Assessing access to care for transgender and gender nonconforming people: A consideration of diversity in combating discrimination," Social Science & Medicine, Elsevier, vol. 110(C), pages 65-73.
    5. Akshay Khanna, 2009. "Taming of the Shrewd Meyeli Chhele: A political economy of development’s sexual subject," Development, Palgrave Macmillan;Society for International Deveopment, vol. 52(1), pages 43-51, March.
    6. Poteat, Tonia & German, Danielle & Kerrigan, Deanna, 2013. "Managing uncertainty: A grounded theory of stigma in transgender health care encounters," Social Science & Medicine, Elsevier, vol. 84(C), pages 22-29.
    7. Lombardi, E., 2001. "Enhancing transgender health care," American Journal of Public Health, American Public Health Association, vol. 91(6), pages 869-872.
    8. Hswen, Yulin & Sewalk, Kara C. & Alsentzer, Emily & Tuli, Gaurav & Brownstein, John S. & Hawkins, Jared B., 2018. "Investigating inequities in hospital care among lesbian, gay, bisexual, and transgender (LGBT) individuals using social media," Social Science & Medicine, Elsevier, vol. 215(C), pages 92-97.
    9. Ryan, Martha S. & Nambiar, Devaki & Ferguson, Laura, 2019. "Sex work-related stigma: Experiential, symbolic and structural forms in the health systems of Delhi, India," Social Science & Medicine, Elsevier, vol. 228(C), pages 85-92.
    10. Boehmer, U., 2002. "Twenty years of public health research: Inclusion of lesbian, gay, bisexual, and transgender populations," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1125-1130.
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