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Condom-Protected Sex and Minority Stress: Associations with Condom Negotiation Self-Efficacy, “Passing” Concerns, and Experiences with Misgendering among Transgender Men and Women in Brazil

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  • Ramiro Figueiredo Catelan

    (Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre 90619-900, Brazil
    Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro 22290-140, Brazil)

  • Alexandre Saadeh

    (Department of Psychology, Pontifical Catholic University of São Paulo, São Paulo 05014-901, Brazil
    Faculty of Medicine Clinics Hospital, University of São Paulo, São Paulo 05403-000, Brazil)

  • Maria Inês Rodrigues Lobato

    (Hospital de Clínicas de Porto Alegre, Porto Alegre 90035-903, Brazil)

  • Daniel Augusto Mori Gagliotti

    (Faculty of Medicine Clinics Hospital, University of São Paulo, São Paulo 05403-000, Brazil)

  • Angelo Brandelli Costa

    (Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre 90619-900, Brazil)

Abstract

This cross-sectional exploratory study aims to verify associations between condom-protected sex, condom negotiation self-efficacy, self-esteem, and four minority stressors (experiences with misgendering, “passing” concerns, anticipated prejudice, and perceived prejudice) among transgender men (TM) and transgender women (TW). 260 individuals (192 TW and 68 TM) residing in two Brazilian states participated in the study. Data was collected online and in two hospital programs for transgender people and included sociodemographic data, condom-protected sex, the Trans-Specific Condom/Barrier Negotiation Self-Efficacy (T-Barrier) Scale, the Rosenberg Self-Esteem Scale, and four minority stressors. Measures that were significantly associated with condom-protected sex were tested as independent variables in a linear regression model. The main results suggest that lower condom negotiation self-efficacy, higher “passing” concerns, and higher experiences with misgendering were predictors of lower frequency of condom-protected sex. These negative outcomes were found among both TM and TW, which justifies their inclusion in public health policies. Structural strategies and clinical interventions are suggested to address condom negotiation self-efficacy and “passing” concerns in transgender populations.

Suggested Citation

  • Ramiro Figueiredo Catelan & Alexandre Saadeh & Maria Inês Rodrigues Lobato & Daniel Augusto Mori Gagliotti & Angelo Brandelli Costa, 2021. "Condom-Protected Sex and Minority Stress: Associations with Condom Negotiation Self-Efficacy, “Passing” Concerns, and Experiences with Misgendering among Transgender Men and Women in Brazil," IJERPH, MDPI, vol. 18(9), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4850-:d:547666
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    References listed on IDEAS

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    1. Scheim, Ayden I. & Bauer, Greta R., 2019. "The Intersectional Discrimination Index: Development and validation of measures of self-reported enacted and anticipated discrimination for intercategorical analysis," Social Science & Medicine, Elsevier, vol. 226(C), pages 225-235.
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    Cited by:

    1. Azline Abdilah & Hayati Kadir & Kulanthayan Mani & Ganesh Muthiah, 2022. "Effectiveness of a Safe Sex Education Module in Improving Condom Use among People Living with HIV: A Randomised Controlled Trial," IJERPH, MDPI, vol. 19(16), pages 1-10, August.

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