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

Ramiro Figueiredo Catelan, Alexandre Saadeh, Maria Inês Rodrigues Lobato, Daniel Augusto Mori Gagliotti and Angelo Brandelli Costa
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Ramiro Figueiredo Catelan: Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre 90619-900, Brazil
Alexandre Saadeh: Department of Psychology, Pontifical Catholic University of São Paulo, São Paulo 05014-901, 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

IJERPH, 2021, vol. 18, issue 9, 1-16

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.

Keywords: sexual behaviour; transgender; condom use; condom negotiation; risky sexual behaviour; prejudice; HIV; minority stress (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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