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Gender affirmation: a framework for conceptualizing risk behavior among transgender women of color.
Open accessAbstract
Experiences of stigma, discrimination, and violence as well as extreme health disparities and high rates of sexual risk behavior and substance use have been well-documented among transgender women of color. Using an intersectional approach and integrating prominent theories from stigma, eating disorders, and HIV-related research, this article offers a new framework for conceptualizing risk behavior among transgender women of color, specifically sexual risk behavior and risky body modification practices. This framework is centered on the concept of 'gender affirmation,' the process by which individuals are affirmed in their gender identity through social interactions. Qualitative data from 22 interviews with transgender women of color from the San Francisco Bay Area in the United States are analyzed and discussed in the context of the gender affirmation framework.
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“Transgender persons often experience high rates of stigma and socioeconomic and structural barriers to care that negatively affect health care usage and increase susceptibility to HIV and STIs (326–332).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [331]
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Metadata
- Authors
- Sevelius, J. M.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Sevelius, Jae M.
- ORCID
- Sevelius, Jae M.
- Venue
- Sex Roles
- Published
- 2012-09-30
- Volume
- 68
- Issue
- 11-12
- Pages
- 675-689
- ISSN
- 0360-0025 (ISSN-L)
- 1573-2762
- PMC
- PMC3667985
- OpenAlex
- W1987404283
- Cited by
- 572
- References
- 64
- Citations by year
- 2026: 39 · 2025: 53 · 2024: 52 · 2023: 63 · 2022: 51 · 2021: 62 · 2020: 58 · 2019: 46 · 2018: 32 · 2017: 36 · 2016: 37 · 2015: 22 · 2014: 9 · 2013: 5
- FWCI
- 17.20
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Sex Roles (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (K08MH085566)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Keywords
- gender affirmation, transgender women of color, sexual risk behavior, intersectionality, stigma, discrimination, HIV, eating disorders, substance use, health disparities, gender identity
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