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Article

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

1
Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre 90619-900, Brazil
2
Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro 22290-140, Brazil
3
Department of Psychology, Pontifical Catholic University of São Paulo, São Paulo 05014-901, Brazil
4
Faculty of Medicine Clinics Hospital, University of São Paulo, São Paulo 05403-000, Brazil
5
Hospital de Clínicas de Porto Alegre, Porto Alegre 90035-903, Brazil
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(9), 4850; https://doi.org/10.3390/ijerph18094850
Received: 1 April 2021 / Revised: 26 April 2021 / Accepted: 28 April 2021 / Published: 1 May 2021
(This article belongs to the Special Issue Current Research Trends in Transgender Health)
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. View Full-Text
Keywords: sexual behaviour; transgender; condom use; condom negotiation; risky sexual behaviour; prejudice; HIV; minority stress sexual behaviour; transgender; condom use; condom negotiation; risky sexual behaviour; prejudice; HIV; minority stress
MDPI and ACS Style

Catelan, R.F.; Saadeh, A.; Lobato, M.I.R.; Gagliotti, D.A.M.; Costa, A.B. 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. Int. J. Environ. Res. Public Health 2021, 18, 4850. https://doi.org/10.3390/ijerph18094850

AMA Style

Catelan RF, Saadeh A, Lobato MIR, Gagliotti DAM, Costa AB. 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. International Journal of Environmental Research and Public Health. 2021; 18(9):4850. https://doi.org/10.3390/ijerph18094850

Chicago/Turabian Style

Catelan, Ramiro Figueiredo, Alexandre Saadeh, Maria Inês Rodrigues Lobato, Daniel Augusto Mori Gagliotti, and 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" International Journal of Environmental Research and Public Health 18, no. 9: 4850. https://doi.org/10.3390/ijerph18094850

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