Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria.
We aimed to explore socioeconomic inequality, health inequity, and the well-being of transgender people during the COVID-19 crisis in Nigeria.
Պահպանված է:
| Հիմնական հեղինակներ: | , , , , , , , , |
|---|---|
| Լեզու: | անգլերեն |
| Հրապարակվել է: |
BMC Public Health
2024
|
| Խորագրեր: | |
| Առցանց հասանելիություն: | https://ir.oauife.edu.ng/handle/123456789/6511 |
| Ցուցիչներ: |
Ավելացրեք ցուցիչ
Չկան պիտակներ, Եղեք առաջինը, ով նշում է այս գրառումը!
|
| _version_ | 1810764578303246337 |
|---|---|
| author | Folayan, Morenike Oluwatoyin Yakusik, Anna Enemo, Amaka Sunday, Aaron Muhammad, Amira Nyako, Hasiya Yunusa Abdullah, Rilwan Mohammed Okiwu, Henry Lamontagne, Erik |
| author_facet | Folayan, Morenike Oluwatoyin Yakusik, Anna Enemo, Amaka Sunday, Aaron Muhammad, Amira Nyako, Hasiya Yunusa Abdullah, Rilwan Mohammed Okiwu, Henry Lamontagne, Erik |
| author_sort | Folayan, Morenike Oluwatoyin |
| collection | DSpace |
| description | We aimed to explore socioeconomic inequality, health inequity, and the well-being of transgender people during the COVID-19 crisis in Nigeria. |
| id | oai:ir.oauife.edu.ng:123456789-6511 |
| institution | My University |
| language | English |
| publishDate | 2024 |
| publisher | BMC Public Health |
| record_format | dspace |
| spelling | oai:ir.oauife.edu.ng:123456789-65112024-06-12T03:01:02Z Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria. Folayan, Morenike Oluwatoyin Yakusik, Anna Enemo, Amaka Sunday, Aaron Muhammad, Amira Nyako, Hasiya Yunusa Abdullah, Rilwan Mohammed Okiwu, Henry Lamontagne, Erik COVID-19 HIV LGBT Public health Risk-taking Transgender Vulnerability, Inequality, Socioeconomic, Well-being We aimed to explore socioeconomic inequality, health inequity, and the well-being of transgender people during the COVID-19 crisis in Nigeria. Between June and December 2021, a cross-sectional survey was conducted collaboratively with community-based organisations in Nigeria. Participants living with or at risk of HIV were recruited voluntarily, online and face-to-face, using a combination of venue-based and snowball sampling. We assessed the association between gender identity (transgender and vulnerable cisgender women), and (i) socioeconomic inequality measured with socioeconomic status, social status, economic vulnerability, macrosocial vulnerability; (ii) health inequity measured with self-assessment of health, recency of HIV test, access to HIV and sexual and reproductive health services, gender-affirming care, financial and non-financial barriers to accessing health services; and (iii) well-being, measured with gender-based violence, mental health, psychoeconomic preferences. We used multivariable logistic regressions and controlled for interactions and confounders. There were 4072 participants; 62% were under 30, and 47% reported living with HIV. One in ten (11.9%; n = 485) was transgender, and 56.5% reported living with HIV. Compared to vulnerable cisgender women, the results showed significantly higher odds (aOR:3.80) of disruption in accessing HIV services in transgender participants; gender-based violence (aOR:2.63); severe (aOR:2.28) symptoms of anxiety and depression. Among the barriers to accessing health and HIV services, transgender had three-time higher odds of reporting additional non-official fees compared to vulnerable cisgender women. The disclosure of their gender identity or sexual orientation was the most important non-financial barrier to accessing health services (aOR:3.16). Transgender participants faced higher housing insecurity (aOR: 1.35) and lower odds of using drugs (aOR:0.48). Importantly, they are more likely to have performed a recent HIV test and less likely to not know their HIV status (aOR:0.38) compared to vulnerable cisgender women. Socioeconomic inequality, health and well-being inequity in transgender people appear to be exacerbated by the COVID-19 pandemic in Nigeria. Interventions are necessary to mitigate socioeconomic challenges, address structural inequality, and ensure equitable access to health services to meet the Sustainable Development Goals for transgender people. 2024-06-11T09:53:40Z 2024-06-11T09:53:40Z 2023-08-12T00:00:00Z 37573293 https://ir.oauife.edu.ng/handle/123456789/6511 en application/pdf BMC Public Health |
| spellingShingle | COVID-19 HIV LGBT Public health Risk-taking Transgender Vulnerability, Inequality, Socioeconomic, Well-being Folayan, Morenike Oluwatoyin Yakusik, Anna Enemo, Amaka Sunday, Aaron Muhammad, Amira Nyako, Hasiya Yunusa Abdullah, Rilwan Mohammed Okiwu, Henry Lamontagne, Erik Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria. |
| title | Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria. |
| title_full | Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria. |
| title_fullStr | Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria. |
| title_full_unstemmed | Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria. |
| title_short | Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria. |
| title_sort | socioeconomic inequality health inequity and well being of transgender people during the covid 19 pandemic in nigeria |
| topic | COVID-19 HIV LGBT Public health Risk-taking Transgender Vulnerability, Inequality, Socioeconomic, Well-being |
| url | https://ir.oauife.edu.ng/handle/123456789/6511 |
| work_keys_str_mv | AT folayanmorenikeoluwatoyin socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT yakusikanna socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT enemoamaka socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT sundayaaron socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT muhammadamira socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT nyakohasiyayunusa socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT abdullahrilwanmohammed socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT okiwuhenry socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria AT lamontagneerik socioeconomicinequalityhealthinequityandwellbeingoftransgenderpeopleduringthecovid19pandemicinnigeria |