Transgender Adults' Public Bathroom-Related Stressors and Their Association with Depressive Symptoms: A Nationwide Cross-Sectional Study in South Korea
- Authors
- Lee, Hyemin; Yi, Horim; Rider, G. Nic; Operario, Don; Choo, Sungsub; Kim, Ranyeong; Eom, Yun-Jung; Kim, Seung-Sup
- Issue Date
- 1-10월-2021
- Publisher
- MARY ANN LIEBERT, INC
- Keywords
- depressive symptoms; gender minority; public bathrooms; South Korea; suicidality; transgender individuals
- Citation
- LGBT HEALTH, v.8, no.7, pp.486 - 493
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- LGBT HEALTH
- Volume
- 8
- Number
- 7
- Start Page
- 486
- End Page
- 493
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/128583
- DOI
- 10.1089/lgbt.2021.0007
- ISSN
- 2325-8292
- Abstract
- Purpose: This study assessed public bathroom-related stressors and examined their association with depressive symptoms, suicidal ideation, and suicide attempts among transgender individuals in South Korea. Methods: We analyzed data from a nationwide cross-sectional survey of 557 South Korean transgender adults (age range: 19-60 years) conducted in October 2020. Participants were asked nine yes/no questions about whether they have ever experienced public bathroom-related stressors within the last 12 months. The responses were classified into three categories: "never experienced," "avoidant behaviors alone," and "victimization experiences." Results: The proportions of participants who reported "avoidant behaviors alone" and "victimization experiences" related to public bathroom use were 47.0% and 23.0%, respectively. Past-week prevalence of depressive symptoms was 70.7%, and past 12-month prevalence of suicidal ideation and suicide attempts was 63.0% and 19.8%, respectively. Compared with participants who "never experienced" public bathroom-related stressors, the prevalence of depressive symptoms was statistically significantly higher among those who reported "avoidant behaviors alone" (adjusted prevalence ratio [aPR] = 1.22; 95% confidence interval [CI] = 1.07-1.40) and "victimization experiences" (aPR = 1.18; 95% CI = 1.01-1.38), after adjusting for covariates, including gender perception by others. In the same adjusted model, however, no significant associations of public bathroom-related stressors with suicidal ideation and suicide attempts were observed. Conclusions: Given these findings showing that public bathroom-related stressors may negatively influence transgender adults' depressive symptoms, efforts are necessary to ensure their safe access to public bathrooms in South Korea. Furthermore, policy-level interventions are needed to eliminate stigma against transgender individuals, given that public bathroom-related stressors could be considered an indicator of broader anti-transgender stigma.
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Collections - Graduate School > Department of Public Health Sciences > 1. Journal Articles
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