ABSTRACT
Resumen El Modelo de Estrés de las Minorías (Meyer, 2003) ha permitido explicar de qué forma el prejuicio sexual produce efectos negativos en la salud y bienestar de personas pertenecientes a las minorías sexuales, a través de la identificación de estresores de tipo distales y proximales. Este estudio buscó indagar los efectos del prejuicio sexual en la salud mental de personas transgénero en Chile desde un enfoque cualitativo. Se realizaron entrevistas semi-estructuradas a 17 personas transgénero femeninas y masculinas en cuatro ciudades del país. Los resultados nos permite identificar la presencia de factores distales asociados a discriminación manifiesta y factores proximales asociados a la vivencia del estigma y su relación con el autoconcepto. Finalmente, se describen efectos en la salud mental, entre los que destacan la presencia de sintomatología ansioso-depresiva, ideación e intentos suicidas, conductas autolesivas y consumo de alcohol y otras sustancias.
Abstract The Minority Stress Model (Meyer, 2003) has made it possible to explain how sexual prejudice produces negative effects on the health and wellbeing of people belonging to sexual minorities, through distal and proximal stressors. A qualitative study was conducted to investigate the effects of sexual prejudice on the mental health of transgender adults in Chile. Semi-structured interviews were conducted with 17 transgender people, both male and female, in four cities of the country. The results allow us to identify the presence of distal factors associated with overt discrimination, as well as, proximal factors associated with the experience of stigma and its effects on self-concept. Finally, effects on mental health are described, among which the presence of anxious-depressive symptomatology, suicidal ideation and attempts, self-injurious behavior and consumption of alcohol and other substances.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Prejudice , Self Concept , Mental Health , Sexism , Transgender Persons , Sexual and Gender Minorities , Chile , Qualitative ResearchABSTRACT
La violencia en las relaciones de pareja del mismo sexo es un tema poco explorado. Históricamente, esta problemática ha sido estudiada en el marco de relaciones heterosexuales ubicando a las mujeres como víctimas y a los hombres como principales agresores. El propósito de este estudio fue describir las experiencias de violencia de pareja (VP) en una muestra de 268 hombres gay y 199 mujeres lesbianas. Se utilizó un muestreo tipo bola de nieve para reclutar la muestra en cuatro ciudades chilenas (Antofagasta, Valparaíso, Santiago y Concepción). Para la recolección de datos se aplicó un cuestionario especialmente diseñado para este estudio. Se realizaron análisis descriptivos y Chi-cuadrado para indagar posibles relaciones por sexo y características sociodemográficas. Entre los principales resultados se puede señalar que del total de la muestra (N = 467) sólo 80 personas (17.25%) reportaron haber sido receptoras de algún tipo de VP. Se encontraron diferencias estadísticamente significativas en el reporte de violencia psicológica entre hombres gay y mujeres lesbianas [χ²(1) = 6.37, p = .01, w =.64]. Los hombres gay reportaron mayor frecuencia de violencia psicológica (87.5%) en comparación con las mujeres lesbianas (65.8%). También se encontró una asociación estadísticamente significativa entre experiencias de VP y nivel educativo [χ²(3) = 10.53, p = .01, w = .51]. Las personas con mayor nivel educativo reportan frecuencias menores de VP. Finalmente, se encontró una relación estadísticamente significativa entre haber sido víctima de VP y haber sido perpetrador de VP. Los resultados son discutidos y se plantean implicaciones para futuras investigaciones.
The recognition of same-sex relationships has increased, but same-sex intimate partner violence has been less studied. Historically, this problem had been studied in heterosexual relationships, women being victims and men main aggressors. This heteronormative approach to intimate partner violence (IPV) often neglects same-sex relationships (Finneran, Chard, Sineath, Sullivan, & Stephenson, 2012; Russell, 2015). For this study, IPV is defined as every act causing psychological, physical or sexual damage, within the context of intimate relationships (Harvey et al., 2007) perceived as such. To our knowledge, there are no studies about IPV in same-sex relationships in Chile. Data about this topic is scarce in the Latin American context (Ferreira et al., 2015). Therefore, it is necessary to provide contextualized knowledge about IPV in same-sex relationships to face this psychosocial problem. The aim of this study was to describe IPV in same-sex relationships in gay men and lesbian women and its sociodemographic characteristics. In addition, results are compared to detect possible differences between groups. LGBT populations are considered a difficult-to-reach or hidden population (Paz-Bailey et al., 2013). For this reason, a snowball sampling procedure was used. The sample consists of 467 participants who identify themselves as gay men (57.4%) or lesbian women (42.6%), aging from 18 to 67 years (M = 27.9; SD = 7.9). The sample was recruited in four Chilean cities (Antofagasta, Valparaíso, Santiago, and Concepción). A specially designed questionnaire was administered to collect data for this study. Results were obtained through descriptive and comparative analyses with a Chi-square Test. Analyses indicate that 80 subjects (17.2%) had experienced some form of IPV (psychological, physical, or sexual); 87.7% of them reported psychological violence; and about half of them (47.5%) physical violence. Likewise, 19.3% respondents reported that there had been an IPV perpetrator. For group analysis, 20.1% of lesbian women and 19.3% of gay men reported some IPV experience. Statistically significant differences between gay men and lesbian women respondents were detected for psychology violence perpetrated [x²(1) = 6.37, p = .01, w = .64]. Gay men reported a higher percentage perpetrating psychological violence in their relationship (87.5%), as compared to the group of lesbian women (65.8%). Also, a statistically significant relation was found between IPV experiences and educational levels [x²(3) = 10.53, p = .01, w = .51]. Subjects with higher educational levels report less IPV frequency. Finally, a statistically significant relation was found between IPV victims and IPV perpetrators. This study represents the first approach to describe and characterize IPV in gay men and lesbian women, thus creating a baseline for making comparisons with future findings on LGBT issues in Chile and Latin America. Results support evidence concerning greater prevalence of psychological violence in both gay men and lesbian women, as compared to other types of violence such as physical and sexual (Barrett & St. Pierre, 2013; Finneran y Stephenson, 2013; Hellemans et al., 2015; Messinger, 2011). In addition, this resultis similar to those of previous studies on general population (Russell, 2015). An important result is IPV mutuality in the sample, namely, IPV occurs in two directions: persons experiencing partner violence concurrently perpetrate violence against their partners. Findings support the view that, in general, violence in same-sex relationships takes place gradually from relation al dynamics marked by violence (Barrientos, Rodríguez-Caballería, Escartín & Longares, in press). In this context, although data from this study are exploratory-descriptive, they make up a good approach to the problem since they include gay men and lesbian women from different Chilean areas of varied sociodemographic characteristics. If similar findings are reported in other studies, they could help direct psychosocial interventions, public policies, and future research. In any case, results must be carefully considered since they are non-representative samples and, in theory, not comparable with each other. Limitations and implications for future IPV research in same-sex relationships are discussed.