RESUMO
Introduction: In India, transgender population is one among the stigmatized and discriminated sector who face a lot of psychological problems due to their gender identity and lack of support. The study was done with the major objective to find out the prevalence of depression and the associated factors among transgender people residing in Chennai district. Methodology: This is a descriptive cross-sectional study done among 178 transgender residing in Chennai district selected by snowball sampling method. Patient Health Questionnaire � 9 was used to assess the prevalence of depression and semi-structured questionnaire was used to collect details regarding associated factors. Data was analyzed using SPSS version 22. Results: The prevalence of depression among the present study was found out to be 76.8%. The major factors associated with depression were found to be lack of family and social support, faced violence due to discrimination and involvement is sex work which had a statistically significant association. Conclusion: Outreach camps have to be conducted among transgender population to screen for common mental health problems like depression and provide counseling to them and identify their problems and measures can be taken to address the same.
RESUMO
The transgender people (hijra), who claim to be neither male nor female, are socially excluded in Bangladesh. This paper describes social exclusion of hijra [The term is used in this abstract both in singular and plural sense] focusing on the pathway between exclusion and sexual health. In an ethnographic study, 50 in-depth interviews with hijra, 20 key-informant interviews, and 10 focus-group discussions (FGDs), along with extensive field observations, were conducted. The findings revealed that hijra are located at the extreme margin of exclusion having no sociopolitical space where a hijra can lead life of a human being with dignity. Their deprivations are grounded in non-recognition as a separate gendered human being beyond the male-female dichotomy. Being outside this norm has prevented them from positioning themselves in greater society with human potential and security. They are physically, verbally, and sexually abused. Extreme social exclusion diminishes self-esteem and sense of social responsibility. Before safer sex interventions can be effective in a broader scale, hijra need to be recognized as having a space on society’s gender continuum. Hijra, as the citizens of Bangladesh and part of society’s diversity, have gender, sexual and citizenship rights, that need to be protected.