Sex Roles

, Volume 68, Issue 11, pp 675–689

Gender Affirmation: A Framework for Conceptualizing Risk Behavior Among Transgender Women of Color

Original Article

DOI: 10.1007/s11199-012-0216-5

Cite this article as:
Sevelius, J.M. Sex Roles (2013) 68: 675. doi:10.1007/s11199-012-0216-5


Experiences of stigma, discrimination, and violence as well as extreme health disparities and high rates of sexual risk behavior and substance use have been well-documented among transgender women of color. Using an intersectional approach and integrating prominent theories from stigma, eating disorders, and HIV-related research, this article offers a new framework for conceptualizing risk behavior among transgender women of color, specifically sexual risk behavior and risky body modification practices. This framework is centered on the concept of ‘gender affirmation,’ the process by which individuals are affirmed in their gender identity through social interactions. Qualitative data from 22 interviews with transgender women of color from the San Francisco Bay Area in the United States are analyzed and discussed in the context of the gender affirmation framework.


Transgender identityGender affirmationStigmaRaceRisk behaviorSexuality

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Center of Excellence for Transgender Health, Center for AIDS Prevention Studies, Department of MedicineUniversity of California, San FranciscoSan FranciscoUSA