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The Effect of Survival Economy Participation on Transgender Experiences of Service Provider Discrimination

  • Matthew Bakko
Article

Abstract

This study determines how transgender involvement in survival economies, namely sex work and drug sales, affects transgender experiences of service provider discrimination, in comparison to discrimination experienced by transgender people not involved in survival economies. It utilizes cross-sectional data from the 2008–2009 National Transgender Discrimination Survey (NTDS). Multivariate logistic regression is conducted on the sample (n = 4927) to determine the strength of association. Logistic regression sub-analysis is used to compare discrimination across different service provider contexts. Compared to those not participating in survival economies, participating in sex work has almost three times greater odds (OR 2.83, CI 2.20–3.63), and those participating in drug sales have approximately 1.5 greater odds (OR 1.52, CI 1.16–1.99), of experiencing discrimination from service providers. Participation in survival economies is a significant predictor of a transgender person’s increased likelihood of experiencing service provider discrimination. Findings suggest that service providers must attend to the specificity of transgender experiences in survival economies. Harm reduction is offered as a suitable intervention approach.

Keywords

Transgender Survival economy Sex work Service provider discrimination Service delivery Harm reduction 

Notes

Acknowledgements

This paper would not be possible without the encouragement and support of Dr. Shanta Pandey, Dr. Vithya Murugan, and the 2013–2014 MSW Research Specialization cohort at the Brown School of Social Work, Washington University in St. Louis. I would also like to thank the National Center for Transgender Equality, the National Gay and Lesbian Task Force, and the researchers and administrators of the National Transgender Discrimination Survey for supplying the data used in this paper.

Funding Information

No financial or material support was used in producing this article.

Compliance with Ethical Standards

Conflict of Interest

The author declares that he has no competing interests.

Informed Consent

Approval for human subject’s research was obtained from the Pennsylvania State University’s IRB. Since this article utilizes secondary data, there are no further ethical issues, including informed consent.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

References

  1. Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943–951.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Budge, S. L., Katz-Wise, S. L., & Garza, M. V. (2016). Health disparities in the transgender community: Exploring differences in insurance coverage. Psychology of Sexual Orientation and Gender Diversity, 3(3), 275.CrossRefGoogle Scholar
  3. Burnes, T. R., Rojas, E. M., Delgado, I., & Watkins, T. E. (2017). “Wear some thick socks if you walk in my shoes”: Agency, resilience, and well-being in communities of north american sex workers. Archives of Sexual Behavior, 1–10.Google Scholar
  4. Clements-Nolle, K., Marx, R., & Katz, M. (2006). Attempted suicide among transgender persons: The influence of gender-based discrimination and victimization. Journal of Homosexuality, 51(3), 53–69.CrossRefPubMedGoogle Scholar
  5. Corliss, H. L., Belzer, M., Forbes, C., & Wilson, E. C. (2008). An evaluation of service utilization among male to female transgender youth: Qualitative study of a clinic-based sample. Journal of LGBT Health Research, 3(2), 49–61.CrossRefGoogle Scholar
  6. Cusick, L. (2006). Widening the harm reduction agenda: From drug use to sex work. International Journal of Drug Policy, 17(1), 3–11.CrossRefGoogle Scholar
  7. Ditmore, M. H. (2013). When sex work and drug use overlap: Considerations for advocacy and practice. London: Harm Reduction International.Google Scholar
  8. Grant, J. M., Mottet, L. A., Tanis, J., Harrison, J., Herman, J. L., & Keisling, M. (2011). Injustice at every turn: A report of the national transgender discrimination survey. Washington, DC: National Center for Transgender Equality and National Gay and Lesbian Task Force.Google Scholar
  9. Grossman, A. H., & D’Augelli, A. R. (2006). Transgender youth: Invisible and vulnerable. Journal of Homosexuality, 51(1), 111–128.CrossRefPubMedGoogle Scholar
  10. Hanssmann, C., Morrison, D., & Russian, E. (2008). Talking, gawking, or getting it done: Provider trainings to increase cultural and clinical competence for transgender and gender-nonconforming patients and clients. Sexuality Research & Social Policy, 5(1), 5–23.CrossRefGoogle Scholar
  11. Harcourt, C., & Donovan, B. (2005). The many faces of sex work. Sexually Transmitted Infections, 81(3), 201–206.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Hill, D. B. (2005). Trans/gender/sexuality: A research agenda. Journal of Gay & Lesbian Social Services, 18(2), 101–109.CrossRefGoogle Scholar
  13. Kattari, S. K., & Hasche, L. (2016). Differences across age groups in transgender and gender non-conforming people’s experiences of health care discrimination, harassment, and victimization. Journal of Aging and Health, 28(2), 285–306.CrossRefPubMedGoogle Scholar
  14. Kattari, S. K., Walls, N. E., Whitfield, D. L., & Langenderfer-Magruder, L. (2015). Racial and ethnic differences in experiences of discrimination in accessing health services among transgender people in the United States. International Journal of Transgenderism, 16(2), 68–79.CrossRefGoogle Scholar
  15. Kenagy, G. P. (2005). The health and social service needs of transgender people in Philadelphia. International Journal of Transgenderism, 8(2–3), 49–56.CrossRefGoogle Scholar
  16. Kenagy, G. P., & Bostwick, W. B. (2005). Health and social service needs of transgender people in Chicago. International Journal of Transgenderism, 8(2–3), 57–66.CrossRefGoogle Scholar
  17. Kenagy, G. P., & Hsieh, C. M. (2005). Gender differences in social service needs of transgender people. Journal of Social Service Research, 31(3), 1–21.CrossRefGoogle Scholar
  18. Kinsler, J. J., Wong, M. D., Sayles, J. N., Davis, C., & Cunningham, W. E. (2007). The effect of perceived stigma from a health care provider on access to care among a low-income HIV positive population. AIDS Patient Care and STDs, 21(8), 584–592.CrossRefPubMedGoogle Scholar
  19. Kosenko, K. A. (2011). Contextual influences on sexual risk-taking in the transgender community. Journal of Sex Research, 48(2–3), 285–296.CrossRefPubMedGoogle Scholar
  20. Logie, C. H., James, L., Tharao, W., & Loutfy, M. R. (2011). HIV, gender, race, sexual orientation, and sex work: A qualitative study of intersectional stigma experienced by HIV-positive women in Ontario, Canada. PLoS Medicine, 8(11), e1001124.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Lombardi, E. (2007). Substance use treatment experiences of transgender/transsexual men and women. Journal of LGBT Health Research, 3, 37–47.CrossRefPubMedGoogle Scholar
  22. Lombardi, E. L., Wilchins, R. A., Priesing, D., & Malouf, D. (2002). Gender violence: Transgender experiences with violence and discrimination. Journal of Homosexuality, 42(1), 89–101.CrossRefGoogle Scholar
  23. Nemoto, T., Bödeker, B., & Iwamoto, M. (2011). Social support, exposure to violence and transphobia, and correlates of depression among male-to-female transgender women with a history of sex work. American Journal of Public Health, 101(10), 1980–1988.CrossRefPubMedPubMedCentralGoogle Scholar
  24. Nuttbrock, L. A. (2012). Culturally competent substance abuse treatment with transgender persons. Journal of Addictive Diseases, 31(3), 236–241.CrossRefPubMedGoogle Scholar
  25. Pinto, R. M., Melendez, R. M., & Spector, A. Y. (2008). Male-to-female transgender individuals building social support and capital from within a gender-focused network. Journal of Gay & Lesbian Social Services, 20(3), 203–220.CrossRefGoogle Scholar
  26. Reck, J. (2009). Homeless gay and transgender youth of color in San Francisco: “No one likes street kids” even in the Castro. Journal of LGBT Youth, 6(2–3), 223–242.CrossRefGoogle Scholar
  27. Rekart, M. L. (2006). Sex-work harm reduction. The Lancet, 366(9503), 2123–2134.CrossRefGoogle Scholar
  28. Rodríguez-Madera, S., & Toro-Alfonso, J. (2005). Gender as an obstacle in hiv/aids prevention: Considerations for the development of hiv/aids prevention efforts for male-to-female transgenders. International Journal of Transgenderism, 8(2–3), 113–122.CrossRefGoogle Scholar
  29. Sanchez, N. F., Sanchez, J. P., & Danoff, A. (2009). Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City. American Journal of Public Health, 99(4), 713–719.CrossRefPubMedPubMedCentralGoogle Scholar
  30. Sausa, L. A., Keatley, J., & Operario, D. (2007). Perceived risks and benefits of sex work among transgender women of color in San Francisco. Archives of Sexual Behavior, 36(6), 768–777.CrossRefPubMedGoogle Scholar
  31. Scambler, G., & Paoli, F. (2008). Health work, female sex workers and hiv/aids: Global and local dimensions of stigma and deviance as barriers to effective interventions. Social Science & Medicine, 66(8), 1848–1862.CrossRefGoogle Scholar
  32. Sevelius, J. M. (2013). Gender affirmation: A framework for conceptualizing risk behavior among transgender women of color. Sex Roles, 68(11–12), 675–689.CrossRefPubMedGoogle Scholar
  33. Sloan, L., & Wahab, S. (2000). Feminist voices on sex work: Implications for social work. Affilia, 15(4), 457–479.CrossRefGoogle Scholar
  34. Spade, D. (2006). Mutilating gender. In S. Stryker & S. Whittle (Eds.), The transgender studies reader (pp. 315–332). New York: Routledge.Google Scholar
  35. Stotzer, R. L. (2009). Violence against transgender people: A review of United States data. Aggression and Violent Behavior, 14(3), 170–179.CrossRefGoogle Scholar
  36. Stotzer, R. L., Silverschanz, P., & Wilson, A. (2013). Gender identity and social services: Barriers to care. Journal of Social Service Research, 39(1), 63–77.CrossRefGoogle Scholar
  37. Stryker, S. (2009). Transgender history. Seal Press.Google Scholar
  38. U.S. Transgender Survey (n.d.). Retrieved March 1, 2018, from http://www.ustranssurvey.org/.
  39. Valera, R. J., Sawyer, R. G., & Schiraldi, G. R. (2001). Perceived health needs of inner-city street prostitutes: A preliminary study. American Journal of Health Behavior, 25(1), 50–59.CrossRefPubMedGoogle Scholar
  40. Weitzer, R. (2009). Sociology of sex work. Annual Review of Sociology, 35, 213–234.CrossRefGoogle Scholar
  41. Wilchins, R. A. (2006). What does it cost to tell the truth? In S. Stryker & S. Whittle (Eds.), The transgender studies reader (pp. 547–551). New York: Routledge.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Michigan School of Social WorkAnn ArborUSA

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