Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria.

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dc.contributor.authorFolayan, Morenike Oluwatoyin
dc.contributor.authorYakusik, Anna
dc.contributor.authorEnemo, Amaka
dc.contributor.authorSunday, Aaron
dc.contributor.authorMuhammad, Amira
dc.contributor.authorNyako, Hasiya Yunusa
dc.contributor.authorAbdullah, Rilwan Mohammed
dc.contributor.authorOkiwu, Henry
dc.contributor.authorLamontagne, Erik
dc.date.accessioned2024-06-11T09:53:40Z
dc.date.available2024-06-11T09:53:40Z
dc.date.issued2023-08-12T00:00:00Z
dc.description.abstractWe aimed to explore socioeconomic inequality, health inequity, and the well-being of transgender people during the COVID-19 crisis in Nigeria.
dc.description.abstractBetween June and December 2021, a cross-sectional survey was conducted collaboratively with community-based organisations in Nigeria. Participants living with or at risk of HIV were recruited voluntarily, online and face-to-face, using a combination of venue-based and snowball sampling. We assessed the association between gender identity (transgender and vulnerable cisgender women), and (i) socioeconomic inequality measured with socioeconomic status, social status, economic vulnerability, macrosocial vulnerability; (ii) health inequity measured with self-assessment of health, recency of HIV test, access to HIV and sexual and reproductive health services, gender-affirming care, financial and non-financial barriers to accessing health services; and (iii) well-being, measured with gender-based violence, mental health, psychoeconomic preferences. We used multivariable logistic regressions and controlled for interactions and confounders.
dc.description.abstractThere were 4072 participants; 62% were under 30, and 47% reported living with HIV. One in ten (11.9%; n = 485) was transgender, and 56.5% reported living with HIV. Compared to vulnerable cisgender women, the results showed significantly higher odds (aOR:3.80) of disruption in accessing HIV services in transgender participants; gender-based violence (aOR:2.63); severe (aOR:2.28) symptoms of anxiety and depression. Among the barriers to accessing health and HIV services, transgender had three-time higher odds of reporting additional non-official fees compared to vulnerable cisgender women. The disclosure of their gender identity or sexual orientation was the most important non-financial barrier to accessing health services (aOR:3.16). Transgender participants faced higher housing insecurity (aOR: 1.35) and lower odds of using drugs (aOR:0.48). Importantly, they are more likely to have performed a recent HIV test and less likely to not know their HIV status (aOR:0.38) compared to vulnerable cisgender women.
dc.description.abstractSocioeconomic inequality, health and well-being inequity in transgender people appear to be exacerbated by the COVID-19 pandemic in Nigeria. Interventions are necessary to mitigate socioeconomic challenges, address structural inequality, and ensure equitable access to health services to meet the Sustainable Development Goals for transgender people.
dc.identifier.other37573293
dc.identifier.urihttps://ir.oauife.edu.ng/handle/123456789/6511
dc.language.isoen
dc.publisherBMC Public Health
dc.subjectCOVID-19
dc.subjectHIV
dc.subjectLGBT
dc.subjectPublic health
dc.subjectRisk-taking
dc.subjectTransgender
dc.subjectVulnerability, Inequality, Socioeconomic, Well-being
dc.titleSocioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria.
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