TABLE 1. Variables, questions, and analytic coding for social support and the association between certain forms of violence and harassment and suicidal ideation among transgender women — National HIV Behavioral Surveillance Among Transgender Women, seven urban areas,* United States, 2019–2020.
Variable | Question | Analytic coding |
---|---|---|
Suicidal
ideation |
At any time in the past 12 months, did
you seriously think about trying to kill yourself? |
Yes or no |
Certain forms of violence
and harassment† |
Any reports of gender-based verbal and
physical abuse or harassment, physical intimate partner abuse or
harassment, and sexual violence in the past 12 months.
|
Yes or no |
Verbal abuse or
harassment |
In the past 12 months, have you been
verbally abused or harassed because of your gender identity or
presentation? |
Yes or no |
Physical abuse or
harassment |
In the past 12 months, have you been
physically abused or harassed because of your gender identity or
presentation? |
Yes or no |
Physical intimate partner
abuse or harassment |
In the past 12 months, have you been
physically abused or harassed by a sexual partner? |
Yes or no |
Sexual violence |
In the past 12 months, have you been
forced to have sex when you did not want to? By forced, I mean
physically forced or verbally threatened. By sex, I mean any
sexual contact. |
Yes or no |
Social support from
family |
5-point Likert scale (from strongly
agree to strongly
disagree) • My family really tries to help me. Do you … • I get the emotional help and support I need from my family. Do you … • I can talk about my problems with my family. Do you … • My family is willing to help me make decisions. Do you … |
Low-moderate (mean <3.57) or high
(mean ≥3.57) |
Social support from
friends |
5-point Likert scale (from strongly
agree to strongly
disagree) • My friends really try to help me. Do you … • I can count on my friends when things go wrong. Do you … • I have friends with whom I can share my joys and sorrows. Do you … • I can talk about my problems with my friends. Do you … |
Low-moderate (mean <3.57) or high
(mean ≥3.57) |
Social support from
significant others |
5-point Likert scale (from strongly
agree to strongly
disagree) • There is a special person who is around when I am in need. Do you … • There is a special person with whom I can share joys and sorrows. Do you … • I have a special person who is a real source of comfort to me. Do you … • There is a special person in my life who cares about my feelings. Do you … |
Low-moderate (mean <3.57) or high
(mean ≥3.57) |
Age |
What is your date of birth? |
18–24 yrs, 25–29 yrs,
30–39 yrs, 40–49 yrs, or >50 yrs |
Race and
ethnicity§ |
Do you consider yourself to be of
Hispanic, Latino/a, or Spanish origin? Which racial group or
groups do you consider yourself to be in? You may choose more
than one option. |
Black or African American, White,
Hispanic, or other |
Poverty¶ |
What was your household income last
year from all sources before taxes? Including yourself, how many
people depended on this income? |
Above Federal poverty level or at or
below Federal poverty level |
Education |
What is the highest level of education
you completed? |
<High school, high school diploma
or equivalent, or >high school |
GAHT status |
Have you ever taken hormones for
gender transition or affirmation? Are you currently taking
hormones for gender transition or affirmation? Would you like to
take hormones for gender transition or affirmation? |
Do not want to take GAHT, currently
taking GAHT, or want to take GAHT |
Gender-affirming surgery
status |
Have you ever had any type of surgery
for gender transition or affirmation? Do you plan or want to get
additional surgeries for gender transition or affirmation? Do
you want to have surgery for gender transition or
affirmation? |
No unmet gender-affirming surgery
need, had procedures, or wants gender-affirming surgery but has
not received procedures |
Disability** |
Are you deaf or do you have serious
difficulty hearing? Are you blind or do you have serious
difficulty seeing, even when wearing glasses? Because of a
physical, mental, or emotional condition, do you have serious
difficulty concentrating, remembering, or making decisions? Do
you have serious difficulty walking or climbing stairs? Do you
have difficulty dressing or bathing? Because of a physical,
mental, or emotional condition, do you have difficulty doing
errands alone, such as visiting a doctor's office or
shopping? |
Yes or no |
Illicit drug use
(excluding marijuana) |
Have you ever in your life shot up or
injected any drugs other than those prescribed for you? How many
days or months or years ago did you last inject? In the past 12
months, have you used any drugs that were not prescribed for you
and that you did not inject? |
Yes or no |
Incarceration |
Have you ever been held in a detention
center, jail, or prison for more than 24 hours? During the past
12 months, have you been held in a detention center, jail, or
prison for more than 24 hours? |
Never incarcerated, incarcerated in
the past 12 months, or incarcerated >12 months ago |
Homelessness | In the past 12 months, have you been homeless at any time? By homeless, I mean you were living on the street, in a shelter, in a single room occupancy hotel (SRO), or in a car. Are you currently homeless? | Currently homeless, was homeless in the past 12 months but not currently, or no homelessness in the past 12 months |
Abbreviation: GAHT = gender-affirming hormonal therapy.
* Atlanta, GA; Los Angeles, CA; New Orleans, LA; New York City, NY; Philadelphia, PA; San Francisco, CA; and Seattle, WA.
† Not a questionnaire item in National HIV Behavioral Surveillance Among Transgender Women. This is a composite analysis variable from the responses in actual survey questions on verbal abuse or harassment, physical abuse or harassment, physical intimate partner abuse or harassment, and sexual violence.
§ Persons of Hispanic or Latina (Hispanic) origin might be of any race but are categorized as Hispanic; all racial groups are non-Hispanic.
¶ 2019 Federal poverty level thresholds were calculated on the basis of U.S. Department of Health and Human Services Federal poverty level guidelines (https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines/prior-hhs-poverty-guidelines-federal-register-references/2019-poverty-guidelines).
** To assess difficulty in six basic domains of functioning (hearing, vision, cognition, walking, self-care, and independent living), based on U.S. Department of Health and Human Services disability data standard (https://aspe.hhs.gov/reports/hhs-implementation-guidance-data-collection-standards-race-ethnicity-sex-primary-language-disability-0).