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. 2024 Jan 25;73(1):61–70. doi: 10.15585/mmwr.su7301a7

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).