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Social determinants of health influence on trans and gender-diverse people: a qualitative photovoice study

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dc.contributor.authorMarín-Rodríguez, María
dc.contributor.authorJiménez Ruiz, Ismael
dc.contributor.authorJiménez Barbero, José Antonio
dc.contributor.authorSánchez-Muñoz, María
dc.contributor.authorPastor Bravo, María del Mar
dc.contributor.authorGarcía Hernández, Miguel
dc.contributor.departmentEnfermería
dc.contributor.otherFacultad de Enfermería
dc.date.accessioned2026-02-20T10:58:00Z
dc.date.available2026-02-20T10:58:00Z
dc.date.copyright©2026 by the authors
dc.date.issued2026-02-11
dc.description.abstractDespite the introduction of inclusive and gender-affirming approaches in healthcare, transgender and non-binary people continue to show poorer physical, psychological, and social outcomes, shaped by social determinants within historically pathologizing and stigmatizing contexts. This study used qualitative participatory action research with photovoice among seven transgender individuals residing in Murcia, Spain; data were generated through semi-structured interviews and focus group dialogue, applying the SHOWED technique to the visual and discursive narratives of the participants, and analyzed with Atlas.ti v8. Educational, employment, and healthcare contexts significantly condition well-being. Well-being was determined by the circumstances and support in which gender identity is constructed, within sociocultural environments marked by gender stereotypes, exclusion from social spaces, and fears regarding the irreversibility of certain transition steps. Reported lifetime negative events, social barriers, exclusion, and persistent questioning of identity were associated with increased anxiety, depressive symptoms, and insomnia. At the same time, the relevance of resilience and support networks also emerged during the sessions. Replicating photovoice in diverse settings may help identify social and territorial inequities and inform improvements in clinical practice, healthcare education, public policies, and legislation for transgender and gender-nonconforming people.
dc.formatapplication/pdf
dc.format.extent24
dc.identifier.citationBehav. Sci. 2026, 16(2), 265
dc.identifier.eissn2076-328X
dc.identifier.urihttp://hdl.handle.net/10201/209161
dc.languageeng
dc.publisherMDPI
dc.relationThis research was funded by the Intramural Grant Call 2021 IMIB-Pascual Parrilla for the Promotion of Research and Innovation in Institute Groups, Modality I, Grants for Emerging or Associated Clinical Groups (File: IMIB21/CI/TIPO I/03), as well as by the University of Murcia, grant number [Predoctoral Contract FPU INVES-UM R-283/2025].
dc.relation.publisherversionhttps://www.mdpi.com/2076-328X/16/2/265
dc.rightsAttribution 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectGender identity
dc.subjectTransgender persons
dc.subjectGender nonconforming persons
dc.subjectPhotovoice
dc.subjectNursing
dc.subjectSocial stigma
dc.subjectSocial determinants of health
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titleSocial determinants of health influence on trans and gender-diverse people: a qualitative photovoice study
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
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