A recent study by The George Institute for Global Health India, in collaboration with global researchers, has shed light on the severe stigma and mental health issues faced by trans women in India. The findings, published in the journal Wellcome Open Research, underline the urgent need for interventions to promote inclusion and equity.

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Early stigma

Stigma against trans women often begins at home, where they face rejection from their own families. This early isolation damages their self-esteem and leaves a lasting impact on their mental health. The study highlights how, in schools, bullying and harassment lead many trans women to drop out, depriving them of education and stable career opportunities.

“One of the most pressing revelations from the study is the lack of mental health research focusing on trans women, especially in low- and middle-income countries like India,” said Dr. Sandhya Kanaka Yatirajula, Program Lead-Mental Health at The George Institute for Global Health India.

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Barriers faced in healthcare and employment

Healthcare discrimination is another major issue faced by trans women. Reports of mistreatment by hospital staff and a lack of understanding among healthcare providers discourage them from seeking medical help, leaving their physical and mental health needs unaddressed.
Additionally, limited job opportunities force many trans women to choose begging or sex work as a means of survival.

High rates of mental health issues

These harsh experiences lead to high rates of depression, anxiety, and suicidal thoughts among trans women. The study also pointed out the scarcity of mental health research specifically addressing the needs of transgender communities in countries like India.

While global research often focuses on HIV-related issues, the broader mental health challenges of transgender people remain overlooked. “This research highlights the urgent need for interventions to address stigma and its impact on their lives,” emphasized Dr. Yatirajula.

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The power of acceptance and inclusivity

For transwomen, social support can be a lifeline. Acceptance from families and communities, access to education, and opportunities for employment play a crucial role in fostering resilience and improving mental well-being. However, such opportunities are rare in India, where an estimated 4.8 million transgender people live.

The study calls for gender-affirming policies that promote inclusion, equity, and the creation of safe spaces where trans women feel respected and valued. These steps, researchers argue, could significantly improve their quality of life and mental health.

With these findings, the study urges policymakers and society to take immediate action to combat stigma and discrimination, paving the way for a more inclusive future.


Rahul Dev

Cricket Jounralist at Newsdesk

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