BACKGROUND Transgender women experience disproportionate social stigma that may lead to behavioral risks and poor psychological wellbeing. This study examines social and behavioral factors associated with binge drinking among transgender women in Cambodia. METHODS A cross-sectional survey was conducted in 2016 among 1039 transgender women recruited from 13 provinces using the Respondent Driven Sampling method. A structured questionnaire was used for face-to-face interviews. Weighted multivariable logistic regression analysis was conducted to identify risk factors associated with binge drinking. RESULTS The prevalence of binge drinking was 43.3 %. After adjustment, the odds of binge drinking were significantly higher among participants in the age group of 25-34 compared to those in the age group of 18-24 and lower among participants in job categories such as hairdresser or beautician, office workers, and self-employed compared to those who were unemployed. The odds of binge drinking were significantly higher in participants who dropped out of school and thought it was because of their transgender identity, had transactional sex in the past three months, used amphetamine-type stimulants in the past three months, and reported experience of verbal abuse by family members during childhood. Regarding mental health, the odds of binge drinking were significantly lower among participants who had depressive symptoms over the past week. CONCLUSIONS These findings highlight the intersections between social marginalization, gender-based violence, HIV risks, and alcohol abuse. We recommend further exploration of the structural factors that may be modifiable through workplace policies or occupational health interventions among transgender women.

中文翻译：

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柬埔寨跨性别妇女的社会边缘化，基于性别的暴力和暴饮暴食。

背景技术变性妇女经历了不成比例的社会污名，这可能导致行为风险和不良的心理健康。这项研究调查了柬埔寨跨性别妇女暴饮暴饮相关的社会和行为因素。方法2016年，采用受访者驱动抽样方法对从13个省招募的1039名跨性别女性进行了横断面调查。使用结构化的问卷进行面对面的采访。进行加权多变量logistic回归分析以识别与暴饮暴食相关的危险因素。结果狂饮的患病率为43.3％。调整后 与年龄在18-24岁的人群相比，年龄在25-34岁的人群中暴饮的几率显着更高，而在诸如理发师或美容师，上班族和自雇人士等工作类别中，暴饮的几率则更低给那些失业的人。辍学并认为是因为他们的跨性别身份，在过去三个月内有交易性行为，在过去三个月内使用苯丙胺类兴奋剂并报告有口头交流的参与者，暴饮暴食的几率明显更高。童年时家庭成员的虐待。在心理健康方面，在过去一周内出现抑郁症状的参与者中，狂饮的几率显着降低。结论这些发现强调了社会边缘化，基于性别的暴力，艾滋病毒风险和酗酒之间的交叉。我们建议进一步探讨可通过工作场所政策或跨性别女性中的职业健康干预措施改变的结构性因素。