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Table 2 Descriptive statistics among 340 MSM and TGW in Nepal (RDS-weighted values)

From: Social and structural factors associated with depression and suicidality among men who have sex with men and transgender women in Nepal

Characteristics

MSM (n = 201, 77%) n (%)

TGW (n = 139, 23%) n (%)

Total

n (%)

Socio-demographic factors

 Age

   ≤ 30

133 (66)

67 (48)

200 (59)

   > 30

68 (34)

72 (52)

140 (41)

 Education

  Illiterate

16 (6)

19 (11)

35 (7)

  Literate

168 (86)

104 (76)

272 (84)

  Literate without formal education

17 (8)

16 (13)

33 (9)

 Gender identity

  Third gender

38 (13)

99 (63)

137 (24)

  Female

0 (0)

28 (20)

28 (4)

  Male

163 (87)

12 (17)

175 (72)

 Marital status

  Married

75 (28)

52 (34)

127 (29)

  Not married

126 (72)

87 (66)

213 (71)

 Main profession

  Student

60 (40)

3 (6)

63 (33)

  Driver

9 (4)

0 (0)

9 (3)

  Civil servant

6 (3)

0 (0)

6 (2)

  Businessman

17 (6)

19 (11)

36 (7)

  Private company staff

23 (8)

16 (12)

39 (11)

  Laborer/wage labor

54 (28)

22 (21)

76 (24)

  Artist

5 (2)

23 (11)

28 (5)

  Farmer

11 (4)

11 (14)

22 (6)

  Sex worker

8 (2)

34 (15)

42 (4)

  Unemployed

8 (3)

11 (10)

19 (5)

 Sex work past 12 months

  Yes

25 (6)

87 (51)

112 (16)

  No

176 (94)

52 (49)

228 (84)

 Income in NPR

  No income

29 (19)

6 (8)

35 (17)

   < 10,000

31 (13)

28 (28)

59 (17)

  10,000–19,999

64 (27)

53 (33)

117 (28)

  20,000–29,999

18 (9)

22 (15)

40 (10)

   ≥ 30,000

24 (9)

23 (8)

47 (9)

Structural factors

 Cross-border movement for sexual activity

  Yes

45 (13)

42 (20)

87 (15)

  No

156 (87)

97 (80)

253 (85)

Experience of violence based on sexual orientation

 Physical abuse

  Yes

6 (1)

19 (8)

25 (3)

  No

195 (99)

120 (92)

315 (97)

 Forced sex

  Yes

8 (1)

31 (1)

39 (4)

  No

193 (99)

108 (99)

301 (96)

 Cheated or threatened

  Yes

22 (7)

40 (7)

62 (9)

  No

179 (93)

99 (93)

278 (91)

Discrimination based on sexual orientation in different settings

 At school

  Yes

32 (11)

52 (27)

84 (15)

  No

169 (89)

87 (73)

256 (85)

 Job hunting

  Yes

12 (2)

25 (12)

37 (4)

  No

189 (98)

114 (88)

303 (96)

 At work

  Yes

23 (6)

57 (29)

80 (11)

  No

178 (94)

82 (71)

260 (89)

 Getting housing

  Yes

5 (1)

27 (12)

32 (3)

  No

196 (99)

112 (88)

308 (97)

 Medical care

  Yes

7 (1)

97 (22)

49 (6)

  No

194 (99)

42 (78)

291 (94)

 Service in store or restaurant

  Yes

22 (6)

62 (33)

84 (12)

  No

179 (94)

77 (67)

256 (88)

 On the street or in a public setting

  Yes

28 (7)

87 (54)

115 (16)

  No

173 (93)

52 (46)

225 (84)

 From police or other security personnel

  Yes

24 (7)

58 (26)

82 (11)

  No

177 (93)

81 (74)

258 (89)

 Number of settings in past 12 months

  None

139 (81)

31 (38)

170 (71)

  1 setting or more

62 (19)

108 (62)

170 (29)

Social factors

 Forced marriage with a female

  Yes

69 (26)

81 (53)

150 (32)

  No

132 (74)

58 (47)

190 (68)

 Evicted by family based on sexual orientation

  Yes

14 (2)

46 (22)

60 (7)

  No

187 (98)

93 (78)

280 (93)

 Family acceptance of sexual orientation

  Yes

37 (13)

55 (26)

92 (16)

  No

164 (87)

84 (74)

248 (84)

Psychosocial factors

 Depression (CESD-R)

  Euthymic

81 (46)

31 (27)

112 (41)

  Distress

63 (34)

45 (34)

108 (34)

  Severe depression

57 (20)

63 (41)

120 (25)

 Lifetime prevalence of suicidal thoughts

  Yes

20 (5)

58 (32)

78 (11)

  No

181 (95)

81 (68)

262 (89)

 Suicidal thoughts past 12 months

  Once or twice

12 (79)

14 (14)

26 (36)

  A few times

4 (8)

23 (53)

27 (38)

  Many times

3 (8)

21 (33)

24 (36)

  No response

1 (5)

0 (0)

1 (2)

 Lifetime prevalence of suicidal plans

  Yes

9 (26)

38 (51)

47 (43)

  No

11 (74)

20 (49)

31 (57)

 Lifetime prevalence of attempted suicide

  Yes

6 (15)

26 (28)

32 (23)

  No

14 (85)

32 (72)

46 (77)

 Alcohol consumption past 4 weeks

  None

86 (41)

73 (61)

159 (46)

  At least once a week

109 (56)

54 (34)

163 (51)

  Every day

6 (3)

12 (5)

18 (4)

 Drug abuse past 12 months

  Yes

25 (8)

7 (1)

32 (7)

  No

176 (92)

132 (99)

308 (93)

  1. MSM Men who have sex with men; TGW Transgender woman; RDS Respondent-driven sampling; n: sub-sample size; NPR Nepalese Rupees; CESD-R Center for Epidemiologic Studies Scale Revised