Abstract

This study determines how transgender involvement in survival economies, namely sex work and drug sales, affects transgender experiences of service provider discrimination, in comparison to discrimination experienced by transgender people not involved in survival economies. It utilizes cross-sectional data from the 2008–2009 National Transgender Discrimination Survey (NTDS). Multivariate logistic regression is conducted on the sample (n = 4927) to determine the strength of association. Logistic regression sub-analysis is used to compare discrimination across different service provider contexts. Compared to those not participating in survival economies, participating in sex work has almost three times greater odds (OR 2.83, CI 2.20–3.63), and those participating in drug sales have approximately 1.5 greater odds (OR 1.52, CI 1.16–1.99), of experiencing discrimination from service providers. Participation in survival economies is a significant predictor of a transgender person’s increased likelihood of experiencing service provider discrimination. Findings suggest that service providers must attend to the specificity of transgender experiences in survival economies. Harm reduction is offered as a suitable intervention approach.

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