Living Outside the Gender Box in Mexico: Testimony of Transgender Mexican Asylum Seekers

• Published in: American journal of public health (1971) 2017-10, Vol.107 (10), p.1646-1652
• Main Authors: Cheney, Marshall K, Gowin, Mary J, Taylor, E Laurette, Frey, Melissa, Dunnington, Jamie, Alshuwaiyer, Ghadah, Huber, J Kathleen, Garcia, Mary Camero, Wray, Grady C
• Format: Article
• Language: English
• Subjects: Abuse; Adult; Age; Aggression; AJPH Research; Codes; Community; Discrimination; Education; Emotional abuse; Employment; Families & family life; Family school relationship; Female; Gays & lesbians; Gender; Gender identity; Global Health; Health Promotion; Health Status; Human Rights; Humans; Immigration; Job training; Lesbian/Gay/Bisexual/Transgender Persons; Mental health; Mental health services; Mexico - ethnology; Middle Aged; Multidisciplinary teams; Occupational health; Police; Political asylum; Psychological assessment; Psychological distress; Psychological effects; Public health; Refugees; Refugees - psychology; Refugees - statistics & numerical data; Reviews; Same sex marriage; Schools; Sex crimes; Sex discrimination; Sexual abuse; Sexual assault; Social exclusion; Social integration; Social Isolation; Socioeconomic Factors; Testimony; Transgender persons; Transgender Persons - psychology; Transgender Persons - statistics & numerical data; Undocumented Immigrants - psychology; Undocumented Immigrants - statistics & numerical data; United States - epidemiology; Violence; Violence - psychology; Violence - statistics & numerical data; Workplaces; Young Adult
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.2017.303961

To explore preimmigration experiences of violence and postimmigration health status in male-to-female transgender individuals (n = 45) from Mexico applying for asylum in the United States. We used a document review process to examine asylum declarations and psychological evaluations of transgender Mexican asylum seekers in the United States from 2012. We coded documents in 2013 and 2014 using NVivo, a multidisciplinary team reviewed them, and then we analyzed them for themes. Mexican transgender asylum applicants experienced pervasive verbal, physical, and sexual abuse from multiple sources, including family, school, community, and police. Applicants also experienced discrimination in school and in the workplace. Applicants immigrated to the United States to escape persistent assaults and threats to their life. Applicants suffered health and psychological effects from their experiences in Mexico that affected opportunities in the United States for employment, education, and social inclusion. Additional social protections for transgender individuals and antidiscrimination measures in Mexican schools and workplaces are warranted as are increased mental health assessment and treatment, job training, and education services for asylum seekers in the United States.