Health of Transgender Women: Gynecological, Hormonal, Sexual and Psychological Management

healthtransgenderwomenkapak

ADDICTION IN TRANSGENDER WOMEN AND ITS EFFECTS ON HEALTH

Mustafa Danışman

Ankara Training and Research Hospital, Alcohol and Drug Addiction Treatment Center, Ankara, Türkiye

Danışman M. Addiction in Transgender Women and Its Effects on Health.Balsak D, Aksin Ş, eds. Health of Transgender Women: Gynecological, Hormonal, Sexual and Psychological Management. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.287-293.

ABSTRACT

Transgender women face unique challenges, including stigma, discrimination, and violence, which contribute to elevated rates of addiction and adverse health outcomes. This article explores the prevalence and drivers of addiction in transgender women, focusing on nicotine, alcohol, drug, and behavioral addictions. Nicotine and alcohol use are significantly higher in this population, often linked to coping with stress and marginalization. Illicit substance use, particularly methamphetamines and intravenous drugs, is associated with trauma, stigma, and risky sexual behaviors. Behavioral addictions, such as gambling and compulsive sexual behavior, also disproportionately affect transgender women. Current addiction treatments often fail to address the specific needs of transgender individuals, emphasizing the need for inclusive, gender-sensitive care. Tailored interventions and safe treatment environments are essential to improving outcomes and reducing health disparities in this underserved group.

Keywords: Transgender persons; Health services for transgender persons; Addiction medicine; Substance-related disorders; Alkolizm

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