Evidence map›Paper›PMID 41987184›Full record

ArticleBMC public health2026

Analyzing the intersection of race and income on perceived discrimination among sexual and gender diverse persons in Brazil: a nationwide cross-sectional study.

Thiago S Torres, Lucilene Freitas, Mayara S T Silva, Caroline Guimarães, Karine M Barreto, Brenda Hoagland, Valdilea G Veloso, Beatriz Grinsztejn, João L Bastos, Paula M Luz

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Thiago S TorresInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil. thiago.torres@ini.fiocruz.br.ORCID 0000-0002-2557-601X
Lucilene FreitasInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
Mayara S T SilvaInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
Caroline GuimarãesInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
Karine M BarretoEscola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz (ENSP-Fiocruz), Rio de Janeiro, Brazil.
Brenda HoaglandInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
Valdilea G VelosoInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
Beatriz GrinsztejnInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
João L BastosFaculty of Health Sciences, Simon Fraser University (FHS/SFU), Burnaby, BC, Canada.
Paula M LuzInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExisting research shows that sexual and gender diverse populations living in the Global South are systematically discriminated against based on sexual orientation and/or gender identity. Knowledge remains limited, however, on how race and class individually and intersectionally shape perceived discrimination. We analyzed whether and how race and income intersect to shape perceived discrimination among sexual and gender diverse persons.

methodsOur data come from an online survey with sexual and gender diverse persons ≥ 18 years living in Brazil, between November/2021 and January/2022. We used the 8-item Explicit Discrimination Scale to assess the frequency of perceived discrimination (higher scores=higher discrimination), including the self-reported attributions. Participants were stratified into six mutually exclusive groups considering race (Black/Pardo/White) and income (Low/High). Negative binomial regression models were used to assess variables associated with discrimination.

resultsIn total, 7878 participants were included, 49.4% high-income White, 18.4% high-income Pardo, 11.1% low-income White, 8.3% low-income Pardo, 8.1% high-income Black and 4.7% low-income Black. High-income White had the lowest discrimination score whereas Black participants had the highest scores regardless of income, with low-income Black participants reporting the highest number of attributions. Sexuality-based discrimination was perceived by all groups to a similar degree, regardless of race and income. Model results revealed significant intersectional patterns of race and income in discrimination experiences, even after adjusting for interaction terms of race/income and other co-variables. In the adjusted model, the joint effect analysis showed that, compared to high-income White participants, discrimination scores were 1.22 (95% CI: 1.09-1.36), 1.37 (95% CI: 1.27-1.49), 1.98 (95% CI: 1.69-2.32), and 1.78 (95% CI: 1.63-1.96) times higher among high-income Pardo, low-income Pardo, high-income Black and low-income Black participants.

conclusionsOur findings underscore the importance of assessing perceived discrimination according to an intersectionality perspective. Results show the pervasive and multifaceted nature of discrimination experienced by sexual and gender diverse persons in Brazil, with disparities according to race and income. The findings highlight the compounded disadvantage faced by Black and low-income individuals, who perceive heightened levels of discrimination across multiple domains. Targeted efforts are needed to mitigate discrimination faced by racially and economically marginalized sexual and gender diverse populations.

Indexed as

IncomeRacismSexual and Gender MinoritiesAdolescentAdultBlack PeopleBrazilCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesWhite PeopleYoung AdultBrazilDiscriminationIncomeIntersectionalityLatin AmericaRaceSexual and Gender Minorities; Men Who Have Sex with Men (MSM)Transgender and Non-Binary persons

Identifiers

PMID41987184
PMCPMC13200485

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.