Globally, transgender people engaged in sex work experience disproportionately high risks of victimization. While qualitative studies on the perspectives of transgender people engaged in sex work can shed light on their intersecting experiences, a qualitative synthesis could offer a systematic understanding and inform anti-oppressive practices and policies. This review explores the experience of stigma, violence, victimization, and associated coping strategies among transgender people engaged in sex work. We conducted a literature search in November 2023 on MEDLINE, Social Work Abstracts, and CINAHL PLUS from EBSCOhost, APA PsycInfo, ASSIA, and Sociological Abstracts from ProQuest and SCOPUS (PROSPERO ID: CRD42023478844). From 1,085 studies retrieved, 64 were included in this review. Thematic synthesis identified seven themes: (a) individual struggle, (b) interpersonal violence, (c) community transphobia and exclusion, (d) systemic oppression, (e) individual coping strategies, (f) community resources, and (g) organizational support as coping resources. This review contributes to the discussion around the health vulnerabilities of transgender people engaged in sex work that inherently result from intersecting victimization in a larger global context, including trafficking, urban planning, migration, and COVID-19. Identification of the coping strategies of transgender people engaged in sex work also highlights their resilience and sites of empowerment. Policymakers and professionals should be mindful of the intersectional identities of transgender people engaged in sex work and initiate peer- and community-led interventions to support them in building intersectional solidarity and resisting victimization.

中文翻译：

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对从事性工作的跨性别者的污名化、暴力、受害和相关应对的定性系统评价


在全球范围内，从事性工作的跨性别者遭受伤害的风险特别高。虽然对从事性工作的跨性别者的观点进行定性研究可以阐明他们相互交织的经历，但定性综合可以提供系统的理解，并为反压迫的做法和政策提供信息。本综述探讨了从事性工作的跨性别者遭受污名化、暴力、受害和相关应对策略的经历。我们于 2023 年 11 月对 EBSCOhost 的 MEDLINE、Social Work Abstracts 和 CINAHL PLUS、APA PsycInfo、ASIA 以及 ProQuest 和 SCOPUS （PROSPERO ID： CRD42023478844） 的 Sociological Abstracts 进行了文献检索。从检索到的 1,085 项研究中，64 项被纳入本综述。主题综合确定了七个主题：（a） 个人斗争，（b） 人际暴力，（c） 社区跨性别恐惧症和排斥，（d） 系统性压迫，（e） 个人应对策略，（f） 社区资源，以及 （g） 作为应对资源的组织支持。本综述有助于围绕从事性工作的跨性别者的健康脆弱性进行讨论，这些脆弱性本质上是由于在更大的全球背景下交叉受害造成的，包括人口贩运、城市规划、移民和 COVID-19。对从事性工作的跨性别者的应对策略的识别也突出了他们的韧性和赋权场所。政策制定者和专业人士应注意从事性工作的跨性别者的交叉身份，并发起由同伴和社区主导的干预，以支持他们建立交叉团结和抵制受害。