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Peer-reviewedCC BYEpidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

Prevalence of physical inactivity and associated factors among transgender people: a cross-sectional study, Baixada Santista, Brazil, 2023.

4 affiliations
  1. 1Faculdade de Ciências Médicas da Santa Casa de São Paulo SP São PauloSP Brazil Faculdade de Ciências Médicas da Santa Casa de São Paulo, SP, Brazil.
  2. 2Universidade Estadual de Campinas Faculdade de Ciências Médicas CampinasSP Brazil Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Campinas, SP, Brazil.
  3. 3Universidade de Sorocaba Sorocaba SorocabaSP Brazil Universidade de Sorocaba, Sorocaba, SP, Brazil.
  4. 4Universidade Federal de São Paulo São Paulo São PauloSP Brazil Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Abstract

Objective

To estimate prevalence of physical inactivity and investigate associated factors among self-identified transgender (trans) people.Methods

This was a cross-sectional study using data from the Baixada Santista Transgender Population Mapping survey. Trans people aged ≥18 years who lived, studied or worked that region in 2023 were recruited using a non-probabilistic sample. Those who reported not practicing physical activity were considered inactive. The independent variables were sociodemographic and variables related to well-being, described by relative and absolute frequencies, along with 95% confidence intervals (95%CI). In order to verify associations, Pearson's chi-square test was applied with a 5% significance level, and logistic regression analyses with odds ratio (OR) estimation were performed.Results

Of the 237 participants, 40.9% were classified as inactive. The likelihood of leisure-time physical inactivity was higher among those with lower levels of education (OR 3.32; 95%CI 1.23; 8.94; p-value 0.018), those who had used mental health services in the last 12 months (OR 2.26; 95%CI 1.24; 4.09; p-value 0.007), and those with low quality of life (OR 2.39; 95%CI 1.32; 4.32; p-value 0.004). Physical inactivity was lower among people who experienced high levels of everyday discrimination (OR 0.45; 95%CI 0.21; 0.96; p-value 0.038).Conclusion

Physical inactivity in the population studied was associated with lower levels of education, use of mental health services and low quality of life. More active transgender people tended to suffer greater everyday discrimination, suggesting that adherence to physical activity is not only an individual choice but also a reflection of historical, social and environmental determinants.

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BibTeX
@article{bassichetto2026prevalence,
  title = {{Prevalence of physical inactivity and associated factors among transgender people: a cross-sectional study, Baixada Santista, Brazil, 2023.}},
  author = {Katia Cristina Bassichetto and Margareth Guimarães Lima and Donatila Barbieri de Oliveira Souza and Lilian de Fatima Zanoni Nogueira and Carla Gianna Luppi and Barbara Iansã de Lima Barroso},
  journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil},
  year = {2026},
  month = jul,
  doi = {10.1590/s2237-96222026v35e20251283.en},
  url = {https://europepmc.org/article/MED/42922940},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Prevalence of physical inactivity and associated factors among transgender people: a cross-sectional study, Baixada Santista, Brazil, 2023.
AU  - Katia Cristina Bassichetto
AU  - Margareth Guimarães Lima
AU  - Donatila Barbieri de Oliveira Souza
AU  - Lilian de Fatima Zanoni Nogueira
AU  - Carla Gianna Luppi
AU  - Barbara Iansã de Lima Barroso
PY  - 2026
DA  - 2026/07/31
JO  - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
DO  - 10.1590/s2237-96222026v35e20251283.en
UR  - https://europepmc.org/article/MED/42922940
AB  - Objective  To estimate prevalence of physical inactivity and investigate associated factors among self-identified transgender (trans) people.Methods  This was a cross-sectional study using data from the Baixada Santista Transgender Population Mapping survey. Trans people aged ≥18 years who lived, studied or worked that region in 2023 were recruited using a non-probabilistic sample. Those who reported not practicing physical activity were considered inactive. The independent variables were sociodemographic and variables related to well-being, described by relative and absolute frequencies, along with 95% confidence intervals (95%CI). In order to verify associations, Pearson's chi-square test was applied with a 5% significance level, and logistic regression analyses with odds ratio (OR) estimation were performed.Results  Of the 237 participants, 40.9% were classified as inactive. The likelihood of leisure-time physical inactivity was higher among those with lower levels of education (OR 3.32; 95%CI 1.23; 8.94; p-value 0.018), those who had used mental health services in the last 12 months (OR 2.26; 95%CI 1.24; 4.09; p-value 0.007), and those with low quality of life (OR 2.39; 95%CI 1.32; 4.32; p-value 0.004). Physical inactivity was lower among people who experienced high levels of everyday discrimination (OR 0.45; 95%CI 0.21; 0.96; p-value 0.038).Conclusion  Physical inactivity in the population studied was associated with lower levels of education, use of mental health services and low quality of life. More active transgender people tended to suffer greater everyday discrimination, suggesting that adherence to physical activity is not only an individual choice but also a reflection of historical, social and environmental determinants.
SN  - 1679-4974
SN  - 2237-9622
ER  -