Abuse can also manifest as medical neglect or unsafe practices:
: There are high rates of substance use often linked to the stress of sex work or coping with discrimination . ladyboy abuse
Child abuse victimization among transgender and gender ... - PubMed Abuse can also manifest as medical neglect or
Research indicates high levels of victimization among this population, particularly those in the sex trade: : Due to limited access to formal healthcare,
: Over one-third of those reporting physical assault cited police as the perpetrators .
: Due to limited access to formal healthcare, many use excessive estrogen supplements without medical supervision or undergo invasive, unsafe procedures like subcutaneous silicone injections to achieve a more feminine appearance . Legal and Social Context
: Many experience systemic abuse such as loss of employment (39%) and denial of housing (20%) .