{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T01:20:00Z","timestamp":1769908800854,"version":"3.49.0"},"reference-count":71,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Social Sciences"],"abstract":"<jats:p>This paper aims to present and discuss the results of a qualitative study conducted in the city of Porto, Portugal, aiming to understand the self-determination process and the meanings and impacts of sex work on trans women\u2019s body self-image and health. Between January and July 2019, six individual interviews were performed with participants aged between 23 and 57 and then analyzed using thematic analysis. The results suggest that the participants were subjected to several experiences of discrimination and violence since childhood, negatively impacting their health and social integration. In their narratives, a conflict between the idea of an idealized body, congruent with gender identity, and the idea of a profitable body, compatible with the requirements of sex work clients, emerged. As a consequence, several tensions are experienced, both in personal and professional domains. Additionally, the difficulties felt in accessing the National Health System, to receive specialized support and treatment, increase the risk of being exposed to clandestine procedures, which exacerbates their vulnerability. The findings point to the importance of comprehending trans women sex workers\u2019 needs and reanalyzing how their health conditions might be improved.<\/jats:p>","DOI":"10.3390\/socsci12040219","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T03:59:55Z","timestamp":1680753595000},"page":"219","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trans Women\u2019s Body Self-Image and Health: Meanings and Impacts of Sex Work"],"prefix":"10.3390","volume":"12","author":[{"given":"Joana","family":"Topa","sequence":"first","affiliation":[{"name":"Department of Social and Behavioral Sciences, University of Maia, 4475-690 Maia, Portugal"},{"name":"Interdisciplinary Centre for Gender Studies, University of Lisbon, 1300-663 Lisbon, Portugal"}]},{"given":"Eduarda","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, University of Maia, 4475-690 Maia, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6180-4932","authenticated-orcid":false,"given":"Sofia","family":"Neves","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, University of Maia, 4475-690 Maia, Portugal"},{"name":"Interdisciplinary Centre for Gender Studies, University of Lisbon, 1300-663 Lisbon, Portugal"}]},{"given":"Estef\u00e2nia","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, University of Maia, 4475-690 Maia, Portugal"},{"name":"Interdisciplinary Centre for Gender Studies, University of Lisbon, 1300-663 Lisbon, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychological Association (APA) (2015). 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