: There are high rates of substance use often linked to the stress of sex work or coping with discrimination .
Child abuse victimization among transgender and gender ... - PubMed ladyboy abuse
15 Oct 2019 — Those who are transgender and those who display gender nonconforming traits in childhood are at risk for child abuse and sequelae. National Institutes of Health (.gov) : There are high rates of substance use
Research indicates high levels of victimization among this population, particularly those in the sex trade: ladyboy abuse
Abuse can also manifest as medical neglect or unsafe practices:
: In a study of Cambodian "ladyboys," 40% reported physical assault and 55% reported being forced to have sex against their wishes within a 12-month period .