Effect of Nutrition Health and Hygiene Education on Knowledge Attitude and Practices KAP among Selected Transgender Community

Vijetha B V *

ICSSR, New Delhi, India.

Usha Ravindra

AGRIP University of Agricultural Sciences, Bangalore, GKVK, Karnataka, India.

Yogeesh K J

Department of AS, AM & CS, CoA, University of Agricultural Sciences, Bangalore, GKVK, Karnataka-560065, India.

*Author to whom correspondence should be addressed.


The Transgender (TG) community has been steadily growing over the decades, yet they face a unique set of challenges. Apart from communicable diseases many transgenders suffer from nutrition deficiency associated non communicable diseases, which decreases the quality of living. The purpose of this study was to examine how nutritional, health and hygiene education influences the knowledge, attitudes, and practices (KAP) of the TG population. The participants were TG individuals over 18 years old. TG individuals visiting ESI hospital Gulbarga and few TG from Bengaluru city were selected for the research. A total of 300 TG individuals were initially screened, out of which 120 were selected for the study. The study comprised administering a detailed socio-economic demographic questionnaire, pre-KAP questionnaire, conducting an awareness program with distribution of education material, and then having a gap period of 60 days a post-KAP assessment was done. The results were statistically analysed, before the awareness session (Group I), the majority of participants (60.83%) were categorized as having "Poor" knowledge, only (7.5%) had "Good" knowledge, after the awareness session (Group II), there was a significant improvement in knowledge levels. The percentage of participants with "Poor" knowledge decreased drastically to only 1.67%, with "Good" knowledge increased to 36.67%. Before the awareness session (Group I), the majority of TG participants (66.67%) held "Unfavourable" attitudes, a smaller percentage (24.17%) held "Neutral" attitudes, the least common attitude was "Favourable," held by 9.17% of participants. After the awareness session (Group II), there was a noticeable shift in attitudes. The percentage of participants with "Unfavourable" attitudes decreased dramatically to only 2.50%, with "Neutral" attitudes increased substantially to 67.50%, similarly, with "Favourable" attitudes increased to 30.00%. Before the intervention (Group I), the majority of participants (70.83%) exhibited "Poor" practices. After the intervention (Group II), "Poor" practices decreased to 7.50%, with "Average" practices increased substantially to 65.83%, similarly, with "Good" practices increased to 26.67%. Rank correlation between pre and post KAP and socioeconomic domains had significant association These findings suggest that educational qualification, family size, facilities available, are important factors associated with knowledge, attitude, and practice regarding the subject under study.

Keywords: Transgender, health, nutrition awareness, knowledge, dietary practices, attitude, educational qualification

How to Cite

Vijetha B V, Ravindra, U., & Yogeesh K J. (2024). Effect of Nutrition Health and Hygiene Education on Knowledge Attitude and Practices KAP among Selected Transgender Community. Journal of Scientific Research and Reports, 30(6), 252–262. https://doi.org/10.9734/jsrr/2024/v30i62039


Download data is not yet available.


Chakrapani V. Hijras/transgender women in India: HIV, human rights and social exclusion; 2010.

Viswanathan B, Agnihotri A. Double burden of malnutrition in India: Decadal changes among adult men and women. Madras School of Economics; 2020.

Kumar G, Dash P, Patnaik J, Pany G. Socioeconomic status scale-modified Kuppuswamy scale for the year 2022. International Journal of Community Dentistry. 2022;10(1):1-6.

Macías YF, Glasauer P. Guidelines for assessing nutrition related knowledge, attitudes, and practices: Food and Agricultural Organisation of the United Nations; 2014.

Madhavan M, Reddy MM, Chinnakali P, Kar SS, Lakshminarayanan S. High levels of non-communicable diseases risk factors among transgenders in Puducherry, South India. Journal of Family Medicine and Primary Care. 2020;9(3):1538-1543.

Arunagiri N, Suganya C, Prbaha J. Socioeconomic Status of Transgenders (Hijras) In Chennai District (Tamil Nadu, India); 2018.

George A, Janardhana N, Muralidhar D. Quality of life of transgender older adults. Int J Soc Sci Humanit Invent. 2015;4:7-11.

Chandramouli C, General R. Census of India. Provisional Population Totals. New Delhi: Government of India. 2011;409- 413.

Ambika Pandit accessed on December 2023, Sexual orientation, post; 2023. Available:https://timesofindia.indiatimes.com/india/lgbtqi-community-face-bias-across-nations-due-to-sexual-orientation-gender-identity-undp

Ganguli D. A strategy analysis of transgender inclusivity in the education system in India: Confront issues and challenges. Development, Environment and Education: The Indian perspective. 2023;45.

Afsana KB, Wani MA. Aggression, Resilience and Psychological Wellbeing among Transgender. Journal of Positive School Psychology. 2022;3773-3790.

Mal S. The hijras of India: A marginal community with paradox sexual identity. Indian Journal of Social Psychiatry. 2018; 34(1):79-85.

Bhattacharya S. Inhabiting the state subjunctively: Transgender life-making alongside death and a pandemic. Global Public Health. 2022;17(10):2447-2459.

Jadhav S. Social and Political Condition of the Transgender Community. Issue 5 Indian JL and Legal Rsch. 2022;4:1.

Nataraj S. Trans-formations: Projects of Resignification in Tamil Nadu’s Transgender Rights Movement (Doctoral dissertation, UC Berkeley); 2019.

Stryker S. The transgender issue: An introduction. GLQ: A journal of lesbian and gay studies. 1998;4(2):145-158.

Malnutrition World Health Organization. Diet, nutrition, and the prevention of chronic diseases: Report of a joint WHO/FAO expert consultation. World Health Organization. 2010;916.