Factors Affecting the Reported Importance of Health-Related Issues in Transgender Persons Open Access
Pharris, Kevin Roy (2013)
Abstract
Background: The term "transgender" refers to a group of persons
who express a need to move across the culturally defined binary
categories of gender. The dissatisfaction with one's sexual
identity at birth often implores individuals to seek physical
changes, including medical gender reassignment. Hormonal and
surgical reassignment therapies are common in the transgender
community; however long-term health-related outcomes of this type
of treatment are unknown. Research that is available to-date has
not been conducted with sufficient involvement of the transgender
community. The purpose of the current study is to understand the
patients' concerns with respect to benefits and risks associated
with gender reassignment therapies.
Methods: Data were obtained from the "Transgender Health Priorities
Survey." The main outcome variables were questions related to the
specific benefits and risks thought to be associated with gender
identity disorder and gender reassignment therapy. The participants
were asked to prioritize these questions to allow gauging their
relative importance. Multivariable analyses were performed to
assess the demographic and clinical predictors of the relative
priority assigned to each question.
Results: A total of 173 participants were included in the final
analysis. Age and transgender direction were the only covariates
that were statistically significantly associated with any of the
health priorities questions. Both younger participants and
male-to-female (MTF) participants were more interested than their
respective counterparts in the ability of hormonal and surgical
therapies to diminish stress and anguish. Conversely, older
participants and female-to-male (FTM) participants were more
interested in whether hormonal treatment could decrease the need
for antidepressants or anti-anxiety medications.
Conclusion: These findings indicate subtle differences in the
health-related priorities of transgender persons, mostly based on
their age and transgender direction. Further studies with higher
statistical power are needed to better understand the health
concerns and research priorities in the transgender
community.
Table of Contents
1 List of Tables i
2 Background 1
3 Methods 3
4 Results 7
5 Discussion 9
6 Strengths and Weaknesses 10
7 Conclusion 11
8 References 12
9 Tables 15
10 Appendix A: Transgender Health Priorities Survey (THPS) 25
11 Appendix B: SF-36 Questionnaire 31
12 Appendix C: The Gender Identity / Gender Dysphoria Questionnaire
for Adolescents and Adults 37
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