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Qual Life Res. 2014 Mar;23(2):669-76. doi: 10.1007/s11136-013-0497-3. Epub 2013 Aug 13.

Determinants of quality of life in Spanish transsexuals attending a gender unit before genital sex reassignment surgery.

Author information

1
Institute Clínic of Neurosciences, Department of Psychiatry, Servicio de Psiquiatría, Hospital Clinic, IDIBAPS, Villarroel 170, 08036, Barcelona, Spain, esgomez@clinic.ub.es.

Abstract

PURPOSE:

To evaluate the self-reported perceived quality of life (QoL) in transsexuals attending a Spanish gender identity unit before genital sex reassignment surgery, and to identify possible determinants that likely contribute to their QoL.

METHODS:

A sample of 119 male-to-female (MF) and 74 female-to-male (FM) transsexuals were included in the study. The WHOQOL-BREF scale was used to evaluate self-reported QoL. Possible determinants included age, sex, education, employment, partnership status, undergoing cross-sex hormonal therapy, receiving at least one non-genital sex reassignment surgery, and family support (assessed with the family APGAR questionnaire).

RESULTS:

Mean scores of all QoL domains ranged from 55.44 to 63.51. Linear regression analyses revealed that undergoing cross-sex hormonal treatment, having family support, and having an occupation were associated with a better QoL for all transsexuals. FM transsexuals have higher social domain QoL scores than MF transsexuals. The model accounts for 20.6 % of the variance in the physical, 32.5 % in the psychological, 21.9 % in the social, and 20.1 % in the environment domains, and 22.9 % in the global QoL factor.

CONCLUSIONS:

Cross-sex hormonal treatment, family support, and working or studying are linked to a better self-reported QoL in transsexuals. Healthcare providers should consider these factors when planning interventions to promote the health-related QoL of transsexuals.

PMID:
23943260
DOI:
10.1007/s11136-013-0497-3
[Indexed for MEDLINE]

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