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首页> 外文期刊>The journal of sexual medicine >Female and male transgender quality of life: Socioeconomic and medical differences
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Female and male transgender quality of life: Socioeconomic and medical differences

机译：男女跨性别生活质量：社会经济和医学差异

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Introduction. Studies show a positive impact of gender reassignment treatment on the quality of life (QOL) of transgender persons, but little is known about the influence of their socioeconomic status. Aim. First, to assess health-related QOL of transgender men and women and compare it with a general population sample, second, to investigate the differences between transgender men and transgender women, and third, to analyze how their levels of QOL differ according to socioeconomic and transition data. Methods. One hundred forty-eight current and former transgender patients of a gender identity clinic participated in a large QOL study. Main Outcomes Measures. Health-related QOL was measured using the Short Form 36-Item Questionnaire. Results. The QOL of transgender women did not differ significantly from the general Dutch female population, although transgender men showed reduced mental health-related QOL compared with the general Dutch male sample. Transgender women had a lower QOL than transgender men for the subscales physical functioning and general health, but better QOL for bodily pain. Time since start of hormone use was positively associated for transgender women with subscales bodily pain and general health, and negatively associated for transgender men with the subscale role limitations due to physical health problems. There was no significant difference in QOL between the group who had undergone genital surgery or surgical breast augmentation and the group who did not have these surgeries. Transgender men with an erection prosthesis scored significantly better on the subscales vitality and (at trend level) on role limitations due to emotional problems. A series of univariate analyses revealed significantly lower QOL scores for transgender persons that were older, low educated, unemployed, had a low household income, and were single. Conclusions. Specific social indicators are important in relation to health-related QOL of transgenders in a context of qualitative and adequate medical care.
机译：介绍。研究表明，性别重新分配治疗对跨性别者的生活质量（QOL）产生积极影响，但对其社会经济地位的影响知之甚少。目标。首先，评估变性男女的健康相关QOL，并将其与一般人群样本进行比较;其次，研究变性男女与变性妇女之间的差异;其次，分析其QOL的水平如何根据社会经济和转换数据。方法。一家性别认同诊所的一百四十八名当前和以前的跨性别患者参加了一项大型QOL研究。主要结果指标。使用简短的36项问卷调查来测量与健康相关的QOL。结果。尽管变性男子的心理健康相关QOL较荷兰一般男性男性降低，但变性女性的QOL与荷兰一般女性人口并无明显差异。在分量表的身体功能和总体健康方面，变性女性的QOL比变性男性低，但身体疼痛的QOL更好。自从开始使用激素以来，跨性别的女性患者的身体疼痛和总体健康状况呈正相关，而跨性别的男性由于身体健康问题而受到角色的影响，其时间呈负相关。接受生殖器手术或隆胸手术的组与没有进行这些手术的组之间的生活质量无显着差异。带有勃起假体的跨性别男人在次级量表的生命力方面和（在趋势水平上）由于情感问题而在角色限制方面的得分明显更高。一系列单变量分析显示，年龄较大，文化程度低，失业，家庭收入低且单身的跨性别者的QOL得分明显较低。结论。在定性和适当的医疗保健背景下，特定的社会指标对于与健康相关的跨性别者的生活质量至关重要。

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