Majumder Anirban, Roychaudhuri Soumyabrata, Chakraborty Soma, Bhattacherjee Kinsuk
Department of Endocrinology, KPC Medical College and Hospital, Kolkata, West Bengal, India.
Research Assistant, Diabetes-Obesity-Thyroid and Hormone Clinic, Kolkata, West Bengal, India.
Indian J Endocrinol Metab. 2020 Jul-Aug;24(4):301-305. doi: 10.4103/ijem.IJEM_169_20. Epub 2020 Aug 27.
The term "hijra" is used to describe eunuchs, intersex, and gender incongruent individuals from hijra community people in the Indian subcontinent. Various adversities, violence, and discrimination experienced by many of them might have adverse consequences on their quality of life (QOL). The present study was conducted to assess the QOL among adult gender incongruent individuals from the hijra community.
Data of thirty-seven hijra enrolled in the Endocrine outpatient clinic (hijra group) and thirty-seven healthy employees of the hospital (control group) were analyzed with regard to QOL. QOL was assessed by using the physical and mental health Short Form-36 (SF-36) health survey questionnaire. Results on continuous measurements were presented as mean ± SD and results on categorical measurements were presented in number and percent. Mann-Whitney U test or Student t-test was used to find the significance of study parameters between the two groups according to the data distribution.
In the domain namely role limitation due to emotional problem, the hijra cohort had a statistically significantly lower score (66.4 ± 20.2) versus the control cohort (83.4 ± 23.7), = 0.002. No difference was observed between two groups with regards to other QOL domains namely general health perception, physical functioning, role limitation due to physical problem, bodily pain, general mental health, social functioning, and vitality.
QOL of the gender incongruent individuals from the hijra community included in this study and the control group comprising of hospital employees were almost similar, though the former had reported lower levels of emotional health issues than the latter.
“海吉拉”一词用于描述印度次大陆海吉拉群体中的阉人、双性人及性别认同不一致者。他们中的许多人经历的各种逆境、暴力和歧视可能会对其生活质量（QOL）产生不利影响。本研究旨在评估海吉拉群体中成年性别认同不一致者的生活质量。
分析了在内分泌门诊就诊的37名海吉拉（海吉拉组）和医院的37名健康员工（对照组）的生活质量数据。使用身心健康简短形式-36（SF-36）健康调查问卷评估生活质量。连续测量结果以均值±标准差表示，分类测量结果以数量和百分比表示。根据数据分布，使用曼-惠特尼U检验或学生t检验来确定两组之间研究参数的显著性。
在因情感问题导致的角色限制这一领域，海吉拉队列的得分（66.4±二十点二）在统计学上显著低于对照组（83.4±二十三点七），P = 0.002。在其他生活质量领域，即总体健康感知、身体功能、因身体问题导致的角色限制、身体疼痛、总体心理健康、社会功能和活力方面，两组之间未观察到差异。
本研究纳入的海吉拉群体中性别认同不一致者与由医院员工组成的对照组的生活质量几乎相似，尽管前者报告的情绪健康问题水平低于后者。
