Rahimpour Elham, Askary Elham, Alamdarloo Shaghayegh Moradi, Alborzi Saeed, Poordast Tahereh
Department of Obstetrics and Gynecology, School of Medicine, Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Obstetrics and Gynecology Office, Shahid Faghihi Hospital, Zand Avenue, Shiraz, 7134844119, Iran.
Child Adolesc Psychiatry Ment Health. 2024 Aug 10;18(1):100. doi: 10.1186/s13034-024-00794-0.
Gender dysphoria, characterized by a misalignment between one's gender identity and assigned sex, propels individuals towards medical interventions like gender reassignment surgery (GRS) to harmonize their bodies with their gender. This process aims to enhance overall quality of life (QoL), functioning, and body image. Recognizing the importance of cultivating a positive body image for transgender individuals navigating societal norms, this narrative highlights the ongoing debate surrounding QoL post-GRS. In response, our study is outlined, aiming to scrutinize QoL and self-image among transgender men post-GRS, offering valuable insights into societal perceptions and psychological well-being in this context.
This cross-sectional survey focused on transgender men aged 15 to 35 who underwent gender reassignment surgery (GRS) in 2018-2022 in Shiraz, Iran. Participants, after passing psychiatric evaluations, completed World Health Organization Quality of Life (WHOQOL-100) questionnaires pre- and at least one-year post-surgery. The scores of the Brief-WHOQOL questionnaire were evaluated in four domains of physical health, psychological health, social relationships, and environmental health.
A total of 60 individual who underwent GRS completed our questionnaire. The average age of the patients was 24.1 ± 3.8 years. Following GRS, the most increase was observed in the psychological factor (by 25.6%). The increase in score was statistically significant in all subgroups (P < 0.001) after operation. Urban living location had a significant association with higher increase in physical health (P < 0.010), psychological health (P = 0.005), and environmental health (P = 0.012) after GRS. In regards to physical health, the low socioeconomic group had a significantly less physical score improvement in QoL compared to the moderate group (P = 0.024) following GRS. In regards to environmental health, the high socioeconomic groups had significantly higher improvement in QoL compared to the low (P = 0.006) and moderate (P < 0.001) group after operation.
The results demonstrate that GRS brings about improvements across all aspects of QoL. However, this enhancement is less pronounced among patients hailing from low socioeconomic backgrounds and rural areas.
性别焦虑症的特征是一个人的性别认同与指定性别不一致，促使个体寻求诸如性别重置手术（GRS）等医学干预措施，以使身体与性别相匹配。这一过程旨在提高整体生活质量（QoL）、功能和身体形象。认识到为跨越社会规范的跨性别者培养积极身体形象的重要性，本叙述突出了围绕性别重置手术后生活质量的持续辩论。作为回应，概述了我们的研究，旨在审视性别重置手术后跨性别男性的生活质量和自我形象，为这一背景下的社会认知和心理健康提供有价值的见解。
这项横断面调查聚焦于2018年至2022年在伊朗设拉子接受性别重置手术（GRS）的15至35岁跨性别男性。参与者在通过精神评估后，在手术前和术后至少一年完成世界卫生组织生活质量（WHOQOL - 100）问卷。Brief-WHOQOL问卷的得分在身体健康、心理健康、社会关系和环境卫生四个领域进行评估。
共有60名接受性别重置手术的个体完成了我们的问卷。患者的平均年龄为24.1±3.8岁。性别重置手术后，心理因素方面的增幅最大（增加了25.6%）。术后所有亚组的得分增加均具有统计学意义（P<0.001）。城市居住地点与性别重置手术后身体健康（P<0.010）、心理健康（P = 0.005）和环境卫生（P = 0.012）的更高增幅显著相关。在身体健康方面，与中等社会经济群体相比，低社会经济群体在性别重置手术后生活质量的身体得分改善明显更少（P = 0.024）。在环境卫生方面，与低（P = 0.006）和中等（P<0.001）社会经济群体相比，高社会经济群体在术后生活质量的改善明显更高。
结果表明，性别重置手术在生活质量的各个方面都带来了改善。然而，这种改善在来自低社会经济背景和农村地区的患者中不太明显。
