English Jada M, Butcher Rebecca, Kinney Linda M, Brown Lee K, Walters Oakland C, Blasdel Gaines, Turco John H, Moses Rachel A
Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
The Center for Program Design and Evaluation (CPDE), The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Transgend Health. 2025 Feb 10;10(1):35-43. doi: 10.1089/trgh.2023.0060. eCollection 2025 Feb.
The purpose of this study was to compare the Gender Congruence and Life Satisfaction (GCLS) Scale scores between transgender men and nonbinary individuals assigned female at birth who have had metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) versus those who have not.
We conducted a national cross-sectional survey of individuals considering or post-MaPGAS recruited through social media and a community health center. Data collected included demographics, medical health history, and GCLS scale scores. GCLS scale items evaluate gender congruence across psychological, physical, quality of life, genital, chest, and social domains on a 1-5 Likert scale, with higher values indicating greater gender congruence. The mean GCLS total and subscale scores were compared between groups, and open-ended comments related to gender, mental well-being, and life satisfaction were thematically analyzed.
A total of 326 participants, mean age 29.9 years (standard deviation 8.8), identifying primarily as transgender male (=208, 64%) and White (=273, 74%) completed the survey. Respondents post-phalloplasty scored the highest on the GCLS scale overall, with a mean score of 3.97/5.00 (<0.001), and had the highest ratings in three subdomains: genitalia at 3.32 (<0.001), life satisfaction at 3.81 (<0.004), and psychological functioning at 4.22 (=0.002). Respondents who had not undergone MaPGAS had the lowest ratings of gender congruence on the genitalia subscale (mean score=2.82). The open-ended comments frequently cited the COVID-19 pandemic as an exacerbating issue with gender congruence.
In this cohort of individuals considering MaPGAS, individuals post-MaPGAS demonstrated higher GCLS scale scores. Individuals post-phalloplasty reported the highest overall GCLS score and majority subscale scores.
本研究旨在比较接受阴茎成形术和阴茎再造性别确认手术（MaPGAS）的跨性别男性与出生时被指定为女性的非二元性别个体之间的性别一致性与生活满意度（GCLS）量表得分，对比已接受手术者与未接受手术者的情况。
我们通过社交媒体和社区健康中心对考虑接受MaPGAS手术或已接受该手术的个体进行了一项全国性横断面调查。收集的数据包括人口统计学信息、医疗健康史和GCLS量表得分。GCLS量表项目在1 - 5李克特量表上评估心理、身体、生活质量、生殖器、胸部和社会领域的性别一致性，得分越高表明性别一致性越高。比较了两组之间GCLS总分及子量表得分，并对与性别、心理健康和生活满意度相关的开放式评论进行了主题分析。
共有326名参与者完成了调查，平均年龄29.9岁（标准差8.8），主要为跨性别男性（=208，64%）和白人（=273，74%）。接受阴茎再造术后的受访者在GCLS量表上总体得分最高，平均分为3.97/5.00（<0.001），并且在三个子领域得分最高：生殖器方面为3.32（<0.001），生活满意度为3.81（<0.004），心理功能为4.22（=0.002）。未接受MaPGAS手术的受访者在生殖器子量表上的性别一致性得分最低（平均分为2.82）。开放式评论中经常提到新冠疫情是加剧性别一致性问题的一个因素。
在这一考虑接受MaPGAS手术的队列中，接受MaPGAS手术的个体GCLS量表得分更高。接受阴茎再造术的个体报告的总体GCLS得分及多数子量表得分最高。
