Factors associated with the quality of life transgender people: an integrative review
DOI:
https://doi.org/10.33448/rsd-v11i13.36038Keywords:
Quality of life; Transexuality; Gender identity.Abstract
Objective: Review of factors described in the literature that are associated with the quality of life of transgender people. Methodology: Integrative review study conducted on the Virtual Health Library platform with a search considering the entire collection using the descriptors "Quality of Life", "Transexual" and "Gender Identity" in combination with keywords and Boolean operators AND and OR. Articles published between 2011 and 2021 were considered. Results: 187 articles were found from the keywords, 161 were eliminated considering the inclusion criteria, 18 articles were eligible. Most of the studies were developed in the US in 2018, taken from Medline and were cross-sectional observational studies of a male and female trans population. Of the studies evaluated, 66.6% performed surgical or hormonal intervention in their sample, and they attribute this intervention as a factor associated with improved quality of life. Other studies have found that different gender identities and sexual orientation, as well as the presence of transexuality, are important factors for a worse or better quality of life. Conclusion: It is possible to distinguish the importance of physical adjustment through surgical or hormonal means in the quality of life of transexual adults. However, there are differences in quality of life and body perception among those evaluated with different gender identities and sexual orientation. There was a lack of quality of life assessment tools aimed at transgender people.
References
Agarwal, C. A., Scheefer, M. F., Wright, L. N., Walzer, N. K., & Rivera, A. (2018). Quality of life improvement after chest wall masculinization in female-to-male transgender patients: A prospective study using the BREAST-Q and Body Uneasiness Test. Journal of Plastic, Reconstructive & Aesthetic Surgery, 71(5), 651-657.
Aghabikloo, A., Bahrami, M., Saberi, S. M., & Emamhadi, M. A. (2012). Gender identity disorders in Iran; request for sex reassignment surgery. International Journal of Medical Toxicology and Forensic Medicine, 2(4), 128-134.
Ainsworth, T. A., & Spiegel, J. H. (2010). Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery. Quality of Life Research, 19(7), 1019-1024.
Alcon, A., Kennedy, A., Wang, E., Piper, M., Loeliger, K., Admassu, N., & Kim, E. A. (2021). Quantifying the psychosocial benefits of masculinizing mastectomy in trans male patients with patient-reported outcomes: The University of California, San Francisco, Gender Quality of Life survey. Plastic and Reconstructive Surgery, 147(5), 731e-740e.
Anderssen, N., Sivertsen, B., Lønning, K. J., & Malterud, K. (2020). Life satisfaction and mental health among transgender students in Norway. BMC public health, 20(1), 1-11.
Baba, T., Endo, T., Ikeda, K., Shimizu, A., Honnma, H., Ikeda, H., & Fujimoto, T. (2011). Distinctive features of female-to-male transsexualism and prevalence of gender identity disorder in Japan. The journal of sexual medicine, 8(6), 1686-1693.
Barros, L. d. O., Lemos, C. R. B., & Ambiel, R. A. M. (2019). Qualidade de vida e satisfação com a imagem corporal de transexuais. Arquivos Brasileiros de Psicologia, 71(1), 184-195.
Bartolucci, C., Gómez‐Gil, E., Salamero, M., Esteva, I., Guillamón, A., Zubiaurre, L., & Montejo, A. L. (2015). Sexual quality of life in gender‐dysphoric adults before genital sex reassignment surgery. The Journal of Sexual Medicine, 12(1), 180-188.
Başar, K., Öz, G., & Karakaya, J. (2016). Perceived discrimination, social support, and quality of life in gender dysphoria. The journal of sexual medicine, 13(7), 1133-1141.
Becker, I., Nieder, T. O., Cerwenka, S., Briken, P., Kreukels, B. P., Cohen-Kettenis, P. T., & Richter-Appelt, H. (2016). Body image in young gender dysphoric adults: a European multi-center study. Archives of Sexual Behavior, 45(3), 559-574.
Becker, I., Ravens-Sieberer, U., Ottová-Jordan, V., & Schulte-Markwort, M. (2017). Prevalence of adolescent gender experiences and gender expression in Germany. Journal of Adolescent Health, 61(1), 83-90.
Bouman, M.-B., van der Sluis, W. B., van Woudenberg Hamstra, L. E., Buncamper, M. E., Kreukels, B. P., Meijerink, W. J., & Mullender, M. G. (2016). Patient-reported esthetic and functional outcomes of primary total laparoscopic intestinal vaginoplasty in transgender women with penoscrotal hypoplasia. The journal of sexual medicine, 13(9), 1438-1444.
Breidenstein, A., Hess, J., Hadaschik, B., Teufel, M., & Tagay, S. (2019). Psychosocial resources and quality of life in transgender women following gender-affirming surgery. The Journal of Sexual Medicine, 16(10), 1672-1680.
Brown, G. R., & Jones, K. T. (2015). Incidence of breast cancer in a cohort of 5,135 transgender veterans. Breast cancer research and treatment, 149(1), 191-198.
Cerqueira, T. D., Denega, A. M., & Padovani, A. S. (2020). A importância do nome social para autoaceitação e respeito das pessoas “trans”. Revista Feminismos, 8(2).
Condat, A., Mendes, N., Drouineaud, V., Gründler, N., Lagrange, C., Chiland, C., & Cohen, D. (2018). Biotechnologies that empower transgender persons to self-actualize as individuals, partners, spouses, and parents are defining new ways to conceive a child: psychological considerations and ethical issues. Philosophy, Ethics, and Humanities in Medicine, 13(1), 1-11.
Costantino, A., Cerpolini, S., Alvisi, S., Morselli, P. G., Venturoli, S., & Meriggiola, M. C. (2013). A prospective study on sexual function and mood in female-to-male transsexuals during testosterone administration and after sex reassignment surgery. Journal of sex & marital therapy, 39(4), 321-335.
Dacakis, G., Davies, S., Oates, J. M., Douglas, J. M., & Johnston, J. R. (2013). Development and preliminary evaluation of the transsexual voice questionnaire for male-to-female transsexuals. Journal of Voice, 27(3), 312-320.
De Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134(4), 696-704.
Divan, V., Cortez, C., Smelyanskaya, M., & Keatley, J. (2016). Transgender social inclusion and equality: a pivotal path to development. Journal of the International AIDS Society, 19, 20803.
Dornelas, R., Guedes-Granzotti, R. B., Souza, A. S., Jesus, A. K. B. d., & Silva, K. d. (2020). Qualidade de vida e voz: a autopercepção vocal de pessoas transgênero. Audiology-Communication Research, 25.
Downing, J. M., & Przedworski, J. M. (2018). Health of transgender adults in the US, 2014–2016. American Journal of Preventive Medicine, 55(3), 336-344.
Feder, S., Isserlin, L., Seale, E., Hammond, N., & Norris, M. L. (2017). Exploring the association between eating disorders and gender dysphoria in youth. Eating Disorders, 25(4), 310-317.
Jesus, J. G. (2013). Crianças trans: memórias e desafios teóricos. Anais do III seminário internacional enlaçando sexualidades. Salvador. UFBA, 1-14.
Oliveira, P. V. P. (2017). Liberdade de gênero e sexualidade: o papel da educação na construção da identidade. Communitas, 1(1), 233-246.
Gomes Filho, A. S., dos Santos, C. E., & Silva, L. M. (2017). Sexo, Gênero, Sexualidade: Via (da) gens em Conceitos. ID on line REVISTA DE PSICOLOGIA, 10(33), 20-36.
Galati, M. C. R., Alves Jr, E. d. O., Delmaschio, A. C. C., & Horta, A. L. d. M. (2014). Sexualidade e qualidade de vida em homens com dificuldades sexuais. Psico-USF, 19(2), 242-252.
Gorin‐Lazard, A., Baumstarck, K., Boyer, L., Maquigneau, A., Gebleux, S., Penochet, J. C., & Loundou, A. (2012). Is hormonal therapy associated with better quality of life in transsexuals? A cross‐sectional study. The journal of sexual medicine, 9(2), 531-541.
Gorin-Lazard, A., Baumstarck, K., Boyer, L., Maquigneau, A., Penochet, J.-C., Pringuey, D., & Lançon, C. (2013). Hormonal therapy is associated with better self-esteem, mood, and quality of life in transsexuals. The Journal of nervous and mental disease, 201(11), 996-1000.
Gómez-Gil, E., Zubiaurre-Elorza, L., Esteva de Antonio, I., Guillamon, A., & Salamero, M. (2014). Determinants of quality of life in Spanish transsexuals attending a gender unit before genital sex reassignment surgery. Quality of Life Research, 23(2), 669-676.
Gümüşsoy, S., Hortu, İ., Alp Dal, N., Dönmez, S., & Ergenoğlu, A. M. (2021). Quality of Life and Perceived Social Support Before and After Sex Reassignment Surgery. Clinical Nursing Research, 10547738211040636.
Hasan, S., Alviany, Y., Clarissa, C., & Sudana, S. (2017). High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria. Universa Medicina, 36(3), 187-196.
Hoshiai, M., Matsumoto, Y., Sato, T., Ohnishi, M., Okabe, N., Kishimoto, Y., & Kuroda, S. (2010). Psychiatric comorbidity among patients with gender identity disorder. Psychiatry and Clinical Neurosciences, 64(5), 514-519.
Jellestad, L., Jäggi, T., Corbisiero, S., Schaefer, D. J., Jenewein, J., Schneeberger, A., & Garcia Nuñez, D. (2018). Quality of life in transitioned trans persons: a retrospective cross-sectional cohort study. BioMed research international, 2018.
Jones, B. A., Bouman, W. P., Haycraft, E., & Arcelus, J. (2019). Mental health and quality of life in non-binary transgender adults: A case control study. International Journal of Transgenderism, 20(2-3), 251-262.
Kuhn, A., Bodmer, C., Stadlmayr, W., Kuhn, P., Mueller, M. D., & Birkhäuser, M. (2009). Quality of life 15 years after sex reassignment surgery for transsexualism. Fertility and sterility, 92(5), 1685-1689. e1683.
Lane, M., Kirsch, M. J., Sluiter, E. C., Hamill, J. B., Ives, G. C., Gilman, R. H., & Wilkins, E. G. (2020). Prevalence of psychosocial distress in transmen seeking gender-affirming mastectomy. Plastic and Reconstructive Surgery, 146(6), 1376-1380.
Meybodi, A. M., Hajebi, A., & Jolfaei, A. G. (2014). The frequency of personality disorders in patients with gender identity disorder. Medical journal of the Islamic Republic of Iran, 28, 90.
Morais, A. V. C., & Cortes, H. M. (2020). Cirurgia de redesignação sexual: implicações para o cuidado/Sex reassignment surgery: implications for care. Journal of Nursing and Health, 10(3).
Morrison, S. D., Capitán-Cañadas, F., Sánchez-García, A., Ludwig, D. C., Massie, J. P., Nolan, I. T., & Cederna, P. S. (2020). Prospective quality-of-life outcomes after facial feminization surgery: an international multicenter study. Plastic and Reconstructive Surgery, 145(6), 1499-1509.
Naeimi, S., Akhlaghdoust, M., Chaichian, S., Moradi, Y., Zarbati, N., & Jafarabadi, M. (2019). Quality of Life changes in Iranian patients undergoing female-to-male transsexual surgery: A prospective study. Archives of Iranian medicine, 22(2), 71.
Nascimento, F. K. (2019). Crianças e adolescentes transexuais brasileiros: atributos associados à qualidade de vida Universidade de São Paulo].
Newfield, E., Hart, S., Dibble, S., & Kohler, L. (2006). Female-to-male transgender quality of life. Quality of life Research, 15(9), 1447-1457.
Oda, H., & Kinoshita, T. (2017). Efficacy of hormonal and mental treatments with MMPI in FtM individuals: cross-sectional and longitudinal studies. BMC psychiatry, 17(1), 1-8.
Organização Mundial de Saúde.(2019b) ICD-11 Reference Guide. Genebra: OMS. https://icd.who.int/icd11refguide/en/index.html.
Papadopulos, N. A., Lellé, J.-D., Zavlin, D., Herschbach, P., Henrich, G., Kovacs, L., & Schaff, J. (2017). Quality of life and patient satisfaction following male-to-female sex reassignment surgery. The journal of sexual medicine, 14(5), 721-730.
Popadiuk, G. S., Oliveira, D. C., & Signorelli, M. C. (2017). A Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais e Transgêneros (LGBT) e o acesso ao processo transexualizador no Sistema Único de Saúde (SUS): avanços e desafios. Ciência & Saúde Coletiva, 22, 1509-1520.
Poudrier, G., Nolan, I. T., Cook, T. E., Saia, W., Motosko, C. C., Stranix, J. T., & Hazen, A. (2019). Assessing quality of life and patient-reported satisfaction with masculinizing top surgery: a mixed-methods descriptive survey study. Plastic and reconstructive surgery, 143(1), 272-279.
Rocon, P. C., Sodré, F., Rodrigues, A., Barros, M. E. B. d., Pinto, G. S. S., & Roseiro, M. C. F. B. (2020). Vidas após a cirurgia de redesignação sexual: sentidos produzidos para gênero e transexualidade. Ciência & Saúde Coletiva, 25, 2347-2356.
Santos, H. H. d. A. N. M. d., Aguiar, A. G. d. O., Baeck, H. E., & Van Borsel, J. (2015). Translation and preliminary evaluation of the Brazilian Portuguese version of the Transgender Voice Questionnaire for male-to-female transsexuals. CoDAS,
Santos, L. S., dos Santos Júnior, J. L., Alves, V. S., Alves, R. S., de Jesus Guimarães, J., Silva, I. L. S., & Santos, J. A. (2022). Qualidade de vida de transexuais após cirurgia de redesignação sexual. Research, Society and Development, 11(1), e58411125383-e58411125383.
Skewis, L.F., Bretherton, I., Leemaqz, S. Y., Zajac, J. D., & Cheung, A. S. (2021). Short-term effects of gender-affirming hormone therapy on dysphoria and quality of life in transgender individuals: a prospective controlled study. Frontiers in endocrinology, 919.
Schneider, M. A., Andreazza, T., Fontanari, A. M. V., Costa, A. B., Silva, D. C. d., Aguiar, B. W. d., & Schwarz, K. (2017). Serum concentrations of brain-derived neurotrophic factor in patients diagnosed with gender dysphoria undergoing sex reassignment surgery. Trends in psychiatry and psychotherapy, 39, 43-47.
Silva, C. L. d., Vidigal, G. G., & Silva, M. F. P. T. B. d. (2019). ASPECTOS GERAIS DA TRANSEXUALIDADE.
Silva, E. D., Fighera, T. M., Allgayer, R. M., Lobato, M. I. R., & Spritzer, P. M. (2021). Physical and sociodemographic features associated with quality of life among transgender women and men using gender-affirming hormone therapy. Frontiers in Psychiatry, 12.
Silva, L. O., Leandro, J. F., Santos, A. C. B., Brito, R. O., Abreu, S. R. T., & Rocha, J. V. C. (2016). Direitos humanos e sexualidade: transgêneros no município de Arapiraca–Alagoas. Diversitas Journal, 1(2), 192-196.
Simbar, M., Nazarpour, S., Mirzababaie, M., Emam Hadi, M. A., Ramezani Tehrani, F., & Alavi Majd, H. (2018). Quality of life and body image of individuals with gender dysphoria. Journal of sex & marital therapy, 44(6), 523-532.
SpizzirriI, G. (2017). Disforia de gênero em indivíduos transexuais adultos: aspectos clínicos e epidemiológicos. CEP, 1060, 970.
Sousa, L. M. M. S., Marques-Vieira, C. M. A., Severino, S. S., & Antunes, A. V. (2017). Metodologia de revisão integrativa da literatura em enfermagem.
Suen, Y. T., Chan, R. C. H., & Wong, E. M. Y. (2018). Mental health of transgender people in Hong Kong: A community-driven, large-scale quantitative study documenting demographics and correlates of quality of life and suicidality. Journal of Homosexuality, 65(8), 1093-1113.
Valashany, B. T., & Janghorbani, M. (2018). Quality of life of men and women with gender identity disorder. Health and Quality of Life Outcomes, 16(1), 1-9.
Van de Grift, T. C., Pigot, G. L., Boudhan, S., Elfering, L., Kreukels, B. P., Gijs, L. A., & Meuleman, E. J. (2017). A longitudinal study of motivations before and psychosexual outcomes after genital gender-confirming surgery in transmen. The journal of sexual medicine, 14(12), 1621-1628.
Vickers, N. J. (2017a). Animal communication: when i’m calling you, will you answer too? Current biology, 27(14), R713-R715.
Vickers, N. J. (2017b). Animal communication: when i’m calling you, will you answer too? Current biology, 27(14), R713-R715.
Wells, R. H. C., Bay-Nielsen, H., Braun, R., Israel, R. A., Laurenti, R., Maguin, P., & Taylor, E. (2011). CID-10: Classificação estatística internacional de doenças e problemas relacionados à saude. São Paulo: EDUSP.
Yildizhan, B. Ö., Yüksel, Ş., Avayu, M., Noyan, H., & Yildizhan, E. (2018). Effects of Gender Reassignment on Quality of Life and Mental Health in People with Gender Dysphoria. Turk Psikiyatri Dergisi, 29(1).
Zanette, J. E. (2016). Dos enigmas da infância: transexualidade e tensionamentos dos scripts de gênero.
Zeluf, G., Dhejne, C., Orre, C., Mannheimer, L. N., Deogan, C., Höijer, J., & Thorson, A. E. (2018). Targeted victimization and suicidality among trans people: A web-based survey. LGBT health, 5(3), 180-190.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Aline Sharlon Maciel Batista Ramos; Stella Regina Taquette
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
