Determinants of quality of life in Spanish transsexuals attending a gender unit before genital sex reassignment surgery.
OBJECTIVE
To evaluate the self-reported perceived quality of life (QoL) in transsexuals attending a Spanish gender identity unit before genital sex reassignment surgery, and to identify possible determinants that likely contribute to their QoL.


METHODS
A sample of 119 male-to-female (MF) and 74 female-to-male (FM) transsexuals were included in the study. The WHOQOL-BREF scale was used to evaluate self-reported QoL. Possible determinants included age, sex, education, employment, partnership status, undergoing cross-sex hormonal therapy, receiving at least one non-genital sex reassignment surgery, and family support (assessed with the family APGAR questionnaire).


RESULTS
Mean scores of all QoL domains ranged from 55.44 to 63.51. Linear regression analyses revealed that undergoing cross-sex hormonal treatment, having family support, and having an occupation were associated with a better QoL for all transsexuals. FM transsexuals have higher social domain QoL scores than MF transsexuals. The model accounts for 20.6 % of the variance in the physical, 32.5 % in the psychological, 21.9 % in the social, and 20.1 % in the environment domains, and 22.9 % in the global QoL factor.


CONCLUSIONS
Cross-sex hormonal treatment, family support, and working or studying are linked to a better self-reported QoL in transsexuals. Healthcare providers should consider these factors when planning interventions to promote the health-related QoL of transsexuals.
Institute Clínic of Neurosciences, Department of Psychiatry, Servicio de Psiquiatría, Hospital Clinic, IDIBAPS, Villarroel 170, 08036, Barcelona, Spain, esgomez@clinic.ub.es.
Esther
E
Gómez-Gil
Leire
L
Zubiaurre-Elorza
Isabel Esteva
IE
de Antonio
Antonio
A
Guillamon
Manel
M
Salamero
D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D057830:Gender-Affirming Surgery / Q000523:psychology*; D012944:Social Support; D013030:Spain; D011795:Surveys and Questionnaires; D063106:Transgender Persons / Q000523:psychology*; D014189:Transsexualism / Q000523:psychology* / Q000601:surgery; D055815:Young Adult