title: Male-to-female transitions: Implications for occupational performance, health, and life satisfaction.
abstract: BACKGROUND
  People who undergo a gender transition process experience changes in different everyday occupations. These changes may impact their health and life satisfaction.
  
  
  OBJECTIVE
  This study examined the difference in the occupational performance history scales (occupational identity, competence, and settings) between male-to-female transgender women and cisgender women and the relation of these scales to health and life satisfaction.
  
  
  METHODS
  Twenty-two transgender women and 22 matched cisgender women completed a demographic questionnaire and three reliable measures in this cross-sectional study. Data were analyzed using a two-way analysis of variance and multiple linear regressions.
  
  
  RESULTS
  The results indicate lower performance scores for the transgender women. In addition, occupational settings and group membership (transgender and cisgender groups) were found to be predictors of life satisfaction.
  
  
  CONCLUSIONS
  The present study supports the role of occupational therapy in promoting occupational identity and competence of transgender women and giving special attention to their social and physical environment.
authors.forename: Michal Avrech
authors.initials: MA
authors.lastname: Bar
authors.forename: Tal
authors.initials: T
authors.lastname: Jarus
authors.forename: Mineko
authors.initials: M
authors.lastname: Wada
authors.forename: Leora
authors.initials: L
authors.lastname: Rechtman
authors.forename: Einav
authors.initials: E
authors.lastname: Noy
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D006801:Humans; D007407:Interviews as Topic; D007557:Israel; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D010549:Personal Satisfaction; D011361:Professional Competence; D057829:Gender-Affirming Procedures / Q000523:psychology*; D012959:Socioeconomic Factors