PDF(Pubmed)
Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
背景：性别烦躁不安，以一个人的性别认同和分配的性别之间的错位为特征，推动个人采取医疗干预措施，如性别重新分配手术（GRS），以协调他们的身体与性别。这一过程旨在提高整体生活质量(QoL)，功能,和身体形象。认识到为适应社会规范的变性人培养积极的身体形象的重要性，这一叙述突出了围绕GRS后QoL的持续辩论。作为回应,我们的研究概述，旨在审查GRS后变性男性的QoL和自我形象，在这种情况下，为社会认知和心理健康提供有价值的见解。
方法：这项横断面调查的重点是在2018-2022年在设拉子接受性别重新分配手术（GRS）的15至35岁的跨性别男性，伊朗。参与者,通过精神病学评估后，在手术前和手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的四个领域进行了评估，心理健康,社会关系,和环境健康。
结果：共有60名接受GRS的患者完成了我们的问卷。患者的平均年龄为24.1±3.8岁。在GRS之后，心理因素增加最多(增加25.6%)。术后各亚组评分增加均有统计学意义(P<0.001)。城市居住地点与身体健康增加有显著关联(P<0.010),心理健康（P=0.005），GRS后的环境卫生（P=0.012）。关于身体健康，GRS后,与中等组相比,低社会经济组的QoL体质评分改善明显较少(P=0.024).关于环境卫生，与低(P=0.006)和中(P<0.001)组相比,高社会经济组的术后生活质量改善显著.
结论：结果表明，GRS可以改善QoL的各个方面。然而,在来自低社会经济背景和农村地区的患者中，这种增强不太明显。
方法：这项横断面调查的重点是在2018-2022年在设拉子接受性别重新分配手术（GRS）的15至35岁的跨性别男性，伊朗。参与者,通过精神病学评估后，在手术前和手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的四个领域进行了评估，心理健康,社会关系,和环境健康。
结果：共有60名接受GRS的患者完成了我们的问卷。患者的平均年龄为24.1±3.8岁。在GRS之后，心理因素增加最多(增加25.6%)。术后各亚组评分增加均有统计学意义(P<0.001)。城市居住地点与身体健康增加有显著关联(P<0.010),心理健康（P=0.005），GRS后的环境卫生（P=0.012）。关于身体健康，GRS后,与中等组相比,低社会经济组的QoL体质评分改善明显较少(P=0.024).关于环境卫生，与低(P=0.006)和中(P<0.001)组相比,高社会经济组的术后生活质量改善显著.
结论：结果表明，GRS可以改善QoL的各个方面。然而,在来自低社会经济背景和农村地区的患者中，这种增强不太明显。
