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.
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。