Cross-sex hormone use, functional health and mental well-being among transgender men (Toms) and Transgender Women (Kathoeys) in Thailand.

Cross-sex hormone use, functional health and mental well-being among transgender men (Toms) and Transgender Women (Kathoeys) in Thailand.
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DOI:
10.1080/13691058.2014.950982
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发表时间:
2015
期刊:
Culture, health & sexuality
影响因子:
--
通讯作者:
Guadamuz TE
Guadamuz TE
中科院分区:
其他
文献类型:
--
作者:
Gooren LJ;Sungkaew T;Giltay EJ;Guadamuz TE

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对跨性别女性,尤其是跨性别男性使用异性激素和心理健康的了解有限。此外,大多数关于跨性别者的研究都发生在全球北方,而且往往是在艾滋病毒的背景下进行的。这项探索性研究比较了60名跨性别男性(toms)和60名跨性别女性(kathoeys)在使用跨性别激素、心理健康和家庭接受度方面的差异。参与者还完成了性格乐观量表(LOT-R)、社会功能问卷(SFQ)和评估功能健康和心理健康状况的简短健康调查36 (SF-36)。35%的男性和73%的女性使用了异性激素,而且在很大程度上没有健康相关人员的监督。男性和女性在功能健康和心理健康方面没有差异。然而,与不使用性激素的人相比,目前使用异性激素的人在身体疼痛和心理健康方面的平均得分较低。此外,与不使用性激素的人相比,使用异性激素的人对父母的接受度差的可能性分别是汤姆和凯瑟琳的8倍和5倍。这项研究首次比较了东南亚跨性别女性和跨性别男性的跨性别激素使用、功能健康和心理健康。
There exists limited understanding of cross-sex hormone use and mental well-being among transgender women and, particularly, among transgender men. Moreover, most studies of transgender people have taken place in the Global North and often in the context of HIV. This exploratory study compared 60 transgender men (toms) with 60 transgender women (kathoeys) regarding their use of cross-sex hormones, mental well-being and acceptance by their family. Participants also completed a dispositional optimism scale (Life Orientation Test Revised; LOT-R), the Social Functioning Questionnaire (SFQ) and the Short Form Health Survey 36 (SF-36) assessing the profile of functional health and mental well-being. Cross-sex hormones were used by 35% of toms and 73% of kathoeys and were largely unsupervised by health-related personnel. There were no differences in functional health and mental well-being among toms and kathoeys. However, toms currently using cross-sex hormones scored on average poorer on bodily pain and mental health, compared to non-users. Further, compared to non-users, cross-sex hormone users were about 8 times and 5 times more likely to be associated with poor parental acceptance among toms and kathoeys, respectively. This study was the first to compare cross-sex hormone use, functional health and mental well-being among transgender women and transgender men in Southeast Asia.
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