Changing trends in transgender demographics and morbidity: baseline data from a Spanish cohort
Pedro González Fernández
A B C * , Gema Grau Bolado A B C , Carmen Fernández López A C , Susana Ponce de León Saenz de Navarrete A C , María Luisa Guadilla Fernández A C , Federico Vázquez San Miguel D , Virginia Bellido E F G and Itxaso Rica Echevarria A B C H
A Endocrinology Department, Cruces University Hospital, Cruces s/n 48903, Barakaldo, Spain.
B Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
C Grupo GIDSEEN, Sociedad Española de Endocrinología y Nutrición, Madrid, Spain.
D Germans Trias i Pujol University Hospital, Badalona, Spain.
E Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
F Instituto de Biomedicina de Sevilla (IBiS), Sevilla, Spain.
G Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Sevilla, Spain.
H CIBERER, Madrid, Spain.
Sexual Health 20(1) 96-98 https://doi.org/10.1071/SH22171
Submitted: 15 October 2022 Accepted: 15 December 2022 Published: 19 January 2023
© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing
Abstract
The number of transgender people who request hormone treatment is increasing worldwide. We obtained base clinical and demographic information from transgender people treated at a specialised clinic in Spain (n = 484) and studied changes over time. Transgender women treated in 2009–14 were older than those treated in 2015–20 (29 years vs 17 years), had a lower academic level and had higher anxiolytics consumption. Transgender men treated in 2009–14 were older than those treated later (27 years vs 17 years) and had a lower academic level. These trends reflect favourable changes in how the transgender population is treated by society and health services.
Keywords: academic success, drug use, gender dysphoria, HIV/AIDS, LGBT, mental health, social determinants, transgender.
References
[1] Johns MM, Beltran O, Armstrong HL, Jayne PE, Barrios LC. Protective factors among transgender and gender variant youth: a systematic review by socioecological level. J Prim Prev 2018; 39 263–301.| Protective factors among transgender and gender variant youth: a systematic review by socioecological level.Crossref | GoogleScholarGoogle Scholar |
[2] Bennett K, Mcelroy JA, Johnson AO, Munk N, Everett KD. A persistent disparity: smoking in rural sexual and gender minorities. LGBT Health 2015; 2 62–70.
| A persistent disparity: smoking in rural sexual and gender minorities.Crossref | GoogleScholarGoogle Scholar |
[3] Steele LS, Daley A, Curling D, Gibson MF, Green DC, Williams CC, et al. LGBT identity, untreated depression, and unmet need for mental health services by sexual minority women and trans-identified people. J Womens Health 2017; 26 116–127.
| LGBT identity, untreated depression, and unmet need for mental health services by sexual minority women and trans-identified people.Crossref | GoogleScholarGoogle Scholar |
[4] Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis 2013; 13 214–222.
| Worldwide burden of HIV in transgender women: a systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar |
[5] Goodman M, Adams N, Corneil T, Kreukels B, Motmans J, Coleman E. Size and distribution of transgender and gender nonconforming populations: a narrative review. Endocrinol Metab Clin North Am 2019; 48 303–321.
| Size and distribution of transgender and gender nonconforming populations: a narrative review.Crossref | GoogleScholarGoogle Scholar |
[6] Wiepjes CM, Nota NM, de Blok CJM, Klaver M, de Vries ALC, Wensing-Kruger SA, et al. The Amsterdam cohort of gender dysphoria study (1972–2015): trends in prevalence, treatment, and regrets. J Sex Med 2018; 15 582–590.
| The Amsterdam cohort of gender dysphoria study (1972–2015): trends in prevalence, treatment, and regrets.Crossref | GoogleScholarGoogle Scholar |
[7] Gómez-Gil E, Esteva de Antonio I, Fernández Rodríguez M, Almaraz Almaraz M, Hurtado Murillo F, Gómez Balaguer M, et al. Nuevos modelos de atención sanitaria para las personas transgénero en el Sistema Sanitario Español: demandas, controversias y reflexiones. Rev Esp Salud Publica 2020; 94 e202011123
[8] INE. Nivel de formación de la población adulta. 2020. Available at https://www.ine.es/ss/Satellite?L=es_ES&c=INESeccion_C&cid=1259925481659&p=1254735110672&pagename=ProductosYServicios%2FPYSLayout
[9] Ministerio de Sanidad. Encuesta sobre alcohol, drogas y otras adicciones en España. 2020. Available at https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/EDADES_2019-2020_resumenweb.pdf
[10] Ministerio de Sanidad. Salud mental en datos: prevalencia de los problemas de salud y consumo de psicofármacos y fármacos relacionados a partir de los registros clínicos de atención primaria. 2020. Available at https://www.mscbs.gob.es/estadEstudios/estadisticas/estadisticas/estMinisterio/SIAP/Salud_mental_datos.pdf
[11] Gobierno Vasco. Plan del SIDA e infecciones de transmisión sexual. 2019. Available at https://www.osakidetza.euskadi.eus/contenidos/informacion/osk_osaesk_salud_sex_vih/es_def/adjuntos/Memoria-VIH-e-ITS-2019.pdf
[12] Steensma TD, Biemond R, de Boer F, Cohen-Kettenis PT. Desisting and persisting gender dysphoria after childhood: a qualitative follow-up study. Clin Child Psychol Psychiatry 2011; 16 499–516.
| Desisting and persisting gender dysphoria after childhood: a qualitative follow-up study.Crossref | GoogleScholarGoogle Scholar |
