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30.01.2020

Health-related quality of life among transgender and gender expansive youth at a rural gender wellness clinic

verfasst von: Jane O’Bryan, Melissa Scribani, Kimberly Leon, Nancy Tallman, Christopher Wolf-Gould, Carolyn Wolf-Gould, Anne Gadomski

Erschienen in: Quality of Life Research | Ausgabe 6/2020

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Abstract

Purpose

To address a critical gap in the existing Health-Related Quality of Life (HRQOL) literature by quantifying and describing HRQOL among transgender and gender expansive (TG/GE) youth at a rural gender clinic and comparing the HRQOL of these youth to age-stratified United States (U.S.) population standards.

Methods

This cross-sectional study includes results of the baseline HRQOL assessment of 141 TG/GE patients enrolled in the Gender Wellness Center (GWC) Pediatric Patient Registry. HRQOL was assessed using the Child Health Questionnaire-Child Form 87 (CHQ-CF87; ages < 18) and the Short Form-36 (SF-36v2; ages 18–21). Mean subscale scores were compared to the most current U.S. population standards available.

Results

On all but one of the CHQ-CF87 subscales, TG/GE youth scored significantly lower than 2015–2016 U.S. general population youth and youth with two chronic conditions. On the SF-36v2, TG/GE youth scored significantly higher than 2009 U.S. standards on all physical health domains but lower on all but one of the mental health domains.

Conclusions

Cross-sectional HRQOL data from a registry of TG/GE youth indicate significantly poorer mental health measures as compared with the U.S. general population. Longitudinal assessments are needed to evaluate whether HRQOL improves with gender-affirming care. Future studies should aim to identify sociocultural factors at the intersection of rurality and health that contribute to diminished HRQOL among rural TG/GE youth.

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Titel: Health-related quality of life among transgender and gender expansive youth at a rural gender wellness clinic
verfasst von: Jane O’Bryan
Melissa Scribani
Kimberly Leon
Nancy Tallman
Christopher Wolf-Gould
Carolyn Wolf-Gould
Anne Gadomski
Publikationsdatum: 30.01.2020
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 6/2020
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02430-8

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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