Mental health and quality of life outcomes of gender-affirming surgery: A systematic literature review
Article
Article Title | Mental health and quality of life outcomes of gender-affirming surgery: A systematic literature review |
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ERA Journal ID | 124653 |
Article Category | Article |
Authors | Swan, Jaime (Author), Phillips, Tania M. (Author), Sanders, Tait (Author), Mullens, Amy B. (Author), Debattista, Joseph (Author) and Bromdal, Annette (Author) |
Journal Title | Journal of Gay and Lesbian Mental Health |
Journal Citation | 27 (1), pp. 2-45 |
Number of Pages | 44 |
Year | 2023 |
Place of Publication | United States |
ISSN | 1935-9705 |
1935-9713 | |
Digital Object Identifier (DOI) | https://doi.org/10.1080/19359705.2021.2016537 |
Web Address (URL) | https://www.tandfonline.com/doi/full/10.1080/19359705.2021.2016537 |
Abstract | Introduction: Transgender individuals experience disproportionately higher rates of mental health concerns and lower quality of life (QoL) than the general population. Gender-affirming healthcare can reduce negative mental health outcomes and improve QoL. This review explores the mental health and QoL outcomes to accessing gender-affirming surgery for transgender individuals. Method: Following the PRISMA guidelines, searches were conducted using five databases for peer-reviewed articles, in English, with full-text available online published between January 2000 and August 2021. Result: 53 studies were included. Findings indicate reduced rates of suicide attempts, anxiety, depression, and symptoms of gender dysphoria along with higher levels of life satisfaction, happiness and QoL after gender-affirming surgery. Some studies reported that initial QoL improvements post gender-affirming surgery were not always enduring. Conclusion: This review supports the need for more sustainable and accessible gender-affirming surgery as a means for improving the mental health and overall QoL among transgender individuals and indicates the need for further research with greater methodological rigor focusing on correlates of positive gender-affirming surgical outcomes. Without social, legal, and public policy responses to transgender discrimination, marginalization and exclusion, the beneficial outcomes of improved gender-affirming surgery will remain unclear. |
Keywords | gender-affirming surgery; mental health; preferred models of care; quality of life; Transgender |
ANZSRC Field of Research 2020 | 420603. Health promotion |
440508. Transgender studies | |
520502. Gender psychology | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Institution of Origin | University of Southern Queensland |
Byline Affiliations | School of Psychology and Counselling |
Department of Health, Queensland | |
School of Education |
https://research.usq.edu.au/item/q72q0/mental-health-and-quality-of-life-outcomes-of-gender-affirming-surgery-a-systematic-literature-review
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