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Simonsen R, Hald GM, Giraldi A, et al. Sociodemographic Study of Danish Individuals Diagnosed with Transsexualism. Sex Med. 2015;3(2):109-17doi: 10.1002/sm2.48.
Simonsen, R., Hald, G. M., Giraldi, A., & Kristensen, E. (2015). Sociodemographic Study of Danish Individuals Diagnosed with Transsexualism. Sexual medicine, 3(2), 109-17. https://doi.org/10.1002/sm2.48
Simonsen, Rikke, et al. "Sociodemographic Study of Danish Individuals Diagnosed with Transsexualism." Sexual medicine vol. 3,2 (2015): 109-17. doi: https://doi.org/10.1002/sm2.48
Simonsen R, Hald GM, Giraldi A, Kristensen E. Sociodemographic Study of Danish Individuals Diagnosed with Transsexualism. Sex Med. 2015 Jun;3(2):109-17. doi: 10.1002/sm2.48. PMID: 26185676; PMCID: PMC4498828.
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Sex Med. 2015 Jun;3(2):109-17. doi: 10.1002/sm2.48.

Sociodemographic Study of Danish Individuals Diagnosed with Transsexualism.

Sexual medicine

Rikke Simonsen, Gert Martin Hald, Annamaria Giraldi, Ellids Kristensen

Affiliations

  1. Psychiatric Center Copenhagen, Sexological Clinic, GIUUC Copenhagen, Denmark ; Department of Clinical Medicine, University of Copenhagen Denmark.
  2. Department of Public Health, University of Copenhagen Denmark.

PMID: 26185676 PMCID: PMC4498828 DOI: 10.1002/sm2.48

Abstract

INTRODUCTION: Male-to-female (MtF) and female-to-male (FtM) individuals with transsexualism (International Classification of Diseases-10) may differ in core clinical and sociodemographic variables such as age, sexual orientation, marriage and parenthood, school, educational level, and employment. Assessing and understanding the implication of such differences may be a key to developing appropriate and effective treatment and intervention strategies for this group. However, research in the area remains sparse and is often on small populations, making the generalization of results from current studies on individuals diagnosed with transsexualism difficult.

AIMS: (i) To describe and assess key sociodemographic and treatment-related differences between MtF and FtM individuals in a Danish population of individuals diagnosed with transsexualism; (ii) to assess possible implications of such difference, if any, for clinical treatment initiatives for individuals diagnosed with transsexualism.

METHODS: Follow-up of 108 individuals who had permission to undergo sex reassignment surgery (SRS, meaning castration and genital plastic surgery) over a 30-year period from 1978 to 2008 through the Gender Identity Unit in Copenhagen, Denmark. The individuals were identified through Social Security numbers. Clinical and sociodemographic data from medical records were collected.

RESULTS: The sex ratio was 1.16:1 (MtF : FtM). Mean age at first referral was 26.9 (standard deviation [SD] 8.8) years for FtM and 30.2 (SD 9.7) for MtF individuals. Compared with MtF, FtM had a significantly lower onset age (before 12 years of age) and lower age when permission for SRS was granted. Further, FtM individuals were significantly more often gynephilic (sexually attracted to females) during research period and less likely to start self-initiated hormonal sex reassignment (SR) (treatment with cross-sex hormones). The MtF and FtM groups did not differ in years of school, educational level, employment, or engagement in marriage and cohabitation.

CONCLUSIONS: As approximately half of MtF started cross-sex hormonal SR without attending a gender unit, future treatment needs to focus on this group of MtF individuals in order to accommodate the medical risks of self-initiated hormonal treatment.Earlier intervention with adolescents appears necessary since three-quarters of FtM individuals before age 12 had problems with their assigned sex. For both MtF and FtM, we found problems in areas of school, education, and employment and recommend further help in these core areas.

Keywords: Denmark; Sociodemographic; Transexualism

References

  1. Acta Psychiatr Scand. 1993 Nov;88(5):322-7 - PubMed
  2. Arch Sex Behav. 1984 Jun;13(3):269-76 - PubMed
  3. Psychiatry Res. 2005 Dec 15;137(3):151-60 - PubMed
  4. Arch Sex Behav. 1996 Oct;25(5):515-25 - PubMed
  5. Arch Sex Behav. 2006 Dec;35(6):711-5 - PubMed
  6. Br J Psychiatry. 1970 Aug;117(537):163-72 - PubMed
  7. Psychiatry Res. 2008 Jan 15;157(1-3):315-8 - PubMed
  8. Psychol Med. 2005 Jan;35(1):89-99 - PubMed
  9. Br J Psychiatry. 1977 Oct;131:405-9 - PubMed
  10. J Psychosom Res. 1999 Apr;46(4):315-33 - PubMed
  11. Arch Sex Behav. 2005 Aug;34(4):439-46 - PubMed
  12. Eur Psychiatry. 2002 Oct;17(6):353-62 - PubMed
  13. Arch Sex Behav. 1998 Dec;27(6):605-14 - PubMed
  14. Acta Psychiatr Scand. 1998 Mar;97(3):189-94 - PubMed
  15. Eur Psychiatry. 2007 Apr;22(3):137-41 - PubMed
  16. Arch Sex Behav. 1994 Apr;23(2):185-201 - PubMed
  17. Arch Sex Behav. 1988 Apr;17(2):173-8 - PubMed
  18. Cult Health Sex. 2007 May-Jun;9(3):233-45 - PubMed
  19. Arch Sex Behav. 2003 Aug;32(4):381-6 - PubMed
  20. Euro Surveill. 2013 May 30;18(22):null - PubMed
  21. Gen Hosp Psychiatry. 2012 May-Jun;34(3):299-303 - PubMed
  22. Acta Psychiatr Scand. 1993 Apr;87(4):237-8 - PubMed
  23. Arch Sex Behav. 1990 Dec;19(6):595-605 - PubMed
  24. Clin Endocrinol (Oxf). 2010 Feb;72(2):214-31 - PubMed
  25. Arch Sex Behav. 1987 Apr;16(2):139-52 - PubMed
  26. Arch Sex Behav. 2010 Apr;39(2):499-513 - PubMed
  27. PLoS One. 2011 Feb 22;6(2):e16885 - PubMed
  28. J Sex Med. 2009 Apr;6(4):1018-23 - PubMed
  29. Acta Psychiatr Scand. 1996 Apr;93(4):221-3 - PubMed
  30. Arch Sex Behav. 1988 Dec;17(6):539-46 - PubMed
  31. Arch Sex Behav. 1996 Aug;25(4):409-25 - PubMed
  32. J Sex Med. 2013 Feb;10(2):408-19 - PubMed
  33. Qual Life Res. 2014 Mar;23(2):669-76 - PubMed
  34. Eur Psychiatry. 2012 Aug;27(6):445-50 - PubMed
  35. Arch Sex Behav. 1996 Dec;25(6):589-600 - PubMed
  36. Soc Sci Med. 2013 May;84:22-9 - PubMed
  37. Arch Sex Behav. 2010 Apr;39(2):514-45 - PubMed
  38. Arch Sex Behav. 1983 Oct;12(5):445-73 - PubMed
  39. Acta Psychiatr Scand. 1995 Mar;91(3):180-4 - PubMed
  40. Am J Psychother. 1974 Apr;28(2):174-93 - PubMed
  41. BJU Int. 2001 Sep;88(4):396-402 - PubMed
  42. Arch Sex Behav. 2009 Jun;38(3):378-92 - PubMed
  43. Arch Sex Behav. 1982 Apr;11(2):133-55 - PubMed
  44. Arch Sex Behav. 2005 Apr;34(2):147-66 - PubMed
  45. Br J Psychiatry. 1990 Aug;157:265-8 - PubMed
  46. Singapore Med J. 1992 Apr;33(2):182-5 - PubMed
  47. Arch Sex Behav. 2002 Dec;31(6):527-34 - PubMed
  48. Am J Psychother. 1974 Jan;28(1):4-20 - PubMed

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