Transsexualism Clinical Trial
Official title:
A Mixed-Methods Study of Mental Health and Associated Factors in Transgender and Transsexual (Trans) People
Verified date | May 2014 |
Source | Curtin University of Technology |
Contact | n/a |
Is FDA regulated | No |
Health authority | Australia: Human Research Ethics Committee |
Study type | Observational |
This is an Internet-based survey of transgender and transsexual (trans) people aged 18 years
and older living in Australia. This population has received limited attention from public
health researchers, planners, and practitioners. However, a growing body of evidence
suggests that trans people experience disparities in several important areas of health
compared with the population generally. In particular, trans people are more likely to
experience mental health problems (notably depression and anxiety disorders), use alcohol,
tobacco, and illicit drugs, and think about or attempt suicide. Additionally, trans people
commonly report that their physical and mental health needs are not met, and underutilise
preventive health care.
Participants were recruited using several non-probability sampling techniques, (including
purposive sampling and snowball sampling), because random sampling is not possible with this
population. Medical, social, support, and advocacy networks used by trans people were used
to promote the study. A mixed quantitative and qualitative methodology was used. Validated
quantitative instruments were used to obtain measures of health and well-being, which will
be compared against population norms. Qualitative items complement these measures, providing
rich experiential data.
The investigators hypothesised that:
- the prevalence of depressive and anxiety disorders will be higher than for the
population generally, and that these conditions will commonly be undiagnosed and
untreated;
- depressive and anxiety disorders will be associated with risky behaviours, such as
tobacco, alcohol, and illicit drug use; and,
- trans people will report poor relationships with medical practitioners.
The investigators hypothesised that poor mental health is a consequence of several
interrelated factors: body dysphoria (as a consequence of experiencing difficulty accessing
medical treatment to alter sexual characteristics); societal discrimination and stigma
(including harassment and violence); institutionalised discrimination (including difficulty
changing identifying documents, and exclusion of surgical procedures and related treatments
from public and private health systems); social isolation; and the belief held by many
clinicians that transsexualism is a mental disorder (which may be a barrier to trans people
forming trusting relationships with medical practitioners).
Status | Completed |
Enrollment | 946 |
Est. completion date | December 2013 |
Est. primary completion date | December 2013 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Live in Australia - Self-identify as trans Exclusion Criteria: - Aged less than 18 years |
Observational Model: Case-Only, Time Perspective: Cross-Sectional
Country | Name | City | State |
---|---|---|---|
Australia | Curtin University | Perth | Western Australia |
Lead Sponsor | Collaborator |
---|---|
Curtin University of Technology | Beyondblue (The National Depression Initiative) |
Australia,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Prevalence of depressive and anxiety disorders | Assessed by self-report, and with the Patient Health Questionnaire (PHQ) | At time of entry into study (cross-sectional) | No |
Primary | Perceived physical and mental health status | Assessed with the 36-item Short Form Health Survey (SF-36) | At time of entry into study (cross-sectional) | No |
Secondary | Use of alcohol, tobacco, and illicit drugs | Assessed by self-report | At time of entry into study (cross-sectional) | No |
Secondary | Patient-doctor relationship between trans people and their general practitioners, and doctors generally | Assessed with the Patient-Doctor Relationship Questionnaire (PDRQ-9) and other quantitative and qualitative questions | At time of entry into study (cross-sectional) | No |
Secondary | Body image | Assessed with the Body Image Quality of Life Inventory (BIQLI) | At time of entry into study (cross-sectional) | No |
Secondary | Factors that encourage and discourage trans people from accessing health care | Assessed with qualitative questions | At time of entry into study (cross-sectional) | No |
Secondary | Factors that protect and promote mental health in trans people | Assessed with qualitative questions | At time of entry into study (cross-sectional) | No |
Secondary | Use of hormone therapy and desire for, and uptake of transition-related surgery | Assessed with quantitative and qualitative questions | At time of entry into study (cross-sectional) | No |
Secondary | Experiences of discrimination and harassment | Assessed with quantitative and qualitative questions | At time of entry into study (cross-sectional) | No |
Secondary | Desire to, and success changing identifying documentation | Assessed with quantitative and qualitative questions | At time of entry into study (cross-sectional) | No |
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