Transsexualism Clinical Trial
Official title:
A Mixed-Methods Study of Mental Health and Associated Factors in Transgender and Transsexual (Trans) People
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).
n/a
Observational Model: Case-Only, Time Perspective: Cross-Sectional
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05487794 -
Effect of Dose Fractionation of Testosterone Cypionate on Transgender Men With Erythrocytosis
|
N/A | |
Completed |
NCT02185274 -
Observational Study on Metabolism and Psychopathology in Transsexual Patients
|
||
Recruiting |
NCT04838249 -
Effects of Cross-sex Hormone Therapy on Eating Behavior, Metabolism, Energy Balance and Cardiovascular System
|
||
Completed |
NCT00146146 -
Testosterone and Its Metabolites in GID
|
Phase 3 | |
Completed |
NCT04864951 -
HPV Prevalence in Transpersons - a Prospective Study
|
N/A | |
Completed |
NCT04290286 -
i2TransHealth: Interdisciplinary, Internet-based Trans Health Care
|
N/A | |
Completed |
NCT00435513 -
A Common Polymorphism of the SRD5A2 Gene is Not Associated With Male-to-Female and Female-to-Male Transsexualism
|
Phase 0 | |
Recruiting |
NCT03637920 -
Sexuality in Transmen During Hormone and Operative Treatment
|
||
Completed |
NCT03823014 -
Use of an External Erectile Device in Transgender Man Following Phalloplasty
|
N/A | |
Recruiting |
NCT03872648 -
TransCare - Genital Surgery for Trans Women in Centralized vs. Decentralized Health Care Delivery Settings
|
||
Completed |
NCT01065220 -
Sex Steroids and the Serotonin Transporter
|
Phase 4 | |
Enrolling by invitation |
NCT03595956 -
Transgender Cohort Study of Gender Affirmation and HIV-related Health
|
||
Completed |
NCT02518009 -
GEnder Dysphoria Treatment in Sweden
|
||
Completed |
NCT00135148 -
Decrease of Libido of Post-Operative Male-Female Transsexuals and a Healthy Female Control Group
|
N/A |