Quality of Life and Mental Health in Iranian Transgender Women: Socio-Demographic Differences
International Journal of Medical Toxicology and Forensic Medicine,
20 September 2021
Background: Mental health issues and quality of life are among the important items of the general health in all people, and especially in transgender people.The present study aimed to assess the quality of life, depression, anxiety, and stress in transgender women and determine the factors contributing to them.
Methods: A cross-sectional study on 127 Iranian transgender women was performed from August 2019 to April 2020 using a convenience sampling method. The quality of life (QOL) was determined by using the WHO questionnaire (WHOQOL-BREF). The DASS-21 questionnaire was employed to evaluate the anxiety, depression, and stress in the subjects.
Results: 48% of the individuals had a moderate QOL. The highest score achieved in the physical health dimension, and the lowest score in the social relationships dimension. Depression, anxiety, and stress were severe and extremely severe in 22%, 20.4%, and 17.3% of the subjects. A significant relationship was observed between the overall perception of QOL and depression, anxiety, and stress (p <0.001).
A significant positive association between the subscales of QOL and education and favorable economic status were observed among transgender women. Also, a significant negative correlation existed between the subscales of QOL with age and sexual violence. Regarding mental health, education had a significant relationship with reduced stress and anxiety, and favorable economic status had a significant relationship with reduced depression, while sexual violence was associated with increased stress in the individuals.
Conclusion: The results of this study emphasize that transgender women are at risk of mental health disorders, including depression, anxiety, and stress, and these disorders are in close association with the quality of life in these people. Moreover, considering the high sexual violence in transgender women of the present study and its considerable effects on mental health disorders, there is a strong need to develop violence prevention services in the community and legal protections in this area. The culture of preventing violence against women in society should be emphasized and education to families should be considered as the first line of prevention.
- Quality of life, Depression, Anxiety, Stress, Transgender Women, Iran
How to Cite
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