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Individuals seeking gender reassignment: marked increase in demand for services
Josephine Fielding1, Christopher Bass1
1Oxford Health NHS Foundation Trust.
Bjpsych Bulletin
|June 13, 2018
Summary
Referrals for gender reassignment in Oxfordshire increased by 18% annually between 2011-2016. Natal males were more common, but natal females were younger at referral, with some patients presenting with non-binary gender identities or autism spectrum disorder.
Area of Science:
- Transgender Health
- Gender Dysphoria Research
- Healthcare Service Utilization
Background:
- Understanding referral patterns and patient demographics is crucial for effective gender-affirming healthcare service planning.
- Previous research has indicated evolving trends in individuals seeking gender reassignment services.
Purpose of the Study:
- To analyze the referral patterns and demographic characteristics of individuals over 18 years old seeking gender reassignment in Oxfordshire.
- To examine trends in referrals over a six-year period (2011-2016).
Main Methods:
- Retrospective analysis of referral data from a gender identity clinic in Oxfordshire.
- Data collection included patient demographics, age at referral, natal sex, and reasons for seeking gender reassignment.
Main Results:
- 153 individuals were assessed, with 97 (63.4%) being natal males and 56 (36.6%) natal females.
- Referral numbers increased significantly by an average of 18% per year.
- The mean age at referral was lower for natal females compared to natal males. 13 patients had non-binary presentations, and 12 had autism spectrum disorder.
Conclusions:
- The study highlights a substantial increase in demand for gender reassignment services, necessitating service planning that accounts for rising referral rates and younger ages at referral.
- The findings underscore the importance of considering diverse gender identities and co-occurring conditions like autism spectrum disorder in service provision.
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