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Life Satisfaction and Gender Congruence in Transgender Individuals: A Role for Occupational Therapy
Andrea Fleischman1, Marion Russell2, Asa N Russell3
1Creighton University, Phoenix, AZ, USA.
OTJR : Occupation, Participation and Health
|July 30, 2024
Summary
Societal barriers hinder transgender individuals from affirming their gender identity through occupation. This study found transgender adults reported lower life satisfaction and psychological health compared to population norms.
Area of Science:
- Social Sciences
- Psychology
- Occupational Therapy
Background:
- Societal restrictions impede transgender individuals' occupational engagement aligned with their gender identity.
- This limits opportunities for gender affirmation and impacts overall well-being.
- Understanding these challenges is crucial for developing supportive interventions.
Purpose of the Study:
- To explore transgender adults' perceived levels of gender congruence.
- To assess transgender adults' life satisfaction.
- To examine the relationship between occupational engagement and gender affirmation.
Main Methods:
- Cross-sectional survey design.
- Nonprobability sampling of transgender adults.
- Utilized the Gender Congruence and Life Satisfaction (GCLS) scale and the World Health Organization Quality of Life-BREF (WHOQOL-BREF).
Main Results:
- Transgender respondents reported statistically lower scores across all four domains (physical, psychological, social, environmental) of the WHOQOL-BREF compared to population norms.
- The lowest mean scores were observed in psychological health and life satisfaction domains on both the WHOQOL-BREF and GCLS.
- Self-care activities like hairstyling and body image management are prioritized for gender affirmation.
Conclusions:
- Transgender individuals face significant challenges in occupational engagement, negatively impacting their quality of life and psychological well-being.
- Occupational therapy has a vital role in supporting transgender individuals' gender transition across various occupational contexts.
- Interventions should focus on enhancing gender congruence and life satisfaction through meaningful occupational participation.
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