Exploring problems Dutch transgender and gender diverse people experience during transition

Area of Science:

• Social Sciences
• Medical Humanities
• Gender Studies

Background:

• Transgender and gender diverse (TGD) individuals encounter numerous obstacles during their transition process.
• Understanding these challenges is crucial for improving support systems and healthcare.
• This research focuses on the specific problems faced by TGD people in the Netherlands.

Purpose of the Study:

• To identify and categorize the problems experienced by Dutch TGD individuals during transition.
• To determine the frequency of these encountered problems.
• To provide a comprehensive overview of the primary issues faced by TGD individuals.

Main Methods:

• Concept mapping was employed to generate an initial list of 74 problems by a focus group of TGD individuals and care providers.
• A larger group of 124 TGD participants rated the frequency of experiencing these problems.
• Statistical analyses, including MANOVA and multiple regression, were used to examine variations based on gender identity, transition phase, and age.

Main Results:

• Five main clusters of problems were identified: care process issues, self-related transition consequences, other-related transition consequences, societal problems, and financial difficulties.
• The most common problems reported were long waiting lists, body image issues, and the significant energy expenditure required for transition.
• Frequency of problems varied significantly by gender identity and transition phase; for instance, trans men and nonbinary individuals reported more body satisfaction issues than trans women.
• Younger participants generally reported experiencing a higher frequency of problems.

Conclusions:

• The study successfully mapped the diverse range of problems encountered by TGD individuals during transition.
• Observed variations underscore the unique and individualized nature of TGD transitions.
• The findings offer valuable insights for developing targeted support services and informing the creation of more inclusive policies for TGD people.