The Epidemiology of Gender Dysphoria in Iran: The First Nationwide Study.


Journal

Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516

Informations de publication

Date de publication:
05 2022
Historique:
received: 12 02 2020
accepted: 25 11 2021
revised: 23 11 2021
pubmed: 6 5 2022
medline: 16 6 2022
entrez: 5 5 2022
Statut: ppublish

Résumé

Gender dysphoria (GD) is defined as a persistent and distressful incongruence between one's gender identity and one's at-birth-assigned sex. Sex reassignment has been religiously accepted for transgender individuals in postrevolutionary Iran since 1987; however, very little is known about how many individuals seek and receive such treatment annually. This study provides the first nationwide effort to assess the prevalence of GD in Iran as a function of diagnosis. The medical records of all transgender individuals referred to the Iranian Legal Medicine Organization between March 2012 and March 2017 were reviewed. All individuals diagnosed with GD were contacted. A total of 839 medical records meeting study criteria were received and evaluated. The prevalence of transgender individuals was estimated to be 1.46 per 100,000 Iranians with a transwoman (TW)/ transman (TM) ratio of 1:2. The mean age of individuals with GD at the time of referral was 25.22 (SD = 6.25) years for TW and 25.51 (SD = 5.66) years for TM. The findings are twofold. First, gender dysphoria is less prevalent in Iran than has been reported in Western countries. Second, the sex ratio is skewed toward at-birth-assigned females, which differs from what has been reported in Western countries. These findings have been interpreted in light of Iran's legal system, which is based on Islamic penal codes. These findings are of utmost importance for both health providers and legislators, as it can illustrate a more accurate picture of the transgender population in Iran.

Identifiants

pubmed: 35511409
doi: 10.1007/s10508-021-02250-y
pii: 10.1007/s10508-021-02250-y
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1881-1889

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

Ahmadzad-Asl, M., Jalali, A. H., Alavi, K., Naserbakht, M., Taban, M., Mohseninia-Omrani, K., & Eftekhar, M. (2010). The epidemiology of transsexualism in Iran. Journal of Gay and Lesbian Mental Health, 15, 83–93. https://doi.org/10.1080/19359705.2011.530580
doi: 10.1080/19359705.2011.530580
Aitken, M., Steensma, T. D., Blanchard, R., VanderLaan, D. P., Wood, H., Fuentes, A., Spegg, C., Wasserman, L., Megan Ames, C., Fitzsimmons, L., Leef, J. H., Lishak, V., Reim, E., Takagi, A., Vinik, J., Wreford, J., Cohen-Kettenis, P. T., de Vries, A. L. C., Kreukels, B. P. C., & Zucker, K. J. (2015). Evidence for an altered sex ratio in clinic-referred adolescents with gender dysphoria. Journal of Sexual Medicine, 12(3), 756–763. https://doi.org/10.1111/jsm.12817
doi: 10.1111/jsm.12817 pubmed: 25612159
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.893619
Arcelus, J., Bouman, W. P., Van Den Noortgate, W., Claes, L., Witcomb, G., & Fernandez-Aranda, F. (2015). Systematic review and meta-analysis of prevalence studies in transsexualism. European Psychiatry, 30(6), 807–815. https://doi.org/10.1016/j.eurpsy.2015.04.005
doi: 10.1016/j.eurpsy.2015.04.005 pubmed: 26647868
Baba, T., Endo, T., Ikeda, K., Shimizu, A., Honnma, H., Ikeda, H., Masumori, N., Ohmura, T., Kiya, T., Fujimoto, T., Koizumi, M., & Saito, T. (2011). Distinctive features of female-to-male transsexualism and prevalence of gender identity disorder in Japan. Journal of Sexual Medicine, 8(6), 1686–1693. https://doi.org/10.1111/j.1743-6109.2011.02252.x
doi: 10.1111/j.1743-6109.2011.02252.x pubmed: 21477021
Bagri, N. T. (2017). “Everyone treated me like a saint”—In Iran, there’s only one way to survive as a transgender person. Retrieved from https://qz.com/889548/everyone-treated-me-like-a-saint-in-iran-theres-only-one-way-to-survive-as-a-transgender-person/
Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W. J., Monstrey, S., Adler, R. K., Brown, G. R., Devor, A. H., Ehrbar, R., Ettner, R., Eyler, E., Garofalo, R., ... Zucker, K. (2012). Standards of care for the health of transsexual, transgender, and gender-nonconforming people, Version 7. International Journal of Transgenderism, 13, 165–232. https://doi.org/10.1080/15532739.2011.700873
doi: 10.1080/15532739.2011.700873
De Cuypere, G., Van Hemelrijck, M., Michel, A., Carael, B., Heylens, G., Rubens, R., Hoebeke, P., & Monstrey, S. (2007). Prevalence and demography of transsexualism in Belgium. European Psychiatry, 22, 137–141. https://doi.org/10.1016/j.eurpsy.2006.10.002
doi: 10.1016/j.eurpsy.2006.10.002 pubmed: 17188846
Fattahi, M., & Karimi, N. (2018). Iran’s transgender people face discrimination despite fatwa. Retrieved from https://apnews.com/a66b2167bb1744e6b12ba8ff1ef97c21
First, M. B., France, A., & Pincus, H. A. (2004). DSM-IV-TR guidebook. American Psychiatric Publishing Inc.
Godlewski, J. (1988). Transsexualism and anatomic sex ratio reversal in Poland. Archives of Sexual Behavior, 17(6), 547–548. https://doi.org/10.1007/BF01542342
doi: 10.1007/BF01542342 pubmed: 3265612
Hamedani, A. (2014). The gay people pushed to change their gender. Retrieved from https://www.bbc.com/news/magazine-29832690
Khabaronline. (2014). Iranian transgender population. Retrieved from https://www.khabaronline.ir/news/444201/۱۵۰-هزار-نفر-جمعیت-بیماران-اختلال-هویت-جنسی-ایران
Kuyper, L., & Wijsen, C. (2014). Gender identities and gender dysphoria in the Netherlands. Archives of Sexual Behavior, 43(2), 377–385. https://doi.org/10.1007/s10508-013-0140-y
doi: 10.1007/s10508-013-0140-y pubmed: 23857516
Meerwijk, E. L., & Sevelius, J. M. (2017). Transgender population size in the United States: A meta-regression of population-based probability samples. American Journal of Public Health, 107(2), e1–e8. https://doi.org/10.2105/AJPH.2016.303578
doi: 10.2105/AJPH.2016.303578 pubmed: 28075632 pmcid: 5227946
Saberi, M. (2016). Law and medicine. Tehran, Iran: Legal Medicine Organization Research Center. Retrieved from http://ketab.ir/bookview.aspx?bookid=2084888
Sanaei Zadeh, H. (2002). Modern forensic medicine and the medico-legal system in Iran. Journal of Clinical Forensic Medicine, 9(1), 12–14. https://doi.org/10.1054/jcfm.2002.0533
doi: 10.1054/jcfm.2002.0533 pubmed: 15274958
Scandurra, C., Mezza, F., Maldonato, N. M., Bottone, M., Bochicchio, V., Valerio, P., & Vitelli, R. (2019). Health of non-binary and genderqueer people: A systematic review. Frontiers in Psychology, 10, 1453. https://doi.org/10.3389/fpsyg.2019.01453
doi: 10.3389/fpsyg.2019.01453 pubmed: 31293486 pmcid: 6603217
Statistical Center of Iran. (2017). Iran statistical year book 2016–2017. Tehran, Iran.
TGEU. (2019). Trans rights Europe & Central Asia Map & Index.
Valashany, B. T., & Janghorbani, M. (2018). Quality of life of men and women with gender identity disorder. Health and Quality of Life Outcomes, 16(1). https://doi.org/10.1186/s12955-018-0995-7
Vujovic, S., Popovic, S., Sbutega-Milosevic, G., Djordjevic, M., & Gooren, L. (2009). Transsexualism in Serbia: A twenty-year follow-up study. Journal of Sexual Medicine, 6(4), 1018–1023. https://doi.org/10.1111/j.1743-6109.2008.00799.x
doi: 10.1111/j.1743-6109.2008.00799.x pubmed: 18331254
Zucker, K. J. (2017). Epidemiology of gender dysphoria and transgender identity. Sexual Health, 14, 404–411. https://doi.org/10.1071/SH17067
doi: 10.1071/SH17067 pubmed: 28838353
Zucker, K. J. (2019). Adolescents with gender dysphoria: Reflections on some contemporary clinical and research issues. Archives of Sexual Behavior, 48(7), 1983–1992. https://doi.org/10.1007/s10508-019-01518-8
doi: 10.1007/s10508-019-01518-8 pubmed: 31321594
Zucker, K. J., VanderLaan, D. P., & Aitken, M. (2019). The contemporary sex ratio of transgender youth that favors assigned females at birth is a robust phenomenon: A response to the Letter to the Editor re: "shifts in assigned sex ratios at gender identity clinics likely reflect change in referral patterns" [Letter to the Editor]. Journal of Sexual Medicine, 16, 949–950. https://doi.org/10.1016/j.jsxm.2019.03.406
doi: 10.1016/j.jsxm.2019.03.406
Zucker, K. J., Wood, H., Wasserman, L., VanderLaan, D. P., & Aitken, M. (2016). Increasing referrals for gender dysphoria [Letter to the Editor]. Journal of Adolescent Health, 58, 693–694. https://doi.org/10.1016/j.jadohealth.2016.02.015
doi: 10.1016/j.jadohealth.2016.02.015

Auteurs

Ali Talaei (A)

Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Arya Hedjazi (A)

Legal Medicine Research Center, Legal Medicine Organization, Sanabad Street, Mashhad, 91386-15916, Iran.

Nazilla Badieyan Moosavi (N)

Legal Medicine Research Center, Legal Medicine Organization, Sanabad Street, Mashhad, 91386-15916, Iran. Nazilabm@yahoo.com.

Maliheh Dadgarmoghaddam (M)

Community Medicine Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Nasim Lotfinejad (N)

Department of Research, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Behzad S Khorashad (BS)

Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Division of Pediatric Psychology and Child Health Evaluation and Research Center, Department of Pediatrics, Michigan Medicine, Ann Arbor, MI, USA.

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