AI Article Synopsis
- The demographics of individuals seeking gender services in Ireland have shifted over the past six years, with a higher percentage of transgender men (62.3%) compared to transgender women (35.3%) among those aged 18-30.
- A significant portion of participants are undergoing gender affirming hormone therapy (over two-thirds) and mental health issues are prevalent, with nearly half experiencing depression.
- This study highlights the increasing representation of people assigned female at birth seeking services and underlines the need for improved care planning to meet their specific clinical needs.
Article Abstract
Background: Over the last 6 years, there has been a change in the demographics of people presenting to gender services in Ireland. This is in line with international trends describing a higher number of transgender men (Female-Male, FTM, AFAB) presenting to gender services as compared to transgender women (Male-Female, MTF, AMAB), and lower ages at referral. Given the changes in demographics, it would be anticipated that clinical needs may have changed. This study describes the demographics of a young Irish sample (participants aged 18-30 years old) and explores the referral pathways and clinical needs of this cohort.
Methods: The study was performed as a retrospective chart review of 167 charts at The National Gender Service in Ireland over a five-month period.
Results: Transgender men represented 62.3% of the sample, transgender women 35.3%, and transmasculine/non-binary individuals represented 2.4%. Over two-thirds of participants were on gender affirming hormone therapy or GnRH antagonists and 16.1% had undergone surgical interventions. The median time from referral received to being seen at the clinic was 450 days (481 mean). Mental health comorbidities remain high with 49.1% of youth experiencing depression, a further 15.6% low mood and 26.3% anxiety.
Conclusion: This is the first study to show increasing referrals of people who were assigned female at birth (AFAB) over assigned male at birth (AMAB) individuals in Ireland, and to document the clinical needs of this cohort. By understanding the changing demographics and clinical needs, we can better plan for care and service improvements.
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| http://dx.doi.org/10.1007/s11845-022-03163-y | DOI Listing |
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