Author(s):
Jemilah Pauline. S, Devakirubai. E
Email(s):
jemilahsolomon18@gmail.com
DOI:
10.52711/jnmr.2025.25 
Address:
Jemilah Pauline. S1*, Devakirubai. E2
1Senior Lecturer, MIMS College of Nursing, MIMS Academy, Malappuram, Kerala, India.
2Dean, Sacred Heart Nursing College, Madurai, Tamil Nadu, India.
*Corresponding Author
Published In:
Volume - 4,
Issue - 4,
Year - 2025
ABSTRACT:
Background: Transgender adults face complex health challenges across physical, emotional, and social dimensions, with achieving gender congruence being essential for their well-being. Barriers such as stigma, discrimination, and limited access to gender-affirming care contribute to higher rates of mental health issues like depression, anxiety, and social isolation. Nurses play a crucial role in providing inclusive, compassionate care, helping transgender individuals overcome these obstacles and improving their overall health and life satisfaction. By fostering a supportive healthcare environment, professionals can positively impact outcomes for transgender patients. Aim: To explore the dimensions of health as lived by transgender adults. Methodology: A phenomenological descriptive approach was employed for this research. 15 transgender adults were interviewed qualitatively using semi-structured, in-depth guides to explore various dimensions of health. These interviews informed the selection of variables for the second phase. The study was conducted among transgender adults registered with the Bro. Siga Social Service Guild, a non-profit organization in Madurai. Qualitative interviews were transcribed, translated, and analyzed using Colaizzi’s method, leading to the identification of six themes and 17 subthemes. Result: The qualitative study uncovered six themes, highlighting challenges such as navigating sex reassignment surgery, hormone therapy, and healthcare access barriers. Participants described emotional distress, dysphoria, and discrimination, often leading to self-harm, substance abuse, and internal community exploitation. Themes also addressed body image, sexual health, spiritual conflict, and economic struggles like housing insecurity and workplace discrimination. Conclusion: These findings highlighted the need for holistic healthcare approaches that address both physical transitions and mental well-being, as well as social and economic challenges, to improve overall quality of life for transgender individuals.
Cite this article:
Jemilah Pauline. S, Devakirubai. E. Exploration of the Dimensions of Health as Lived by Transgender Adults. A and V Pub Journal of Nursing and Medical Research. 2025;4(4):103-5. doi: 10.52711/jnmr.2025.25
Cite(Electronic):
Jemilah Pauline. S, Devakirubai. E. Exploration of the Dimensions of Health as Lived by Transgender Adults. A and V Pub Journal of Nursing and Medical Research. 2025;4(4):103-5. doi: 10.52711/jnmr.2025.25 Available on: https://jnmronline.com/AbstractView.aspx?PID=2025-4-4-1
REFERENCES:
1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: APA; 2013.
2. World Health Organization. International Classification of Diseases 11th Revision (ICD-11). Geneva: WHO; 2019.
3. Winter, S., Diamond, M., Green, J., Karasic, D., Reed, T., Whittle, S. and Wylie, K. Transgender people: health at the margins of society. The Lancet. 2016; 388(10042): 390–400.
4. Bockting, W., Miner, M., Swinburne Romine, R., Hamilton, A. and Coleman, E. Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health. 2013; 103(5): 943–951.
5. Reisner, S.L., Poteat, T., Keatley, J., Cabral, M., Mothopeng, T., Dunham, E., Holland, C.E., Max, R. and Baral, S.D. Global health burden and needs of transgender populations: a review. The Lancet. 2016; 388(10042): 412–436.
6. Budge, S.L., Adelson, J.L. and Howard, K.A.S. Anxiety and depression in transgender individuals: the roles of transition status, loss, social support, and coping. Journal of Consulting and Clinical Psychology. 2013; 81(3): 545–557.
7. Bauer, G.R., Scheim, A.I., Pyne, J., Travers, R. and Hammond, R. Intervenable factors associated with suicide risk in transgender persons: a respondent-driven sampling study in Ontario, Canada. BMC Public Health. 2015; 15: 525.
8. Grant, J.M., Mottet, L.A., Tanis, J., Harrison, J., Herman, J.L. and Keisling, M. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. Washington, DC: National Center for Transgender Equality and National Gay and Lesbian Task Force; 2011.
9. James, S.E., Herman, J.L., Rankin, S., Keisling, M., Mottet, L. and Anafi, M. The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality; 2016.
10. White Hughto, J.M., Reisner, S.L. and Pachankis, J.E. Transgender stigma and health: a critical review of stigma determinants, mechanisms, and interventions. Social Science and Medicine. 2015; 147: 222–231.
11. Hendricks, M.L. and Testa, R.J. A conceptual framework for clinical work with transgender and gender nonconforming clients: an adaptation of the Minority Stress Model. Professional Psychology: Research and Practice. 2012; 43(5): 460–467.
12. Meyer, I.H. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin. 2003; 129(5): 674–697.
13. Singh, A.A., Meng, S.E. and Hansen, A.W. It’s already hard enough being a student: Developing affirming college environments for trans youth. Journal of LGBT Youth. 2014; 11(3): 208–225.
14. Levitt, H.M. and Ippolito, M.R. Being transgender: The experience of transgender identity development. Journal of Homosexuality. 2014; 61(12): 1727–1758.
15. Testa, R.J., Habarth, J., Peta, J., Balsam, K. and Bockting, W. Development of the Gender Minority Stress and Resilience Measure. Psychology of Sexual Orientation and Gender Diversity. 2015; 2(1): 65–77.
16. Lindqvist, E.K., Sigurjonsson, H., Möllermark, C., Rinder, J., Farnebo, F. and Lundgren, T.K. Quality of life improves early after gender reassignment surgery in transgender women. European Journal of Plastic Surgery. 2017; 40(3): 223–226.
17. Murad, M.H., Elamin, M.B., Garcia, M.Z., Mullan, R.J., Murad, A., Erwin, P.J. and Montori, V.M. Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes. Clinical Endocrinology. 2010; 72(2): 214–231.
18. Coleman, E., Radix, A.E., Bouman, W.P., Brown, G.R., De Vries, A.L.C., Deutsch, M.B., Ettner, R., Fraser, L., Goodman, M., Green, J., Hancock, A.B., Johnson, T.W., Karasic, D.H., Knudson, G., Leibowitz, S., Meyer-Bahlburg, H.F.L., Monstrey, S., Motmans, J., Nahata, L., Nieder, T.O., Reisner, S.L., Schechter, L.S., Schreiner, T., Tangpricha, V., Tishelman, A.C., van Trotsenburg, M., Vitale, A., Winter, S., Yang, M.F., Zilberman, L. and Zucker, K. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health. 2022; 23(Suppl 1): S1–S259.
19. World Health Organization. Gender and Health. Geneva: WHO; 2002.
20. Zucker, K.J. and Lawrence, A.A. Epidemiology of gender identity disorder: Recommendations for the standards of care of the World Professional Association for Transgender Health. International Journal of Transgenderism. 2009; 11(1): 8–18.
21. Zucker, K.J. The myth of persistence: Response to “A critical commentary on follow-up studies and ‘desistance’ theories about transgender and gender nonconforming children” by Temple Newhook et al. (2018). International Journal of Transgenderism. 2018; 19(2): 231–245.
22. American Psychological Association. Guidelines for Psychological Practice with Transgender and Gender Nonconforming People. American Psychologist. 2015; 70(9): 832–864.
23. Fraser, L., Knudson, G. and De Cuypere, G. WPATH consensus process on recommendations for revision of the Standards of Care for Gender Identity Disorders. International Journal of Transgenderism. 2010; 12(2): 54–59.
24. Cavanaugh, T., Hopwood, R. and Lambert, C. Informed Consent in the Medical Care of Transgender and Gender-Nonconforming Patients. AMA Journal of Ethics. 2016; 18(11): 1147–1155.
25. Dhejne, C., Van Vlerken, R., Heylens, G. and Arcelus, J. Mental health and gender dysphoria: A review of the literature. International Review of Psychiatry. 2016; 28(1): 44–57.
26. Arcelus, J., Claes, L., Witcomb, G.L., Marshall, E. and Bouman, W.P. Risk factors for suicidality among trans people: a systematic review and meta-analysis. Lancet Psychiatry. 2016; 3(3): 233–242.