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Sexual orientation of trans adults is not linked to outcome of transition-related care, but worth asking

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Abstract
Since the beginning of contemporary transition-related care at the outset of the 20th century, sexual orientation has ben considered to be closely connected with gender identity and the developmental trajectories of trans people. Specifically, health professionals have regarded the anticipated post-transitional heterosexual behaviour of trans adults as predictive of a good outcome of cross-sex hormones and gender-confirming surgeries. This article reviews the current literature according to the question of whether the sexual orientation of trans people is linked to outcome measures following transition-related interventions. A comprehensive review was undertaken using the Medline database, searching for empirical studies published between 2010 and 2015. Out of a total of 474 studies, only 10 studies reported a follow-up of trans adults and assessed sexual orientation in the study protocol at all. Sexual orientation was predominantly assessed as homosexual versus non-homosexual related to sex assigned at birth. Only one 1 of 10 follow-up studies found a significant association according to the outcome between groups differentiated by sexual orientation. Empirically there is no link between sexual orientation and outcome of transition-related health care for trans adults. In order to provide comprehensive health care, we recommend asking for sexual behaviours, attractions and identities, as well as for gender experiences and expressions; however, this knowledge should not drive, but simply inform, such comprehensive care.
Keywords
QUALITY-OF-LIFE, transgender, REASSIGNMENT SURGERY, TAXOMETRIC ANALYSIS, TRANSGENDER HEALTH, HORMONAL TREATMENT, 2014 CRITIQUE, FOLLOW-UP, TO-FEMALE TRANSSEXUALS, GENDER IDENTITY DISORDER, trans, gender dysphoria, sexual orientation, follow-up, outcome, INDIVIDUALS

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MLA
Nieder, Timo O et al. “Sexual Orientation of Trans Adults Is Not Linked to Outcome of Transition-related Care, but Worth Asking.” INTERNATIONAL REVIEW OF PSYCHIATRY 28.1 (2016): 103–111. Print.
APA
Nieder, T. O., Elaut, E., Richards, C., & Dekker, A. (2016). Sexual orientation of trans adults is not linked to outcome of transition-related care, but worth asking. INTERNATIONAL REVIEW OF PSYCHIATRY, 28(1), 103–111.
Chicago author-date
Nieder, Timo O, Els Elaut, Christina Richards, and Arne Dekker. 2016. “Sexual Orientation of Trans Adults Is Not Linked to Outcome of Transition-related Care, but Worth Asking.” International Review of Psychiatry 28 (1): 103–111.
Chicago author-date (all authors)
Nieder, Timo O, Els Elaut, Christina Richards, and Arne Dekker. 2016. “Sexual Orientation of Trans Adults Is Not Linked to Outcome of Transition-related Care, but Worth Asking.” International Review of Psychiatry 28 (1): 103–111.
Vancouver
1.
Nieder TO, Elaut E, Richards C, Dekker A. Sexual orientation of trans adults is not linked to outcome of transition-related care, but worth asking. INTERNATIONAL REVIEW OF PSYCHIATRY. 2016;28(1):103–11.
IEEE
[1]
T. O. Nieder, E. Elaut, C. Richards, and A. Dekker, “Sexual orientation of trans adults is not linked to outcome of transition-related care, but worth asking,” INTERNATIONAL REVIEW OF PSYCHIATRY, vol. 28, no. 1, pp. 103–111, 2016.
@article{6940629,
  abstract     = {Since the beginning of contemporary transition-related care at the outset of the 20th century, sexual orientation has ben considered to be closely connected with gender identity and the developmental trajectories of trans people. Specifically, health professionals have regarded the anticipated post-transitional heterosexual behaviour of trans adults as predictive of a good outcome of cross-sex hormones and gender-confirming surgeries. This article reviews the current literature according to the question of whether the sexual orientation of trans people is linked to outcome measures following transition-related interventions. A comprehensive review was undertaken using the Medline database, searching for empirical studies published between 2010 and 2015. Out of a total of 474 studies, only 10 studies reported a follow-up of trans adults and assessed sexual orientation in the study protocol at all. Sexual orientation was predominantly assessed as homosexual versus non-homosexual related to sex assigned at birth. Only one 1 of 10 follow-up studies found a significant association according to the outcome between groups differentiated by sexual orientation. Empirically there is no link between sexual orientation and outcome of transition-related health care for trans adults. In order to provide comprehensive health care, we recommend asking for sexual behaviours, attractions and identities, as well as for gender experiences and expressions; however, this knowledge should not drive, but simply inform, such comprehensive care.},
  author       = {Nieder, Timo O and Elaut, Els and Richards, Christina and Dekker, Arne},
  issn         = {0954-0261},
  journal      = {INTERNATIONAL REVIEW OF PSYCHIATRY},
  keywords     = {QUALITY-OF-LIFE,transgender,REASSIGNMENT SURGERY,TAXOMETRIC ANALYSIS,TRANSGENDER HEALTH,HORMONAL TREATMENT,2014 CRITIQUE,FOLLOW-UP,TO-FEMALE TRANSSEXUALS,GENDER IDENTITY DISORDER,trans,gender dysphoria,sexual orientation,follow-up,outcome,INDIVIDUALS},
  language     = {eng},
  number       = {1},
  pages        = {103--111},
  title        = {Sexual orientation of trans adults is not linked to outcome of transition-related care, but worth asking},
  url          = {http://dx.doi.org/10.3109/09540261.2015.1102127},
  volume       = {28},
  year         = {2016},
}

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