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I Am What I Am: Congruence and Quality of Life Among Trans Pinoys/Pinays

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Abstract

Quality of life is a broad multidimensional concept containing negative and positive aspects of life. For transgender individuals, significant challenges through a mass of internal and external factors impact their general view of their status in life. Moreover, transgender congruence, which is to feel authentic towards one’s inner and outward expressions of the self and genuine identity rather than that which is socially dictated, is essential for trans individuals. This study’s mixed-method sequential explanatory approach investigated transgender congruence and quality of life among selected transgender individuals of Filipino descent. A sample of 125 Trans Pinoys and Trans Pinays, ages 18 to 64, participated in Phase I, a predictive, cross-sectional design wherein participants completed the Transgender Congruence Scale and the Quality of Life Scale. Phase II, a phenomenological approach, further explained the results of Phase I among 10 trans participants. Quantitative results revealed that transgender congruence does not predict the quality of life among trans-Filipinos. Qualitative findings identified four themes (Social Support, Realizing Gender Identity, Authenticity & Self-Perception, and Challenges to Transitioning) as significantly impacting the quality of life among transgender individuals of Filipino descent in our study other than transgender congruence.

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References

  • Abesamis, L. E. A. (2022, September 30). Intersectionality and the invisibility of transgender health in the Philippines - global health research and policy. BioMed Central. https://ghrp.biomedcentral.com/articles/https://doi.org/10.1186/s41256-022-00269-9.

  • American Psychological Association (2014, December 1). Answers to your questions about Transgender people, gender identity, and gender expression. http://www.apa.org/topics/lgbtq/transgender.

  • Anderssen, N., Sivertsen, B., Lønning, K. J., & Malterud, K. (2020). Life satisfaction and mental health among transgender students in Norway. Bmc Public Health, 20(1), 1–11..

  • Austin, A., & Goodman, R. (2016, September 15). The impact of social connectedness and internalized transphobic stigma on self-esteem among transgender and gender non-conforming adults, Taylor, & Francis (2016). https://www.tandfonline.com/doi/abs/10.1080/00918369.1236587.

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.

  • Bernard, H. R. (2014). In S. Dominguez, & B. Hollstein (Eds.), Forward. Mixed Methods Social Networks Research. Cambridge University Press, XVV-XXViii.

  • Bränström, R., & Pachankis, J. E. (2021). Country-level structural stigma, identity concealment, and day-to-day discrimination as determinants of transgender people’s life satisfaction. Social Psychiatry and Psychiatric Epidemiology, 56, 1537–1545.

  • Burckhardt, C. S., & Anderson, K. L. (2003). The Quality of Life Scale (QOLS): Reliability validity, and utilization. Health and Quality of Life Outcomes 1, 60. https://doi.org/10.1186/1477-7525-1-60.

  • Centers for Disease Control and Prevention (2018, October 31). HRQOL concepts. Centers for Disease Control and Prevention. https://www.cdc.gov/hrqol/concept.htm.

  • Chanco, B. (2019, July 5). Philippines healthcare unaffordable https://www.philstar.com/business/2019/07/05/1932014/philippines-healthcare-unaffordable.

  • Cooper, K. M., Auerbach, A., Bader, J. D., Beadles-Bohling, A. S., & Brashears, J. A., Cline, E Eddy, S. L., Elliott, D. B., Farley, E., Fuselier, L., Heinz, H. M., Irving, M., Josek, T., Lane, A. K., Lo, S. M., Maloy, J., Nugent, M., Offerdahl, E., Palacios-Moreno, J., Ramos, J., & Brownell, S. E. (2020). Fourteen recommendations to create a more inclusive environment for LGBTQ + individuals in academic biology. CBE Life Sciences Education, 19(3), https://doi.org/10.1187/cbe.20-04-0062.

  • David, E. (2021, July 21). Transpinay: Genealogy of a term. SAGE Journals https://journals.sagepub.com/doi/abs/10.1177/13634607211024563?ai=2b4&mi=ehikzz&af=R.

  • Davidson, S. (2016). Gender inequality: Nonbinary transgender people in the Workplace. Cogent Social Sciences, 2(1), 1236511. https://doi.org/10.1080/23311886.2016.1236511.

  • De Leon, J., & Jintalan, J. (2018). Accepted or not. Homosexuality, media, and the culture of silence in the Philippine society. Jurnal, & Komunikasi, Malaysian Journal of Communication, 34(3), 408–425. https://doi.org/10.17576/jkmjc-2018-3403-25.

  • Flores, A. R. (2019, July 30). Social acceptance of LGBT people in 174 countries: 1981 to 2017 eScholarship, University of California. https://escholarship.org/uc/item/5qs218xd.

  • Flores, L. J. Y., Tonato, R. R., Paz, D., G. A., & Ulep, V. G. (2021). September 9) Optimizing health Facility location for universal health care: A case study from the Philippines. PloS One. https://doi.org/10.1371/journal.pone.0256821.

  • Fredriksen-Goldsen, K., Kim, H. J., Jung, H., & Goldsen, J. (2019). The evolution of aging with pride-national Health, aging, and sexuality/sender study: Illuminating the iridescent life course of LGBTQ adults aged 80 years and older in the United States. International Journal of Aging & Human Development, 88(4), 380–404. https://doi.org/10.1177/0091415019837591.

  • Foster Skewis, L., Bretherton, I., Leemaqz, S. Y., Zajac, J. D., & Cheung, A. S. (2021, July 29). Short-Term effects of gender-affirming hormone therapy on dysphoria and quality of life in Transgender individuals: A prospective controlled study. Frontiers in Endocrinology, 12, 717766. https://doi.org/10.3389/fendo.2021.717766

  • Gokilapriya, S., & Annalakshmi, N. (2021). Socio-demographics, happiness, flourishing, and life satisfaction among transgenders. Indian Journal of Positive Psychology, 12(4), 351-361.appe.

  • Gupta, I., Naskar, P., Sima, R., & Naskar, S. (2018). An assessment of quality of life of transgender adults in An urban area of Burdwan district, West Bengal. Int J Community Med Public Health. 5:1089–1095.

  • Huit, T. Z., Ralston, A. L., Haws, J. K., Holt, N. R., Hope, D. A., & Puckett, J. A., & Woodruff, N. (2021). Psychometric evaluation of The transgender congruence scale. Sexuality Research Policy, S., 1–14.

  • Human Rights Campaign (2022). Marriage equality around the world. Human Rights Campaign. https://www.hrc.org/resources/marriage-equality-around-the-world.

  • James, S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. (2016). The report of the 2015 U.S. transgender survey. Washington, DC: National Center for Transgender Equality.

  • Jellestad, L., Jäggi, T., Corbisiero, S., Schaefer, D. J., Jenewein, J., Schneeberger, A., & Kuhn, A. and Garcia Nuñez, D. (2018). Quality of life in transitioned Trans Persons: A retrospective cross-sectional cohort study. BioMed Research International, 2018, 1–10. https://doi.org/10.1155/2018/8684625.

  • Johnson, B. (2001). Toward a new classification of nonexperimental quantitative research Educational Researcher, 30(2), 3–13. https://doi.org/10.3102/0013189x030002003.

  • Jones, B. A., Bouman, P., Haycraft, W., E., & Arcelus, J. (2019, February 10). Gender congruence and body satisfaction in nonbinary transgender people: A case-control study. The International Journal of Transgenderism. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830978/.

  • Kirchherr, J., & Charles, K. (2018). Enhancing the sample diversity of snowball samples Recommendations from a research project on anti-dam movements in Southeast Asia. PloS One, 13(8), e0201710. https://doi.org/10.1371/journal.pone.0201710.

  • Kozee, H. B., Tylka, T. L., & Bauerband, L. A. (2012, April 19). Measuring Transgender Individuals’ Comfort With Gender Identity and Appearance: Development and validation of the Transgender Congruence Scale. Psychology of Women Quarterly. https://journals.sagepub.com/doi/abs/10.1177/0361684312442161?journalCode=pwqa#:~:text=Thus%2C%20we%20define%20transgender%20congruence,the%20socially%20pre%2D%20scribed%20identity.

  • Liszewski, W., Peebles, J. K., Yeung, H., & Arron, S. (2018). Persons of nonbinary gender — awareness, visibility, and Health Disparities. New England Journal of Medicine, 379(25), 2391–2393. https://doi.org/10.1056/nejmp1812005.

  • Manalastas, E., & Torre, B. (2012, January). Social psychological aspects of advocating LGBT human rights in the Philippines. Semantic Scholar. https://www.semanticscholar.org/paper/Social-Psychological-Aspects-of-Advocating-LGBT-in-Manalastas-Torre/4ddbf3fb079f5c18c6ee170567a28b959b5e4789.

  • Manalastas, E. J., Ojanen, T. T., Torre, B. A., Ratanashevorn, R., & Hong, B. C. C., Kumaresan Veeramuthu, V. (2017). Homonegativity in Southeast Asia: Attitudes toward lesbians and gay men in Indonesia, Malaysia, the Philippines, Singapore, Thailand, and Vietnam, A. P. Social Sciences Review, 17 (1), 25–33. https://www.researchgate.net/publication/317329054_Homonegativity_in_Southeast_Asia_Attitudes_Toward_Lesbians_and_Gay_Men_in_Indonesia_Malaysia_the_Philippines_Singapore_Thailand_and_Vietnam.

  • Martin, T. K. (2020). Transgender Congruence and Sexual Satisfaction in Trans Masculine Adults: The Role of Affirmative Sexual Partners. ProQuest. https://www.proquest.com/openview/85b51025bda09f9a1e9ea1f46fc041b2/1?pq-origsite=gscholar&cbl=18750&diss=y.

  • McCosker, H., Barnard, A., & Gerber, R. (2001). Undertaking Sensitive Research: Issues and Strategies for Meeting the Safety Needs of All. Forum: Qualitative Social Research, 2(1).

  • Michalos, A. C. (2013). Essays on the quality of life. Springer. https://play.google.com/books/reader?id=h6_sCAAAQBAJ&pg=GBS.PA1&hl=en_US

  • Montaño, D., Deguma, J. J., Deguma, M. C., Capuno, R. G., Ybañez, R. Q., & Lumayag, C. G. Villaganas, M. A., & Delos Reyes, N. R. (2022). You and me against the world: Biographical narrative analysis on same-sex couples’ experiences in the Philippines. Academic Journal of Interdisciplinary Studies, 11(1), 169. https://doi.org/10.36941/ajis-2022-0015.

  • Motmans, J., Meier, P., Ponnet, K., & T’Sjoen, G. (2012). Female and male transgender quality of life: Socioeconomic and medical differences. The Journal of Sexual Medicine, 9(3), 743–750.

  • Neubauer, B. E., Witkop, C. T., & Varpio, L. (2019). How Phenomenology can help us learn from the Experiences of others. Perspectives on Medical Education, 8(2), 90–97. https://doi.org/10.1007/s40037-019-0509-2. NCBI

  • Owen-Smith, A. A., Gerth, J., Sineath, R. C., Barzilay, J., & Becerra-Culqui, T. A., Getahun, D. Giammattei, S., Hunkeler, E., Lash, T. L., Millman, A., Nash, R., Quinn, V. P., Robinson, B., Roblin, D., Sanchez, T., Silverberg, M. J., & Tangpricha, V., Valentine, C., & Goodman, M. (2018, February 17). Association between gender confirmation treatments and perceived gender congruence, body image satisfaction, and mental health in a cohort of transgender individuals. The Journal of Sexual Medicine. https://www.sciencedirect.com/science/article/abs/pii/S1743609518300584.

  • Philippine Institute for Developmental Studies. (2023). Out-of-pocket health costs higher for elderly, women, poor, Rural Pinoys-Pids Study. PIDS. https://www.pids.gov.ph/details/news/press-releases/out-of-pocket-health-costs-higher-for-elderly-women-poor-rural-pinoys-pids-study

  • Priola, V., Lasio, D., De Simone, S., & Serri, F. (2013). The sound of silence. gay, bisexual and transgender discrimination in ‘inclusive organizations. British Journal of Management, 25(3), 488–502. https://doi.org/10.1111/1467-8551.12043.

  • Restar, A. J., Breslow, A. S., Jin, H., Quilantang, M. I., Sison, O., & Bermudez, A. N., Palatino, M. Adia, A., Cu-Uvin, S., Operario, D., & Nazareno, J. (2021). Transgender-specific developmental milestones and associated experiences of violence, discrimination, and stigma among Filipinx transgender women who are sexually active with men. PLOS ONE, 16(3), https://doi.org/10.1371/journal.pone.0248248.

  • Reyes, M. E. S., Davis, R. D., Yapcengco, F. L., Bordeos, C. M. M., & Gesmundo, S. C., & Torres, J. K. M. (2020). Perceived parental acceptance, transgender congruence, and psychological well-being Of Filipino transgender individuals. North American Journal of Psychology, 22(1).

  • Robillos, M. J. A., Guido, M., & Ladan, J. C. (2015). Towards an LGBT Rights: Reflecting on the Philippine Setting.

  • Rogers, C. R. (1959). A theory of therapy. As developed in the client-centered framework (Vol. 3, pp. 184–256). New York: McGraw-Hill.

  • Rood, B. A., Reisner, S. L., Surace, F. I., Puckett, J. A., Maroney, M. R., & Pantalone, D. W. (2016). Expecting rejection: Understanding the minority stress experiences of transgender and gender-nonconforming individuals. Transgender Health, 1(1), 151–164. https://doi.org/10.1089/trgh.2016.0012.

  • Sawyer, K., Thoroughgood, C., & Webster, J. (2016). Queering the gender binary: Understanding transgender workplace experiences. Sexual Orientation and Transgender Issues in Organizations, 21–42. https://doi.org/10.1007/978-3-319-29623-4_2.

  • Setia, M. S. (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264. NCBI. https://doi.org/10.4103/0019-5154.182410.

  • Sreyoshi, G., & Vismita, P. (2018). Quality of Life of LGBTQ Community. International Journal of Scientific Research and Reviews 7(2), 111–121.

  • Taguchi, N. (2018). Description and explanation of pragmatic development. Quantitative qualitative, and mixed methods research. System, 75, 23–32. https://doi.org/10.1016/j.system.2018.03.010.

  • Tang, X., & Poudel, A. N. (2018). Exploring challenges and problems faced by LGBT students in Philippines: A qualitative study. Journal of Public Health Policy and Planning. https://doi.org/10.1089/trgh.2016.0012.

  • UNDP, & USAID (2014, December 4). Being LGBT in Asia: The Philippine Country Report. UNDP. https://www.undp.org/publications/being-lgbt-asia-philippine-country-report?utm_source=EN&utm_medium=GSR&utm_content=US_UNDP_PaidSearch_Brand_English&utm_campaign=CENTRAL&c_src=CENTRAL&c_src2=GSR&gclid=CjwKCAiAjoeRBhAJEiwAYY3nDCaLctpsfWBsNcAwh9dZjqmDwmO00wtFl59umHGyl-V8TC-eTyC9eBoCj4sQAvD_BwE

  • Van den Brink, F., Vollman, M., & van Weelie, S. (2020). Relationships between transgender congruence, Gender identity rumination, and self-esteem in transgender and gender-nonconforming individuals. American Psychological Association. https://psycnet.apa.org/record/2019-61772-001.

  • Van Leerdam, T. R., Zajac, J. D., & Cheung, A. S. (2021, September 6). The Effect of Gender-Affirming Hormones on gender dysphoria, Quality of Life, and Psychological Functioning in Transgender Individuals: A systematic review. Mary Ann Liebert Inc. Publishers. https://doi.org/10.1089/trgh.2020.0094.

  • Velez, B. L., Breslow, A. S., Brewster, M. E., Cox, R., & Foster, A. B. (2016). Building a pantheoretical model of dehumanization with transgender men: Integrating objectification and minority stress theories. American Psychological Association. https://psycnet.apa.org/record/2016-03874-001.

  • White Hughto, J. M., & Reisner, S. L. (2016, January 1). A systematic review of the effects of hormone therapy on psychological functioning and quality of life in transgender individuals. Transgender Health https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010234/. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010234/

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All procedures performed in the present study that involved human participants were per the ethical standards of The Philippine Social Science Council-Social Science Ethics Review Board (PSSC-SSERB) with Reference Code: CA-22-44.

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Reyes, M.E.S., Chang, S.H.B., Gandol, B.J.C. et al. I Am What I Am: Congruence and Quality of Life Among Trans Pinoys/Pinays. Sexuality & Culture 28, 554–574 (2024). https://doi.org/10.1007/s12119-023-10132-9

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