Skip to main content
Log in

Sociodemographic Characteristics of Trans Persons in Belgium: A Secondary Data Analysis of Medical, State, and Social Data

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

By performing secondary data analyses of existing medical, social, and state data, this study examined the sociodemographic profile of trans persons in Belgium and gains knowledge on those who are functionally invisible in traditional epidemiological studies or clinical samples. Based on medical interventions, post-operative transsexual persons were selected from a social survey data set, to compare their sociodemographic profile with available data on legal sex changes from the Belgian National Register and with published data on clinical samples of post-operative transsexual persons. Furthermore, based on self-chosen gender identity categories in the social survey data, transsexual participants were compared with the transgender participants (those people feeling neither female nor male, or both female and male, or otherwise). The sociodemographic data on the post-operative transsexual persons from the three datasets appeared to be very similar. Based on identity categories, the data on transsexual and transgender persons from the social survey showed differences in marital status and employment. Transsexual persons were significantly more often divorced than transgender persons. Both groups differed significantly in employment status. Information about transgender people (or the “in-between” group) is too often lacking from studies but can be obtained when identity instead of medical criteria are used in research.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bakker, A., van Kesteren, P. J. M., Gooren, L. J. G., & Bezemer, P. D. (1993). The prevalence of transsexualism in the Netherlands. Acta Psychiatrica Scandinavica, 87, 237–238.

    Article  PubMed  Google Scholar 

  • Belgian Government. (2007). Law on transsexuality. May 10, 2007. Belgisch Staatsblad. Retrieved from www.staatsblad.be.

  • Blanchard, R. (1985). Typology of male-to-female transsexualism. Archives of Sexual Behavior, 14, 247–261. doi:10.1007/BF01542107.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1989). The classification and labeling of nonhomosexual gender dysphorias. Archives of Sexual Behavior, 18, 315–334. doi:10.1007/BF01541951.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1994). A structural equation model for age at clinical presentation in nonhomosexual male gender dysphorics. Archives of Sexual Behavior, 23, 311–320.

    Article  PubMed  Google Scholar 

  • Bockting, W. O., & Goldberg, J. M. (2006). Introduction. International Journal of Transgenderism, 9, 1–2. doi:10.1300/J485v09n03_01.

    Article  Google Scholar 

  • Bodlund, O., & Armelius, K. (1994). Self-image and personality traits in gender identity disorders: An empirical study. Journal of Sex and Marital Therapy, 20, 303–317. doi:10.1080/00926239408404380.

    Article  PubMed  Google Scholar 

  • Burns, A., Farrell, M., & Brown, J. C. (1990). Clinical features of patients attending a gender-identity clinic. British Journal of Psychiatry, 157, 265–268. doi:10.1192/bjp.157.2.265.

    Article  PubMed  Google Scholar 

  • Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., ... 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. doi:10.1080/15532739.2011.700873.

  • De Cuypere, G., Van Hemelrijck, M., Michel, A., Carael, B., Heylens, G., Rubens, R., ... Monstrey, S. (2007). Prevalence and demography of transsexualism in Belgium. European Psychiatry, 22, 137–141.

  • Dierckx, M., Motmans, J., Meier, P., Dieleman, M., & Pezeril, C. (2014). Beyond the box. Measuring attitudes on sexism, homophobia and transphobia in Belgium. Antwerpen: Universiteit Antwerpen.

  • Eklund, P. L., Gooren, L. J. G., & Bezemer, P. D. (1988). Prevalence of transsexualism in The Netherlands. British Journal of Psychiatry, 152, 638–640.

    Article  PubMed  Google Scholar 

  • European Union agency for Fundamental Rights. (2013). European Union lesbian, gay, bisexual and transgender survey. Retrieved from http://fra.europa.eu/DVS/DVT/lgbt.php?locale=EN&dataSource=LGBT&media=png&width=740&plot=euBars&topic=Transgender+specific+questions&question=tr1&subset=lgbtcat_sex&subsetValue=05–Transgender.

  • Fisk, N. M. (1974). Editorial: Gender dysphoria syndrome–the conceptualization that liberalizes indications for total gender reorientation and implies a broadly based multi-dimensional rehabilitative regimen. Western Journal of Medicine, 120, 386–391.

    PubMed Central  PubMed  Google Scholar 

  • Garrels, L., Kockott, G., Michael, N., Preuss, W., Renter, K., Schmidt, G., ... Windgassen, K. (2000). Sex ratio of transsexuals in Germany: The development over three decades. Acta Psychiatrica Scandinavica, 102, 445-448. doi:10.1034/j.1600-0447.2000.102006445.x.

  • Godlewski, J. (1988). Transsexualism and anatomic sex ratio reversal in Poland. Archives of Sexual Behavior, 17, 547–548. doi:10.1007/bf01542342.

    Article  PubMed  Google Scholar 

  • Gómez-Gil, E., Trilla, A., Salamero, M., Godas, T., & Valdes, M. (2009). Sociodemographic, clinical, and psychiatric characteristics of transsexuals from Spain. Archives of Sexual Behavior, 38, 378–392.

    Article  PubMed  Google Scholar 

  • Herman-Jeglińska, A., Grabowska, A., & Dulko, S. (2002). Masculinity, femininity, and transsexualism. Archives of Sexual Behavior, 31, 527–534. doi:10.1023/a:1020611416035.

    Article  PubMed  Google Scholar 

  • Hoenig, J., & Kenna, J. C. (1974). The prevalence of transsexualism in England and Wales. British Journal of Psychiatry, 124, 181–190.

    Article  PubMed  Google Scholar 

  • Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: building a foundation for bettter understanding. Washington, DC: The National Academies Press.

    Google Scholar 

  • Knudson, G., De Cuypere, G., & Bockting, W. (2010). Process toward consensus on recommendations for revision of the DSM diagnoses of gender identity disorders by the World Professional Association for Transgender Health. International Journal of Transgenderism, 12, 54–59. doi:10.1080/15532739.2010.509213.

    Article  Google Scholar 

  • Kreukels, B. P., Haraldsen, I. R., De Cuypere, G., Richter-Appelt, H., Gijs, L., & Cohen-Kettenis, P. T. (2012). A European network for the investigation of gender incongruence: The ENIGI initiative. European Psychiatry, 27, 445–450. doi:10.1016/j.eurpsy.2010.04.009.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2008). Male-to-female transsexual subtypes: Sexual arousal with cross-dressing and physical measurements. Psychiatry Research, 157, 319–320.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2009). Transgenderism in nonhomosexual males as a paraphilic phenomenon: Implications for case conceptualization and treatment. Sexual and Relationship Therapy, 24, 188–206. doi:10.1080/14681990902937340.

    Article  Google Scholar 

  • Lawrence, A. A. (2010). Sexual orientation versus age of onset as bases for typologies (subtypes) for gender identity disorder in adolescents and adults. Archives of Sexual Behavior, 39, 514–545. doi:10.1007/s10508-009-9594-3.

    Article  PubMed  Google Scholar 

  • Miach, P. P., Berah, E. F., Butcher, J. N., & Rouse, S. (2000). Utility of the MMPI-2 in assessing gender dysphoric patients. Journal of Personality Assessment, 75, 268–279. doi:10.1207/s15327752jpa7502_7.

    Article  PubMed  Google Scholar 

  • Motmans, J. (2010). Being transgender in Belgium: Mapping the social and legal situation of transgender people. Brussels: Institute for the equality of women and men.

    Google Scholar 

  • Motmans, J., Meier, P., & T’Sjoen, G. (2011). Quality of life of transgender people in Flanders. Antwerpen: Steunpunt Gelijkekansenbeleid.

    Google Scholar 

  • Murad, M. H., Elamin, M. B., Garcia, M. Z., Mullan, R. J., Murad, A., Erwin, P. J., et al. (2010). Hormonal therapy and sex reassignment: A systematic review and meta-analysis of quality of life and psychosocial outcomes. Clinical Endocrinology, 72, 214–231. doi:10.1111/j.1365-2265.2009.03625.x.

    Article  PubMed  Google Scholar 

  • Nieder, T. O., Herff, M., Cerwenka, S., Preuss, W. F., Cohen-Kettenis, P. T., De Cuypere, G., ... Richter-Appelt, H. (2011). Age of onset and sexual orientation in transsexual males and females. Journal of Sexual Medicine, 8, 783–791. doi:10.1111/j.1743-6109.2010.02142.x.

  • O’Gorman, E. (1982). A retrospective study of epidemiological and clinical aspects of 28 transsexual patients. Archives of Sexual Behavior, 11, 231–236. doi:10.1007/bf01544991.

    Article  PubMed  Google Scholar 

  • Olsson, S. E., & Möller, A. R. (2003). On the incidence and sex ratio of transsexualism in Sweden, 1972–2002. Archives of Sexual Behavior, 32, 381–386. doi:10.1023/a:1024051201160.

    Article  PubMed  Google Scholar 

  • Senaeve, P., & Uytterhoeven, K. (Eds.). (2008). The legal position of the transsexual. Comments on the laws of 9 and 10 May 2007 and 15 May 2007. Antwerpen: Insertia.

  • Sørensen, T., & Hertoft, P. (1982). Male and female transsexualism: The Danish experience with 37 patients. Archives of Sexual Behavior, 11, 133–155. doi:10.1007/bf01541980.

    Article  PubMed  Google Scholar 

  • van Kesteren, P. J., Gooren, L. J., & Megens, J. (1996). An epidemiological and demographic study of transsexuals in the Netherlands. Archives of Sexual Behavior, 25, 589–600. doi:10.1007/BF02437841.

    Article  PubMed  Google Scholar 

  • Vennix, P. (2002). Gender identity and work for male-to-female transgender people. Journal of Sexuology, 26, 245–252.

    Google Scholar 

  • Vennix, P. (2010). Trans people and work. A research into the work situation of trans people in the Netherlands and Flanders. Utrecht: Rutgers Nisso Groep.

  • Verschoor, A. M., & Poortinga, J. (1988). Psychosocial differences between Dutch male and female transsexuals. Archives of Sexual Behavior, 17, 173–178. doi:10.1007/bf01542666.

    Article  PubMed  Google Scholar 

  • Wålinder, J. (1971). Incidence and sex ratio of transsexualism in Sweden. British Journal of Psychiatry, 119, 195–196. doi:10.1192/bjp.119.549.195.

    Article  PubMed  Google Scholar 

  • Weitze, C., & Osburg, S. (1996). Transsexualism in Germany: Empirical data on epidemiology and application of the German Transsexuals’ Act during its first ten years. Archives of Sexual Behavior, 25, 409–425. doi:10.1007/bf02437583.

    Article  PubMed  Google Scholar 

  • Whittle, S., Turner, L., & Al-Alami, M. (2007). Engendered penalties: transgender and transsexual people’s experiences of inequality and discrimination. West Yorkshire: The Equalities Review.

    Google Scholar 

  • Wilson, P., Sharp, C., & Carr, S. (1999). The prevalence of gender dysphoria in Scotland: A primary care study. British Journal of General Practice, 49, 991–992.

    PubMed Central  PubMed  Google Scholar 

  • Zucker, K. J., & Lawrence, A. A. (2009). Epidemiology of gender identity disorder: Recommendations for the standards of care of the World Professional Association for Transgender Health. International Journal of Transgenderism, 11, 8–18. doi:10.1080/15532730902799946.

    Article  Google Scholar 

Download references

Acknowledgments

The Social Survey data were collected by the first author through the financial support of the Institute for the Equality of Women and Men (IEWM). The authors thank the IEWM for providing the official state data.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joz Motmans.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Motmans, J., Ponnet, K. & De Cuypere, G. Sociodemographic Characteristics of Trans Persons in Belgium: A Secondary Data Analysis of Medical, State, and Social Data. Arch Sex Behav 44, 1289–1299 (2015). https://doi.org/10.1007/s10508-014-0411-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-014-0411-2

Keywords

Navigation