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On the Incidence and Sex Ratio of Transsexualism in Sweden, 1972–2002

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Abstract

The purpose of this study was to investigate whether the incidence of transsexualism in Sweden has been stable over the period of the three decades sex reassignment has been permitted by law in Sweden and whether there has been a change over time in the sex ratio of those requesting sex reassignment surgery (SRS). The incidence and sex ratio of transsexualism were calculated on the basis of the total number of applications for sex reassignment submitted to the National Board of Health and Welfare between July 1972 and June 2002. The frequency data were then analyzed in relation to the number of SRSs performed, age at the time SRS was requested, and the proportion of applicants of foreign origin. The results showed that the incidence of transsexualism was not stable during the study period of three decades. The sex ratio changed from almost 1:1 in the late 1960s to almost 2:1 in favor of male-to-female (MF) transsexuals in the 1990s. The number of SRSs performed rose considerably after the mid-1980s. On average, MF transsexuals are now 6 years older than female-to-male (FM) transsexuals when they apply for SRS, and MF transsexuals are currently about 8 years older at the time of application than they were 20 years ago. The proportion of applications from applicants of foreign origin increased during the 1990s.

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REFERENCES

  • Akerblom, G. (2000). Se oss transsexuella som en tillgång. [Look at us transsexuals as resources]. Kom Ut! 21(1),10.

    Google Scholar 

  • “Anna”. (1981). Tio års helvete-för att jag bytte kön [Ten years of hell—because of my “sex change”]. Aftonbladet, 9/10, 15.

    Google Scholar 

  • Bentler, P. M. (1976). A typology of transsexualism: Gender identity theory and data. Archives of Sexual Behavior, 5, 567–584.

    Google Scholar 

  • Blanchard, R. (1988). Non-homosexual gender dysphoria. Journal of Sex Research, 24, 188–193.

    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.

    Google Scholar 

  • Eldh, J., Berg, A., & Gustafsson, M. (1997). Long term follow up after sex reassignment surgery. Scandinavian Journal of Plastic Reconstruction Hand Surgery, 31, 39–45.

    Google Scholar 

  • Futterweit, W. (1998). Endocrine therapy of transsexualism and potential complications of long-term treatment. Archives of Sexual Behavior, 27, 209–226.

    Google Scholar 

  • Garrels, L., Kockott, G., Michael, N., Preuss, W., Renter, K., Schmidt, G., et al. (2000). Sex ratio of transsexuals in Germany: The development over three decades. Acta Psychiatrica Scandinavica, 102, 445–448.

    Google Scholar 

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

    Google Scholar 

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

    Google Scholar 

  • KOM UT! (1999). Ockupationen av socialstyrelsen 1979: Tjugo år sedan friskförklaringen [The occupation of the National Board of Health and Welfare 1979: Twenty years after the declaration of health. KOM UT!, 20(8), 4.

    Google Scholar 

  • Landén, M. (1999). Transsexualism: Epidemiology, phenomenology, aetiology, regret after surgery and public attitudes. Academic Dissertation, Institute of Clinical Neuroscience, Göteborg University, Sweden.

    Google Scholar 

  • Landén, M., Wålinder, J, & Lundström, B. (1996). Incidence and sex ratio of transsexualism in Sweden. Acta Psychiatrica Scandinavica, 93, 261–263.

    Google Scholar 

  • Lindemalm, G., Körlin, D., & Uddenberg, N. (1986). Long-term follow-up of “sex-change” in 13 male-to-female transsexuals. Archives of Sexual Behavior, 15, 187–210.

    Google Scholar 

  • National Board of Health and Welfare. (1978). Socialstyrelsen redovisar: Fastställelse av könstillhörighet. En undersökning rörande transsexuella och en översyn av lagstiftningen [Confirmation of gender assignment. A study of transsexuals and an overview of legislation]. Stockholm: Author.

    Google Scholar 

  • Official Statistics of Sweden. (2001). Statistical Yearbook of Sweden 2002. Sundbyberg: Statistics Sweden.

    Google Scholar 

  • Rakic, Z., Starcevic, V., Jovan, N. L., & Kelin, K. (1996). The outcome of sex reassignment surgery in Belgrade: 32 patients of both sexes. Archives of Sexual Behavior, 25, 515–525.

    Google Scholar 

  • Ross, M. W., Wålinder, J., Lundström, B., & Thuwe, I. (1981). Cross-cultural approaches to transsexualism: A comparison between Sweden and Australia. Acta Psychiatrica Scandinavica, 63, 75–82.

    Google Scholar 

  • Sörensen, T., & Hertoft, P. (1980). Sexmodifying operations on transsexuals in Denmark in the period 1950–1977. Acta Psychiatrica Scandinavica, 61, 56–66.

    Google Scholar 

  • Tsoi, W. F. (1988). The prevalence of transsexualism in Singapore. Acta Psychiatrica Scandinavica, 78, 501–504.

    Google Scholar 

  • Tsoi, W. F. (1990). Developmental profile of 200 male and 100 female transsexuals in Singapore. Archives of Sexual Behavior, 19, 595–605.

    Google Scholar 

  • Tsoi, W. F. (1992). Male and female transsexuals: A comparison. Singapore Medical Journal, 33, 182–185.

    Google Scholar 

  • Van Kesteren, P. J., Gooren, L. J., & Megens, J. A. (1996). An epidemiological and demographic study of transsexuals in the Netherlands. Archives of Sexual Behavior, 25, 589–600.

    Google Scholar 

  • von Proschwitz, C. (1994). Gatflickan var en man... men kunderna anar ingenting [The hooker was a man... the customers do not notice]. Expressen, 21(6), 8–9.

    Google Scholar 

  • Wålinder, J. (1967). Transsexualism. A study of forty-three cases. Academic Dissertation, Göteborg, Akademiförlaget.

    Google Scholar 

  • Wålinder, J. (1971). Incidence and sex ratio of transsexualism in Sweden. British Journal of Psychiatry, 119, 195–196.

    Google Scholar 

  • Wålinder, J., & Thuwe, I. (1976). A law concerning sex reassingment of transsexuals in Sweden. Archives of Sexual Behavior, 5, 255–258.

    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.

    Google Scholar 

  • Zucker, K. J., & Bradley, S. J. (1998). Adoptee overrepresentation among clinic-referred boys with gender identity disorder. Canadian Journal of Psychiatry, 43, 1040–1043.

    Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Göteborg University, Göteborg, Sweden

    Stig-Eric Olsson & Anders R. Möller

  2. Psychiatric Clinic, Sahlgrenska University Hospital, Göteborg, Sweden

    Stig-Eric Olsson

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  1. Stig-Eric Olsson
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  2. Anders R. Möller
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Correspondence to Stig-Eric Olsson.

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Olsson, SE., Möller, A.R. On the Incidence and Sex Ratio of Transsexualism in Sweden, 1972–2002. Arch Sex Behav 32, 381–386 (2003). https://doi.org/10.1023/A:1024051201160

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