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CROSS-SECTIONAL OBSERVATIONAL STUDY OF QUALITY OF LIFE AMONG ADULT TRANSWOMEN HIJRAS OF INDIA


Authors:

Anirban Majumder, MBBS, MD, DM – Professor, K P C Medical College, Kolkata

Soumyabrata Roy Chaudhuri, MBBS, MSc ( DIABETES ) , MRCP – Registrar, K P C Medical College, Kolkata

Abstract:

Objective :

The term Hijrais used to describe eunuchsintersex, and transwomen people in the Indian subcontinent. They are stigmatised in Indian society, live in a separate close knit community and maintain an isolated existence from the main stream. Many of them experience abuses in various forms since childhood. Accordingly these might have adverse consequences on their life and modify their quality of life (QOL). In this context the present study was conducted to assess the QOL among adult transwomen Hijras.  

Methods :

The present cross-sectional study was conducted among 60 Hizras enrolled in the endocrine outpatient clinic of KPC Medical College between January 2018 and October  2018. Subjects were recruited for interview after obtaining written informed consent. Thirty seven control subjects were selected from age matched female employees of the hospital. QOL was assessed by using the validated SF-36 questionnaires. 

Results : Descriptive statistical analysis were carried out with SAS (Statistical Analysis System) version 9.2 for windows, SAS Institute Inc. Cary, NC, USA. The QOL score were not different in General health domain, Physical health domain, Limitation of activities domain, Pain domain, Social activity domain and Energy and emotion domain between transwomen Hizras and control group. However, emotional health problems are statistically more significant amongst the control group rather than that in the Hizras which is in contrast to the trend majorly seen in currently published data.

Discussion :

The prevalence of lesser emotional health problems may be attributed to the social upliftment measures and the legislations passed by the Indian Government in recent times in recognition of the Hizra community. The increase in emotional health problems of the control group may be a reflection of the job stress due to ongoing surge of violence against the hospital staff in this part of India.

Conclusion :

QOL of the transwomen Hijras in India are no different from general women and they have lower levels of emotional health problems than the hospital employees taken as a control group.

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