GENDER-Q面部和颈部量表在4890名跨性别及性别多元成年人中的结构效度

文献信息

中文摘要

背景： 性别肯定面部干预旨在使跨性别或性别多元（TGD）人群的面部特征与其性别认同相一致。GENDER-Q是一种全面的患者报告结局测量工具，包含11个量表，用于测量对面部整体、面部特征、特定面部区域以及喉结（亚当苹果）的满意度。
目的： 本研究旨在国际TGD人群中检验面部和颈部量表的结构效度。
方法： 一项国际横断面调查于2022年2月至2024年3月期间收集了GENDER-Q数据。参与者年龄为18岁及以上，并在过去5年内寻求或接受过性别肯定照护。使用独立样本t检验、方差分析和Pearson相关系数检验了预先设定的关于预期组间差异和GENDER-Q量表间相关性的假设。遵循基于共识的健康测量工具选择标准（COSMIN）指南来确立结构效度（即≥75%的假设得到证实）。
结果： 共有4890名参与者完成了GENDER-Q面部整体量表及其他相关量表。样本的性别认同为男性（33%）、女性（37%）、非二元性别（24%）和其他性别（6%）。在11个量表中，符合COSMIN结构效度证据标准的假设百分比范围为78%至100%。正如假设的那样，接受过性别肯定面部手术的参与者报告的外观满意度得分显著高于那些希望手术或需要修复手术的参与者。
结论： GENDER-Q量表符合COSMIN基于假设的结构效度标准。GENDER-Q可用于指导临床照护并推进关于性别肯定面部干预的研究。

英文摘要

BACKGROUND: Gender-affirming facial interventions aim to align facial features of people who identify as transgender or gender diverse (TGD) with their gender identity. GENDER-Q is a comprehensive patient-reported outcome measure with 11 scales that measure satisfaction with the face overall, facial features, specific facial areas, and laryngeal prominence (Adam's apple).
OBJECTIVES: The aim of the study was to examine construct validity for the face and neck scales in an international sample of people who identify as TGD.
METHODS: An international cross-sectional survey collected GENDER-Q data between February 2022 and March 2024. Participants were aged 18 years and older and had sought or received gender-affirming care within the past 5 years. Predefined hypotheses for expected group-level differences and correlations between GENDER-Q scales were tested using independent t-tests, analysis of variance, and Pearson correlation coefficients. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline was followed to establish construct validity (ie, ≥75% hypotheses confirmed).
RESULTS: A total of 4890 participants completed the GENDER-Q Face Overall scale and additional scales as relevant. The sample identified as man (33%), woman (37%), nonbinary (24%), and other gender (6%). The percentage of hypotheses that met the COSMIN criteria of evidence of construct validity ranged from 78% to 100% for the 11 scales. As hypothesized, participants who had undergone gender-affirming facial procedures reported significantly higher satisfaction with appearance scores than those who wanted surgery or required revision surgery.
CONCLUSIONS: GENDER-Q scales met COSMIN criteria for hypothesis-based construct validity. GENDER-Q can be used to inform clinical care and to advance research regarding gender-affirming facial interventions.