Application of the transgender male voice questionnaire in a Brazilian population sample
ObjectivesThe aim of this study was to adapt and apply the Portuguese version of the Transgender Man Voice Questionnaire in a sample of Brazilian transgender men and to investigate the relationship between voice satisfaction and hormone therapy duration. In addition, we suggest reducing and reformul...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1480423/full |
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| author | Karine Schwarz Karine Schwarz Karine Schwarz Anna Paula Villas-Bôas Anna Paula Villas-Bôas Carla Aparecida Cielo Dhiordan Carodoso da Silva Eliane Dias da Silva Eliane Dias da Silva Tayane Muniz Fighera Tayane Muniz Fighera Angelo Brandelli Costa Maria Inês Rodrigues Lobato Poli Mara Spritzer Poli Mara Spritzer |
| author_facet | Karine Schwarz Karine Schwarz Karine Schwarz Anna Paula Villas-Bôas Anna Paula Villas-Bôas Carla Aparecida Cielo Dhiordan Carodoso da Silva Eliane Dias da Silva Eliane Dias da Silva Tayane Muniz Fighera Tayane Muniz Fighera Angelo Brandelli Costa Maria Inês Rodrigues Lobato Poli Mara Spritzer Poli Mara Spritzer |
| author_sort | Karine Schwarz |
| collection | DOAJ |
| description | ObjectivesThe aim of this study was to adapt and apply the Portuguese version of the Transgender Man Voice Questionnaire in a sample of Brazilian transgender men and to investigate the relationship between voice satisfaction and hormone therapy duration. In addition, we suggest reducing and reformulating the questionnaire for screening.MethodsWe conducted a cross-sectional study of 31 transgender men aged 18–50 years undergoing hormone therapy who answered a questionnaire adapted from the Transgender Woman Voice Questionnaire, validated in Portuguese. Sociodemographic and clinical data were collected from the individuals’ electronic medical records: age, smoking status, and type and duration of hormone therapy. The questionnaire, consisting of 30 questions rated on a Likert scale, was answered individually during a psychotherapy session. In each question, the gender-specific words were modified. Furthermore, we added a question: 31 (After GAHT, my voice became completely male), with the response options yes or no. In questions 32 and 33, asking participants to provide an overall rating of their voice. Total score ranged from 0 to 120, with higher scores indicating greater dissatisfaction with voice.ResultsMean patient age was 30.13 ± 7.6 years, and 19.4% were smokers. The mean duration of hormone therapy was 29.7 ± 24.9 months, and 95% received intramuscular testosterone cypionate, maintaining serum testosterone levels within the male reference range. The questionnaire mean total score was 51 ± 17.72. There was a significant negative correlation between the questionnaire total score and duration of hormone therapy (r = −0.484, p = 0.006). The questionnaire had a high level of internal consistency/reliability, with a Cronbach’s alpha coefficient of 0.95 for all items and a split-half Spearman-Brown coefficient of 0.96. For the elaboration of a screening tool, it is suggested to remove questions 8, 10, 12, 13, 14, 17, 19, 23, 27, and 29 and modify question 1.ConclusionLonger hormone therapy favors voice deepening and satisfaction with voice. The psychometric properties of the Transgender Man Voice Questionnaire are reliable, supporting its use as a screening tool in clinical practice and as an adjunct to the planning of vocal and communication support for transgender individuals. |
| format | Article |
| id | doaj-art-841bb350e6fb4fb7a05240683fb1ca12 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-841bb350e6fb4fb7a05240683fb1ca122024-12-16T06:18:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-12-011210.3389/fpubh.2024.14804231480423Application of the transgender male voice questionnaire in a Brazilian population sampleKarine Schwarz0Karine Schwarz1Karine Schwarz2Anna Paula Villas-Bôas3Anna Paula Villas-Bôas4Carla Aparecida Cielo5Dhiordan Carodoso da Silva6Eliane Dias da Silva7Eliane Dias da Silva8Tayane Muniz Fighera9Tayane Muniz Fighera10Angelo Brandelli Costa11Maria Inês Rodrigues Lobato12Poli Mara Spritzer13Poli Mara Spritzer14Division of Endocrinology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilDepartment of Psychiatry, Gender Identity Program at Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilPostgraduate Program in Endocrinology and Metabology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilDepartment of Psychiatry, Gender Identity Program at Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilPostgraduate Program in Endocrinology and Metabology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilDepartment of Speech Therapy, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, BrazilDepartment of Psychiatry, Gender Identity Program at Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilDivision of Endocrinology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilPostgraduate Program in Endocrinology and Metabology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilDivision of Endocrinology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilPostgraduate Program in Endocrinology and Metabology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilDepartment of Psychology, Pontifical Catholic University of Porto Alegre, Porto Alegre, BrazilDepartment of Psychiatry, Gender Identity Program at Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilDivision of Endocrinology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilPostgraduate Program in Endocrinology and Metabology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilObjectivesThe aim of this study was to adapt and apply the Portuguese version of the Transgender Man Voice Questionnaire in a sample of Brazilian transgender men and to investigate the relationship between voice satisfaction and hormone therapy duration. In addition, we suggest reducing and reformulating the questionnaire for screening.MethodsWe conducted a cross-sectional study of 31 transgender men aged 18–50 years undergoing hormone therapy who answered a questionnaire adapted from the Transgender Woman Voice Questionnaire, validated in Portuguese. Sociodemographic and clinical data were collected from the individuals’ electronic medical records: age, smoking status, and type and duration of hormone therapy. The questionnaire, consisting of 30 questions rated on a Likert scale, was answered individually during a psychotherapy session. In each question, the gender-specific words were modified. Furthermore, we added a question: 31 (After GAHT, my voice became completely male), with the response options yes or no. In questions 32 and 33, asking participants to provide an overall rating of their voice. Total score ranged from 0 to 120, with higher scores indicating greater dissatisfaction with voice.ResultsMean patient age was 30.13 ± 7.6 years, and 19.4% were smokers. The mean duration of hormone therapy was 29.7 ± 24.9 months, and 95% received intramuscular testosterone cypionate, maintaining serum testosterone levels within the male reference range. The questionnaire mean total score was 51 ± 17.72. There was a significant negative correlation between the questionnaire total score and duration of hormone therapy (r = −0.484, p = 0.006). The questionnaire had a high level of internal consistency/reliability, with a Cronbach’s alpha coefficient of 0.95 for all items and a split-half Spearman-Brown coefficient of 0.96. For the elaboration of a screening tool, it is suggested to remove questions 8, 10, 12, 13, 14, 17, 19, 23, 27, and 29 and modify question 1.ConclusionLonger hormone therapy favors voice deepening and satisfaction with voice. The psychometric properties of the Transgender Man Voice Questionnaire are reliable, supporting its use as a screening tool in clinical practice and as an adjunct to the planning of vocal and communication support for transgender individuals.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1480423/fullvoicevoice satisfactiongender identitytransgenderhormone therapy |
| spellingShingle | Karine Schwarz Karine Schwarz Karine Schwarz Anna Paula Villas-Bôas Anna Paula Villas-Bôas Carla Aparecida Cielo Dhiordan Carodoso da Silva Eliane Dias da Silva Eliane Dias da Silva Tayane Muniz Fighera Tayane Muniz Fighera Angelo Brandelli Costa Maria Inês Rodrigues Lobato Poli Mara Spritzer Poli Mara Spritzer Application of the transgender male voice questionnaire in a Brazilian population sample Frontiers in Public Health voice voice satisfaction gender identity transgender hormone therapy |
| title | Application of the transgender male voice questionnaire in a Brazilian population sample |
| title_full | Application of the transgender male voice questionnaire in a Brazilian population sample |
| title_fullStr | Application of the transgender male voice questionnaire in a Brazilian population sample |
| title_full_unstemmed | Application of the transgender male voice questionnaire in a Brazilian population sample |
| title_short | Application of the transgender male voice questionnaire in a Brazilian population sample |
| title_sort | application of the transgender male voice questionnaire in a brazilian population sample |
| topic | voice voice satisfaction gender identity transgender hormone therapy |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1480423/full |
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