Male-to-female transitions: Implications for occupational performance, health, and life satisfaction

Michal Avrech Bar*, Tal Jarus, Mineko Wada, Leora Rechtman, Einav Noy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background. People who undergo a gender transition process experience changes in different everyday occupations. These changes may impact their health and life satisfaction. Purpose. This study examined the difference in the occupational performance history scales (occupational identity, competence, and settings) between male-to-female transgender women and cisgender women and the relation of these scales to health and life satisfaction. Method. Twenty-two transgender women and 22 matched cisgender women completed a demographic questionnaire and three reliable measures in this cross-sectional study. Data were analyzed using a two-way analysis of variance and multiple linear regressions. Findings. The results indicate lower performance scores for the transgender women. In addition, occupational settings and group membership (transgender and cisgender groups) were found to be predictors of life satisfaction. Implications. The present study supports the role of occupational therapy in promoting occupational identity and competence of transgender women and giving special attention to their social and physical environment.

Original languageEnglish
Pages (from-to)72-82
Number of pages11
JournalCanadian Journal of Occupational Therapy
Issue number2
StatePublished - Apr 2016


  • Competence
  • Gender identity
  • Occupational Performance History Interview
  • Occupations
  • Transgender


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