Évolution de la prévalence et de l’incidence de la dysphorie de genre en France depuis 2013 à partir des bases médico-administratives

Abstract

Introduction: In France, trans people can benefit from the coverage of care related to their trans-identity in Long Term Affection (Affection Longue Durée ALD) under the code F64.

Purpose of research: The aim of this article is to estimate the prevalence and the incidence of trans people in transition from the medical and administrative reimbursement databases in France.

Results: In 2020, 8952 persons were in ALD F64. The prevalence was 1.50/100 000 in 2013 and 14.09/100 000 in 2020 all ages combined. Among 0-17 year olds, the increase of prevalence was the greatest (36.75-fold increase). The 18-35 year olds were the largest numbers (459 in 2013 vs 6148 in 2020) with a 12.69 fold increase in prevalence. The incidence has increased by a factor of 8. The incidence of the 0-17 year olds has increased by a factor of 29.45 in 6 years, those of the 18-35 year olds by a factor of 10.63. Overall, more MtF than FtM are observed except in minors and young adults.

Conclusions: There is an overall increase of people with ALD F64 but more marked in minors and young adults. The MtF/FtM ratio is still higher than 1 but tends to be closer to it. It is reversed in minors and young adults.