Skip to main content
Top
Published in: Sports Medicine 4/2017

Open Access 01-04-2017 | Systematic Review

Sport and Transgender People: A Systematic Review of the Literature Relating to Sport Participation and Competitive Sport Policies

Authors: Bethany Alice Jones, Jon Arcelus, Walter Pierre Bouman, Emma Haycraft

Published in: Sports Medicine | Issue 4/2017

Login to get access

Abstract

Background

Whether transgender people should be able to compete in sport in accordance with their gender identity is a widely contested question within the literature and among sport organisations, fellow competitors and spectators. Owing to concerns surrounding transgender people (especially transgender female individuals) having an athletic advantage, several sport organisations place restrictions on transgender competitors (e.g. must have undergone gender-confirming surgery). In addition, some transgender people who engage in sport, both competitively and for leisure, report discrimination and victimisation.

Objective

To the authors’ knowledge, there has been no systematic review of the literature pertaining to sport participation or competitive sport policies in transgender people. Therefore, this review aimed to address this gap in the literature.

Method

Eight research articles and 31 sport policies were reviewed.

Results

In relation to sport-related physical activity, this review found the lack of inclusive and comfortable environments to be the primary barrier to participation for transgender people. This review also found transgender people had a mostly negative experience in competitive sports because of the restrictions the sport’s policy placed on them. The majority of transgender competitive sport policies that were reviewed were not evidence based.

Conclusion

Currently, there is no direct or consistent research suggesting transgender female individuals (or male individuals) have an athletic advantage at any stage of their transition (e.g. cross-sex hormones, gender-confirming surgery) and, therefore, competitive sport policies that place restrictions on transgender people need to be considered and potentially revised.
Literature
1.
go back to reference Coleman E, Bockting W, Botzer M, et al. Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7. Int J Transgend. 2012;13:165–232.CrossRef Coleman E, Bockting W, Botzer M, et al. Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7. Int J Transgend. 2012;13:165–232.CrossRef
2.
go back to reference Wylie K, Barrett J, Besser M, et al. Good practice guidelines for the assessment and treatment of adults with gender dysphoria. Sex Relatsh Ther. 2012;29:154–214.CrossRef Wylie K, Barrett J, Besser M, et al. Good practice guidelines for the assessment and treatment of adults with gender dysphoria. Sex Relatsh Ther. 2012;29:154–214.CrossRef
3.
go back to reference Arcelus J, Bouman WP, Van De Noortgate W, et al. Systematic review and meta-analysis of prevalence studies in transsexualism. Eur Psychiatry. 2015;30(6):807–15.CrossRefPubMed Arcelus J, Bouman WP, Van De Noortgate W, et al. Systematic review and meta-analysis of prevalence studies in transsexualism. Eur Psychiatry. 2015;30(6):807–15.CrossRefPubMed
4.
go back to reference Aitken M, Steensma TD, Blanchard R, et al. Evidence for an altered sex ratio in clinic-referred adolescents with gender dysphoria. J Sex Med. 2015;12(3):756–63.CrossRefPubMed Aitken M, Steensma TD, Blanchard R, et al. Evidence for an altered sex ratio in clinic-referred adolescents with gender dysphoria. J Sex Med. 2015;12(3):756–63.CrossRefPubMed
6.
go back to reference Kuyper L, Wijsen C. Gender identities and gender dysphoria in the Netherlands. Arch Sex Behav. 2014;43(2):377–85.CrossRefPubMed Kuyper L, Wijsen C. Gender identities and gender dysphoria in the Netherlands. Arch Sex Behav. 2014;43(2):377–85.CrossRefPubMed
8.
go back to reference Bouman WP, de Vries AL, T’Sjoen G. Gender dysphoria and gender incongruence: an evolving inter-disciplinary field. Int Rev Psychiatry. 2016;28(1):1–4.CrossRefPubMed Bouman WP, de Vries AL, T’Sjoen G. Gender dysphoria and gender incongruence: an evolving inter-disciplinary field. Int Rev Psychiatry. 2016;28(1):1–4.CrossRefPubMed
9.
go back to reference Claes L, Bouman WP, Witcomb GL, et al. Non-suicidal self-injury in trans people: associations with psychological symptoms, victimization, interpersonal functioning and perceived social support. J Sex Med. 2015;12(1):168–79.CrossRefPubMed Claes L, Bouman WP, Witcomb GL, et al. Non-suicidal self-injury in trans people: associations with psychological symptoms, victimization, interpersonal functioning and perceived social support. J Sex Med. 2015;12(1):168–79.CrossRefPubMed
10.
go back to reference Hill D, Willoughby B. The development and validation of the genderism and transphobia scale. Sex Roles. 2005;53(7):534–44. Hill D, Willoughby B. The development and validation of the genderism and transphobia scale. Sex Roles. 2005;53(7):534–44.
11.
go back to reference Mizock L, Mueser KT. Employment, mental health, internalized stigma, and coping with transphobia among transgender individuals. Psychol Sex Orientat Gend Divers. 2014;1(2):146–58.CrossRef Mizock L, Mueser KT. Employment, mental health, internalized stigma, and coping with transphobia among transgender individuals. Psychol Sex Orientat Gend Divers. 2014;1(2):146–58.CrossRef
12.
go back to reference Ellis SJ, McNeil J, Bailey L. Gender, stage of transition and situational avoidance: a UK study of trans people’s experiences. Sex Relatsh Ther. 2014;29(3):351–64.CrossRef Ellis SJ, McNeil J, Bailey L. Gender, stage of transition and situational avoidance: a UK study of trans people’s experiences. Sex Relatsh Ther. 2014;29(3):351–64.CrossRef
13.
go back to reference De Moor MHM, Beem AL, Stubbe JH, et al. Regular exercise, anxiety, depression and personality: a population-based study. Prev Med. 2006;42(4):273–9.CrossRefPubMed De Moor MHM, Beem AL, Stubbe JH, et al. Regular exercise, anxiety, depression and personality: a population-based study. Prev Med. 2006;42(4):273–9.CrossRefPubMed
14.
go back to reference Maltby J, Day L. The relationship between exercise motives and psychological well-being. J Psychol. 2001;135(6):651–60.CrossRefPubMed Maltby J, Day L. The relationship between exercise motives and psychological well-being. J Psychol. 2001;135(6):651–60.CrossRefPubMed
15.
go back to reference Dhejne C, Lichtenstein P, Boman M, et al. Long-term follow-up of transsexual persons undergoing sex reassignment surgery: cohort study in Sweden. PLoS One. 2011;6(2):e16885.CrossRefPubMedPubMedCentral Dhejne C, Lichtenstein P, Boman M, et al. Long-term follow-up of transsexual persons undergoing sex reassignment surgery: cohort study in Sweden. PLoS One. 2011;6(2):e16885.CrossRefPubMedPubMedCentral
16.
go back to reference Hepp U, Kraemer B, Schnyder U, et al. Psychiatric comorbidity in gender identity disorder. J Psychosom Res. 2005;58(3):259–61.CrossRefPubMed Hepp U, Kraemer B, Schnyder U, et al. Psychiatric comorbidity in gender identity disorder. J Psychosom Res. 2005;58(3):259–61.CrossRefPubMed
17.
go back to reference Beek TF, Kreukels BPC, Cohen-Kettenis PT, et al. Partial gender request and underlying motives of applicants for gender affirming interventions. J Sex Med. 2015;12(11):2201–5.CrossRefPubMed Beek TF, Kreukels BPC, Cohen-Kettenis PT, et al. Partial gender request and underlying motives of applicants for gender affirming interventions. J Sex Med. 2015;12(11):2201–5.CrossRefPubMed
19.
go back to reference Cavanagh S, Sykes H. Transsexual bodies at the Olympics: the International Olympic Committee’s policy on transsexual athletes at the 2004 Athens summer games. Body Soc. 2006;12(3):75–102.CrossRef Cavanagh S, Sykes H. Transsexual bodies at the Olympics: the International Olympic Committee’s policy on transsexual athletes at the 2004 Athens summer games. Body Soc. 2006;12(3):75–102.CrossRef
22.
go back to reference Moher D, Liberati A, Tetzlaff J, et al. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2006;6(7):e1000097.CrossRef Moher D, Liberati A, Tetzlaff J, et al. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2006;6(7):e1000097.CrossRef
23.
go back to reference Gooren L, Bunck M. Transsexuals and competitive sports. Eur J Endocrinol. 2005;151(4):425–9.CrossRef Gooren L, Bunck M. Transsexuals and competitive sports. Eur J Endocrinol. 2005;151(4):425–9.CrossRef
24.
go back to reference Hargie OD, Mitchell DH, Somerville IJ. “People have a knack of making you feel excluded if they catch on to your difference”: transgender experiences of exclusion in sport. Int Rev Sociol Sport. 2015. doi:10.1177/1012690215583283 (Epub Apr 22 2015). Hargie OD, Mitchell DH, Somerville IJ. “People have a knack of making you feel excluded if they catch on to your difference”: transgender experiences of exclusion in sport. Int Rev Sociol Sport. 2015. doi:10.​1177/​1012690215583283​ (Epub Apr 22 2015).
25.
go back to reference Caudwell J. [Transgender] young men: gendered subjectivities and the physically active body. Sport Educ Soc. 2012;19(4):1–17. Caudwell J. [Transgender] young men: gendered subjectivities and the physically active body. Sport Educ Soc. 2012;19(4):1–17.
26.
go back to reference Cohen J, Semerjian T. The collision of trans-experience and the politics of women’s ice hockey. Int J Transgend. 2008;10(3):133–45.CrossRef Cohen J, Semerjian T. The collision of trans-experience and the politics of women’s ice hockey. Int J Transgend. 2008;10(3):133–45.CrossRef
27.
go back to reference Semerjian TZ, Cohen JH. “FTM means female to me”: transgender athletes performing gender. Women Sport Phys Act J. 2006;15(2):28.CrossRef Semerjian TZ, Cohen JH. “FTM means female to me”: transgender athletes performing gender. Women Sport Phys Act J. 2006;15(2):28.CrossRef
28.
go back to reference Tagg B. Transgender netballers: ethical issues and lived realities. Sociol Sport J. 2012;29(2):151–67.CrossRef Tagg B. Transgender netballers: ethical issues and lived realities. Sociol Sport J. 2012;29(2):151–67.CrossRef
29.
go back to reference Travers A, Deri J. Transgender inclusion and the changing face of lesbian softball leagues. Int Rev Social Sport. 2011;46(4):488–507.CrossRef Travers A, Deri J. Transgender inclusion and the changing face of lesbian softball leagues. Int Rev Social Sport. 2011;46(4):488–507.CrossRef
30.
go back to reference Muchicko MM, Lepp A, Barkley JE. Peer victimization, social support and leisure-time physical activity in transgender and cisgender individuals. Leisure. 2014;38(3–4):295–308.CrossRef Muchicko MM, Lepp A, Barkley JE. Peer victimization, social support and leisure-time physical activity in transgender and cisgender individuals. Leisure. 2014;38(3–4):295–308.CrossRef
60.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.CrossRef
61.
go back to reference Carroll JH. The inclusion of transgender students in United States school-based athletics. In: Hargreaves J, Anderson E, editors. Routledge handbook of sport, gender and sexuality. London and New York: Routledge; 2014. p. 367–75. Carroll JH. The inclusion of transgender students in United States school-based athletics. In: Hargreaves J, Anderson E, editors. Routledge handbook of sport, gender and sexuality. London and New York: Routledge; 2014. p. 367–75.
62.
go back to reference Teetzel S. On transgendered athletes, fairness and doping: an international challenge. Sport Soc. 2006;9(2):227–51.CrossRef Teetzel S. On transgendered athletes, fairness and doping: an international challenge. Sport Soc. 2006;9(2):227–51.CrossRef
63.
go back to reference Lucas-Carr BC, Krane V. What is the T in LGBT? Supporting transgender athletes through sport psychology. Sport Psychol. 2011;25(4):532–48.CrossRef Lucas-Carr BC, Krane V. What is the T in LGBT? Supporting transgender athletes through sport psychology. Sport Psychol. 2011;25(4):532–48.CrossRef
64.
go back to reference Pieper LP. Gender regulation: Renée Richards revisited. Int J Hist Sport. 2012;29(5):675–90.CrossRef Pieper LP. Gender regulation: Renée Richards revisited. Int J Hist Sport. 2012;29(5):675–90.CrossRef
65.
go back to reference Sykes H. Transsexual and transgender policies in sport. Women Sport Phys Act J. 2006;15(1):3–13.CrossRef Sykes H. Transsexual and transgender policies in sport. Women Sport Phys Act J. 2006;15(1):3–13.CrossRef
66.
go back to reference Sullivan CF. Gender verification and gender policies in elite sport: eligibility and “fair play”. J Sport Social Iss. 2011;35(4):400–19.CrossRef Sullivan CF. Gender verification and gender policies in elite sport: eligibility and “fair play”. J Sport Social Iss. 2011;35(4):400–19.CrossRef
68.
go back to reference Mauras N, Hayes V, Welch S, et al. Testosterone deficiency in young men: marked alterations in whole body protein kinetics, strength, and adiposity. J Clin Endocrinol Metab. 1998;83(6):1886–92.PubMed Mauras N, Hayes V, Welch S, et al. Testosterone deficiency in young men: marked alterations in whole body protein kinetics, strength, and adiposity. J Clin Endocrinol Metab. 1998;83(6):1886–92.PubMed
69.
go back to reference Storer TW, Magliano L, Woodhouse L, et al. Testosterone dose-dependently increases maximal voluntary strength and leg power, but does not affect fatigability or specific tension. J Clin Endocrinol Metab. 2003;88(4):1478–85.CrossRefPubMed Storer TW, Magliano L, Woodhouse L, et al. Testosterone dose-dependently increases maximal voluntary strength and leg power, but does not affect fatigability or specific tension. J Clin Endocrinol Metab. 2003;88(4):1478–85.CrossRefPubMed
70.
go back to reference Elbers JMH, Asscheman H, Seidell JC, et al. Effects of sex steroid hormones on regional fat depots as assessed by magnetic resonance imaging in transsexuals. Am J Physiol Endocrinol Metab. 1999;276(2):317–25. Elbers JMH, Asscheman H, Seidell JC, et al. Effects of sex steroid hormones on regional fat depots as assessed by magnetic resonance imaging in transsexuals. Am J Physiol Endocrinol Metab. 1999;276(2):317–25.
71.
go back to reference Schultz J. Caster Semenya and the “question of too”: sex testing in elite women’s sport and the issue of advantage. Quest. 2011;63(2):228–43.CrossRef Schultz J. Caster Semenya and the “question of too”: sex testing in elite women’s sport and the issue of advantage. Quest. 2011;63(2):228–43.CrossRef
72.
go back to reference Harper J. Race time for transgender athletes. J Sporting Cult Identities. 2015;6:1–9.CrossRef Harper J. Race time for transgender athletes. J Sporting Cult Identities. 2015;6:1–9.CrossRef
73.
go back to reference Karkazis K, Jordan-Young R, Davis G, Camporesi S. Out of bounds? A critique of the new policies on hyperandrogenism in elite female athletes. Am J Bioeth. 2012;12(7):3–16.CrossRefPubMedPubMedCentral Karkazis K, Jordan-Young R, Davis G, Camporesi S. Out of bounds? A critique of the new policies on hyperandrogenism in elite female athletes. Am J Bioeth. 2012;12(7):3–16.CrossRefPubMedPubMedCentral
Metadata
Title
Sport and Transgender People: A Systematic Review of the Literature Relating to Sport Participation and Competitive Sport Policies
Authors
Bethany Alice Jones
Jon Arcelus
Walter Pierre Bouman
Emma Haycraft
Publication date
01-04-2017
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 4/2017
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-016-0621-y

Other articles of this Issue 4/2017

Sports Medicine 4/2017 Go to the issue