PDF(Pubmed)
Abstract：
OBJECTIVE: The transgender population in Brazil faces marginalization and difficulties in accessing education and health, leading many individuals to self-medicate. This study aimed to evaluate the impact of the implementation of Specialized Centers in the Transsexualizing Process (SCTP) on the use of cross-sex hormone therapy (CSHT) without medical prescription, as well as the level of education and mental health profile of these individuals.
METHODS: This is a cross-sectional study with data from physical and electronic medical records between September 2017 and February 2023 regarding the use of CSHT before and after the implementation of two SCTP in the state of Bahia, Brazil, in addition to data on education level, previous diagnosis of anxiety and depression of patients.
RESULTS: A total of 219 participants, 127 transgender men (TM) and 92 transgender women and travestis (TrTW), were assessed. A significant reduction in the prevalence of self-medication was observed in both TrTW (92.98% before and 51.43% after, p<0.001), and TM (47.17% before and 25.67% after, p = 0.010) with the implementation of SCTP. Transgender individuals who used CSHT before accessing the service were found to have a lower prevalence of depression. Self-medication was not significantly associated with education or anxiety in our sample.
CONCLUSIONS: The results indicate the need for the expansion of SCTP, as they were associated with lower rates of self-medication in the transgender population.
METHODS: This is a cross-sectional study with data from physical and electronic medical records between September 2017 and February 2023 regarding the use of CSHT before and after the implementation of two SCTP in the state of Bahia, Brazil, in addition to data on education level, previous diagnosis of anxiety and depression of patients.
RESULTS: A total of 219 participants, 127 transgender men (TM) and 92 transgender women and travestis (TrTW), were assessed. A significant reduction in the prevalence of self-medication was observed in both TrTW (92.98% before and 51.43% after, p<0.001), and TM (47.17% before and 25.67% after, p = 0.010) with the implementation of SCTP. Transgender individuals who used CSHT before accessing the service were found to have a lower prevalence of depression. Self-medication was not significantly associated with education or anxiety in our sample.
CONCLUSIONS: The results indicate the need for the expansion of SCTP, as they were associated with lower rates of self-medication in the transgender population.
摘要：
目标：巴西的跨性别人口面临边缘化和难以获得教育和保健，导致许多人自我治疗。本研究旨在评估在无医疗处方的情况下，在变性过程（SCTP）中实施专业中心对使用跨性激素治疗（CSHT）的影响。以及这些人的教育水平和心理健康状况。
方法：这是一项横断面研究，来自2017年9月至2023年2月之间的物理和电子病历数据，涉及在巴伊亚州实施两个SCTP之前和之后使用CSHT。巴西,除了教育水平的数据，既往诊断为焦虑和抑郁的患者。
结果：共有219名参与者，127名变性男性（TM）和92名变性女性和旅行者（TrTW），被评估。在TrTW中观察到自我药疗的患病率显着降低（之前为92.98％，之后为51.43％，p<0.001)，和TM(前47.17%，后25.67%，p=0.010)与SCTP的实施。发现在访问服务之前使用CSHT的跨性别者的抑郁症患病率较低。在我们的样本中，自我药物治疗与教育或焦虑没有显着相关。
结论：结果表明需要扩展SCTP，因为它们与跨性别人群中自我药物治疗的发生率较低相关。
方法：这是一项横断面研究，来自2017年9月至2023年2月之间的物理和电子病历数据，涉及在巴伊亚州实施两个SCTP之前和之后使用CSHT。巴西,除了教育水平的数据，既往诊断为焦虑和抑郁的患者。
结果：共有219名参与者，127名变性男性（TM）和92名变性女性和旅行者（TrTW），被评估。在TrTW中观察到自我药疗的患病率显着降低（之前为92.98％，之后为51.43％，p<0.001)，和TM(前47.17%，后25.67%，p=0.010)与SCTP的实施。发现在访问服务之前使用CSHT的跨性别者的抑郁症患病率较低。在我们的样本中，自我药物治疗与教育或焦虑没有显着相关。
结论：结果表明需要扩展SCTP，因为它们与跨性别人群中自我药物治疗的发生率较低相关。
