Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil.
Centro Estadual Especializado em Diagnóstico, Assistência e Pesquisa. Salvador, BA, Brasil.
Rev Saude Publica. 2024 Jul 26;58:27. doi: 10.11606/s1518-8787.2024058005791. eCollection 2024.
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.
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.
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.
The results indicate the need for the expansion of SCTP, as they were associated with lower rates of self-medication in the transgender population.
巴西的跨性别群体面临边缘化和获取教育与健康的困难，导致许多人自行用药。本研究旨在评估专门的跨性别化过程中心（SCTP）的实施对未经处方使用跨性别激素治疗（CSHT）的影响，以及这些个体的教育水平和心理健康状况。
这是一项横断面研究，使用了 2017 年 9 月至 2023 年 2 月期间巴西巴伊亚州两个 SCTP 实施前后的物理和电子病历数据，此外还包括患者的教育水平、先前的焦虑和抑郁诊断数据。
共评估了 219 名参与者，其中 127 名为跨性别男性（TM），92 名为跨性别女性和跨性别者（TrTW）。在 SCTP 实施后，TrTW（92.98%变为 51.43%，p<0.001）和 TM（47.17%变为 25.67%，p=0.010）的自行用药比例均显著降低。在获得服务之前使用 CSHT 的跨性别者，其抑郁的患病率较低。在我们的样本中，自行用药与教育程度或焦虑症并无显著关联。
结果表明需要扩大 SCTP 的覆盖范围，因为它们与跨性别群体中自行用药的比例降低有关。
