Impact of transsexualizing process centers on self-medication of transgender individuals

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-se...

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Bibliographic Details
Published in:	Revista de saúde pública Vol. 58; p. 27
Main Authors:	Moraes, Arthur Machado Geiger Dias de, Souza, Caren Nariel Pereira Santos, Marques, Luiza Taddeo, Barcelos, João Fernando Nascimento de, Oliveira, Felipe Barros, Bispo, Rafaela Góes, Santos, Rodrigo Gomes, Santos, Ailton da Silva, Faria Júnior, José Antônio Diniz, Oliveira, Luciana Mattos Barros
Format:	Journal Article
Language:	English
Published:	Brazil Faculdade de Saúde Pública da Universidade de São Paulo 01-01-2024 Universidade de São Paulo
Subjects:	Adolescent Adult Brazil Cross-Sectional Studies Female Gonadal Steroid Hormones - therapeutic use Health Policy & Services Health Services for Transgender Persons Hormone Therapy Humans Male Middle Aged Original Self Medication Self Medication - statistics & numerical data Socioeconomic Factors Transgender Persons Transgender Persons - psychology Transgender Persons - statistics & numerical data Transsexualism - psychology Young Adult Brazil Self Medication Transgender Persons Health Services for Transgender Persons Hormone Therapy
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Conflict of Interest: The authors declare no conflict of interest.
ISSN:	1518-8787 0034-8910 1518-8787
DOI:	10.11606/s1518-8787.2024058005791