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

Arthur Machado Geiger Dias de  Moraes; Caren Nariel Pereira Santos  Souza; Luiza Taddeo Marques; João Fernando Nascimento de Barcelos; Felipe Barros  Oliveira; Rafaela Góes Bispo; Rodrigo Gomes Santos; Ailton  da Silva Santos; José Antônio Diniz Faria Júnior; Luciana Mattos Barros Oliveira

doi:10.11606/s1518-8787.2024058005791

Autores

Arthur Machado Geiger Dias de Moraes Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0001-8049-7413
Caren Nariel Pereira Santos Souza Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0002-0126-3764
Luiza Taddeo Marques Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0001-7035-6158
João Fernando Nascimento de Barcelos Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0003-2617-4108
Felipe Barros Oliveira Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0001-5942-1537
Rafaela Góes Bispo Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0002-4146-2602
Rodrigo Gomes Santos Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0009-0006-0373-2153
Ailton da Silva Santos Centro Estadual Especializado em Diagnóstico, Assistência e Pesquisa. Salvador, BA, Brasil https://orcid.org/0000-0001-6146-8174
José Antônio Diniz Faria Júnior Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0003-4322-4568
Luciana Mattos Barros Oliveira Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil https://orcid.org/0000-0001-5346-8449

DOI:

https://doi.org/10.11606/s1518-8787.2024058005791

Palavras-chave:

Health Services for Transgender Persons, Transgender Persons, Self Medication, Hormone Therapy

Resumo

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.

CONCLUSION: The results indicate the need for the expansion of SCTP, as they were associated with lower rates of self-medication in the transgender population.

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

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