变性化过程对跨性别个体自我治疗的影响
Arthur Machado Geiger Dias de Moraes1, Caren Nariel Pereira Santos Souza1, Luiza Taddeo Marques1
1Universidade Federal da Bahia. Instituto de Ciências da Saúde. Departamento de Biorregulação. Salvador, BA, Brasil.
Revista de saude publica
|July 31, 2024
概括
在巴西的跨性别人群中,变性化过程专业中心 (SCTP) 显著减少了跨性别激素治疗 (CSHT) 的自我治疗. 建议扩大这些中心以改善健康结果.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 巴西的跨性别者面临着教育和医疗保健方面的重大障碍.
- 这些障碍有助于高率的自我治疗与跨性别激素治疗 (CSHT).
- 为了满足这些需求,在变性化过程 (SCTP) 中建立了专门的中心.
研究的目的:
- 评估SCTP实施对CSHT自我治疗的影响.
- 评估进入SCTP的跨性别个人教育水平的变化.
- 分析跨性别者的心理健康状况,包括焦虑和抑郁症.
主要方法:
- 横截面研究分析了2017年9月至2023年2月的医疗记录.
- 在巴西巴伊亚州实施SCTP之前和之后的CSHT使用情况进行比较.
- 收集了有关教育水平和先前对焦虑和抑郁症的诊断的数据.
主要成果:
- 总共有219名参与者 (127名跨性别男性,92名跨性别女性和跨性别者) 被纳入.
- SCTP的实施显著减少了自我治疗:TrTW从92.98%降至51.43% (p<0.001),TM从47.17%降至25.67% (p=0.010).
- 在SCTP之前使用CSHT与较低的抑郁症患病率有关;自我治疗与教育或焦虑无关.
结论:
- SCTP的实施与跨性别人口中自我治疗率的降低有关.
- 这些发现强调了扩大SCTP服务的必要性.
- 改善获得专业护理的机会可以减轻与自我治疗相关的风险.
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