Sakditat Ittiphisit|Salin Amponnavarat|Natnicha Manaboriboon|Sira Korpaisarn
The Real-World Characteristics of Gender-Affirming Hormonal Use Among Transgender People in Thailand
Navamindradhiraj University|Vajira Hospital|Ramathibodi Hospital|Mahidol University|Siriraj Hospital|Mahidol University|Ramathibodi Hospital|Mahidol University
abstract background thai transgender people tg use genderaffirming hormone therapy gaht medical supervision aim understand current realworld characteristics gaht among tg methods crosssectional survey conducted using online questionnaire september december 2020 tg resided thailand 1 year included selfreported demographic data characteristics gaht obtained reported gaht compared reference regimen recommended 2017 endocrine society clinical practice guideline outcomes characteristics gaht used among tg factors associated hormonal use outside reference regimen reported results total 401 tg included analysis 249 62 transgender men tm tm 81 transgender women 88 using gaht 297 tg provided complete hormone regimen total 224 tg 75 used gaht outside reference regimen main reasons tm using intramuscular testosterone higher dose per injection less frequent intervals transgender women using oral contraceptive pills cyproterone acetate 125 mgd two common reasons univariate analysis revealed factors associated hormonal use outside reference regimen including age survey participation 104 95ci 100108 p 047 age hormone initiation 104 95ci 101108 p 015 tm 208 95ci 122356 p 007 using gaht medical supervision 178 95ci 104305 p 037 multivariate analysis showed living outside capital city solely statistically significant aor 177 95ci 102305 p 041 clinical implications enhancing health literacy gaht among tg crucial especially tg living capital city strengths limitations study demonstrates current realworld practice gaht use among tg medical care however causality could concluded due nature crosssectional observation study results come recall bias conclusion high prevalence gaht use outside reference regimen factor associated hormonal use outside reference regimen living outside capital city