Health-related quality of life of trans people using a specialized health service in Manaus, Amazonas state, Brazil, 2023: a cross-sectional study.

IF 2.5 Q1 Multidisciplinary

Epidemiologia e Servicos de Saude Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222024v33e2024361.especial.en

Erivan Clementino Gualberto Júnior, Açucena Amâncio Dall'Alba, André Luiz Machado das Neves, David Câmara Gurgel do Amaral, Aline Barreto Soares, Fernando José Herkrath, Ana Paula Corrêa de Queiroz Herkrath

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Abstract

Objective: To assess health-related quality of life and associated factors among trans people.

Methods: This was a cross-sectional study conducted in 2023. The 12-Item Short- Form Health Survey was used with trans women, trans men, travestis, and non-binary people who were users of a health service in Manaus, capital city of Amazonas state.

Results: A total of 71 participants were included: 36 trans women; 29 trans men; 2 travestis; and 4 non-binary people, with a mean age 30.1 years. The physical component scored 44.6±7.8, and the mental component scored 38.4±11.1. The emotional aspect with a score of 16.0±1.1, was the most affected domain. Paid employment was associated with better mental quality of life, while having lived in street situations was associated with worse physical quality of life, with mean differences of 4.4 (95%CI 2.3;6.9) and -3.3 (95%CI -7.7;2.3) respectively.

Conclusion: Among trans people, the mental component was more affected than the physical, with the greatest impairment observed in the emotional aspect. Socioeconomic characteristics were associated with quality of life.

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2023年巴西亚马逊州马瑙斯使用专门卫生服务的跨性别者的健康相关生活质量：一项横断面研究。

目的：评价变性人健康相关生活质量及相关因素。方法：这是一项于2023年进行的横断面研究。这项12项简短健康调查是对亚马逊州首府马瑙斯的一所卫生服务机构的跨性别女性、跨性别男性、变性人以及非二元性别人群进行的。结果：共纳入71名参与者：跨性别女性36名；变性人29人；2 travestis;非二元组4人，平均年龄30.1岁。生理成分得分为44.6±7.8分，心理成分得分为38.4±11.1分。情绪方面受影响最大，得分为16.0±1.1分。有偿就业与较好的精神生活质量相关，而在街头生活与较差的身体生活质量相关，平均差异分别为4.4 （95%CI 2.3;6.9）和-3.3 （95%CI -7.7;2.3）。结论：跨性别者在心理方面受到的影响大于生理方面，其中情感方面的损害最大。社会经济特征与生活质量有关。

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