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Nonprescribed Hormone Use and Self-Performed Surgeries: Do-It-Yourself Transitions in Transgender Communities in Ontario, Canada

NOOSHIN KHOBZI ROTONDI ; BAUER, Greta R ; SCANLON, Kyle ; KAAY, Matthias ; TRAVERS, Robb ; TRAVERS, Anna

American journal of public health (1971), 2013-10, Vol.103 (10), p.1830-1836 [Periódico revisado por pares]

Washington, DC: American Public Health Association

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Título:
Nonprescribed Hormone Use and Self-Performed Surgeries: Do-It-Yourself Transitions in Transgender Communities in Ontario, Canada
Autor: NOOSHIN KHOBZI ROTONDI ; BAUER, Greta R ; SCANLON, Kyle ; KAAY, Matthias ; TRAVERS, Robb ; TRAVERS, Anna
Assuntos: Adolescent ; Adult ; Aged ; Androgen Antagonists - administration & dosage ; Biological and medical sciences ; Community ; Community Health ; Confidence Intervals ; Employment ; Epidemiology ; Estradiol - administration & dosage ; Female ; Gender identity ; General aspects ; Gonadal Steroid Hormones - administration & dosage ; Health care policy ; Health insurance ; Health Service Deliver ; Hormones ; Humans ; Insurance coverage ; Lesbian/Gay/Bisexual/Transgender Persons ; Male ; Mastectomy ; Medical personnel ; Medical sciences ; Mental disorders ; Mental health ; Middle Aged ; Miscellaneous ; Ontario - epidemiology ; Orchiectomy ; Prescription Drug Misuse ; Professionals ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Research and Practice ; Self Mutilation - epidemiology ; Self Mutilation - psychology ; Sex Reassignment Surgery ; Social Identification ; Studies ; Surgery ; Transgender persons ; Transgender Persons - psychology ; Young Adult
É parte de: American journal of public health (1971), 2013-10, Vol.103 (10), p.1830-1836
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Peer Reviewed
N. K. Rotondi conceptualized this article, assisted with the study design, performed the statistical analysis, and wrote the article. G. R. Bauer originated the Trans PULSE project, developed the study design, and helped to draft the article. K. Scanlon, M. Kaay, and A. Travers assisted with the study design and helped to draft the article. R. Travers co-originated the Trans PULSE project, assisted with study design, and participated in drafting the article. All authors helped to conceptualize ideas, interpret findings, and review drafts of the article.
Contributors
Descrição: We examined the extent of nonprescribed hormone use and self-performed surgeries among transgender or transsexual (trans) people in Ontario, Canada. We present original survey research from the Trans PULSE Project. A total of 433 participants were recruited from 2009 to 2010 through respondent-driven sampling. We used a case series design to characterize those currently taking nonprescribed hormones and participants who had ever self-performed sex-reassignment surgeries. An estimated 43.0% (95% confidence interval = 34.9, 51.5) of trans Ontarians were currently using hormones; of these, a quarter had ever obtained hormones from nonmedical sources (e.g., friend or relative, street or strangers, Internet pharmacy, herbals or supplements). Fourteen participants (6.4%; 95% confidence interval = 0.8, 9.0) reported currently taking nonprescribed hormones. Five indicated having performed or attempted surgical procedures on themselves (orchiectomy or mastectomy). Past negative experiences with providers, along with limited financial resources and a lack of access to transition-related services, may contribute to nonprescribed hormone use and self-performed surgeries. Promoting training initiatives for health care providers and jurisdictional support for more accessible services may help to address trans people's specific needs.
Editor: Washington, DC: American Public Health Association
Idioma: Inglês

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Nonprescribed Hormone Use and Self-Performed Surgeries: Do-It-Yourself Transitions in Transgender Communities in Ontario, Canada

NOOSHIN KHOBZI ROTONDI ; BAUER, Greta R ; SCANLON, Kyle ; KAAY, Matthias ; TRAVERS, Robb ; TRAVERS, Anna

Washington, DC: American Public Health Association

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