{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:55:07Z","timestamp":1772232907349,"version":"3.50.1"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT Objective: To analyze the experiences of transgender women and travestis regarding the use of hormones for body changes without a medical prescription. Methods: This is a cross-sectional, quantitative and qualitative study, using data from \u201cTransOdara\u201d, which estimated the prevalence of Sexually Transmitted Infections in transgender women and travestis recruited through Respondent-Driven Sampling, between December 2019 and July 2021, in S\u00e3o Paulo, Campo Grande, Manaus, Porto Alegre, and Salvador, Brazil. The main outcome was: use of hormones without medical prescription and associated risk factors. Descriptive analysis, mixed univariate logistic regression models, and semi-structured interviews were carried out. Results: Of the 1,317 recruited participants, 85.9% had already used hormones. The current use of hormones was reported by 40.7% (536) of them. Of those who were able to inform the place where they obtained them, 72.6% (381\/525) used them without a medical prescription. The variables associated with the outcome were: current full-time sex work (OR 4.59; 95%CI 1.90\u201311.06) or in the past (OR 1.92; 95%CI 1.10\u20133.34), not having changed their name (OR 3.59; 95%CI 2.23\u20135.76), not currently studying (OR 1.83; 95%CI 1.07\u20133.13), being younger (OR 2.16; 95%CI 1.31\u20133.56), and having suffered discrimination at some point in life for being a transgender women and travestis (OR 0.40; 95%CI 0.20\u20130.81). Conclusion: The use of nonprescribed hormones is high among transgender women and travestis, especially among those who are younger, did not study, have not changed their name, and with a history of sex work. This use is related to the urgency for gender transition, with excessive use and damage to health.<\/jats:p>","DOI":"10.1590\/1980-549720240010.supl.1","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T09:21:47Z","timestamp":1724059307000},"source":"Crossref","is-referenced-by-count":0,"title":["Bodies of desire: use of nonprescribed hormones among transgender women and travestis in five Brazilian capitals (2019\u20132021)"],"prefix":"10.1590","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3645-025X","authenticated-orcid":false,"given":"Katia Cristina","family":"Bassichetto","sequence":"first","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9086-9759","authenticated-orcid":false,"given":"Thiago F\u00e9lix","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1582-2010","authenticated-orcid":false,"given":"Claudia","family":"Barros","sequence":"additional","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6156-0587","authenticated-orcid":false,"given":"Paula Andrea Morelli","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Fiocruz Amaz\u00f4nia,. Le\u00f4nidas and Maria Deane Institute, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0680-1485","authenticated-orcid":false,"given":"Rita Suely Bacuri de","family":"Queiroz","sequence":"additional","affiliation":[{"name":"Fiocruz Amaz\u00f4nia,. Le\u00f4nidas and Maria Deane Institute, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5367-3397","authenticated-orcid":false,"given":"Sandro","family":"Sperandei","sequence":"additional","affiliation":[{"name":"Western Sydney University, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1159-5762","authenticated-orcid":false,"given":"Maria Am\u00e9lia de Sousa Mascena","family":"Veras","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","series-title":"Orienta\u00e7\u00f5es sobre identidade de g\u00eanero: conceitos e termos","author":"Jesus JG","year":"2012"},{"key":"ref2","series-title":"Transgender history: the roots of today\u2019s revolution","author":"Stryker S","year":"2017","edition":"2nd"},{"issue":"5","key":"ref3","doi-asserted-by":"crossref","first-page":"e00135917","DOI":"10.1590\/0102-311x00135917","article-title":"Estigma e resist\u00eancia entre travestis e mulheres transexuais em Salvador, Bahia, Brasil","volume":"34","author":"Magno L","year":"2018","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1590\/1413-81232022272.44342020","article-title":"Uso de horm\u00f4nios n\u00e3o prescritos na modifica\u00e7\u00e3o corporal de travestis e mulheres transexuais de Salvador\/Bahia, Brasil","volume":"27","author":"Silva RA","year":"2022","journal-title":"Ci\u00eanc Sa\u00fade Coletiva"},{"key":"ref5","series-title":"Transfeminismo","author":"Nascimento L","year":"2021"},{"key":"ref6","series-title":"A reinven\u00e7\u00e3o do corpo: sexualidade e g\u00eanero na experi\u00eancia transexual","author":"Bento B","year":"2017"},{"issue":"1-2","key":"ref7","first-page":"97","article-title":"\u201cToda quebrada na pl\u00e1stica\u201d: corporalidade e constru\u00e7\u00e3o de g\u00eanero entre travestis paulistas","volume":"6","author":"Pel\u00facio L","year":"2005","journal-title":"Campos"},{"issue":"64","key":"ref8","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1590\/1807-57622016.0712","article-title":"O que esperam pessoas trans do Sistema \u00danico de Sa\u00fade?","volume":"22","author":"Rocon PC","year":"2018","journal-title":"Interface Comun Sa\u00fade Educ"},{"key":"ref9","series-title":"Minist\u00e9rio da Sa\u00fade. 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