Profile of care for children and adolescents at a gender-affirming outpatient clinic within the Brazilian National Health System in São Paulo, Brazil, between 2009 and 2020.

IF 2 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222024v33e2024310.especial.en

Felipe Assunção de Freitas, Josevan de Souza-Silva, Bianca Machado Borba Soll, Ana Carolina Novo, Maira Caricari Saavedra, Tainá Lacroix, Alexandre Saadeh

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Abstract

Objective: To describe the profile of transgender children and adolescents receiving care at a gender affirming outpatient clinic within the Brazilian National Health System (Sistema Único de Saúde - SUS) in São Paulo.

Methods: This was a descriptive study involving 555 participants, who received care between 2009 and 2020, in tertiary care services of the SUS. Data were analyzed using Pearson's chi-square test and standard deviation, considering gender, age, and origin.

Results: Between 2009 and 2020, there was an increase among males (2009, 0%; 2020, 83.3%) and a decrease among females (2009, 100%; 2020, 16.6%), with an average age of 13.7 and 14.3 years. The majority (93.7%) of consultations was performed in the Southeast region.

Conclusion: Over the two decades analyzed, there was an increase in healthcare demand from male transgender children and adolescents, while there was a proportional reduction among females. Care for children and adolescents was concentrated in the Southeast region.

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2009年至2020年巴西圣保罗国家卫生系统内性别确认门诊诊所对儿童和青少年的护理概况。

目的：描述在巴西国家卫生系统（Sistema Único de Saúde - SUS）圣保罗的性别确认门诊诊所接受治疗的跨性别儿童和青少年的概况。方法：这是一项描述性研究，涉及555名参与者，他们在2009年至2020年期间在SUS的三级保健服务中接受治疗。数据分析采用皮尔逊卡方检验和标准差，考虑性别、年龄和来源。结果：2009 - 2020年，男性发病人数有所增加(2009年，0%；2020年，83.3%)，女性下降(2009年，100%；2020年（16.6%），平均年龄分别为13.7岁和14.3岁。大多数（93.7%）的咨询在东南地区进行。结论：在分析的二十年中，男性跨性别儿童和青少年的医疗保健需求有所增加，而女性跨性别儿童和青少年的医疗保健需求呈比例下降。对儿童和青少年的照顾主要集中在东南部地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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