Calidad de vida relacionada con la salud de las personas trans usuarias de un servicio de salud especializado en Manaos, estado de Amazonas, Brasil, 2023: un estudio transversal

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

doi:10.1590/S2237-96222024v33e2024361.especial.en

person Erivan Clementino Gualberto Júnior

study conception and design · analysis and interpretation of results · drafting and critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of its content, including ensuring its accuracy and integrity.

schoolUniversidade Federal do Amazonas, Faculdade de Odontologia, Manaus, AM, Brazil

0000-0002-6110-8619

person Açucena Amâncio Dall’Alba

study design · data collection and analysis · drafting · review of the final version of the manuscript · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of its content, including ensuring its accuracy and integrity.

schoolUniversidade Federal do Amazonas, Faculdade de Odontologia, Manaus, AM, Brazil

0000-0003-0025-752X

person André Luiz Machado das Neves

study design · drafting · review of the final version of this manuscript · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of its content, including ensuring its accuracy and integrity.

schoolUniversidade do Estado do Amazonas, Escola Superior de Ciências da Saúde, Manaus, AM, Brazil

0000-0001-7400-7596

person David Câmara Gurgel do Amaral

data collection · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of its content, including ensuring its accuracy and integrity.

schoolUniversidade Federal do Amazonas, Faculdade de Odontologia, Manaus, AM, Brazil

0000-0001-9121-1185

person Aline Barreto Soares

data collection · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of its content, including ensuring its accuracy and integrity.

schoolUniversidade Federal do Amazonas, Faculdade de Odontologia, Manaus, AM, Brazil

0009-0003-4024-777X

person Fernando José Herkrath

study design · data analysis · review of the final version of the manuscript · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of its content, including ensuring its accuracy and integrity.

schoolUniversidade do Estado do Amazonas, Escola Superior de Ciências da Saúde, Manaus, AM, BrazilschoolFundação Oswaldo Cruz, Instituto Leônidas e Maria Deane, Manaus, AM, Brazil

0000-0003-4439-0189

person Ana Paula Corrêa de Queiroz Herkrath

conception and design of the study · data analysis · drafting · critical reviewing of the manuscript content · All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of its content, including ensuring its accuracy and integrity.

schoolUniversidade Federal do Amazonas, Faculdade de Odontologia, Manaus, AM, Brazil

0000-0002-2053-5008

Correspondence: Erivan Clementino Gualberto Júnior |
emailerivangualberto@ufam.edu.br

CONFLICTS OF INTEREST

The authors have no conflicts of interest to declare.

Associate editor

Letícia Xander Russo

Variable	n
Gender
Trans man	29
Trans woman	36
Travesti	2
Non-binary person	4
Race/skin color
Black	6
Mixed-race	42
Asian	1
White	19
Indigenous	3
Marital status
Single	53
Married	7
Widowed	1
Separated	1
With a partner	9
Education level
Elementary education	12
High school	44
Higher education	15
Paid employment
No	35
Yes	36
Occupation
Unemployed	34
Public servant	8
Employee	11
Self-employed	17
Employer	1
Total household income (minimum wages)
<1	24
>1-2	27
>2-5	16
≥5	4
Social benefit
Yes	41
No	30
Has ever been homeless
Yes	25
No	46
Has ever lived in street situations
Yes	13
No	58

Components/domains	Mean ± SD	Minimum	Maximum
Physical component	44.6±7.8	16.8	58.3
Physical functioning	52.0±9.2	22.1	56.5
Physical appearance	26.0±4.0	20.3	29.5
Pain	46.1±11.9	16.7	57.4
General health	38.9±9.7	18.9	62.0
Mental component	38.4±11.1	13.1	60.7
Vitality	52.1±14.4	27.6	77.9
Emotional aspect	16.0±1.1	11.3	22.5
Social aspect	44.8±15.3	16.2	66.7
Mental health	52.1±13.6	21.9	76.7

Components	Trans woman or travesti (n=31) MS (95%CI)	Trans man (n=36) MS (95%CI)	Trans people (n=71) MS (95%CI)
Physical	44.2 (41.1;47.4)	44.7 ( 42.2;47.2)	44.6 (42.7;46.4)
Mental	39.9 (35.6;44.2)	37.5 (33.9;41.1)	38.4 (35.8;41.0)

Variable	Mental component			Physical component
Variable	Crude MD (95%CI)	Adjusted MD (95%CI)	p-value	Crude MD (95%CI)	Adjusted MD (95%CI)	p-value
Gender
Trans man	-0.2 (-0.6;0.2)			0.0 (-0.1;0.1)
Trans woman or travesti	0.00			0.00
Age (years)	0.3 (-0.1;0.7)			0.0 (-0.3;0.3)
Income (minimum wages)
≤1	-1.5 (-3.4;0.3)			0.0 (-0.1;0.1)
>1	0.00			0.00
Education level
Elementary education	0.1 (-0.2;0.4)			0.0 (-0.1;0.0)
High school/higher education	0.00			0.00
Paid employment
Yes	4.7 (0.6;8.2)	4.4 (2.3;6.9)	0.026	-1.1 (-2.3;0.4)	-0.5 (-1.2;0.0)	0.105
No	0.00	0.00		0.00	0.00
Partner/spouse
Yes	2.2 (-0.2;4.8)	0.6 (-0.1;1.0)	0.118	0.0 (0.0;0.1)
No	0.00	0.00		0.00
Has ever been homeless
Yes	-1.1 (-2.4;0.3)			0.0 (-0.1;0.0)
No	0.00			0.00
Has ever lived in street situations
Yes	0.4 (-0.5;0.9)			-3.6 (-8.3;0.5)	-3.3 (-7.7;-2.3)	0.019
No	0.00			0.00	0.00