Table 1 Follow up times, type (feminizing/ masculinizing) of prescribed and continued/ discontinued hormonal gender reassignment, timing and duration of contacting gender identity services and using hormonal GR, and specialist level psychiatric treatment contact among subjects who continued/ discontinued their established hormonal gender reassignment. Distributions (%, n/N) of the categorical variables and mean(sd) of the continuous variables, and their comparison between the intake cohorts
From: Discontinuing hormonal gender reassignment: a nationwide register study
All, index date | Index date | Index date | Index date | p (between cohorts) | |
|---|---|---|---|---|---|
1996–2019 | 1996–2005 | 2006–2012 | 2013–2019 | ||
Follow-up-time from index contact to 31.12.21, mean(sd) in years | |||||
8.5 (4.3) | 20.3 (4.0) | 11.7 (1.6) | 6.0 (1.6) | ||
Specially reimbursed hormonal GR (n) | 1359 | 102 | 438 | 819 | |
Specially reimbursed hormonal GR was (% (n/N) | 0.002* | ||||
towards female | 34.4% (467/1359) | 41.2% (42/102) | 39.0% (171/438) | 31.0% (254/819) | |
towards male | 65.6% (892 /1359) | 58.8% (60/102) | 61.0% (267/438) | 69.0% (565/819) | |
Had discontinued using in 31.12.21 (n) | 107 | 24 | 45 | 38 | |
Discontinued hormonal GR (% (n/N)) was | 0.003* | ||||
towards female | 45.8% (49/107) | 70.8% (17/24) | 44.4% (20/45) | 31.6% (12/38) | |
towards male | 54.2% (58/107) | 29.2% (7/24) | 55.6% (25/45) | 68.4% (26/38) | |
Age at index contact, years (mean(sd)) | |||||
continued hormonal GR | 25.3 (9.0) | 30.2 (7.8) | 25.6 (9.1) | 24.6 (9.0) | < 0.001 |
discontinued hormonal GR | 29.4 (10.7) | 34.0 (7.9) | 27.2 (10.2) | 29.0 (11.9) | 0.04 |
p | p < 0.001 | p = 0.04 | p = 0.3 | p = 0.03 | |
Age at latest purchase of hormones, years (mean(sd) | |||||
continued hormonal GR | 34.3 (10.5) | 50.7 (8.6) | 37.7 (9.6) | 30.9 (9.0) | < 0.001 |
discontinued hormonal GR | 37.7 (11.6) | 47.9 (7.5) | 35.7 (10.4) | 33.7 (11.5) | < 0.001 |
p | p = 0.001 | p = 0.2 | p = 0.2 | p = 0.07 | |
Months on hormonal GR (mean(sd); median) | |||||
continued hormonal GR | 61.6 (57.0); 44 | 209.7 (59.3); 207 | 94.8 (35.2); 95 | 30.1 (22.1); 27 | < 0.001 |
discontinued hormonal GR | 66.6 (58.0); 48 | 120.6 (58.6); 128 | 65.9 (41.8); 57 | 33.3 (43.6); 16 | < 0.001 |
p | p = 1.0 | p < 0.001 | p < 0.001 | p = 0.6 | |
Specialist level psychiatric treatment contact | |||||
continued hormonal GR | 56.5% (708/1252) | 57.7% (45/78) | 63.4% (249/393) | 53.0% (414/781) | 0.003 |
discontinued hormonal GR | 67.3% (72/107) | 66.7% (16/22) | 66.7% (30/45) | 68.4% (26/38) | 1 |
p | p = 0.03 | p = 0.5 | p = 0.7 | p = 0.07 |