Quality of life and level of satisfaction with pharmacotherapeutic follow-up in a transgender health center in Brazil.

Trans people face numerous barriers to access and permanence in health services, which makes it difficult, among other things, to know about their quality of life and satisfaction with health services related to these users. Thus, the objective was to describle the quality of life and satisfaction with pharmacotherapeutic follow-up in transgender people. A cross-sectional, descriptive, and quantitative study was conducted between January and September 2022 at a specialized outpatient clinic for transgender individuals. The following aspects were describle: sociodemographic and medication profiles; quality of Life, which was measured using the WHOQOL-BREF questionnaire; and levels of satisfaction with Pharmacotherapeutic Monitoring, assessed through the Pharmacy Services Satisfaction Questionnaire (QSSF). Descriptive analyses employed measures of central tendency, absolute and relative frequencies, while inferential analyses used the Student's t test. A total of 101 transgender individuals participated in the study, with a mean age of 25 years, the majority being single (79.2%/80), having more than 11 years of education (47.5%/n = 48), and comprising 48.5% (n = 49) transgender women. Hormone use was reported by 59.4% (n = 60) of the participants, with 18.3% (n = 11) of self-medication. Testosterone cypionate was the most common hormone used by transgender men (84%), while cyproterone acetate and estradiol represented 60.4% of hormone use among transgender women. Additionally, 36 transgender individuals were taking other drugs (n = 60), mainly antidepressives (28%). The WHOQOL-BREF showed higher scores in the domains of self-rated Quality of Life, and physical, and psychological well-being among transgender women compared to transgender men, but without statistical differences. Income revealed a statistically significant association with psychological domains and overall quality of life. The results of the QSSF indicated that the overall mean and average scores per question were higher than 4, suggesting that 100% of the sample was satisfied with the provided service. No statistically significant differences were observed in the Quality of Life between transgender men and women, but income was associated with the psychological domain and overall Quality of Life. All participants reported satisfaction with the Pharmacotherapeutic Monitoring service; however, there is a need to expand service offerings, such as medication dispensing.

ASSOCIATED FACTORS THE RETENTION AND INTENTIONALITY OF EVASION IN PHARMACY COURSES OF A PUBLIC UNIVERSITY OF NORTHEASTERN BRAZIL / FATORES ASSOCIADOS A RETENÇÃO E INTENCIONALIDADE DE EVASÃO NOS CURSOS DE FARMÁCIA DE UMA UNIVERSIDADE PÚBLICA DO NORDESTE BRASILEIRO

The study aimed to evaluate possible factors associated with retention and intentionality of avoidance of the Pharmacy course of a Public University of the Northeast. This is a cross-sectional study conducted between July and December 2019 with students from the two undergraduate courses in Pharmacy, from the Federal University of Sergipe. For data collection, an instrument was used that included: 1) Sociodemographic data and; 2) Factors related to the intentionality of evasion, questions about locking, and failure in modules/disciplines. The study participated in 335 students, 132 from the Lagarto campus and 203 students from São Cristóvão. Of these, 69.30% (n=232) were women, the majority (81.20%) aged between 18 and 24 years, 60.90% (n=204) declared themselves brown, 96.70% were single and 5.10% (n= 17) had children. Regarding failure and intentionality of evasion, 176 (52.50%) stated that they had already failed and 62,10% (n=208) had the intention to drop out of the course. Among the factors that have an impact on the intentionality of the evasion was: "schedule of the disciplines offered", "curriculum matrix", "teaching methodology", "form of evaluation", "relationship between student and teacher/coordinator", "interpersonal relationships", "student assistance", "low remuneration of the professional", "financial difficulties", "lack of study skills", "difficulties of adaptation to the university", "disenchantment or demotivation with the course", "learning difficulties, translated into disapproval and low frequency", "inadaptation with the course" and "mental health problem". The results reinforce the need for strategies that support students during graduation, in order to reduce the impact of retention and dropout in higher education.

El estudio tenía como objetivo evaluar posibles factores asociados con la retención e intencionalidad de la evasión del curso de Farmacia de una Universidad Pública del Noreste. Estudio transversal realizado entre julio y diciembre de 2019 con estudiantes de los dos cursos de Farmacia de la Universidad Federal de Sergipe. Se recopilaron los siguientes datos: 1) datos sociodemográficos; 2) Factores relacionados con la intencionalidad de la evasión, preguntas sobre bloqueo y retención en módulos/disciplinas. Participó del estudio 335 estudiantes, 132 del campus de Lagarto y 203 de São Cristóvão. De ellos,  69,30% (n=232) eran mujeres, la mayoría (81,20%) entre 18 y 24 años, 60,90% (n=204) se declararon pardas, 96,70% eran solteros y 5,10% (n=17) tenían hijos. En cuanto al retención y la intencionalidad de la evasión, 176 (52,50%) afirmaron que ya habían reprobado y 62,10% (n=208) tenían la intención de evasión. Se destacaron los siguientes factores de intencionalidad de la evasión: "programa de las disciplinas ofrecidas", "matriz curricular", "metodología de enseñanza", "forma de evaluación", "relación entre estudiante y profesor/coordinador", "relaciones interpersonales", "asistencia al estudiante", "baja remuneración del profesional", "dificultades financieras", "falta de habilidades de estudio", "dificultades de adaptación a la universidad", "desencanto o desmotivación con el curso", "dificultades de aprendizaje, traducidas en desaprobación y baja frecuencia", "inadaptación con el curso" y "problema de salud mental". Los resultados refuerzan la necesidad de estrategias que apoyen a los estudiantes durante la graduación, con el fin de reducir el impacto en la retención escolar y la deserción escolar en la educación superior.

O estudo objetivou avaliar possíveis fatores associados à retenção e à intencionalidade de evasão do curso de Farmácia de uma Universidade Pública do Nordeste. Trata-se de um estudo transversal realizado entre julho a dezembro de 2019 com estudantes dos dois cursos de graduação em Farmácia, da Universidade Federal de Sergipe. Para a coleta de dados utilizou-se um instrumento que contemplava: 1) Dados Sociodemográficos e; 2) Fatores ligados à intencionalidade de evasão questões, sobre trancamento e reprovação em módulos / disciplinas. Participaram da pesquisa 335 estudantes, sendo 132 do campus Lagarto e 203 estudantes de São Cristóvão.Destes, 69,30% (n = 232) eram mulheres, a maioria (81,20%) apresentava idade entre 18 e 24 anos, 60,90% (n = 204) se autodeclaram pardos, 96,70% eram solteiros e 5,10% (n = 17) possuíam filhos. Quanto a reprovação e intencionalidade de evasão, 176 (52,50%) afirmaram já ter reprovado e 62,10% (n = 208) a intenção de desistir do curso.Entre os fatores que impactam na intencionalidade da evasão destacou-se: "horário das disciplinas ofertadas", "matriz curricular", "metodologia de ensino", "forma de avaliação", "relação entre aluno e professor / coordenador", "relações interpessoais "," Assistência aos alunos "," baixa renda do profissional "," dificuldades financeiras "," falta de habilidades de estudo "," dificuldade de adaptação à universidade "," desencanto ou desmotivação com o curso "," dificuldades de aprendizagem, traduzidas em reprovação e baixa frequência "," inadaptação com o curso "e" problema de saúde mental ". Os resultados reforçam a necessidade de aplicar que subsidiem os estudantes durante a graduação,