Factors Associated with the Use of Cosmetic Hormones among Transgenders in Yogyakarta, Indonesia

Destinady Kadiser Miden1), Hanung Prasetya2), Bhisma Murti1)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)School of Health Polytechnics, Ministry of Health Surakarta



Background: Gender-affirming surgeries and hormone therapy are medically necessary treatments to alleviate gender dysphoria. However, studies into factors determining decision to use hormonal and cosmetic treatment among transgender in Indo­ne­sia are scarce. This study ai­med to determine factors associated with the use of cos­metic hormones among transgenders in Yogyakarta, Indonesia, using Theory of Plan­­ned Behavior (TPB).

Subjects and Method: This was a cross-sectional study carried out in Yogyakarta, Indonesia, in November 2018. A sample of 201 transgender was selected by snowball sam­pling and fixed disease sampling. The dependent variable was the use of cosmetic hor­­mones. The independent variables were age, intention, attitude, perceived beha­vio­ral control. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: The use of cosmetic hormones increased with age (b= 0.75; 95% CI= 0.16 to 1.48; p= 0.045), strong intention (b= 1.61; 95% CI= 0.94 to 2.28; p<0.001), positive at­ti­tude (b= 1.30; 95% CI= 0.60 to 1.99; p<0.001), and strong perceived behavior control (b= -1.04; 95% CI= -1.72 to -0.35; p=0.003). Adjusted R2= 23%.

Conclusion: The use of cosmetic hormones is directly increased with age, intention, at­titude, and perceived behavior control. Theory of Planned Behavior can be used to ex­plain the use of cosmetic hormones among transgender.

Keywords: cosmetic hormones use, transgender

Correspondence:  Destinady Kadiser Miden. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: destinady.kmiden@gmail.com. Mobile: 085328999232

DOI: https://doi.org/10.26911/theicph.2019.02.02

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