(864) Encounters of the Third Kind: Demographic Study of Transgender Population at a Tertiary Care Center

Introduction Transgender individuals frequently encounter discrimination and marginalization, resulting in social, educational, and economic disadvantages. This study aims to describe the demographic and socioeconomic characteristics of the third-gender population in our state. Objective To analyze the demographic characteristics, educational status, employment patterns, and healthcare access, including hormonal therapy and surgical interventions, among transgender individuals attending an endocrinology outpatient department, with the aim of identifying factors influencing their social and medical well-being. Methods A cross-sectional study was carried out among transgender individuals attending the Urology and Endocrinology Outpatient Department (OPD). Relevant demographic, educational, and occupational data were systematically collected and analyzed. Results The study included 152 transgender participants-74 female-to-male (FTM) and 78 male-to-female (MTF). The mean age of FTMs was 27.3 ± 4.9 years, while that of MTFs was 28.4 ± 5.5 years. In the FTM group, 56.7% were graduates, 34% had education below the 12th standard, and 9.3% held postgraduate degrees. Conversely, in the MTF group, 72% had education below the 12th standard, while 14.1% were graduates and 7.6% postgraduates. Employment patterns revealed that 84% of FTMs held formal jobs, whereas 54% of MTFs earned their livelihood through begging. Hormonal therapy usage was significantly higher among FTMs (82.4%) compared to MTFs (43.5%). Sex reassignment surgery had not been performed in 63.5% of FTMs, while 60.2% of MTFs had undergone the procedure. Substance use, including alcohol and tobacco, was relatively low in both groups, with no notable statistical difference. Lack of familial acceptance was evident across both groups. Conclusions The findings underscore considerable disparities within the transgender community regarding education, employment, and health care access. These insights should guide policymakers and health authorities in formulating inclusive welfare programs and equitable healthcare strategies tailored to transgender individuals’ needs. Disclosure No