Invisibilization and veiled prejudices: Barriers to access to primary care services by the transgender population

Introduction: In the process of creating the National LGBT+ Comprehensive Health Policy, primary care has important prominence as it must work as the preferential contact of transgender (trans) users. Objective: To investigate the perceptions of primary care professionals about the vulnerability sit...

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Detalhes bibliográficos
Autores: Menezes, Lucas, Silva, Larissa da, Murgo , Camélia, Rahe, Bernardo
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Recursos:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
Repositorio:Revista Brasileira de Medicina de Família e Comunidade (Online)
Idioma:portugués
inglés
OAI Identifier:oai:ojs.rbmfc.org.br:article/3961
Acesso em linha:https://rbmfc.org.br/rbmfc/article/view/3961
Access Level:acceso abierto
Palavra-chave:Pessoas Transgênero
Profissionais de Saúde
Atenção Básica
Equidade no Acesso
Personas Transgénero
Profesionales de Salud
Atención Básica
Equidad en el Acceso
Vulnerabilidad y salud.
Transgender Persons
Health care pofessionals
Primary care
Equal access
Vulnerability and health.
Descrição
Resumo:Introduction: In the process of creating the National LGBT+ Comprehensive Health Policy, primary care has important prominence as it must work as the preferential contact of transgender (trans) users. Objective: To investigate the perceptions of primary care professionals about the vulnerability situations faced by trans persons and also hindrances they consider existing in this population’s search for access to these services. Methods: A qualitative approach was used through semi-structured interviews with 38 health care professionals working in the Family Health Strategy of two cities in the countryside of the state of São Paulo. The material obtained was submitted to analysis of Bardin content. Results: The results pointed to a lack of knowledge about real hindrances that obstruct the access to and follow-up by health services for trans persons. It was also observed the maintenance of prejudices and ideas that reinforce stereotypes connected to the matter and extend to the practice of professionals. It is directly related to the lack of approach of issues related to human sexuality in the education of those professionals, in addition to lack of update about it, which impacts the quality of service offered to the population under study. Conclusions: The standards and ordinances already existing need to be effectively practiced, being crucial the extension and spread of knowledge about trans matters in the context of public health services. It can be the basis for subsidizing the education of professionals who work in this field, as well as effective public policies.