ArticleRevista brasileira de epidemiologia = Brazilian journal of epidemiology2024
Difficulties and advances in access to and use of health services by transgender women and travestis in Brazil.
Article in Revista brasileira de epidemiologia = Brazilian journal of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Artistic and Playful Resources as Mental Health Support in the Life Trajectories of Trans and Gender-Diverse People: A Qualitative Study from a Public Health Perspective.International journal of environmental research and public health · 2026Article
- Zero discrimination in practice: resisting anti-trans backlash in the global HIV response.Journal of the International AIDS Society · 2026Article
- The case for a unified health system (SUS)-funded integrated transgender health clinic in a Brazilian urban center.International journal of transgender health · 2026Article
- Access to public healthcare services for transgender people: experiences in Brazil's capital.Revista da Escola de Enfermagem da U S P · 2026Article
- Mental Health Outcomes AmongInternational journal of environmental research and public health · 2025Review
- Nursing and equity: challenges of Primary Health Care in approaching transgender people.Revista brasileira de enfermagem · 2025Article
- Navigating HIV research among criminalized gender minority populations in Uganda: qualitative insights and lessons learned from novice researchers.International journal for equity in health · 2024Article
- Sexually transmitted infections and other health issues among transgender women and travestis in Brazil: epidemiological profile, vulnerabilities, access to services and care.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo understand the narratives of transgender women and travestis (TGW) from four Brazilian cities regarding access to and use of health services.
methodsQualitative study carried out within the scope of the TransOdara project, cross-sectional multicenter mixed methods research conducted between 2019-2021. Fifty-two in-depth interviews with TGW in Manaus, Campo Grande, Porto Alegre and São Paulo were analyzed. The analysis was guided by philosophical hermeneutics.
resultsReports of discrimination, stigmatization and pathologization reiterate the difficulties faced by TGW in seeking healthcare. The recurrence of disrespect for the social/corrected name reveals obstacles to the recognition of transgender identities and, in some cases, the intention of inhibiting transsexuality-travestilidade. Other difficulties arise from actions that disregard the health specificities of TGW or the precarious social conditions that affect some of them. On the other hand, based on experiences of respect and adequate care, participants identify an ongoing change, which is expressed in greater availability of services and improved assistance. There is an expectation of continued expansion of services, technologies and training of health professionals.
conclusionsThe identified change has been undertaken at the interface of public health policies with LGBT+ activism and the production of knowledge about TGW health needs. Although the identified advances are insufficient to change the scenario of the historical exclusion experienced by TGW in health services, they point to promising ways to improve their health conditions.
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