Experiences of trans people about the embracement in primary health care1
Abstract
Objective: to identify the experiences of trans people about the embracement in primary health care. Method: this is a descriptive research with a qualitative approach, conducted with eight trans people in 2020 in a city of the upper sertão of Paraíba, a state in the northeast of Brazil. The data were organized and analyzed through the Collective Subject Discourse. Results: it was noticed that the process of embracement experienced by trans people in this scenario of attention was sometimes marked by negative feelings, reinforced by disrespect for the social name. It was also observed transphobia as a structure in health services and the unpreparedness of professionals to deal with the demands of this diversity of gender identity (trans people). Conclusion: the embracement experienced by trans people in primary health care was permeated by several barriers and factors that can drive their evasion from health services. Although there have been several rights conquered in the decades of demands by social movements, the path towards sensitive embracement needs to go through reformulations.
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References
Ministério da Saúde (BR). Gabinete do Ministro. Portaria Nº 2.436, de 21 de setembro de 2017. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html.
Ministério da Saúde (BR). Política Nacional de Humanização: Humaniza SUS. 1st ed. Brasília - DF: 2013. 16 p. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_humanizacao_pnh_folheto.pdf.
Avellar CCC, Rodrigues FB. Avanços e barreiras na implementação da política nacional de saúde integral da população LGBT: uma revisão integrativa. J. Educ. Sci and Health. 2023;3(3): 01-1. DOI: https://doi.org/10.52832/jesh.v3i3.209.
Ministério da Saúde (BR). Portaria Nº 2.836, de 1º de dezembro de 2011. Gabinete do Ministro. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2836_01_12_2011.html.
Ministério da Saúde (BR). Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais. Brasília (DF): Ministério da Saúde, 2013. Disponível em: <https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_lesbicas_gays.pdf.
Spizzirri G, Eufrásio R, Lima MC, Carvalho Nunes HR, Kreukels BP, Steensma TD et al. Proportion of people identified as transgender and non-binary gender in Brazil. Sci Rep. 2021 ;11(1). DOI: https://doi.org/10.1038/s41598-021-81411-4.
Garnier M, Ollivier S, Flori M, Maynié-François C. Transgender people‘s reasons for primary care visits: a cross-sectional study in France. BMJ Open. 2021; 24;11(6): e036895. DOI https://doi.org/10.1136/bmjopen-2020-036895. DOI: https://doi.org/10.1136/bmjopen-2020-036895.
Tami A, Ferguson T, Bauer GR, Scheim AI. Avoidance of primary healthcare among transgender and non-binary people in Canada during the COVID-19 pandemic. Preventive Medicine Reports. 2022 ;27(101789) DOI: https://doi.org/10.1016/j.pmedr.2022.101789.
Feitosa MVN, Candeias R, Feitosa AKN, Melo WS, Araújo FM, Carmo JF et al. Práticas e saberes do acolhimento na atenção primária à saúde: uma revisão integrativa. REAS. 2021;13(3): e5308. DOI: https://doi.org/10.25248/reas.e5308.2021.
Spadim BCL, Mendonça CS, Cyrino EG. “O nome era de homem, mas era um corpo de mulher”: a população transexual na Estratégia Saúde da Família. Interface (Botucatu). 2024;28:e220566. DOI: https://doi.org/10.1590/interface.220566.
Thiollent M. Metodologia da pesquisa-ação. 18.ed. – São Paulo: Cortez, 2011.
Moura CO de, Silva ÍR, Silva TP da, Santos KA, Crespo M da CA, Silva MM da. Methodological path to reach the degree of saturation in qualitative research: grounded theory. Rev Bras Enferm. 2022;75(2):e20201379. DOI: https://doi.org/10.1590/0034-7167-2020-1379.
Lefevre F, Lefevre AMC. Depoimentos e Discursos: uma proposta de análise em pesquisa social. Brasília: Liber Livro Editora; 2005. 97 p. ISBN: 85-98843-14-8.
Boonyapisomparn N, Manojai N, Srikummoon P, Bunyatisai W, Traisathit P, Homkham N. Healthcare discrimination and factors associated with gender-affirming healthcare avoidance by transgender women and transgender men in Thailand: findings from a cross-sectional online-survey study. Int J Equity Health. 2023;22(1). DOI: https://doi.org/10.1186/s12939-023-01843-4.
Lacombe-Duncan A, Logie CH, Li J, Mitchell B, Williams D, Levermore K. Social-ecological factors associated with having a regular healthcare provider among lesbian, gay, bisexual and trans gender persons in Jamaica. Glob Public Health. 2021;17(6):1–14. DOI: https://doi.org/10.1080/17441692.2021.1887316.
Gomes ACMS, Sousa FJG, Janini JP, Vargas LA, Gomes MS, Lemos A. Service in primary health care: perspectives of trans people. R Pesq Cuid Fundam. 2023;15:e12260. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v15.12260.
Cuq J, Jurek L, Morel-Journel N, Oriol S, Neuville P. Gynecological primary care of trans men and transmasculine non-binary individuals, a French descriptive study. Int J Transgender Health. 2023;1-8. DOI: https://doi.org/10.1080/26895269.2023.2283529.
Haire BG, Brook E, Stoddart R, Simpson P. Trans and gender diverse people’s experiences of healthcare access in Australia: A qualitative study in people with complex needs. PLOS ONE. 2021;16(1):e0245889. DOI: https://doi.org/10.1371/journal.pone.0245889
Mikulak M, Ryan S, Ma R, Martin S, Stewart J, Davidson S et al. Health professionals‘ identified barriers to trans health care: a qualitative interview study. British Journal of General Practice. 2021; 71(713):e941-e947. DOI https://doi.org/10.3399/bjgp.2021.0179.
Paiva CR, Farah BF, Duarte MJ de O. A rede de cuidados à saúde para a população transexual. Physis. 2023;33:e33001. DOI: https://doi.org/10.1590/S0103-7331202333001.
Treharne GJ, Carroll R, Tan KKH, Veale JF. Supportive interactions with primary care doctors are associated with better mental health among transgender people: results of a nationwide survey in Aotearoa/New Zealand. Fam Pract. 2022;39(5):834-842. DOI: https://doi.org/10.1093/fampra/cmac005.
Brasil. Decreto nº 8.727, de 28 de abril de 2016. Legislação informatizada. Diário Oficial da União 29 abr 2016. Disponível em: https://www2.camara.leg.br/legin/fed/decret/2016/decreto-8727-28-abril-2016-782951-publicacaooriginal-150197-pe.html.
Derner IL, Tomazelli N, Silveira E, Munaro CA, Velho PS. “Respeito, mas…” uma análise do acolhimento da população transexual na atenção primária em um município de Santa Catarina. R. G. Secr. 2023;14(7):11758-75. DOI: https://doi.org/10.7769/gesec.v14i7.2503.
Strauss P, Winter S, Waters Z, Toussaint DW, Watson V, Lin A. Perspectives of trans and gender diverse young people accessing primary care and gender-affirming medical services: Findings from Trans Pathways. Int J Transgend Health. 2021;23(3), 295–307. DOI: https://doi.org/10.1080/26895269.2021.1884925.
Allory E, Duval E, Caroff M, Kendir C, Magnan R, Brau B et al. The expectations of transgender people in the face of their health-care access difficulties and how they can be overcome. A qualitative study in France. Prim Health Care Res Amp Dev. 2020;21: e62. DOI: https://doi.org/10.1017/s1463423620000638.
Bragagnolo MNS. Care for transgender and transvestite people in primary health care: an integrative review. SaudColetiv (Barueri). 2023;13(86):12520-36. DOI: https://doi.org/10.36489/saudecoletiva.2023v13i86p12520-12536.
Lucena MM, Ferreira GG, Floss M, Melo DAC de. Serviços de atendimento integral à saúde de transexuais e travestis no Sistema Único de Saúde: uma revisão integrativa. Rev Bras Med Fam Comunidade. 2022;17(44): 2964. DOI: https://doi.org/10.5712/rbmfc17(44)2964.
Silva KAB, Juliani CMCM, Spagnuolo RS, Mori NLR, Dias Baptista SCP, Martin LB. Challenges in the process of referral of users in health care networks: multiprofessional perspective. Ciênc. cuid. saúde. 2018;17(3). DOI: https://doi.org/10.4025/cienccuidsaude.v17i3.43568.
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