Systematic review on health care for transvestites and transsexuals in Brazil

Detalhes bibliográficos
Autor(a) principal: Lima, Rafael Rodolfo Tomaz de
Data de Publicação: 2023
Outros Autores: Flor, Taiana Brito Menêzes, Noro, Luiz Roberto Augusto
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/210288
Resumo: OBJECTIVE: To synthesize scientific evidence to characterize health care for transvestites and transsexuals in Brazil. METHODS: This is a systematic review, conducted from July 2020 to January 2021 and updated in September 2021, whose protocol is registered in the International Prospective Register of Systematic Reviews (PROSPERO) platform, under code CRD42020188719. The survey of evidence was carried out in four databases and eligible articles were evaluated for methodological quality, and those with a low risk of bias were included. RESULTS: Fifteen articles were selected and the findings were grouped into six categories according to their thematic approaches: Possibilities to transform health care; Transvestiphobia and transphobia: violations inside and outside the Brazilian Unified Health System (SUS); Professional unpreparedness to care for transvestites and transsexuals; Search for health care alternatives; Right to health for transvestites and transsexuals: utopia or reality?; The Transsexualization Process: advances and challenges. CONCLUSIONS: There is evidence that health care for transvestites and transsexuals in Brazil is still exclusive, fragmented, centered on specialized care and guided by curative actions, resembling the care models that preceded the SUS and which have been heavily criticized since the Brazilian Sanitary Reform.
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spelling Systematic review on health care for transvestites and transsexuals in BrazilRevisão sistemática sobre a atenção à saúde para travestis e transexuais no BrasilTransvestismTranssexualismMinority HealthUnified Health SystemSystematic ReviewTravestilidadeTransexualidadeSaúde das MinoriasSistema Único de SaúdeRevisão SistemáticaOBJECTIVE: To synthesize scientific evidence to characterize health care for transvestites and transsexuals in Brazil. METHODS: This is a systematic review, conducted from July 2020 to January 2021 and updated in September 2021, whose protocol is registered in the International Prospective Register of Systematic Reviews (PROSPERO) platform, under code CRD42020188719. The survey of evidence was carried out in four databases and eligible articles were evaluated for methodological quality, and those with a low risk of bias were included. RESULTS: Fifteen articles were selected and the findings were grouped into six categories according to their thematic approaches: Possibilities to transform health care; Transvestiphobia and transphobia: violations inside and outside the Brazilian Unified Health System (SUS); Professional unpreparedness to care for transvestites and transsexuals; Search for health care alternatives; Right to health for transvestites and transsexuals: utopia or reality?; The Transsexualization Process: advances and challenges. CONCLUSIONS: There is evidence that health care for transvestites and transsexuals in Brazil is still exclusive, fragmented, centered on specialized care and guided by curative actions, resembling the care models that preceded the SUS and which have been heavily criticized since the Brazilian Sanitary Reform.OBJETIVO: Sintetizar evidências científicas para caracterizar a atenção à saúde para travestis e transexuais no Brasil. MÉTODOS: Trata-se de uma revisão sistemática, conduzida de julho de 2020 a janeiro de 2021 e atualizada em setembro de 2021, cujo protocolo está registrado na plataforma International Prospective Register of Systematic Reviews (PROSPERO), sob o código CRD42020188719. O levantamento das evidências foi realizado em quatro bases de dados e os artigos elegíveis foram avaliados perante a qualidade metodológica, sendo incluídos aqueles com baixo risco de viés. RESULTADOS: 15 artigos foram selecionados e os achados, de acordo com as suas aproximações temáticas, foram agrupados em seis categorias: Possibilidades para transformar a atenção à saúde; Travestifobia e transfobia: violações dentro e fora do Sistema Único de Saúde (SUS); Despreparo profissional para a atenção às travestis e transexuais; Busca por alternativas para a atenção à saúde; Direito à saúde para travestis e transexuais: utopia ou realidade?; O Processo Transexualizador: avanços e desafios. CONCLUSÕES: As evidências revelam que a atenção à saúde para travestis e transexuais no Brasil ainda é excludente, fragmentada, centralizada no cuidado especializado e pautada por ações curativas, assemelhando-se aos modelos de atenção que antecedem o SUS e que são fortemente criticados desde a Reforma Sanitária Brasileira.Universidade de São Paulo. Faculdade de Saúde Pública2023-03-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/21028810.11606/s1518-8787.2023057004693Revista de Saúde Pública; Vol. 57 No. 1 (2023); 19Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 19Revista de Saúde Pública; v. 57 n. 1 (2023); 191518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/210288/192712https://www.revistas.usp.br/rsp/article/view/210288/192711https://www.revistas.usp.br/rsp/article/view/210288/192710Copyright (c) 2023 Rafael Rodolfo Tomaz de Lima, Taiana Brito Menêzes Flor, Luiz Roberto Augusto Norohttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima, Rafael Rodolfo Tomaz deFlor, Taiana Brito MenêzesNoro, Luiz Roberto Augusto2023-04-04T15:55:30Zoai:revistas.usp.br:article/210288Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2023-04-04T15:55:30Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Systematic review on health care for transvestites and transsexuals in Brazil
Revisão sistemática sobre a atenção à saúde para travestis e transexuais no Brasil
title Systematic review on health care for transvestites and transsexuals in Brazil
spellingShingle Systematic review on health care for transvestites and transsexuals in Brazil
Lima, Rafael Rodolfo Tomaz de
Transvestism
Transsexualism
Minority Health
Unified Health System
Systematic Review
Travestilidade
Transexualidade
Saúde das Minorias
Sistema Único de Saúde
Revisão Sistemática
title_short Systematic review on health care for transvestites and transsexuals in Brazil
title_full Systematic review on health care for transvestites and transsexuals in Brazil
title_fullStr Systematic review on health care for transvestites and transsexuals in Brazil
title_full_unstemmed Systematic review on health care for transvestites and transsexuals in Brazil
title_sort Systematic review on health care for transvestites and transsexuals in Brazil
author Lima, Rafael Rodolfo Tomaz de
author_facet Lima, Rafael Rodolfo Tomaz de
Flor, Taiana Brito Menêzes
Noro, Luiz Roberto Augusto
author_role author
author2 Flor, Taiana Brito Menêzes
Noro, Luiz Roberto Augusto
author2_role author
author
dc.contributor.author.fl_str_mv Lima, Rafael Rodolfo Tomaz de
Flor, Taiana Brito Menêzes
Noro, Luiz Roberto Augusto
dc.subject.por.fl_str_mv Transvestism
Transsexualism
Minority Health
Unified Health System
Systematic Review
Travestilidade
Transexualidade
Saúde das Minorias
Sistema Único de Saúde
Revisão Sistemática
topic Transvestism
Transsexualism
Minority Health
Unified Health System
Systematic Review
Travestilidade
Transexualidade
Saúde das Minorias
Sistema Único de Saúde
Revisão Sistemática
description OBJECTIVE: To synthesize scientific evidence to characterize health care for transvestites and transsexuals in Brazil. METHODS: This is a systematic review, conducted from July 2020 to January 2021 and updated in September 2021, whose protocol is registered in the International Prospective Register of Systematic Reviews (PROSPERO) platform, under code CRD42020188719. The survey of evidence was carried out in four databases and eligible articles were evaluated for methodological quality, and those with a low risk of bias were included. RESULTS: Fifteen articles were selected and the findings were grouped into six categories according to their thematic approaches: Possibilities to transform health care; Transvestiphobia and transphobia: violations inside and outside the Brazilian Unified Health System (SUS); Professional unpreparedness to care for transvestites and transsexuals; Search for health care alternatives; Right to health for transvestites and transsexuals: utopia or reality?; The Transsexualization Process: advances and challenges. CONCLUSIONS: There is evidence that health care for transvestites and transsexuals in Brazil is still exclusive, fragmented, centered on specialized care and guided by curative actions, resembling the care models that preceded the SUS and which have been heavily criticized since the Brazilian Sanitary Reform.
publishDate 2023
dc.date.none.fl_str_mv 2023-03-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/210288
10.11606/s1518-8787.2023057004693
url https://www.revistas.usp.br/rsp/article/view/210288
identifier_str_mv 10.11606/s1518-8787.2023057004693
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/210288/192712
https://www.revistas.usp.br/rsp/article/view/210288/192711
https://www.revistas.usp.br/rsp/article/view/210288/192710
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 57 No. 1 (2023); 19
Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 19
Revista de Saúde Pública; v. 57 n. 1 (2023); 19
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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