Discrimination and Access Barriers to the National Health Service Perceived by Trans People

Detalhes bibliográficos
Autor(a) principal: Rodrigues, João
Data de Publicação: 2020
Outros Autores: Lemos, Carolina, Figueiredo, Zélia
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.51338/rppsm.2020.v6.i3.152
Resumo: Introduction: Trans people, who need specific medical, surgical and psychological healthcare due to their condition, are confronted with discrimination, prejudice and stigma thus limiting their access to health services. The present study aims to assess barriers in trans health in three distinct public services (emergency, primary care and surgery). Material and Methods: A non‑controlled cross‑sectional study was conducted, using interviews with 71 trans people, after their sexology consult. An interview model was elaborated by the authors, adapting questions from the Trans Pulse Project and the 2015 US Transgender Survey. Results: Half of the trans people who used the services studied perceived discrimination by a healthcare provider. The use of prejudiced language was the most frequent perceived episode of discrimination and the emergency department was the place where it occurred with higher frequency. We found an association between episodes of perceived discrimination in family medicine and the discomfort felt in addressing trans health with the family physician. Discussion: The perceived discrimination felt by trans people was similar to the literature data, in emergency and family medicine services. The lack of knowledge of standards of care by health providers may reinforce barriers to trans healthcare, as seen in the literature. Conclusion: We found the need to study the impact of trans discrimination, around the country, as welll as evaluate and promote trans healthcare amongst healthcare providers.
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spelling Discrimination and Access Barriers to the National Health Service Perceived by Trans PeopleDiscriminação e Barreiras ao Acesso ao Serviço Nacional de Saúde Percecionados por Pessoas TransHealth Services AccessibilityHealthcare DisparitiesTransgender PersonsAcesso aos Serviços de SaúdeDisparidades em Assistência à SaúdePessoas TransgéneroIntroduction: Trans people, who need specific medical, surgical and psychological healthcare due to their condition, are confronted with discrimination, prejudice and stigma thus limiting their access to health services. The present study aims to assess barriers in trans health in three distinct public services (emergency, primary care and surgery). Material and Methods: A non‑controlled cross‑sectional study was conducted, using interviews with 71 trans people, after their sexology consult. An interview model was elaborated by the authors, adapting questions from the Trans Pulse Project and the 2015 US Transgender Survey. Results: Half of the trans people who used the services studied perceived discrimination by a healthcare provider. The use of prejudiced language was the most frequent perceived episode of discrimination and the emergency department was the place where it occurred with higher frequency. We found an association between episodes of perceived discrimination in family medicine and the discomfort felt in addressing trans health with the family physician. Discussion: The perceived discrimination felt by trans people was similar to the literature data, in emergency and family medicine services. The lack of knowledge of standards of care by health providers may reinforce barriers to trans healthcare, as seen in the literature. Conclusion: We found the need to study the impact of trans discrimination, around the country, as welll as evaluate and promote trans healthcare amongst healthcare providers.Introdução: A população trans, que necessita de tratamentos médicos, cirúrgicos e psicológicos específicos pela sua condição, é confrontada com discriminação, preconceito e estigma, na procura de serviços de saúde, que limitam o seu acesso. Este estudo pretende avaliar barreiras no acesso à saúde, por esta população, em três ambientes distintos do Serviço Nacional de Saúde (urgência, medicina geral e familiar e cirurgia). Material e Métodos: Realizou‑se um estudo transversal, não controlado, com recurso a entrevista a 71 pessoas trans, após consulta de Sexologia. Um modelo de entrevista foi elaborado pelos autores, adaptando questões do Trans Pulse Project e do 2015 US Transgender Survey. Resultados: Metade dos trans que recorreram aos três contextos estudados percecionaram discriminação por um profissional de saúde. O uso de linguagem preconceituosa foi o episódio de perceção de discriminação mais frequente e o serviço de urgência o local onde ocorreu com mais frequência. Encontramos relação entre episódios de perceção de discriminação em medicina geral e familiar, com o desconforto sentido em abordar saúde trans com o médico de família. Discussão: A discriminação percecionada por pessoas trans foi semelhante à verificada na literatura, em contexto de urgência e medicina geral e familiar. O incumprimento e desconhecimento de guidelines de boas práticas clínicas, por profissionais de saúde, à semelhança da literatura, podem constituir barreiras de acesso a cuidados de saúde, na população estudada. Conclusão: Verificamos que existe a necessidade de estudar, a nível nacional, o impacto da discriminação na população trans, bem como de avaliar e promover a formação de profissionais de saúde nesta área.Sociedade Portuguesa de Psiquiatria e Saúde Mental2020-12-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.51338/rppsm.2020.v6.i3.152oai:ojs.www.revistapsiquiatria.pt:article/152Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 No. 3 (2020); 98-108Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 N.º 3 (2020); 98-1082184-54172184-5522reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.revistapsiquiatria.pt/index.php/sppsm/article/view/152https://doi.org/10.51338/rppsm.2020.v6.i3.152https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/152/67Direitos de Autor (c) 2020 Revista Portuguesa de Psiquiatria e Saúde Mentalinfo:eu-repo/semantics/openAccessRodrigues, JoãoLemos, CarolinaFigueiredo, Zélia2022-09-06T09:37:40Zoai:ojs.www.revistapsiquiatria.pt:article/152Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:37:12.266165Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Discrimination and Access Barriers to the National Health Service Perceived by Trans People
Discriminação e Barreiras ao Acesso ao Serviço Nacional de Saúde Percecionados por Pessoas Trans
title Discrimination and Access Barriers to the National Health Service Perceived by Trans People
spellingShingle Discrimination and Access Barriers to the National Health Service Perceived by Trans People
Rodrigues, João
Health Services Accessibility
Healthcare Disparities
Transgender Persons
Acesso aos Serviços de Saúde
Disparidades em Assistência à Saúde
Pessoas Transgénero
title_short Discrimination and Access Barriers to the National Health Service Perceived by Trans People
title_full Discrimination and Access Barriers to the National Health Service Perceived by Trans People
title_fullStr Discrimination and Access Barriers to the National Health Service Perceived by Trans People
title_full_unstemmed Discrimination and Access Barriers to the National Health Service Perceived by Trans People
title_sort Discrimination and Access Barriers to the National Health Service Perceived by Trans People
author Rodrigues, João
author_facet Rodrigues, João
Lemos, Carolina
Figueiredo, Zélia
author_role author
author2 Lemos, Carolina
Figueiredo, Zélia
author2_role author
author
dc.contributor.author.fl_str_mv Rodrigues, João
Lemos, Carolina
Figueiredo, Zélia
dc.subject.por.fl_str_mv Health Services Accessibility
Healthcare Disparities
Transgender Persons
Acesso aos Serviços de Saúde
Disparidades em Assistência à Saúde
Pessoas Transgénero
topic Health Services Accessibility
Healthcare Disparities
Transgender Persons
Acesso aos Serviços de Saúde
Disparidades em Assistência à Saúde
Pessoas Transgénero
description Introduction: Trans people, who need specific medical, surgical and psychological healthcare due to their condition, are confronted with discrimination, prejudice and stigma thus limiting their access to health services. The present study aims to assess barriers in trans health in three distinct public services (emergency, primary care and surgery). Material and Methods: A non‑controlled cross‑sectional study was conducted, using interviews with 71 trans people, after their sexology consult. An interview model was elaborated by the authors, adapting questions from the Trans Pulse Project and the 2015 US Transgender Survey. Results: Half of the trans people who used the services studied perceived discrimination by a healthcare provider. The use of prejudiced language was the most frequent perceived episode of discrimination and the emergency department was the place where it occurred with higher frequency. We found an association between episodes of perceived discrimination in family medicine and the discomfort felt in addressing trans health with the family physician. Discussion: The perceived discrimination felt by trans people was similar to the literature data, in emergency and family medicine services. The lack of knowledge of standards of care by health providers may reinforce barriers to trans healthcare, as seen in the literature. Conclusion: We found the need to study the impact of trans discrimination, around the country, as welll as evaluate and promote trans healthcare amongst healthcare providers.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-30T00:00:00Z
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dc.identifier.uri.fl_str_mv https://doi.org/10.51338/rppsm.2020.v6.i3.152
oai:ojs.www.revistapsiquiatria.pt:article/152
url https://doi.org/10.51338/rppsm.2020.v6.i3.152
identifier_str_mv oai:ojs.www.revistapsiquiatria.pt:article/152
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dc.relation.none.fl_str_mv https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/152
https://doi.org/10.51338/rppsm.2020.v6.i3.152
https://www.revistapsiquiatria.pt/index.php/sppsm/article/view/152/67
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2020 Revista Portuguesa de Psiquiatria e Saúde Mental
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2020 Revista Portuguesa de Psiquiatria e Saúde Mental
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Psiquiatria e Saúde Mental
publisher.none.fl_str_mv Sociedade Portuguesa de Psiquiatria e Saúde Mental
dc.source.none.fl_str_mv Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 No. 3 (2020); 98-108
Revista Portuguesa de Psiquiatria e Saúde Mental; Vol. 6 N.º 3 (2020); 98-108
2184-5417
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