Barreiras no acesso da população Transgênero e Travesti no Sistema Único de Saúde: uma revisão sistemática

Abstract

Transgender and travesti individuals, who do not identify with their assigned sex at birth, face significant challenges in accessing healthcare. Transexuality, once considered pathological, has led to stigma and misinformation in the healthcare system, resulting in prejudice in care and a lack of understanding of this population's specific needs. This systematic review aimed to identify such barriers in the Sistema Único de Saúde, analyzing 41 articles, of which 8 met the criteria. The search, conducted between April and June 2023, in the Scielo and LILACS databases, highlighted the lack of healthcare professionals' training, compromising access to primary care. Transgender individuals are often wrongly associated with sexually transmitted infections, hindering the establishment of bonds in primary care. There is an inequality in article production, with more focus on transgender women. Persistent challenges include disrespect for chosen names and stigmatization regarding sexually transmitted infections. Research gaps regarding trans men emphasize the need for specific interventions and interdisciplinary education to promote health equity. Understanding these barriers is crucial for developing more inclusive and sensitive health policies and practices for the transgender population.