Costa Angelo Brandelli, da Rosa Filho Heitor Tome, Pase Paola Fagundes, Fontanari Anna Martha Vaitses, Catelan Ramiro Figueiredo, Mueller Andressa, Cardoso Dhiordan, Soll Bianca, Schwarz Karine, Schneider Maiko Abel, Gagliotti Daniel Augusto Mori, Saadeh Alexandre, Lobato Maria Inês Rodrigues, Nardi Henrique Caetano, Koller Silvia Helena
Department of Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga, 6681, Prédio 11, Sala 933, Porto Alegre, RS, Brazil.
Gender Identity Program (PROTIG), Hospital de Clinicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
J Immigr Minor Health. 2018 Feb;20(1):115-123. doi: 10.1007/s10903-016-0527-7.
Transgender and gender diverse people (TGD) have specific healthcare needs and struggles with access barriers that should be addressed by public health systems. Our study aimed to address this topic in the Brazilian context. A hospital and web-based cross-sectional survey built with input from the medical and transgender communities was developed to assess TGD healthcare needs of and access barriers in two Brazilian states. Although services that assist this population have existed in Brazil since the 1990s, TGD have difficulty accessing these services due to discrimination, lack of information and a policy design that does not meet the needs of TGD. A history of discrimination was associated with a 6.72-fold increase in the frequency of health service avoidance [95% CI (4.5, 10.1)]. This article discusses the urgent necessity for adequate health policies and for the training of professionals regarding the needs of Brazilian TGD.
跨性别者和性别多样化人群（TGD）有特定的医疗保健需求，且面临着获取医疗服务的障碍，公共卫生系统应解决这些问题。我们的研究旨在探讨巴西背景下的这一主题。我们开展了一项基于医院和网络的横断面调查，该调查在医学和跨性别群体的参与下构建而成，旨在评估巴西两个州的TGD医疗保健需求和获取障碍。尽管自20世纪90年代以来巴西就已存在为这一群体提供帮助的服务，但由于歧视、信息匮乏以及政策设计未能满足TGD的需求，TGD在获取这些服务时仍面临困难。歧视史与避免使用医疗服务频率增加6.72倍相关[95%置信区间（4.5，10.1）]。本文讨论了制定适当的卫生政策以及针对巴西TGD的需求对专业人员进行培训的迫切必要性。
