Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Programa de Pós-Graduação em Saúde Coletiva. Natal, RN, Brasil.
Rev Saude Publica. 2023 Apr 14;57:19. doi: 10.11606/s1518-8787.2023057004693. eCollection 2023.
To synthesize scientific evidence to characterize health care for transvestites and transsexuals in Brazil.
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.
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.
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.
综合科学证据，描述巴西跨性别者和变性者的医疗保健情况。
这是一项系统评价，于 2020 年 7 月至 2021 年 1 月进行，并于 2021 年 9 月进行了更新，其方案在国际前瞻性系统评价登记处（PROSPERO）平台上注册，编号为 CRD42020188719。证据调查在四个数据库中进行，对符合条件的文章进行方法学质量评估，纳入低偏倚风险的文章。
共选择了 15 篇文章，根据其主题方法将研究结果分为六类：改变医疗保健的可能性；变装癖和变性恐惧症：巴西统一卫生系统（SUS）内外的违规行为；专业人员对跨性别者和变性者护理的准备不足；寻求医疗保健替代方案；跨性别者的健康权：乌托邦还是现实？；变性过程：进展与挑战。
有证据表明，巴西跨性别者和变性者的医疗保健仍然是排他性的、碎片化的，以专业护理为中心，并以治疗性行动为指导，类似于 SUS 之前的护理模式，自巴西卫生改革以来，这些模式一直受到严厉批评。
