Dias Wiler de Paula, Nunes Thayane Silva, Nascimento Igor Myron Ribeiro, Abade Erik Asley Ferreira, Dultra Lua Sá, Marinho Milena Lemos, Ribeiro Guilherme de Sousa, Nery Joilda Silva
Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brasil.
Universidade Federal da Bahia, Faculdade de Medicina, Salvador, BA, Brasil.
Epidemiol Serv Saude. 2025 Jan 13;33(spe1):e2024515. doi: 10.1590/S2237-96222024v33e2024515.especial.en. eCollection 2025.
To describe the sociodemographic profile and access to social assistance and health services among trans people and travestis experiencing homelessness in Salvador, the capital city of Bahia state.
This was a cross-sectional study involving 24 (4.5%) participants who identified as trans people or travestis out of a total of 529 people, aged 18 or older, living in public spaces or institutional shelters included in the survey. Data were collected between 2021 and 2022, using structured questionnaires.
The sample was predominantly comprised of trans women and travestis (n=18), young individuals (n=13), of Black race/skin color (n=22), single individuals (n=18) and those engaged in informal occupations (n=23), many of whom reported experiencing violence (n=17). Frequent barriers to accessing healthcare and social assistance services were found (n=15), including lack of documentation, delay in service provision and social/racial discrimination.
The findings highlight the heightened vulnerability of transgender people and travestis experiencing homelessness, who are subjected to multiple forms of discrimination and social exclusion.
描述巴伊亚州首府萨尔瓦多无家可归的跨性别者和变装者的社会人口学特征以及获得社会援助和医疗服务的情况。
这是一项横断面研究，在参与调查的529名18岁及以上居住在公共场所或机构收容所的人中，有24名（4.5%）被认定为跨性别者或变装者。2021年至2022年期间，使用结构化问卷收集数据。
样本主要由跨性别女性和变装者（n = 18）、年轻人（n = 13）、黑人种族/肤色者（n = 22）、单身者（n = 18）以及从事非正规职业者（n = 23）组成，其中许多人报告曾遭受暴力（n = 17）。发现获得医疗保健和社会援助服务存在诸多障碍（n = 15），包括缺乏文件、服务提供延迟以及社会/种族歧视。
研究结果凸显了无家可归的跨性别者和变装者的更高脆弱性，他们遭受多种形式的歧视和社会排斥。
