A saúde da pessoa transgênero : progresso, desafios e novos horizontes

Abstract

Research that addresses the health of transgender, transsexual, and transvestite people favors the expansion of academic debate, highlighting their main demands and needs. In this sense, this study aims to conduct a scoping review on the health of the transgender (trans and transvestite) population, aiming to identify gaps, challenges, and opportunities to promote equity in access to services and improve the quality of life of these communities. The study was constructed based on the JBI Manual, as a scoping review. The protocol was developed based on the PRISMA Checklist and Explanation structure, whose theoretical precepts contemplate the six methodological steps established for conducting the scoping review: elaboration of the research question; search for relevant studies; screening of studies; extraction of data; separation, summarization, and reporting of results; and dissemination of results. The bibliographic databases of articles published in full in Latin American and Caribbean Literature in Health Sciences (LILACS), Scientific Electronic Library Online (SciELO), and Google Scholar were consulted. The reading strategy was based on full-text articles in Portuguese, English, and Spanish, with texts from 2012 to 2022. According to the research carried out, it was observed that the health of the transgender and transvestite population faces several barriers, so that greater in-depth quantitative research that contemplates larger and more diverse samples is essential, in addition to taking into account the local diversity of individuals. Although legal advances guarantee fundamental rights, there is still a considerable gap between what is ensured on paper and what is realized in the daily health practice of these citizens. Attention to mental health issues is neglected, even with high rates of depression, suicide, and anxiety that permeate the LGBTQIAPN+ community. Through the scoping review, a Transgender Person Care Form was created to be used with the aim of improving the efficiency of care, strengthening the relationship between users and professionals, and collecting essential epidemiological data to support inclusive public policies. It is concluded that the review of scientific and technical literature, combined with the identification of regional barriers and the proposal of inclusive guidelines, are essential to promote equity in access to health and improve the quality of life of these people. This master's thesis is the result of the Stricto Sensu Postgraduate Program in Professional Master's in Family Health (PROFSAÚDE).