Name: Caroline Simões Caldeira
Type: MSc dissertation
Publication date: 25/11/2020

Namesort ascending Role
Angelica Espinosa Barbosa Miranda Advisor *

Examining board:

Namesort ascending Role
Thiago Nascimento do Prado Internal Examiner *
Sandra Fagundes Moreira da Silva External Examiner *
Neide Aparecida Tosato Boldrini Co advisor *
Helena Lucia Barroso dos Reis External Alternate *
Carolina Maia Martins Sales Internal Alternate *
Angelica Espinosa Barbosa Miranda Advisor *

Summary: Introduction: Transgender people and their needs are not well understood by
healthcare professionals as well as by the entire society. The lack of appropriated
information or misinformation leads society to adopt stigma and prejudice, bringing
on discrimination and negative consequences for their health and well-being. For the
Transgender People community to have adequate access to health services, it is
necessary to guarantee them respectful service, which should be a commitment by
the Unified Health System (SUS). Aim: This research has evaluated the access to
healthcare by transgenders users, seen at the gender diversity outpatient clinic of the
University Hospital of the Federal University of Espirito Santo, as well as have
outlined their sociodemographic profile and their health and life conditions. Methods:
This is a cross-sectional study conducted with transgender users performed from
November 2018 to December 2019. Participants answered a questionnaire with data
on access to health, demographic, behavioral and clinical service. Physical
examination, rapid tests for HIV, syphilis and hepatitis B and C, specimen collection
for cervical and anal cytology, and molecular biology tests for human papillomavirus
(HPV) were performed. Gender prevalence rates was evaluated, and associations
were made with sociodemographic variables, tested using chi-square tests, using
Fisher's test correction. Results: Mostly of them were young, between 20 to 30 years
old (61.53%), 82 (78.8%) had 11 years or more of study. These variables were
significantly related to gender, with Trans men being the youngest of these (44.2%,
p=0.066) and those with the longest study time (54.8%, p=0.034), beyond of having a
higher family income p=0.053. The frequency of formal employment access was low
(31.73%). Almost a half had at least one STI (44.2%); 51% used or have used
hormones and 14.4% were using it without prescription, 22.1% had already suffered
sexual abuse and 53.8% reported suicidal ideation. Conclusion: The Transgender
community lives in a context of high social vulnerability. The whole diversity of this
population must be considered in researches, interventions, and in the preparation of
public health policies, aiming at an appropriate and efficient care for them at the
Unified Healthcare System.

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