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. 2018 Feb;20(1):115-123.
doi: 10.1007/s10903-016-0527-7.

Healthcare Needs of and Access Barriers for Brazilian Transgender and Gender Diverse People

Angelo Brandelli Costa  1 , Heitor Tome da Rosa Filho  2 , Paola Fagundes Pase  2 , Anna Martha Vaitses Fontanari  3 , Ramiro Figueiredo Catelan  4 , Andressa Mueller  3 , Dhiordan Cardoso  3 , Bianca Soll  3 , Karine Schwarz  3 , Maiko Abel Schneider  3 , Daniel Augusto Mori Gagliotti  5 , Alexandre Saadeh  5 , Maria Inês Rodrigues Lobato  3 , Henrique Caetano Nardi  4 , Silvia Helena Koller  6
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Healthcare Needs of and Access Barriers for Brazilian Transgender and Gender Diverse People

Angelo Brandelli Costa et al. J Immigr Minor Health. 2018 Feb.

Abstract

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.

Keywords: Brazil; Discrimination; Gender affirmation procedures; Hormones; Transgender persons.

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