Corpos que resistem: acesso e qualidade da assistência prestada a travestis e transexuais no Sistema Único de Saúde (SUS).

Abstract

Transvestites and transsexuals are individuals who have less visibility in the community LGBTQIAP+ and who are more exposed to vulnerabilities due to a series of markers social. When it comes to health, these people have particularities that make them different from the group. In view of this, the general objective of the study is to characterize the access of transgender and transvestite people to to the Unified Health System (SUS). This is a cross-sectional study with a quantitative approach. and qualitative. The research population consisted of transvestites and transsexuals of age. age 18. The research instrument was a questionnaire with sociodemographic variables, health issues and on access, reception in health establishments and preparation professional with the trans and transvestite population, made available through social networks, in the period from April to May 2023. The present study had the response of 36 individuals, the majority composed of transgender women (36.1%), transgender men (25%) and transvestites (22.2%). As for the educational level, most have incomplete higher education or complete (55.5%). Most self-declared white and the other half are ethnic minorities. A personal monthly salary range is up to one minimum wage, with income and education are linked to employability. Almost all use or used some health service SUS, and just over half have their social name respected in these services. The majority of respondents said they had suffered some type of prejudice or discrimination based on identity of gender in the SUS. The main complaint is related to the disrespect for names, pronouns and gender. No physical limitation was observed in accessing SUS health services, as the group has its demands resolved by such services. Disrespecting the noun, pronoun, gender, sexual harassment, embarrassment, discrimination, prejudice, transphobia and the constant demand of professional preparation to deal with the demands of transgender people are weaknesses that affect the quality of care provided to the group. The main limitations of the study were the difficulty in reaching respondents through online collection instruments. He was possible to socio-demographically characterize the research participants, characterize the profile of health and user access to SUS health establishments, as well as highlighted some weaknesses that affect the quality of care provided to transvestites and transsexuals.