Transgender identity as a selectivity factor of access to health: an outline of the brazilian social symbolic structure

Identidade transgênero como fator de seletividade de acesso à saúde: um esboço da estrutura simbólica social brasileira

Authors

  • Caio César de Souza Gonçalves Pereira
  • Ana Paula Pereira Falcão
  • Anderson Belmont Correia de Oliveira

DOI:

https://doi.org/10.34119/bjhrv5n5-059

Keywords:

transsexuality and health, health services for transgender persons, equity in access to health services

Abstract

The emergence of the Brazilian Unified Health System (SUS), arising from the 1988 citizen's constitution, constituted a fundamental pillar in the realization of inclusive and universal public health, while it aroused among the sectors of society the reflection there is about the need of thinking about health as something that goes beyond the walls of hospitals and curative policies, but rather as the sum of health actions that have the population as the main protagonists of care. Based on this question, the present literature review will seek subsidies in the context of symbolic social structuring, lending itself to analyze how living in a society guided by patriarchal values and moral principles can interfere in health care. Furthermore, it proposes to discuss how professional performance based on the pillars of heteronormativity and personal beliefs, presents itself as limiting factors for effective health care for the transgender population.

References

Mello L, Perilo M, Braz CA, Pedrosa C. Health policies for lesbians, gays, bisexuals, transvestites and transsexuals in Brazil: in search of universality, integrality and equity. Fri., Salud Soc. 2011; (9): 7-28.

Negreiros FRN, Ferreira BO, Freitas DN, Pedrosa JIS, Nascimento EF. Health of Lesbians, Gays, Bisexuals, Transvestites and Transsexuals: from Medical Education to Professional Practice. Rev Bras Educ Med 2019; 43 (1): 23-31.

Laurentino ACN. Public health policies for the LGBT population: from the creation of SUS to the implementation of the National LGBT Comprehensive Health Policy. [dissertation]. Rio de Janeiro (RJ): Oswaldo Cruz Foundation / Joaquim Venâncio Polytechnic School of Health; 2015.

Santos, AR, Santos, RMM, Souza, ML, Boery, RNSO, Sena, ELS, Yarid, SD. Bioethical implications in health care for the LGBTT public. Rev Bioét 2015; 23 (2): 400-408.

Toledo, LG, Pinafi, T. The psychological clinic and the LGBT public. Psicol clin. 2012; 24 (1): 137-163.

Silva R, Bezerra W, Queiroz S. The impacts of transgender identities on the sociability of transvestites and transsexual women. Rev Ter Ocup Univ São Paulo 2015; 26 (3): 364-72.

Rocon PC, Rodrigues A, Zamboni J, Pedrini MD. Difficulties experienced by trans people in accessing the Unified Health System. Cien Saude Colet 2016; 21 (8): 2517- 2526.

Pacheco RAS, Pacheco IS, Roberto JNQ, Hernandez NAM. Law and transsexuality: a question of identity. Proceedings of the 10th UBA Sociology Conference; 2013 Jul 1- 6; Buenos Aires, Argentina.

Reisner SL, Poteat T, Keatley J, Cabral M, Mothopeng T, Dunham E, Holland CE, Max R, Baral SD. Global health burden and needs of transgender populations: a review. Lancet 2016; 388 (10042): 412-436.

Wylie K, Knudson G, Khan SI, Bonierbale M, Watanyusakul S, Baral S. Serving transgender people: clinical care considerations and service delivery models in transgender health. Lancet 2016; 388 (10042): 401-411.

Lopes JMC, Ribeiro JAR. The person as the center of care in the practice of the family doctor. Rev Bras Med Fam Comunidade 2015; 10 (34): 1-13.

Stewart MA, organizers. Person-Centered Medicine: transforming the clinical method. 2nd ed. Porto Alegre: Artmed, 2010.

Beauvoir S. The Second Sex. Rio de Janeiro: Nova Fronteira, 1980.

Chagas EM, Nascimento EP. (In) trans visibility: a brief discussion about transphobia in the lives of transvestites and transsexuals. Proceedings of the VIII International Public Policy Day; 2017 Aug 22-25; São Luís, Brazil.

Scott JW. Gender: a useful category of historical analyzes. Gender and the politics of history. New York: Columbia University Press, 1989.

Jesus JG. Orientations on gender identity: concepts and terms. Technical guide on transsexuals, transvestites and other transgender people, for opinion makers. Brasília: 2012.

Brazil. General Balance of Denunciations of Violence against LGBT's - 2011 to 2018 / 1st. Ministry of Women, Family and Human Rights. Brasília - DF: 2018.

Transgender Europe. Transgender Europe's Trans Murder Monitoring (TMM). 2008 - Jun 2016. [cited 2020 Feb 8]; Available from: https://transrespect.org/en/map/trans- murder-monitoring/

Lanz L. The Body of Clothing: the transgender person between transgression and conformity with gender norms. [dissertation]. Curitiba: Federal University of Paraná (PR); 2014.

Monzeli, GA. At home, on the dancefloor or at school it is so frilly: spaces for sociability of young transvestites. [dissertation]. São Carlos (SP): Federal University of São Carlos; 2013.

Rozario ESB. LGBT'S public policies to combat homophobia in Belém do Pará: analysis from the Police Station to Combat Homophobic Crimes (DCCH). [monography]. Belém (PA): Federal University of Pará; 2013.

AMCS Chamber, Melo VLC, Gomes MGP, Pena BC, Silva AP, Oliveira KM, Moraes APS, Coelho GR, Victorino LR. Perception of the health-disease process: meanings and values of health education. Rev Bras Educ Med 2012;6 (1, Suppl. 1): 40-50.

Santos DS, Tenório EA, Brêda MZ, Mishima SM. The health-disease process and the family health strategy: the user's perspective. Rev Latino-Am Enfermagem 2014; 22 (6): 918-925.

Narvai PC.Public health practices. In: Rocha AA, Cesar CLG, organizers. Public health: conceptual bases. São Paulo: Atheneu, 2008, p. 269-297.

Singer M. Introduction to syndemics: a systems approach to public and community health. San Francisco (CA): Jossey-Bass, 2009.

Winter S, Diamond M, Green J, Karasic D, Reed T, Whittle S, Wylie K. Transgender people: health at the margins of society. Lancet 2016; 388 (10042): 390–400.

Cardoso MR, Ferro, LF. Health and LGBT population: demands and specificities in question. Psicol cienc prof; 32 (3): 552-563

Rocon PC, Sodré F, Zamboni J, Rodrigues A, Roseiro MCFB. What do transgender people expect from the Unified Health System ?. Interface (Botucatu) 2018; 22 (64): 43-53.

Bittencourt D, Fonseca V, Segundo M. Access of the lgbt population living in slums to public health services: barriers, silences and perspectives. Con Psi [Internet]. 2014 July

/ Dec [cited 2020 Feb 02]; 2 (2): 60-85. Available from: http://apl.unisuam.edu.br/revistas/index.php / conexoespsi / article / view / 542/504

Carvalho LS; Philippi MM. Perception of lesbians, gays and bisexuals in relation to health services. Univ Cienc Saude 2014; 11 (2): 83-92.

Calderaro F, Fernandes B, Mello L. TTLBG citizenship and the right to health in Brazil ”. In: Rocha D, organizers. Diversity and equity in SUS: partnership between university and popular education. Goiânia: Canon, 57-68.

Fuzikawa AK. The person-centered clinical method: a summary. Belo Horizonte (MG): NESCON, 2013.

McWhinney IR. William Pickles lecture 1996: the importance of being different. Br J Gen Pract 1996; 46 (408): 433-6.

Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Person-Centered Medicine: transforming the clinical method. 2. ed. Porto Alegre: Artmed, 2010.

Levenstein JH, McCracken EC, McWhinney IR, Stewart MA, Brown JB. The patient- centered clinical method. 1. A model for the doctor-patient interaction in family medicine. Fam Pract. 1986; 3 (1): 24-30.

Broeiro P. Clinical method centered on the patient: the matrix of efficiency and evidence. Rev Port Med Geral Fam 2014; 30 (5): 282-284.

Stewart M, Ryan BL, Bodea C. Is patient-centered care associated with lower diagnostic costs? Healthc Policy 2011; 6 (4): 27-31.

Downloads

Published

2022-09-13

How to Cite

PEREIRA, C. C. de S. G.; FALCÃO, A. P. P.; OLIVEIRA, A. B. C. de. Transgender identity as a selectivity factor of access to health: an outline of the brazilian social symbolic structure: Identidade transgênero como fator de seletividade de acesso à saúde: um esboço da estrutura simbólica social brasileira. Brazilian Journal of Health Review, [S. l.], v. 5, n. 5, p. 18520–18535, 2022. DOI: 10.34119/bjhrv5n5-059. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/52014. Acesso em: 28 apr. 2024.

Issue

Section

Original Papers