Health access for transgender people in Latin America: a scoping review protocol

Authors

  • Livia Maria de Souza Gonçalves
  • Norberto Rech Bonetti
  • Luciano Soares

DOI:

https://doi.org/10.34119/bjhrv6n4-127

Keywords:

transgender persons, sexual and gender minorities, health services for transgender persons, health equity, health services accessibility, Latin America

Abstract

Background Globally, trans people face barriers in living with society due to cis-heteronormative standards that impair access to healthcare. Objective: This study aims to map and analyze the literature to elucidate if access to health services and goods meets the health needs of transgender persons in Latin America. The study will describe the factors that impact health access for transgender persons in the area, the differences and similarities between the access in the region's countries, and the factors that justify them. The results will characterize the Latin American health access capacity, strengths, and difficulties in meeting the needs and rights of that group. Materials and methods: This review consists of a search in PubMed, SciELO, and LILACS databases on the health of transgender people in Latin America and, after, the selection of the controls and included articles. The selection of studies occurs in three stages, conducted in pairs of researchers: reading the title, reading the abstract, and floating the complete text, according to inclusion criteria. There is no language restriction. The pair of researchers will conduct data extraction by filling in the extraction framework information of each study. Data synthesis comprises the categorization of the data. The analysis takes place from the perspective of three factors of access to health: enabling factors, health needs, and individual health behaviors. Data analysis comprises the application of quantitative measures in the data overview and subsequent qualitative analysis of the major categories. The review will present a narrative summary of the findings. The protocol was built based on the instructions from the Joanna Briggs Institute Scoping (JBI) Reviews Manual. Reports follow the Scoping Reviews framework PRISMA-ScR. Discussion: Findings will provide subsidies to improve healthcare services for transgender persons, construct public policy in the Latin American region, and further scientific production. Protocol registration number osf.io/7rjat/

References

Albuquerque AG, Garcia de LC, Quirino da SG, et al. Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review. BMC International Health and Human Rights, 2016; 16:2. DOI: 10.1186/s12914-015-0072-9.

Cavalcanti, MR. An analysis of the demands of the Transsexualization Process at the Pernambuco State Center for Combating Homophobia. Revista InSURgência, 2017; 3:1. doi: 10.26512/insurgncia.v3i1.19379.

Winter S, Diamond M, Green J, et al. Transgender people: health at the margins of society. The Lancet 2016; 388:10042. doi: 10.1016/S0140-6736(16)00683-8.

Costa AB, da Rosa Filho HT, Pase PF, et al. healthcare Needs of and Access Barriers for Brazilian Transgender and Gender Diverse People. J Immigrant Minority Health, 2018; 20. DOI: 10.1007/s10903-016-0527-7.

Rosa ADF, Carvalho MVF, Pereira NR, et al. Nursing Care for the transgender population: genders from the perspective of professional practice. Rev Bras Enf, 2019; 72:299-306. DOI: 10.1590/0034-7167-2017-0644.

McIntyre D, Mooney G, eds. The economics of health equity. New York: Cambridge University; 2007.

Socías, M.E., Marshall, B.D., Arístegui, I. et al. Factors associated with healthcare avoidance among transgender women in Argentina. Int J Equity Health 13, 81 (2014). https://doi.org/10.1186/s12939-014-0081-7

Vermeir E, Jackson LA, Marshall EG. Barriers to primary and emergency healthcare for trans adults. Cult Health Sex. 2018 Feb;20(2):232-246. DOI: 10.1080/13691058.2017.1338757. Epub 2017 June 29. PMID: 28660795.

Levcovitz E, Costa-Couto MH. International Observatory of Human Capabilities, Development and Public Policies: studies and analyses. Health Systems in Latin America XXI century In R. P. Nogueira et al. Brasília, DF, Brasil, 2018; 3:99-118.

Brazil. Ordinance No. 2,803, of November 19, 2013 - Redefines and expands the Transsexualization Process in the Unified Health System (SUS). Ministry of Health, 2013.

Brazil. Ministry of Health. National Policy for the Comprehensive Health of Lesbians, Gays, Bisexuals, Transvestites and Transsexuals. Ministry of Health, Secretariat for Strategic and Participatory Management, Department of Support for Participatory Management, 2011; 1st ed.

Argentina. Law No. 26,743. Gender identity. Ministry of Justice and Human Rights of the Nation. Secretariat of Human Rights, 2014. 1 ed.

Cuba. Ministerial Resolution No. 126 - Approve the creation of the National Commission for Integral Attention to Transsexual Persons, directed by the National Center for Sexual Education (CENESEX). Ministry of Public Health (MINSAP), 2008.

Barrientos, J. Situación social y legal de gays, lesbianas y personas transgénero y la discriminación contra estas poblaciones en América Latina. Sexualidad, Salud y Sociedad (Rio de Janeiro), 2016. (22), 331–354. doi:10.1590/1984-6487.sess.2016.22.15.a

Trans Murder Monitoring. TransMurder Monitoring (TMM) update - Trans Day of Remembrance, 2022 Retrieved December 10, 2022, from https://transrespect.org/en/trans-murder-monitoring/tmm-resources/

Rocon PC, Wandekoken KD, Barros MEB, et al. access to health by the trans population in Brazil: between the lines of the integrative review. Trab. Educ. Saúde 2020. 18(1):e0023469. DOI: 10.1590/1981-7746-sol00234.

Domínguez CM, Ramírez SV, Arrivillaga M. Access to health services for transgender women in the city of Cali, Colombia. MedUNAB, 2018; 20:3, 296–309. doi:10.29375/01237047.2404.

Scheim A, Kacholia V, Logie C, et al. Health of transgender men in low- income and middle- income countries: a scoping review. BMJ Global Health 2020;5:e003471. DOI: 10.1136/bmjgh-2020-003471.

Kearns S, Kroll T, O’Shea D, et al. Experiences of transgender and non-binary youth accessing gender-affirming care: A systematic review and meta-ethnography.PLoSONE 2021; 16(9):e0257194. DOI: 10.1371/journal.pone.0257194.

Reisner SL, Poteat T, Keatley J, et al. Global health burden and needs of transgender populations: a review. Lancet. 2016; 23:388- 10042. doi: 10.1016/S0140-6736(16)00684-X.

BRADSHAW J. “A taxonomy of social need.” in McLachlan G (ed.) Problems and progress in medical care. Seventh series NPHT/Open University Press, 1972.

Soares L. Access to dispensing service and medication: theoretical model and empirical elements [Doctoral Thesis]. Florianópolis: Federal University of Santa Catarina State, 2013.

Sanchez RM, Ciconelli RM. Concepts of access to health. Rev Panama Salud Publica. 2012;31(3):260–8.

The Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual: 2015 edition/supplement. Published by the Joanna Briggs Institute, 2015.

Tricco AC, Lillie E, Zarin W, O’Brien KK, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169:467–73. doi: 10.7326/M18-0850.

Downloads

Published

07/25/2023

How to Cite

GONÇALVES, L. M. de S.; BONETTI, N. R.; SOARES, L. Health access for transgender people in Latin America: a scoping review protocol . Brazilian Journal of Health Review, [S. l.], v. 6, n. 4, p. 15592–15603, 2023. DOI: 10.34119/bjhrv6n4-127. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/61671. Acesso em: 17 oct. 2026.

Issue

Section

Original Papers