Amsterdam 2015
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| Abstract #2382 - Trans people - rights and services | ||||
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Session: 54.5: Trans people - rights and services (Parallel) on Friday @ 11.00-12.30 in 202 Chaired by Pum Kommattam, Jose Bauermeister Authors: Presenting Author: Prof Maria Amelia Veras - Santa Casa de São Paulo School of Medicine, Brazil |
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| Additional Authors: Dr Berthbsp;yssouf, Mme Fatoumata ouattara, Mlle Koua Tagna, | ||||
| Aim: Characterize the vulnerability of transgender people (male and female) that prevent or hamper their access to services and rights. Specific objectives: Describe the sociodemographic characteristics Describe access and frequency of hormones and silicone use, surgeries or other body modification interventions Identify what facilitates and hamper access to health services Identify adherence to school Identify possible difficulties in access to essential goods and services such as legal assistance, professional training and work Identify stigma and discrimination experiences Describe the reported prevalence of HIV. | ||||
| Method / Issue: Mixed methods (focus groups, survey and in-depth-interviews) among transgender people in 7 Municipalities in the state of São Paulo. Questionnaire includes: SES, professional trajectories, health status, sexual and reproductive health, violations of human rights, discrimination, social context, sexual transitioning. | ||||
| Results / Comments: Up to now 253 were interviewed, mean age of 27 years, 53% are black or mixed, 75% moved from home town, 37% have no professional training, 26% are unemployed. Discrimination was experienced by 88% - 52% in health care settings and 63% in educational environments. 19,76% have no sexual active life, 40, 32% reported use of industrial silicone, 23% self-reported being infected with HIV. Figures raising from the study show a highly vulnerable population, with the highest self-reported HIV infection prevalence. SES and health indicators are worse than those found in the general population. | ||||
| Discussion: Studies with qualitative approaches and, to a lesser extent, other studies using quantitative approach have revealed difficulties in access to health care by the population of transgender people in Brazil. These studies also indicate a near absence of welcoming of these individuals in the services, given the social stigma and prejudice they suffer. Epidemiological analysis of the HIV/AIDS epidemic and the vast majority of studies and research include transgender people into the category "men who have sex with men", concealing various degrees of vulnerability, health needs and access barriers to services, which obscures the specificities of this population, since their social and psychological identities do not approach or do not fit into this category. The invisibility in the qualification of this problem has consequences regarding the formulation of public policies. This study was designed to contribute with answers to this set of gaps and can help to break the invisibility of the transgender population and to reveal their rights and health needs. It can also contribute to the analysis of their living conditions and to obtain a preliminary assessment of their health status and social needs in order to reduce their vulnerability, stigma and discrimination. | ||||
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