|
A Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais e Transgêneros (LGBT) e o acesso ao Processo Transexualizador no Sistema Único de Saúde (SUS): avanços e desafios
(
13
)
|
Popadiuk GS, Oliveira DC, Signorelli MC.
Brazil/2017 |
To analyze how the Transsexualizing Process has been implemented. |
Descriptive
Mixed
Methods |
It is observed that from 2008 onwards, the transsexual population started to receive care based on their specificities through ambulatories and hospitals qualified for the Transsexualizing Process. The quantitative data showed that there is a constancy in performing sexual reassignment surgeries, even though there is a need to expand access to this service. |
LoE 4b |
Addressing Health Care
Disparities Among Sexual
Minorities(14)
|
Baptiste-Roberts K, Oranuba E, Werts N, Edwards LV.
The United States/2017 |
To discuss health disparities among women of sexual minorities (lesbians, bisexual women, women who have sex with women). |
|
Sexual minority women are more likely to report poorer physical and mental health and less access to health services. |
LoE 4b |
| LGBT Identity, Untreated Depression, and Unmet Need for Mental Health Services by Sexual Minority Women and Trans-Identified People(15)
|
Steele LS, Daley A, Curling D, Gibson MF, Green DC, Williams CC, Ross LE.
Canada/2017 |
To compare unmet mental health needs and untreated depression across four groups: heterosexual women, lesbians, bisexual women and transgender people. |
Descriptive Cross-sectional |
Higher rates of unmet mental health needs and untreated depression were identified in trans and bisexual participants partly explained by differences in social factors, including experiences of discrimination, lower levels of social support and systemic exclusion from health services. |
LoE 4b |
| A grounded theory of bisexual individuals' experiences of help seeking(16)
|
MacKay J, Robinson M, Pinder S,
Ross LE.
Canada/2017 |
To examine the demand for mental health services among bisexuals. |
Descriptive
Qualitative |
The participants' narratives described mental health services as discriminatory, medicalizing, characterized by poor relationship with providers and being useless. Negative experiences led to greater stress and participants generally discontinued using the service. |
LoE 4b |
| Health care availability, quality, and unmet need: a comparison of transgender and cisgender residents of Ontario, Canada(17)
|
Giblon R, Bauer GR
Canada/2017 |
To measure health inequities by comparing health care between transgender individuals and their cisgender peers. |
Descriptive
Cross-sectional |
Unmet health needs are identified among transgender individuals when compared to their cisgender peers. |
LoE 4b |
Exploring Perceived Discrimination Among LGBT
Individuals in Turkey in Education, Employment,
and Health Care: Results of an Online Survey(18)
|
Göçmen I, Yılmaz V.
Turkey/2017 |
To measure the perceived discrimination that lesbians, gays, bisexuals and transsexuals report in education, income, employment, and health care. |
Descriptive
Cross-sectional |
LGBT individuals report experiencing discrimination in access to education, employment and health care. |
LoE 4b |
| Barriers to Health Care Among Adults Identifying as Sexual Minorities: A US National Study(19)
|
Dahlhamer JM, Galinsky AM, Joestl SS,
Ward BW.
The United States/2016 |
To assess the extent to which lesbian, gay and bisexual adults (18 to 64 years old) face barriers to health care. |
Descriptive
Cross-sectional |
Members of the sexual minorities studied may be delayed or stopped receiving health care due to concerns or fears about disclosing their sexual orientation, lack of adequate prevention services, or absence of providers versed in the needs of these groups. |
LoE 4b |
| Correlates of clinical breast examination among lesbian, gay, bisexual, and queer women(20)
|
Lacombe-Duncan A,
Logie CH.
Canada/2016 |
To analyze compliance with breast cancer screening among women of sexual minorities. |
Descriptive
Cross-sectional |
Perception of stigma and belief that the caregiver is uncomfortable with the patient's sexual orientation were identified as responsible for a lower demand for screening services. |
LoE 4b |
|
Saúde de Minorias Sexuais do Nordeste Brazileiro: Representações, Comportamentos e Obstáculos
(
21
)
|
Garcia CL, Albuquerque, GA, Drezett J, Adami, F
Brazil/2016 |
To analyze Social Representations about health and the main iniquities, deadlocks, and challenges experienced by this minority group when accessing health services. |
Descriptive Qualitative |
The study population presented reductionist representations of health, sought health services from a healing perspective and faced challenges/obstacles in accessing health services. |
LoE 4b |
|
Dificuldades vividas por pessoas trans no acesso ao Sistema Único de Saúde
(
22
)
|
Rocon PC, Rodrigues A Zamboni J, Pedrini MD.
Brazil/2016 |
To discuss the difficulties of transgender people in the metropolitan region of Grande Vitória, state of Espírito Santo, in accessing health services. |
Descriptive
Qualitative |
The results pointed out disrespect to the social name, discrimination and diagnosis in the Transsexualizing Process as main limitations in access to the health system. |
LoE 4b |
| Experiences of homosexual patients' access to primary health care services in Umlazi, KwaZulu-Natal(23)
|
Cele NH,
Sibiya MN, Sokhela DG.
South Africa/2015 |
To describe the experiences of homosexual patients who use primary health care services. |
Descriptive Qualitative |
Participants cited experiences of prejudice and stigmatization as the main reasons for not receiving adequate treatment from health care providers after gaining access to these services. Discrimination was noted by the participants when they received different treatment from heterosexuals. |
LoE 4b |
| Navigating the System: How Transgender Individuals Engage in Health Care Services(24)
|
Roller, CG, Sedlak C, Draucker, CB.
The United States/2015 |
To describe the process by which transgender individuals engage in health care. |
|
Participants report "challenging and frustrating" trajectories in health services. |
LoE 4b |
|
Cuidado com saúde: as travestis de Santa Maria, Rio Grande do Sul
(
25
)
|
Souza, MHT; Pereira, PPG.
Brazil/2015 |
To present the health care of transvestites in the city of Santa Maria, state of Rio Grande do Sul, Brazil. |
|
In the rare situations in which they sought health services, they did not meet expectations or respond to users' demands. |
LoE 4b |
Survey of lesbian, gay, bisexual, and transgender
people's experiences of mental health services
in Ireland(26)
|
McCann E, Sharek D.
Ireland/2014. |
To explore the experiences and needs of LGBT subjects in relation to mental health services. |
Descriptive
Cross-sectional |
Two-thirds of respondents felt that mental health services were unable to respond to health needs, while one-third felt they could not speak to their health care provider about LGBT issues. Most respondents felt that the team assumed they were heterosexual. |
LoE 4b |
Prestación de atención de salud de las minorías sexuales y de género: revisión integrativa de la literatura
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