[巴西统一卫生系统中跨性别化进程的进展和挑战]
Vitória da Cruz Boldrin1, Ruan Dias Rodrigues Coelho1, Letícia Carvalho Alves1
1Colegiado de Medicina, Universidade Federal do Vale do São Francisco. Av. da Amizade s/n, Bairro Sal Torrado. 48605-780 Paulo Afonso BA Brasil. vitoria.boldrin@discente.univasf.edu.br.
Ciencia & saude coletiva
|January 29, 2025
概括
巴西统一卫生系统 (SUS) 的性别确认手术 (GAS) 扩大了跨性别人口的获取. 然而,诸如不准备的专业人员和耻辱等挑战仍然存在,需要改进服务和接受.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医学伦理 医学伦理
背景情况:
- 统一卫生系统 (SUS) 在LGBT社区倡导性权利和身体自主权后实施了性别确认手术 (GAS).
- 这一实施是对认可并为性别认同建设提供医疗保健的重要一步.
研究的目的:
- 分析统一卫生系统 (SUS) 中性别确认手术 (GAS) 的进展和持续挑战.
- 评估GAS对跨性别人口获得医疗保健和整体福祉的影响.
主要方法:
- 进行了定性叙事文献综述.
- 在谷歌学者,SciELO和VHL数据库中对过去10年出版的葡萄牙语文章进行了搜索.
- 选择了18篇相关文章进行分析.
主要成果:
- 该研究发现,SUS中接受GAS的变性人群的医疗保健服务正在扩大.
- 关键的挑战包括未准备的医疗保健专业人员,普遍的社会耻辱,由临床诊断驱动的病理化以及有限的医院覆盖.
- 尽管取得了进展,但对综合护理的重大障碍仍然存在.
结论:
- 在SUS中对GAS的监管和可用性为跨性别人口带来了好处.
- 迫切需要提高服务的可访问性,并积极打击污名化行为.
- 确保全面的生物心理社会接受需要解决医疗保健系统内的系统和态度障碍.
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