Approach and guidance of trans and non-binary people in primary health care: experience and knowledge
DOI:
https://doi.org/10.32385/rpmgf.v40i2.13658Keywords:
Trans, Non-binary, Primary health care, Gender dysphoriaAbstract
The prevalence of openly trans and non-binary people has been increasing, and, in today's world, it is estimated that they represent 0.39% and 1.19% of the global population, respectively. Thus, it becomes increasingly imperative that primary health care physicians are prepared to receive and guide this population, in their general and specific health needs. In this sense, this work intends to study the knowledge of health professionals and their approach to trans and non-binary people in the primary care facilities associated with Centro Hospitalar Universitário do Porto, via an online questionnaire that was sent to the population under study. It was found that, although there is significant contact between residents and specialists in general and family medicine with trans and non-binary people in clinical practice, the perceived degree of knowledge and training about the specific needs of this population seems to be extremely small. It is, therefore, crucial to invest in pre-graduate training, as well as post-graduate training.
Downloads
References
Referências bibliográficas
World Health Organization. International classification of diseases. 11th revised ed. Geneva: WHO; 2019.
Oliveira AG, Vilaça AF, Gonçalves DT. Da transexualidade à disforia de género: protocolo de abordagem e orientação nos cuidados de saúde primários [From transsexuality to gender dysphoria: how to approach and to guide in primary health care]. Rev Port Med Geral Fam. 2019;35(3):210-22. Portuguese
Rodrigues J, Lemos C, Figueiredo Z. Discriminação e barreiras ao acesso ao Serviço Nacional de Saúde percecionados por pessoas trans [Discrimination and access barriers to the National Health Service perceived by trans people]. Rev Port Psiq Saúde Mental. 2020;6(3):98-108. Portuguese
Coleman E, Radix AE, Bouman WP, Brown GR, de Vries AL, Deutsch MB, et al. Standards of care for the health of transgender and gender diverse people, version 8. Int J Transgend Health. 2022;23 Suppl 1:S1-259.
Sterling J, Garcia MM. Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model. Transl Androl Urol. 2020;9(6):2771-85.
Meerwijk EL, Sevelius JM. Transgender population size in the United States: a meta-regression of population-based probability samples. Am J Public Health. 2017;107(2):e1-8.
Bell J, Purkey E. Trans individuals’ experiences in primary care. Can Fam Physician. 2019;65(4):e147-54.
Mulholland AD, Coleman TA, Coulombe S, Davis C, Cameron R, Travers R, et al. Experiences of trans patients in primary care settings: findings from The OutLook Study. Sex Health. 2022;19(2):132-40.
Direção-Geral da Saúde. Estratégia de saúde para as pessoas lésbicas, gays, bisexuais, trans e intersexo. Lisboa: DGS; 2019.
Kanamori Y, Cornelius-White JH. Big changes, but are they big enough? Healthcare professionals’ attitudes toward transgender persons. Int J Transgend. 2016;17(3-4):165-75.
Santos P, Sá AB, Santiago L, Hespanhol A. A árvore da WONCA: tradução e adaptação cultural para português [The WONCA tree: Portuguese translation and cultural adaptation]. Rev Port Med Geral Fam. 2021;37(1):28-35. Portuguese
Whitlock BL, Duda ES, Elson MJ, Schwab PP, Uner OE, Wen S, et al. Primary care in transgender persons. Endocrinol Metab Clin North Am. 2019;48(2):377-90.
Safer JD, Tangpricha V. Care of transgender persons. N Engl J Med. 2019;381(25):2451-60.
Resolução da Assembleia da República n.º 31/2023, de 18 de abril. Diário da República. I Série;(76).
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Portuguese Journal of Family Medicine and General Practice
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors will assign to the RPMGF the sole right to publish and distribute the content of the manuscript specified in this declaration via physical, electronic, broadcasting or any other medium that may come into existence. They also grant the RPMGF the right to use and exploit this manuscript, in particular by assigning, selling or licensing its content. This permission is permanent and takes effect from the moment the manuscript is submitted, has the maximum duration allowed by applicable Portuguese or international law and is of worldwide scope. The authors further declare that this assignment is made free of charge. If the RPMGF informs the authors that it is not going to publish their manuscript, the exclusive assignment of rights ceases forthwith.
The authors authorise the RPMGF (or any entity it may appoint) to act on their behalf when it believes that copyright may have been infringed.
