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Vulnerabilities, health needs and access to health services of transvestites, transexual and transgender population of the State of São Paulo

Grant number: 13/22366-7
Support Opportunities:Regular Research Grants
Duration: March 01, 2014 - February 29, 2016
Field of knowledge:Health Sciences - Collective Health - Public Health
Principal Investigator:Maria Amélia de Sousa Mascena Veras
Grantee:Maria Amélia de Sousa Mascena Veras
Host Institution: Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP). Fundação Arnaldo Vieira de Carvalho. São Paulo , SP, Brazil
Associated researchers: Anna Paula Vencato ; Claudia Renata dos Santos Barros ; Larissa Maués Pelúcio Silva ; Naila Janilde Seabra Santos


The so-called sexual minorities, lesbian, gay, bisexual and transgender ( LGBT ) share various degrees of non-compliance with the biological sex or hegemonic sexual patterns, and therefore, are victims of stigma and discrimination , which adversely affects their health. To this sexuality related stigma, the HIV/Aids epidemic associated stigma related to the disease itself, further increasing the vulnerability of this population group. In Brazil, studies have revealed barriers in access to health care of the transvestites, transexual and transgender, indicating difficulties in the dialogue between these groups and the health services resulting in their low adherence to services and treatment, both in primary as well as in specialized care, such as the use of hormones and sex reassignment surgery. There is a lack of population studies among transvestites, transexual and transgender, little is known about their level of education, professional qualifications or presence in the labor market, beyond the prostitution. Transvestites, transexual and transgender are characterized as a hard-to-reach population, and the challenges in conducting research among them include: the unknown size of the population, and especially their reluctance or distrust to participate in research. This project aims to characterize the vulnerabilities that expose the population of transvestites, transexual and transgender who are reached through health or social services, to HIV, syphilis and viral hepatitis, B and C. The approach combines quantitative and qualitative methodology. Initially, a survey will be carried out among transvestites, transexual and transgender people, who attend or are reached through health or social services of the municipalities of São Paulo, Santo André, São Bernardo, Diadema, Santos, Campinas, Piracicaba and São José do Rio Preto. Tests for HIV, syphilis, hepatitis B and C will be offered. In the second phase in-depth interviews will be conducted among a sub-sample. (AU)

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
SILVIA CHWARTZMANN HALPERN; THIAGO PESTANA PINTO; JULIANA NICHTERWITZ SCHERER; FLAVIA DO BONSUCESSO TEIXEIRA; VINICIUS ROGLIO; CLAUDIA RENATA DOS SANTOS BARROS; SIBELE FALLER; RICARDO BARBOSA MARTINS; ANNE SORDI; GUSTAVO SANTA ROZA SAGGESE; et al. Vulnerabilidades clínicas e sociais em usuários de crack de acordo com a situação de moradia: um estudo multicêntrico de seis capitais brasileiras. Cadernos de Saúde Pública, v. 33, n. 7, . (13/22366-7)
THIAGO PESTANA PINTO; FLAVIA DO BONSUCESSO TEIXEIRA; CLAUDIA RENATA DOS SANTOS BARROS; RICARDO BARBOSA MARTINS; GUSTAVO SANTA ROZA SAGGESE; DANIEL DUTRA DE BARROS; MARIA AMELIA DE SOUSA MASCENA VERAS. Silicone líquido industrial para transformar o corpo: prevalência e fatores associados ao seu uso entre travestis e mulheres transexuais em São Paulo, Brasil. Cadernos de Saúde Pública, v. 33, n. 7, . (13/22366-7)
MASCHIAO, LUCA F.; BASTOS, I, FRANCISCO; WILSON, ERIN; MCFARLAND, WILLI; TURNER, CAITLIN; PESTANA, THIAGO; VERAS, MARIA AMELIA. Nonprescribed Sex Hormone Use Among Trans Women: The Complex Interplay of Public Policies, Social Context, and Discrimination. TRANSGENDER HEALTH, v. 5, n. 4, p. 205-215, . (13/22366-7)

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