Employment Conditions in the Formal Sector for Transgender and Gender-Diverse Individuals in the State of São Paulo

• Grant number: 25/06332-2
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• Start date: June 01, 2025
• End date: May 31, 2026
• Field of knowledge: Health Sciences - Collective Health
• Principal Investigator: Barbara Iansã de Lima Barroso
• Grantee: Lilian de Fatima Zanoni Nogueira
• Host Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil
• Associated research grant: 23/10262-4 - MAPPING OF THE TRANS POPULATION IN THE STATE OF SÃO PAULO: METROPOLITAN REGION OF GREATER SÃO PAULO, AP.PP

Abstract

Introduction: In Brazil, gender identity is not included in the census or in representative studies of the population, such as the National Health Survey (PNS) or other population surveys, resulting in a lack of knowledge of the population size, which constitutes a barrier to understanding the social determinants and health disparities faced by this population. The absence of gender identity in the country's official demographic databases constitutes yet another situation of structural discrimination, which hinders the formulation of public policies. Regarding health conditions, other studies have sought to characterize them, however they are still insufficient, and few assess health conditions in a comprehensive manner, with a greater focus on sexually transmitted infections and AIDS. It is therefore important to organize projects to identify the living and health conditions of the trans population in the different regions of the state of São Paulo. This project was developed in partnership with other research centers, government institutions and social movements. Its objective is to map the trans population that lives or works in one of the 39 municipalities of the Metropolitan Region of São Paulo. Methodology: This is a cross-sectional study with the trans, transvestite and non-binary population living in the metropolitan region of Greater São Paulo, using a structured questionnaire. The sample size was calculated based on the population of the Metropolitan Region of São Paulo, taking into account a 95% confidence interval and a 5% margin of error. The sample will be proportionally stratified among the 39 municipalities. In the first phase of the project, a structured questionnaire will be applied to investigate issues related to gender identity; sociodemographic and economic aspects; food security; health, considering the transsexualization process, mental health, work, STIs/HIV and chronic diseases; rights, exercise of citizenship and social participation in these municipalities. This project is characterized as a proposal for Policies in Idealization, as it is necessary to know the profile of the trans population in order to contribute to the improvement of current policies and the formulation of new specific policies to meet the needs of this population, more efficiently. Expected outputs: We expect to produce descriptive and analytical reports divided into specific blocks on sociodemographic conditions, quality of life, physical health, psychosocial health, sexual and reproductive health, nutritional status and food security, body modification resources and access to health services, and violence. These reports will be systematically forwarded to the São Paulo State Health Department and the São Paulo STD/AIDS Reference and Training Center to assess the possibilities for improving and creating new public health and employment policies for the trans population of São Paulo. In addition, we expect to provide technical advisory support and the scientific production of articles in partnership with the state government on the cross-cutting scenario, the formulation and implementation of new policies, programs and actions. (AU)