Factores contextuales, sociales e individuales como barreras y facilitadores para el acceso a la salud de mujeres trans: desde la perspectiva de la comunidad

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dc.contributor.authorZalazar, Virginia
dc.contributor.authorAristegui, Ines
dc.contributor.authorCardozo, Nadir
dc.contributor.authorSued, Omar
dc.contributor.authorRodríguez, Allan E.
dc.contributor.authorFrola, Claudia
dc.contributor.authorPérez, Héctor
dc.date.accessioned2024-05-21T13:37:38Z
dc.date.available2024-05-21T13:37:38Z
dc.date.issued2018-12
dc.description.abstractBackground: Transgender women (TGW) are vulnerable to several health problems, including HIV and other STDs, which significantly reduces their life expectancy. Therefore, there is an urgent need to understand factors affecting access to healthcare. Methods: A qualitative study was conducted among TGW living in rooming houses (TRH) in Buenos Aires. The objective of the study was to explore contextual, social and individual barriers and facilitators to access healthcare, particularly HIV services, and the acceptability of interventions. Two focus groups and five interviews were conducted in three TRH. Results: Contextual barriers described were the limited number of appointments and long waiting hours. Social obstacles included health workers’ stigma and discrimination and blaming of TGW for their health burdens, as well as HIV stigma within TGW groups. Most important facilitator were inclusive services. Individual barriers were self-exclusion and anticipated stigma, resulting in high rates of self-medication and industrial silicone injection. Peers play an important role by accompanying others TGW to healthcare. While reporting similar problems, TGW recommended different interventions according to their THR profile. Conclusions: As the stigma and discrimination is the most important barrier, it is imperative to ensure awareness of transgender issues for all personnel of healthcare services. It is necessary to implement a wide range of strategies in health facilities, and evaluate the community acceptance of domiciliary interventions, in order to respond to the different demands of this population.
dc.identifier.citationActualizaciones en sida e infectología. Buenos Aires.diciembre 2018. volumen 26 . número 98: 1-14
dc.identifier.otherhttps://infectologia.info/revista/98/factores-contextuales-sociales-e-individuales-como-barreras-y-facilitadores-para-el-acceso-a-la-salud-de-mujeres-trans-desde-la-perspectiva-de-la-comunidad/
dc.identifier.urihttps://repositorio.huesped.org.ar/handle/123456789/1008
dc.relation.ispartofseriesActualizaciones en sida e infectología; 26(98)
dc.subjectpersonas transgénero
dc.subjectaccesibilidad a los servicios de salud
dc.subjectVIH
dc.titleFactores contextuales, sociales e individuales como barreras y facilitadores para el acceso a la salud de mujeres trans: desde la perspectiva de la comunidad

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