Difficulties in access to health services by lesbian, gay, bisexual and transgender people

Alef Diogo da Silva Santana, Marcos Soares de Lima, Jefferson Wildes da Silva Moura, Isabel Cristina Sibalde Vanderley, Ednaldo Cavalcante de Araújo

Abstract


Objective: to analyze the difficulties of access to health services by LGBT people. Method: this is a descriptive bibliographic study of the integrative literature review type. The search was performed in January 2019 in the databases: MEDLINE, Web of Science and SCOPUS. We searched for articles with timeless delimitation. The articles were evaluated according to the AHRQ criteria and their eligibility by CASP. Data was analyzed in the IRAMUTEQ software from the Descending Hierarchical Classification. Results: it is noteworthy that the final sample consisted of ten articles, among them, 70% were available at SCOPUS; 10% on Web of Science and 20% on MEDLINE. Regarding the nationality of the studies, 10% were from Germany; 10% from Brazil; 10% from Argentina; 20% from Canada; 20% from South Africa and 30% from the United States of America. It was found that the years of publication of the studies were between 2013 and 2018. Conclusion: it is evident that access to health services by the LGBT population is permeated by constraints and prejudices. It is emphasized that exclusion, helplessness, omission and indifference to access are feelings expressed by this public, even though there are specific public policies. Descriptors: Health Services; Sexual and Gender Minorities; Health Services Accessibility; Nursing; Health Vulnerability; Public Policy.

Resumo

Objetivo: analisar as dificuldades de acesso aos serviços de saúde pelas pessoas LGBT. Método: trata-se de um estudo bibliográfico, descritivo, do tipo revisão integrativa da literatura. Realizou-se a busca em janeiro de 2019 nas bases de dados: MEDLINE, Web of Science e SCOPUS. Pesquisaram-se artigos com delimitação atemporal. Avaliaram-se os artigos segundo o critério AHRQ e sua elegibilidade pelo CASP. Analisaram-se os dados no software IRAMUTEQ a partir da Classificação Hierárquica Descendente. Resultados: destaca-se que a amostra final foi composta por dez artigos, entre eles, 70% encontraram-se disponíveis na SCOPUS; 10%, na Web of Science e 20%, na MEDLINE. Notou-se que, referente à nacionalidade dos estudos, 10% foram da Alemanha; 10%, do Brasil; 10%, da Argentina; 20%, do Canadá; 20%, da África do Sul e 30%, dos Estados Unidos da América. Verificou-se que os anos de publicação dos estudos foram entre 2013 e 2018. Conclusão: evidencia-se que o acesso aos serviços de saúde pela população LGBT é permeado por constrangimentos e preconceitos. Ressalta-se que a exclusão, desamparo, omissão e indiferença ao acesso são sentimentos expressados por este público, mesmo existindo políticas públicas específicas. Descritores: Serviços de Saúde; Minorias Sexuais e de Gênero; Acesso aos Serviços de Saúde; Enfermagem; Vulnerabilidade em Saúde; Política Pública.

Resumen

Objetivo: analizar las dificultades de acceso a los servicios de salud por parte de las personas LGBT. Método: este es un estudio bibliográfico descriptivo del tipo revisión integradora de literatura. La búsqueda se realizó en enero de 2019 en las bases de datos MEDLINE, Web of Science y SCOPUS. Buscamos artículos con delimitación atemporal. Los artículos fueron evaluados de acuerdo con los criterios AHRQ y su elegibilidad por CASP. Los datos se analizaron en el software IRAMUTEQ de la Clasificación Jerárquica Descendente. Resultados: cabe destacar que la muestra final consistió en 10 artículos, entre ellos, 70% estaban disponibles en SCOPUS, 10% en Web of Science y 20% en Medline. Con respecto a la nacionalidad de los estudios, el 10% provino de Alemania, el 10% de Brasil, el 10% de Argentina, el 20% de Canadá, el 20% de Sudáfrica y el 30% de los Estados Unidos de América. Se descubrió que los años de publicación de los estudios fueron entre 2013 y 2018. Conclusión: es evidente que el acceso a los servicios de salud por parte de la población LGBT está impregnado de restricciones y prejuicios. Es de destacar que la exclusión, la impotencia, la omisión y la indiferencia al acceso son sentimientos expresados por este público, a pesar de que existen políticas públicas específicas. Descriptores: Servicios de Salud; Minorías Sexuales y de Género; Accesibilidad a los Servicios de Salud; Enfermería; Vulnerabilidad en Salud; Política Pública.


Keywords


Health services; Sexual and Gender Minorities; Access to Health Services; Nursing; Health Vulnerability; Public policy

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DOI: https://doi.org/10.5205/1981-8963.2020.243211



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