Barriers and facilitating strategies for healthcare access and reception for transgender children and adolescents

ABSTRACT Objectives: to identify barriers and strategies that facilitate access and welcoming transgender children and adolescents in the Healthcare Network. Methods: an integrative literature review, with articles, available in full, with children and adolescents between 6 and 19 years of age, pu...

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Main Authors: Juliana Cristina Pereira Silveira, Danton Matheus de Souza, Clarissa de Souza Cardoso, Márcia Aparecida Ferreira de Oliveira
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2025-03-01
Series:Revista Brasileira de Enfermagem
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Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672025000500300&lng=en&tlng=en
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Summary:ABSTRACT Objectives: to identify barriers and strategies that facilitate access and welcoming transgender children and adolescents in the Healthcare Network. Methods: an integrative literature review, with articles, available in full, with children and adolescents between 6 and 19 years of age, published between January 2013 and April 2023, in Portuguese, English or Spanish. The level of evidence was assessed using the JBI classification. Results: the main barriers were low professional knowledge, hostile professional interactions, and sexual presumption. Facilitating strategies included continuing education, questioning about gender and pronouns, and encouraging a respectful and welcoming environment. Conclusions: this study indicates numerous barriers to access and support for transgender children and adolescents and strategies that can transform this context, aiming to move towards comprehensive care that recognizes, validates and supports gender identity with appropriate, safe and inclusive care.
ISSN:1984-0446