'This family rejection harmed my health as well': Intersections between the meanings of family and health for trans people and family members in a trans healthcare service in Brazil

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2022
Título da Revista
ISSN da Revista
Título do Volume
Editora
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Autores
PAULINO, Danilo Borges
PASTOR-VALERO, Maria
Citação
GLOBAL PUBLIC HEALTH, v.17, n.7, p.1330-1342, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Transgender people deal with intense discrimination in every aspect of life. These experiences increase when they face family rejection. The research on social and family environment surrounding gender transition has been largely overlooked. We examine the meanings of family and health, and how these intersect, among trans people and their family members in a health service in Brazil. We conducted a qualitative study (between December 2017 and July 2018), an ethnography with the triangulation of three sources: interviews with 8 transgender men, 8 transgender women and 5 family members; a focus group with another 8 transgender men and approximately 100 h of field observation. Our study shows that family and health are interpreted as ideal protective environments, and seen as causes of disappointment, abandonment and illness. The meanings of family and health are interconnected and constituted in relation to each other. We also found that there are differences within these meanings of family and health when we consider the ethnicity and the economic status of the participants. The participants reported that the society education towards transsexuality is fundamental to improving trans people's quality of life. Our results challenge health services to provide comprehensive healthcare and assure health equity for transgender people.
Palavras-chave
Transgender, family, healthcare, qualitative study, ethnography
Referências
  1. Anafi M., 2016, REPORT 2015 US TRANS
  2. [Anonymous], 2020, LANCET PUBLIC HEALTH, V5, pE177, DOI 10.1016/S2468-2667(20)30059-1
  3. Berredo L., 2016, TVT PUBLICATION SERI, V14, P12
  4. Bockting WO, 2013, AM J PUBLIC HEALTH, V103, P943, DOI 10.2105/AJPH.2013.301241
  5. BRASIL, 1988, CONSTITUI O REP BLIC
  6. Brown C, 2020, LGBT HEALTH, V7, P407, DOI 10.1089/lgbt.2019.0200
  7. Carlile A, 2020, INT J TRANSGEND HEAL, V21, P16, DOI 10.1080/15532739.2019.1693472
  8. Charmaz K., 2006, CONSTRUCTING GROUNDE
  9. Clements K., 1999, TRANSGENDER COMMUNIT
  10. Denzin N, 1989, RES ACT, V3rd
  11. Dierckx M, 2019, J FAM ISSUES, V40, P85, DOI 10.1177/0192513X18800362
  12. Dierckx M, 2016, INT REV PSYCHIATR, V28, P36, DOI 10.3109/09540261.2015.1102716
  13. Fae J., 2018, TRANSITION DENIED CO
  14. FLICK U., 2009, INTRO PESQUISA QUALI
  15. Fonseca Claudia, 2005, Saude soc., V14, P50
  16. GalSSn J.I.P., 2009, UNDERSTANDING FAMILY
  17. Giovanardi G, 2018, FRONT PSYCHOL, V9, DOI 10.3389/fpsyg.2018.00060
  18. Grant JM, 2011, INJUSTICE EVERY TURN
  19. Guest G, 2006, FIELD METHOD, V18, P59, DOI 10.1177/1525822X05279903
  20. Hailey J, 2020, J GLBT FAM STUD, V16, P176, DOI 10.1080/1550428X.2020.1724133
  21. Harris P., 2018, COMMUNITY PRACTITION, V91, P35
  22. Harvey RG, 2015, FAM PROCESS, V54, P396, DOI 10.1111/famp.12170
  23. Hines S, 2006, SOCIOLOGY, V40, P353, DOI 10.1177/0038038506062037
  24. Instituto Brasileiro de Geografia e EstatYstica (IBGE), 2010, CENSO DEM 2010 CAR P
  25. International Health Conference, 2002, Bull World Health Organ, V80, P983
  26. Jaffee KD, 2016, MED CARE, V54, P1010
  27. Laplantine F., 2004, DECRICAO ETNOFRAFICA
  28. Le V, 2016, J INT AIDS SOC, V19, P59, DOI 10.7448/IAS.19.3.20781
  29. Lombardi EL, 2001, J HOMOSEXUAL, V42, P89, DOI 10.1300/J082v42n01_05
  30. MaYllo H.M.V., 2010, LECTURAS ANTROPOLOG, P195
  31. Monteiro S, 2019, CAD SAUDE PUBLICA, V35, DOI [10.1590/0102-311X00111318, 10.1590/0102-311x00111318]
  32. Oliveira F.J.A., 1998, DOENCA SOFRIMENTO PE, P81
  33. Riggs DW, 2020, INT J TRANSGEND HEAL, V21, P3, DOI 10.1080/15532739.2019.1692751
  34. Rocon PC, 2019, INTERFACE-BOTUCATU, V23, DOI [10.1590/interface.180633, 10.1590/Interface.180633]
  35. Russell ST, 2018, J ADOLESCENT HEALTH, V63, P503, DOI 10.1016/j.jadohealth.2018.02.003
  36. Sarti C., 2011, FAMILIA COMO ESPELHO, P55
  37. Sarti C.A., 2005, REV ANTHR RECIFE, V16, P31
  38. Shiffman M, 2016, PSYCHOL SEX ORIENTAT, V3, P27, DOI [DOI 10.1037/SGD0000152, DOI 10.1037/sgd0000152]
  39. Silva R.G.L.B., 2015, REV TERAPIA OCUPACIO, V26, P364, DOI [10.11606/issn.2238-6149.v26i3p364-372, DOI 10.11606/ISSN.2238-6149.V26I3P364-372]
  40. Simons L, 2013, J ADOLESCENT HEALTH, V53, P791, DOI 10.1016/j.jadohealth.2013.07.019
  41. Sousa J.A., 2018, CADERNOS GENERO DIVE, V4, P43, DOI [10.9771/cgd.v4i1.24974, DOI 10.9771/CGD.V4I1.24974]
  42. STRUTZEL E, 1968, NURS RES, V17, P364
  43. Veldorale-Griffin A, 2016, ARCH SEX BEHAV, V45, P607, DOI 10.1007/s10508-015-0657-3
  44. Tran VT, 2017, J CLIN EPIDEMIOL, V82, P71, DOI 10.1016/j.jclinepi.2016.10.001
  45. Whitley CT, 2013, SOCIOL PERSPECT, V56, P597, DOI 10.1525/sop.2013.56.4.597
  46. Willging C, 2019, SOC SCI MED, V222, P67, DOI 10.1016/j.socscimed.2018.12.031
  47. Winter S, 2016, LANCET, V388, P390, DOI 10.1016/S0140-6736(16)00683-8
  48. Winter S, 2009, INT J SEX HEALTH, V21, P96, DOI 10.1080/19317610902922537
  49. Wren B., 2002, CLIN CHILD PSYCHOL P, V7, P377, DOI 10.1177/1359104502007003006
  50. Yazbek M.C., 2018, CLASSES SUBALTERNAS
  51. Yin R.K., 2010, PESQUISA QUALITATIVA