title: Difficulties experienced by trans people in accessing the Unified Health System.
abstract: The objective of this study was to discuss the difficulties of trans people living in the metropolitan region of Greater Vitória, Espírito Santo, Brazil, in accessing the health services of the Unified Health System (Sistema Único de Saúde - SUS). We used a qualitative approach through semi-structured interviews with 15 trans people. The results point to disrespect toward the adopted name, discrimination, and the diagnosis required for the gender reassignment process as major limitations to accessing the healthcare system. The diagnosis helps hide the responsibility of heteronormativity and gender binarism in the social marginalization of trans people. It is concluded that it is necessary to review the issue of diagnosis, given that the existence of a prior pathology is not required to access the SUS. It is important to develop educational programmes and permanent campaigns concerning the right to access the healthcare system free from discrimination and to use the adopted name.
authors.affiliation: Universidade Federal do Espírito Santo. Av. Fernando Ferrari, 514, Goiabeiras. 29075-910 Vitória ES Brasil. xela_alex@bol.com.br.
authors.forename: Pablo Cardozo
authors.initials: PC
authors.lastname: Rocon
authors.affiliation: Universidade Federal do Espírito Santo. Av. Fernando Ferrari, 514, Goiabeiras. 29075-910 Vitória ES Brasil. xela_alex@bol.com.br.
authors.forename: Alexsandro
authors.initials: A
authors.lastname: Rodrigues
authors.affiliation: Universidade Federal do Espírito Santo. Av. Fernando Ferrari, 514, Goiabeiras. 29075-910 Vitória ES Brasil. xela_alex@bol.com.br.
authors.forename: Jésio
authors.initials: J
authors.lastname: Zamboni
authors.affiliation: Universidade Federal do Espírito Santo. Av. Fernando Ferrari, 514, Goiabeiras. 29075-910 Vitória ES Brasil. xela_alex@bol.com.br.
authors.forename: Mateus Dias
authors.initials: MD
authors.lastname: Pedrini
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care; D005260:Female; D006293:Health Promotion; D006297:Health Services Accessibility; D062985:Health Services for Transgender Persons; D006801:Humans; D008297:Male; D063508:Social Discrimination; D063106:Transgender Persons