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TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain)

Transgender identities are still considered a psychiatric pathology in many countries according to the prevailing biomedical model. However, in recent years, this pathologizing vision has begun to shift towards a perspective that focuses on the diversity of transgender peoples’ experiences. However,...

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Autores principales: Santander-Morillas, Kevin, Leyva-Moral, Juan M., Villar-Salgueiro, Marta, Aguayo-González, Mariela, Téllez-Velasco, David, Granel-Giménez, Nina, Gómez-Ibáñez, Rebeca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9348718/
https://www.ncbi.nlm.nih.gov/pubmed/35921271
http://dx.doi.org/10.1371/journal.pone.0271484
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author Santander-Morillas, Kevin
Leyva-Moral, Juan M.
Villar-Salgueiro, Marta
Aguayo-González, Mariela
Téllez-Velasco, David
Granel-Giménez, Nina
Gómez-Ibáñez, Rebeca
author_facet Santander-Morillas, Kevin
Leyva-Moral, Juan M.
Villar-Salgueiro, Marta
Aguayo-González, Mariela
Téllez-Velasco, David
Granel-Giménez, Nina
Gómez-Ibáñez, Rebeca
author_sort Santander-Morillas, Kevin
collection PubMed
description Transgender identities are still considered a psychiatric pathology in many countries according to the prevailing biomedical model. However, in recent years, this pathologizing vision has begun to shift towards a perspective that focuses on the diversity of transgender peoples’ experiences. However, some transgender people still face denial of services, discrimination, harassment, and even violence by healthcare professionals, causing them to avoid seeking ongoing or preventive healthcare. This article describes the health experiences of transgender people in Barcelona regarding their access and use of non-specialized health services. Semi-structured interviews were conducted using a descriptive phenomenological approach with sixteen transgender people between December 2018 and July 2019. The data were analyzed descriptively and thematically following the method proposed by Colaizzi with the help of the Atlas.ti8 software. Transgender people care experiences were divided into three categories: overcoming obstacles, training queries, and coping strategies. Participants identified negative experiences and difficulties with the health system due to healthcare providers’ lack of competence. Discriminatory, authoritarian, and paternalist behaviors are still present and hinder the therapeutic relationship, care, and access to healthcare services. There is a fundamental need for the depathologization of transgender reality and training for healthcare professionals in the field of sexual diversity. Training in sexual and gender diversity must be included in the curricula of university courses in the health sciences.
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spelling pubmed-93487182022-08-04 TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain) Santander-Morillas, Kevin Leyva-Moral, Juan M. Villar-Salgueiro, Marta Aguayo-González, Mariela Téllez-Velasco, David Granel-Giménez, Nina Gómez-Ibáñez, Rebeca PLoS One Research Article Transgender identities are still considered a psychiatric pathology in many countries according to the prevailing biomedical model. However, in recent years, this pathologizing vision has begun to shift towards a perspective that focuses on the diversity of transgender peoples’ experiences. However, some transgender people still face denial of services, discrimination, harassment, and even violence by healthcare professionals, causing them to avoid seeking ongoing or preventive healthcare. This article describes the health experiences of transgender people in Barcelona regarding their access and use of non-specialized health services. Semi-structured interviews were conducted using a descriptive phenomenological approach with sixteen transgender people between December 2018 and July 2019. The data were analyzed descriptively and thematically following the method proposed by Colaizzi with the help of the Atlas.ti8 software. Transgender people care experiences were divided into three categories: overcoming obstacles, training queries, and coping strategies. Participants identified negative experiences and difficulties with the health system due to healthcare providers’ lack of competence. Discriminatory, authoritarian, and paternalist behaviors are still present and hinder the therapeutic relationship, care, and access to healthcare services. There is a fundamental need for the depathologization of transgender reality and training for healthcare professionals in the field of sexual diversity. Training in sexual and gender diversity must be included in the curricula of university courses in the health sciences. Public Library of Science 2022-08-03 /pmc/articles/PMC9348718/ /pubmed/35921271 http://dx.doi.org/10.1371/journal.pone.0271484 Text en © 2022 Santander-Morillas et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Santander-Morillas, Kevin
Leyva-Moral, Juan M.
Villar-Salgueiro, Marta
Aguayo-González, Mariela
Téllez-Velasco, David
Granel-Giménez, Nina
Gómez-Ibáñez, Rebeca
TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain)
title TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain)
title_full TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain)
title_fullStr TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain)
title_full_unstemmed TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain)
title_short TRANSALUD: A qualitative study of the healthcare experiences of transgender people in Barcelona (Spain)
title_sort transalud: a qualitative study of the healthcare experiences of transgender people in barcelona (spain)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9348718/
https://www.ncbi.nlm.nih.gov/pubmed/35921271
http://dx.doi.org/10.1371/journal.pone.0271484
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