Acesso de homens transgênero ao exame papanicolau na atenção primária à saúde: uma revisão integrativa

Abstract

The present objective study investigates how transgender men access the Pap smear in Primary Health Care. To this end, an integrative literature review was carried out in the PubMed, Virtual Health Library (VHL) and Scielo databases. Five articles were included, considering primary studies; quantitative and qualitative approach; published in the last ten years; written in Portuguese, English and Spanish; open access; with full text available; excluding duplicate articles and those that were unrelated to the research topic and would not answer the guiding question of this study. The reviewed articles highlighted disparities in screening and test results for the trans population, providing significantly lower screening rates than for the cis population for cervical cancer, which may be a consequence of the discrimination suffered by this group in healthcare settings. Furthermore, they reinforced that screening must be offered to trans men, as suggested by current guidelines for the cisgender population, which reflects the need to create care protocols that provide support to health professionals so that they can offer adequate practice in care for the transgender population.