Cytology in brazilian transgender men: reflection of the shortages of health care assistance
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Mauricio de Nassau University Center, Brazil
Catholic University of Pernambuco, Brazil
Faculdade Pernambucana de Saúde
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A1410
Background and Objective:
Brazil has been expanding the discussions about sexual diversity and gender over the years, but is still not fully inclusive, especially in health promotion for transgender people. The research aims to evaluate the situation of cervical cancer screening in Brazilian transgender men, since, according to the Ministry of Health, it is the third most prevalent type of cancer in the population.

This is a cross-sectional quantitative study. Data were collected regarding the notification of cervical cancer cases in trans men on the DATASUS platform, the official means of government notification, from 2020 to 2022.

According to the Brazilian Institute of Geography and Statistics (IBGE), in 2020, the estimated number of trans men in the Brazilian population was 9,905,916, but only 0.0009% performed the cytological exam, about 10 times lower than expected when compared to cis women, according to DATASUS. However, in 2021 and 2022, the percentages reached 0.022% and 0.015%, an increase of 2.4 and 16.6 times, respectively, when compared to cis women. This is possibly due to the lower expected number of exams performed in the pandemic period, with a drop of almost half of the procedures, as well as to the increased registration of the trans population in the official notification systems.

Despite the increase of notifications in 2021 and 2022, health information about transgender people in Brazil is almost nonexistent, because even with the numbers presented, there is still a statistical lag in the population census and a lack of public policies, which ends up keeping individuals away from the system and makes health promotion excluding. Thus, more incentives are needed to thoroughly include this population, so that the numbers reflect the reality of the country and resolutive measures can be planned to encourage health promotion and preventive care.

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