Health Care for Sexual and Gender Minority Adolescents: scoping review




Sexual and gender minorities; Adolescent; Primary Health Care.


Objective: To map scientific evidence on health care for adolescents from sexual and gender minorities in the context of primary care. Methodology: Scoping Review, which was developed based on the recommendations of the Joanna Briggs Institute Reviewers international guide. A search was carried out in selected databases that contained full articles and answered the question: what would be the knowledge or scientific evidence that could guide the development of protocols and educational actions in the context of primary health care? Searches were performed in six international and national databases, on works published until 2021. Results: Among the 394 studies, 25 were selected for full reading with a final sample of 11 studies. The 11 studies were published from 2017 to 2020. The selected studies are of international scope and have a quantitative, qualitative and qualiquantitative approach. The studies brought important proposals for interventions that can be carried out to improve the care provided by professionals in the primary care environment. Conclusion: It is noticed that the field of study is little explored in the national literature and studies are observational, with a gap in relation to the diversity of care for sexual and gender minorities that should be filled by future studies.


Belém, J. M., Alves, M. J. H., Pereira, E. V., Moreira, F. T. L. S., Quirino, G. S. & Albuquerque, G. A. (2018). Atenção à saúde de Lésbicas, Gays, Bissexuais, Travestis e Transexuais na Estratégia Saúde da Família. Rev baiana enferm, 32, 1-13.

Brasil, (2012). Código de ética do/a assistente social. Lei 8.662/93 de regulamentação da profissão. Conselho Federal de Serviço Social.

Brasil, (2013). Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais. Ministério da Saúde.

Cafferty, R., Desai, B., Alfath, Z., Davey, C. & Schneider, K. (2020). Adolescent Pride Festival Attendees-Assessing Their Interactions With Primary Care Physicians. J Adolesc Health, 66 (6), 666-671.

Clark, B. A., Veale, J. F., Greyson, D. & Saewyc E. (2018). Primary care access and foregone care: a survey of transgender adolescents and young adults. Fam Pract. May 23, 35(3), 302-306.

Fisher, C. B., Fried, A. L., Desmond, M., Macapagal, K. & Mustanski, B. (2018). Perceived Barriers to HIV Prevention Services for Transgender Youth. LGBT Health, 5(6), 350-358.

Gahagan, J. & Subirana-Malaret, M. (2018). Improving pathways to primary health care among LGBTQ populations and health care providers: key findings from Nova Scotia, Canada. Int J Equity Health,13;17(1), 76.

Goldenberg, T., Jadwin-Cakmak, L., Popoff, E., Reisner, S. L., Campbell, B. A. & Harper, G. W. (2019). Stigma, Gender Affirmation, and Primary Healthcare Use Among Black Transgender Youth. J Adolesc Health, 65(4), 483-490.

Guimarães, N. A., Marqui, G. D. S., Brum, M. L. B., Vendruscolo, C., Werner & J. M., Zanatta, E. A. (2019). Relatos de jovens homoafetivos sobre sua trajetória e implicações para a saúde mental. Escola Anna Nery, 23(1), 1-9.

Guss, C. E., Eiduson, R., Khan, A., Dumont, O., Forman, S. F. & Gordon, A. R. (2020). "It'd Be Great to Have the Options There": A Mixed-Methods Study of Gender Identity Questions on Clinic Forms in a Primary Care Setting. J Adolesc Health, 67(4), 590-596.

Guss, C. E., Woolverton, G. A., Borus, J., Austin, S. B., Reisner, S. L. & Katz-Wise, S. L. (2019). Transgender Adolescents' Experiences in Primary Care: A Qualitative Study. J Adolesc Health, 65(3), 344-349.

House, H., Gaines, S., & Hawkins, L. A. (2019). Sexual and Gender Minority Adolescents: Meeting the Needs of Our LGBTQ Patients and Their Families. Clinical Pediatric Emergency Medicine, 20 (1), 9-16.

Luk, J. W., Parker, E. O., Richardson, L. P. & McCarty, C. A. (2020). Sexual attraction and experiences in the primary care setting: Examining disparities in satisfaction with provider and health self-efficacy. J Adolesc, 81, 96-100.

Matta, T. F., Santos Junior, E. C., Costa, C. M. A. & Araujo, L. M. (2020). Currículo de saúde e enfermagem LGBT: visão de futuros enfermeiros. Pesquisa, Sociedade e Desenvolvimento. 9(9), e722997855. 10.33448/rsd-v9i9.7855.

Melnyk, B. M. & Fineout-Overholt, E. (2005). Making the case for evidence-based practice. In: Melnyk B.M., Fineout-Overholt, E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincot Williams & Wilkins, 3-24.

Oliveira, B. A. S., Cintra, S. M., Araújo, L. S. A., Santos, J. V. A., Silva, M. E. C., & Cardoso, G. M. P. (2021). Atenção às pessoas LGBTQIA+ e a não aplicabilidade dos princípios do SUS: Universalidade, Integralidade e Equidade. Pesquisa, Sociedade e Desenvolvimento, 10 (15), e432101523157.

Peters, M. D. J., Godfrey, C., Khalil, H., McInerney, P., Soares, S. C. & Parker, D., (2017). Scoping reviews. In: Aromataris, E., Munn, Z., editors. Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute.

Snyder, B. K., Burack, G. D. & Petrova, A. (2017). LGBTQ Youth's Perceptions of Primary Care. Clin Pediatr (Phila), 56(5), 443-450.

Taliaferro, L. A., Harder, B. M., Lampe, N. M., Carter, S. K., Rider, G. N., Eisenberg, M. E., (2019). Social Connectedness Factors that Facilitate Use of Healthcare Services: Comparison of Transgender and Gender Nonconforming and Cisgender Adolescents. J Pediatr, 211, 172-178.

Tricco, A. C., Lillie, E., Zarin, W., Brien, K. K., Colquhoun, H., Levac, D., et al., (2020). PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med [Internet], 169(7), 467-73.

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K., Colquhoun, H., Kastner, M., Levac, D., N. G. C., Sharpe, J. P., Wilson, K., Kenny, M., Warren, R., Wilson, C., Stelfox, H. T., Straus, S. E., (2016). A scoping review on the conduct and reporting of scoping reviews. BMC Med Res Methodol, 9, 16-15.

Van Donge, N., Schvey, N. A., Roberts, T. A., Klein, D. A. (2019). Transgender Dependent Adolescents in the U.S. Military Health Care System: Demographics, Treatments Sought, and Health Care Service Utilization. Mil Med, 184(5-6), 447-454.



How to Cite

ZANCHETTA, S. B. .; SILVEIRA, E. A. A. da . Health Care for Sexual and Gender Minority Adolescents: scoping review. Research, Society and Development, [S. l.], v. 11, n. 2, p. e36011225766, 2022. DOI: 10.33448/rsd-v11i2.25766. Disponível em: Acesso em: 24 apr. 2024.



Review Article