Objective:

To identify and classify, based on a review of published scientific texts, the barriers and some factors associated with access to health services in the TM.

Material and method:

A review of literature in electronic databases was carried out: LILACS, PubMed y SciELO, for the 2005-2019 period. Key words were determined from the models of access to health services of Andersen and Levesque. In addition, the results of two surveys carried out on transgender women (MT) in Mexico were taken again during 2012 and 2013. For the analysis of the articles, the following were considered: title, authors, study design, objective, methodological approach and results obtained and discussion.

Results:

Initially, 143 articles were identified, of which 59 addressed the topic of interest. The 59 articles and both survey reports were incorporated into an Excel matrix to be analyzed. Four main categories were identified for barriers to access to health services in MT: individual, interpersonal, structural and financial.

Conclusions:

It is concluded that it is possible to group the barriers of access to health services in MT in four broad categories: individual, interpersonal, structural and financial. The foregoing highlights the stigma as an important axis that runs through the four categories, so addressing them requires a certain degree of sensitivity to the historical debt, a consequence of stigma and discrimination, which exists towards this population.