Health of sexual minorities in north-eastern Brazil: representations, behaviours and obstacles

Autores

  • Cintia de Lima Garcia Mestre em Ciências da Saúde. Faculdade de Juazeiro do Norte (FJN) - Juazeiro do Norte (CE), Brasil
  • Grayce Alencar Albuquerque Doutora em Ciências da Saúde. Universidade Regional do Cariri (URCA) - Crato (CE), Brasil
  • Jefferson Drezett Doutor em Ciências da Saúde. Núcleo de Programas Especiais - Serviço de Violência Sexual e Aborto Legal do Hospital Pérola Byington - Centro de Referência da Saúde da Mulher. São Paulo (SP), Brasil
  • Fernando Adami Doutor em Saúde Pública. Laboratório de Estudos e Escrita Científica do Departamento de Saúde Coletiva, Faculdade de Medicina do ABC (FMABC) - Santo André (SP), Brasil

DOI:

https://doi.org/10.7322/jhgd.110985

Palavras-chave:

Minority health. Homosexuality. Sexually transmitted diseases. Health inequalities. Prejudice.

Resumo

Objective: The aim of this study was to identify the social representations (SR) of health and major inequities, obstacles and challenges experienced by lesbians, gays, bisexuals, and transgenders regarding access to health services. Methods: This qualitative research was conducted with a group of sexual minorities recruited using the snowball technique. The data were organised according to Bardin and analysed from the perspective of SR. Results: Twelve gays, nine transvestites, six lesbians and three bisexuals participated. Most believed health to be the absence of disease and indicated the group’s vulnerability to sexually transmitted diseases. The search for health services was motivated by pathological symptoms or screening for sexually transmitted diseases. The diffi culties were related to the defi ciencies of the health service regarding prejudice. Conclusions: The study population showed reductionist health representations, sought health services under the curative perspective and faced challenges/obstacles when accessing health services.

Referências

Strutz K, Herring A, Halpern C. Health disparities among young adult sexual minorities in the U.S. Am J Prev Med. 2015;48(1):76-88. DOI: http://dx.doi.org/10.1016/j.amepre.2014.07.038

Lionço T. Que direito à saúde para a população GLBT? Considerando direitos humanos, sexuais e reprodutivos em busca da integralidade e da equidade. Saude Soc. 2008;17(2):11-21. DOI: http://dx.doi.org/10.1590/S0104-12902008000200003

Barbosa RM, Facchini R. Acesso a cuidados relativos à saúde sexual entre mulheres que fazem sexo com mulheres em São Paulo, Brasil. Cad Saúde Pública. 2009;25(Supl. 2):291-300. DOI: http://dx.doi.org/10.1590/S0102-311X2009001400011

Carvalho LS, Philippi MM. Percepção de lésbicas, gays e bissexuais em relação aos serviços de saúde. Universitas: Ciênc Saúde. 2013;11(2):83-92. DOI: http://dx.doi.org/10.5102/ucs.v11i2.1837

Brotman S, Ryan B, Jalbert Y, Rowe B. The impact of coming out on health and health care access: The experiences of gay, lesbian, bisexual and two-spirited people. J Health Soc Policy. 2002;15(1):1-29. DOI: http://dx.doi.org/10.1300/J045v15n01_01

Malta M, Magnanini MM, Mello MB, Pascom AR, Linhares Y, Bastos FI. HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: a systematic review and meta-analysis. BMC Public Health. 2010;10:317. DOI: http://dx.doi.org/10.1186/1471-2458-10-317

Haas AP, Eliason M, Mays VM, Mathy RM, Cochran SD, D'Augelli AR, et al. Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. J Homosex. 2011;58(1):10-51. DOI: http://dx.doi.org/10.1080/00918369.2011.534038

Goldberg S, Strutz KL, Herring AA, Halpern CT. Risk of substance abuse and dependence among young adult sexual minority groups using a multidimensional measure of sexual orientation. Public Health Rep. 2013;128(3):144-52.

Fredriksen-Goldsen KI, Kim HJ, Barkan SE, Muraco A, Hoy-Ellis CP. Health disparities among lesbian, gay, and bisexual older adults: results from a population-based study. Am J Public Health. 2013;103(10):1802-9. DOI: http://dx.doi.org/10.2105/AJPH.2012.301110

Semaan S, Lauby J, Liebman J. Street and network sampling in evaluation studies of HIV risk-reduction interventions. Aids Rev. 2002;4(4): 213-23.

Fontanella BJ, Luchesi BM, Saidel MG, Ricas J, Turato ER, Melo DG. Amostragem em pesquisas qualitativas: proposta de procedimentos para constatar saturação teórica. Cad Saúde Pública. 2011;27(2):388-94. DOI: http://dx.doi.org/10.1590/S0102311X2011000200020

Caregnato RC, Mutti R. Pesquisa qualitativa: análise de discurso versus análise de conteúdo. Texto Contexto Enferm. 2006;15(4):679-84. DOI: http://dx.doi.org/10.1590/S0104-07072006000400017

Martins AM, Carvalho CA, Antunes-Rocha MI. Pesquisa em representações sociais no Brasil: cartografia dos grupos registrados no CNPq. Psicol Teor Prát. 2014;16(1):104-14. DOI: http://dx.doi.org/10.15348/1980-6906/psicologia.v16n1p104-114

Lefevre F, Lefevre AM. Discourse of the collective subject: social representations and communication interventions. Texto Contexto Enferm. 2014;23(2):502-7. DOI: http://dx.doi.org/10.1590/0104-07072014000000014

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Secretaria de Atenção à Saúde. Política Nacional de Promoção da Saúde. 3.ed. Brasília: Ministério da Saúde; 2010.

Câmara AM, Melo VL, Gomes MG, Pena BC, Silva AP, Oliveira KM, et al. Percepção do processo saúde-doença: significados e valores da educação em saúde. Rev Bras Educ Med. 2012;36(1):40-50. DOI: http://dx.doi.org/10.1590/S0100-55022012000200006

Veloso RC, Ferreira MA. Saúde e serviços: relações estabelecidas com os usuários à luz das representações sociais da cidadania. Rev Enferm UERJ. 2013;21(1):60-5.

Institute of Medicine (IOM). The health of lesbian, gay, bissexual, and transgender people. Building a foundation for better understand. Washington: National Academies Press; 2011.

Antunes MC, Paiva VS. Territórios do desejo e vulnerabilidade ao HIV entre homens que fazem sexo com homens: desafios para a prevenção. Temas Psicol. 2013;21(3):1125-43. DOI: http://dx.doi.org/10.9788/TP2013.3-EE17PT

Drabkin AS, Sikkema KJ, Wilson PA, Meade CS, Hansen NB, DeLorenzo A, et al. Risk patterns preceding diagnosis among newly HIV-diagnosed men who have sex with men in New York City. AIDS Patient Care STDS. 2013;27(6): 333-41. DOI: http://dx.doi.org/10.1089/apc.2012.0313

Guimarães MDC, Ceccato MGB, Gomes RRFM, Rocha GM, Camelo LV, Carmo RA, et al. Vulnerabilidade e fatores associados a HIV e sífilis em homens que fazem sexo com homens, Belo Horizonte, MG. Rev Méd Minas Gerais. 2013;23(4):412-26. DOI: http://www.dx.doi.org/10.5935/2238-3182.20130067

Sousa PJ, Ferreira LOC, Sá JB. Estudo descritivo da homofobia e vulnerabilidade ao HIV/Aids das travestis da Região Metropolitana do Recife. Ciênc Saúde Coletiva. 2013;18(8):2239-51. DOI: http://dx.doi.org/10.1590/S1413-81232013000800008

Nunan A. Preconceito internalizado e comportamento sexual de risco em homossexuais masculinos. Psicol Argum. 2010;28(62):247-59.

Souza MH, Signorelli MC, Coviello DM, Pereira PP. Itinerários terapêuticos de travestis da região central do Rio Grande do Sul, Brasil. Ciênc Saúde Coletiva. 2014;19(7):2277-86. DOI: http://dx.doi.org/10.1590/1413-81232014197.10852013

Pimenta FA, Merchan-Hamann E. Uso dos serviços de saúde por parte de homens que fazem sexo com homens do Distrito Federal. Tempus Actas Saúde Coletiva. 2011;5(4):35-53. DOI: http://dx.doi.org/10.18569/tempus.v5i4.1056

Tracy JK, Lydecker AD, Ireland L. Barriers to cervical cancer screening among lesbians. J Womens Health (Larchmt). 2010;19(2):229-37. DOI: http://dx.doi.org/10.1089/jwh.2009.1393.

Carvalho PMG, Nóbrega BSM, Rodrigues JL, Almeida RO, Abdalla FTM, Nichiata LYI. Prevention of sexually transmitted diseases by homosexual and bisexual women: a descriptive study. Online Braz J Nurs. 2013;12(4):931-41. DOI: http://dx.doi.org/10.5935/1676-4285.20134177

Brasil. Ministério da Saúde. Política nacional de saúde integral de lésbicas, gays, bissexuais, travestis e transexuais. Brasília: Ministério da Saúde; 2010.

Albuquerque GA, Garcia CL, Alves MJH, Queiroz CMHT, Adami F. Homossexualidade e o direito à saúde: um desafio para as políticas públicas de saúde no Brasil. Saúde Debate. 2013;37(98):516-24. DOI: http://dx.doi.org/10.1590/S0103-11042013000300015

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Publicado

2016-04-28

Edição

v. 26 n. 1 (2016)

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