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Gomes R, Machin R, Nascimento MAFD, Couto MT. Discussing the relationships between homoparenthood and health. CIENCIA & SAUDE COLETIVA 2024; 29:e18412023. [PMID: 38655960 DOI: 10.1590/1413-81232024294.18412023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 11/30/2023] [Indexed: 04/26/2024] Open
Abstract
The present article aims to bridge the gaps or deepen the debate to discuss the relationship between homoparenthood and health. This essay is anchored in specific literature. We seek to work on the following questions throughout the text: (i) How is the central theme of this discussion historically outlined? (ii) How does homoparenthood appear in scientific health production in general? (iii) What sociopolitical dimensions emerge around homoparenthood-health relationships? and (iv) What are the limitations and possibilities for exercising reproductive rights between same-sex couples? Among the conclusions, we underscore the challenge of facing the strangeness of homoparenthood against the idea of the so-called called "normal" family based on heteronormative logic. Even in countries with some legal apparatus assuring the rights to homoparental families, their members suffer prejudice, discrimination, and violence.
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Affiliation(s)
- Romeu Gomes
- Instituto Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
| | - Rosana Machin
- Departamento de Medicina Preventiva, Universidade de São Paulo. São Paulo SP Brasil
| | | | - Marcia Tereza Couto
- Departamento de Medicina Preventiva, Universidade de São Paulo. São Paulo SP Brasil
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Lopes WSL, Moreira MCN, Gomes R. The sickle cell illness experience under the qualitative lens. CIENCIA & SAUDE COLETIVA 2023; 28:2489-2500. [PMID: 37672440 DOI: 10.1590/1413-81232023289.03812023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 04/24/2023] [Indexed: 09/08/2023] Open
Abstract
This article aims to analyze the content of the qualitative production (2000-2023) on sickle cell disease to support the analytical category - the sickle cell disease experience. Methodologically, we conducted a qualitative, bibliographical study with a thematic content analysis anchored in the dialogue between the revised collection and the adopted theoretical-conceptual references. The thematic content analysis triggered eight interpretative dimensions: daily life and itineraries, care, reproductive decisions, stigma and its expressions, gender, participation, ethnicity, and religiosity. The sickle cell experience emerges and is related to exclusion, devaluation, ignorance, and invisibility, strongly allied to race components in nuances that distance it from the generic illness experience.
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Affiliation(s)
- Winnie Samanú Lima Lopes
- Departamento de Ensino, Instituto Fernandes Figueira (IFF/Fiocruz). Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
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Canavese D, Polidoro M, Signorelli MC, Moretti-Pires RO, Parker R, Terto Jr. V. A call for the urgent and definitive inclusion of gender identity and sexual orientation data in the Brazilian health information systems: what can we learn from the monkeypox outbreak? CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-812320222711.12902022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Abstract In this document, we present to the scientific community a proposal on how to deal with the challenge imposed on surveillance and health actions in Brazil regarding monkeypox, including points and directions that have the potential to support learning and enable advances in the current scenario.
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Affiliation(s)
- Daniel Canavese
- Universidade Federal do Rio Grande do Sul, Brazil; Associação Brasileira de Saúde Coletiva, Brasil
| | - Maurício Polidoro
- Associação Brasileira de Saúde Coletiva, Brasil; Instituto Federal do Rio Grande do Sul, Brasil
| | | | | | - Richard Parker
- Associação Brasileira Interdisciplinar de AIDS, Brasil; Universidade Federal do Rio de Janeiro, Brazil; Columbia University, USA
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Canavese D, Polidoro M, Signorelli MC, Moretti-Pires RO, Parker R, Terto Jr. V. Pela urgente e definitiva inclusão dos campos de identidade de gênero e orientação sexual nos sistemas de informação em saúde do SUS: o que podemos aprender com o surto de monkeypox? CIENCIA & SAUDE COLETIVA 2022; 27:4191-4194. [DOI: 10.1590/1413-812320222711.12902022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 08/17/2022] [Indexed: 12/23/2022] Open
Abstract
Resumo Neste documento trazemos um posicionamento para a comunidade científica e a sociedade civil acerca do desafio imposto à vigilância e às ações em saúde no Brasil relacionadas à monkeypox. Apresentamos pontos e encaminhamentos que podem subsidiar os aprendizados e os avanços a partir do atual cenário.
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Affiliation(s)
- Daniel Canavese
- Universidade Federal do Rio Grande do Sul, Brazil; Associação Brasileira de Saúde Coletiva, Brasil
| | - Maurício Polidoro
- Associação Brasileira de Saúde Coletiva, Brasil; Instituto Federal do Rio Grande do Sul, Brasil
| | | | | | - Richard Parker
- Associação Brasileira Interdisciplinar de AIDS, Brasil; Universidade Federal do Rio de Janeiro, Brazil; Columbia University, USA
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Miskolci R, Signorelli MC, Canavese D, Teixeira FDB, Polidoro M, Moretti-Pires RO, Souza MHTD, Pereira PPG. Health challenges in the LGBTI+ population in Brazil: a scenario analysis through the triangulation of methods. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-812320222710.06602022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract This article aims to reflect on the current health challenges of lesbians, gays, bisexuals, transgenders, intersex, and other sexual and gender minorities (LGBTI+) within the Brazilian scenario. This study adopted a triangulation approach, based on two studies developed in the Southeast and South of Brazil, which included policy analysis and qualitative research on the perceptions of key actors from the Brazilian Unified Health System (SUS) - LGBTI+ users, workers, and managers. All data were analyzed by an interdisciplinary team of researchers. The main problems faced by the LGBTI+ population were registered, indicating some of the necessary progress. Some of these challenges include: access of the LGBTI+ population to SUS; the need to train health professionals; the decentralization of health services sensitive to the LGBTI+ population; the distinct forms of violence and discrimination; the lack of research in health care conducted with specific groups, such as lesbians, bisexuals, intersex, and other sexual minorities. The results reinforce the urgency for the complete implementation of the “National Policy for the Comprehensive Health of LGBT”. The recognition of the LGBTI+ health needs will aid in achieving the principles which are the guiding principles of SUS.
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Gomes R. Gay and lesbian health agendas. CIENCIA & SAUDE COLETIVA 2022; 27:3807-3814. [PMID: 36134787 DOI: 10.1590/1413-812320222710.23792021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 12/30/2021] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to validate gay and lesbian health agendas pushed by organizations representing these groups. To this end, we created a health agenda matrix based on 25 narratives of representatives from 16 different gay and lesbian groups in ten state capitals in Brazil collected in another study. Each agenda was considered to have reached consensus when the mean score was equal to or greater than seven and SD was equal to or less than two. The validated agendas addressed the following themes: physical and psychological violence; the care needs of lesbians related to uterine and breast cancer; mental health; training of health care professionals; AIDS prevention and care; assisted reproduction for lesbians; the urological and proctological care needs of gays; development of informative material on general health; and information and treatment of sexually transmitted diseases. It is concluded that gay and lesbian movements are potentially important actors in the public health arena, not only proposing important issues that need to be considered in public policies and actions to improve health care for LGBT people, but also mediating between health professionals and homosexuals seeking health services.
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Affiliation(s)
- Romeu Gomes
- Instituto Fernandes Figueira, Fundação Oswaldo Cruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
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Miskolci R, Signorelli MC, Canavese D, Teixeira FDB, Polidoro M, Moretti-Pires RO, Souza MHTD, Pereira PPG. Health challenges in the LGBTI+ population in Brazil: a scenario analysis through the triangulation of methods. CIENCIA & SAUDE COLETIVA 2022; 27:3815-3824. [PMID: 36134788 DOI: 10.1590/1413-812320222710.06602022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 11/22/2022] Open
Abstract
This article aims to reflect on the current health challenges of lesbians, gays, bisexuals, transgenders, intersex, and other sexual and gender minorities (LGBTI+) within the Brazilian scenario. This study adopted a triangulation approach, based on two studies developed in the Southeast and South of Brazil, which included policy analysis and qualitative research on the perceptions of key actors from the Brazilian Unified Health System (SUS) - LGBTI+ users, workers, and managers. All data were analyzed by an interdisciplinary team of researchers. The main problems faced by the LGBTI+ population were registered, indicating some of the necessary progress. Some of these challenges include: access of the LGBTI+ population to SUS; the need to train health professionals; the decentralization of health services sensitive to the LGBTI+ population; the distinct forms of violence and discrimination; the lack of research in health care conducted with specific groups, such as lesbians, bisexuals, intersex, and other sexual minorities. The results reinforce the urgency for the complete implementation of the "National Policy for the Comprehensive Health of LGBT". The recognition of the LGBTI+ health needs will aid in achieving the principles which are the guiding principles of SUS.
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Affiliation(s)
- Richard Miskolci
- Departamento de Medicina Preventiva, Universidade Federal de São Paulo. R. Botucatu 740, Vila Clementino. 04023-062 São Paulo SP Brasil.
| | | | - Daniel Canavese
- Departamento de Saúde Coletiva, Universidade Federal do Rio Grande do Sul. Porto Alegre RS Brasil
| | | | | | | | | | - Pedro Paulo Gomes Pereira
- Departamento de Medicina Preventiva, Universidade Federal de São Paulo. R. Botucatu 740, Vila Clementino. 04023-062 São Paulo SP Brasil.
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Gomes R. Gay and lesbian health agendas. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-812320222710.23792021en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
Abstract
Abstract The aim of this study was to validate gay and lesbian health agendas pushed by organizations representing these groups. To this end, we created a health agenda matrix based on 25 narratives of representatives from 16 different gay and lesbian groups in ten state capitals in Brazil collected in another study. Each agenda was considered to have reached consensus when the mean score was equal to or greater than seven and SD was equal to or less than two. The validated agendas addressed the following themes: physical and psychological violence; the care needs of lesbians related to uterine and breast cancer; mental health; training of health care professionals; AIDS prevention and care; assisted reproduction for lesbians; the urological and proctological care needs of gays; development of informative material on general health; and information and treatment of sexually transmitted diseases. It is concluded that gay and lesbian movements are potentially important actors in the public health arena, not only proposing important issues that need to be considered in public policies and actions to improve health care for LGBT people, but also mediating between health professionals and homosexuals seeking health services.
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Gomes R. Narrativas do movimento homossexual brasileiro sobre a saúde de gays e lésbicas. CIENCIA & SAUDE COLETIVA 2022; 27:555-565. [DOI: 10.1590/1413-81232022272.05062021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 03/08/2021] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivou-se analisar narrativas de representantes de grupos gays e de lésbicas sobre a saúde. Com tal análise, pretende-se contribuir para o deslocamento da associação doença/gays e lésbicas para a dimensão da atenção integral à saúde, equilibrando o tema HIV/AIDS e a emergência de necessidades de saúde desses atores. A abordagem deste estudo é caracterizada como de natureza qualitativa, utilizando o método de narrativas, com perspectiva hermenêutica e referenciais de estudos que utilizam narrativas na análise de movimentos sociais. Entre os resultados, destacam-se identidades coletivas e emergem a pluralidade de ações e necessidades de saúde voltadas para gays e lésbicas. Concluiu-se que as narrativas se deslocam da associação AIDS/homossexualidade, passando pela demarcação das diferenças de necessidades de saúde entre gays e lésbicas, chegando a demandas que colocam os grupos como protagonistas ou coadjuvantes nas ações de saúde.
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