Knowledge and practice of primary care nurses about gender and care for LGBTQIA+ people
Keywords:Sexual and Gender Minorities; Comprehensive Health Care; Nursing; Primary Health Care.
Objective: to understand the knowledge and practice of Primary Health Care nurses about gender and assistance to LGBTQIA+ people. Methods: qualitative study, conducted with nine nurses from Primary Health Care. Data were collected through semi-structured interviews and submitted to Thematic Content Analysis. Results: three categories emerged: knowledge about gender and the LGBTQIA+ population; perception of the National LGBT Comprehensive Health Policy; and demand for services and nursing care for the LGBTQIA+ public. Conclusion: it was evidenced deficient knowledge about gender and health of the LGBTQIA+ population. There is a lack of preparation of the professionals who assist these users, which causes barriers to access to care and services, due to the lack of knowledge about the existence of the national policy of integral health of this population. Nurses focus on punctual and biologist actions. Contributions to practice: the findings contribute to subsidize the thinking/doing of nursing regarding vulnerable populations, who need an equitable, integral, and humanized look. It is necessary to strengthen discussions in health training and continuing education to expand knowledge about gender, the access of the LGBTQIA+ population to services and the consolidation of the actions of the national health policy aimed at this population group.
Ministério da Saúde (BR). Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais – LGBT [Internet]. 2013 [cited Jan 10, 2023]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_lesbicas_gays.pdf
Oliveira DC. Representativeness of the LGBTQIA+ population in epidemiological research in the context of the National Policy for Comprehensive Health of Lesbians, Gays, Bisexuals, Transvestites and Transsexuals in Brazil: expanding the production of knowledge within the SUS for social justice. Epidemiol Serv Saúde. 2022;31(1):e2022020. doi:https://doi.org/10.1590/S1679-49742022000100030
Melo LS, Bonelli MA, Ayres JRCM, Silva GWS, Borges FA, Wernet M. Nurses and health care for gay adolescents. Rev Latino-Am Enfermagem. 2022;30(spe):e3792. doi: https://dx.doi.org/10.1590/1518-8345.6293
Rosa DF, Carvalho MVF, Pereira NR, Rocha NT, Neves VR, Rosa AS. Nursing care for the transgender population: genders from the perspective of professional practice. Rev Bras Enferm. 2019;72(suppl 1):299-306. doi: https://doi.org/10.1590/0034-7167-2017-0644
Costa-Val A, Manganelli MS, Moraes VMF, Cano-Prais HA, Ribeiro GM. The care of the LGBT population from the perspective of Primary Health Care professional. Physis. 2022;32(2):e320207. doi:https://doi.org/10.1590/S0103-73312022320207
World Health Organization (WHO). CD52/18: addressing the causes of disparities in health service access and utilization for lesbian, gay, bisexual and trans (LGBT) persons [Internet]. 2013 [cited Jan 10, 2023]. Available from: https://iris.paho.org/handle/10665.2/4411
Lima ACS, Alves MJH, Pereira EV, Pereira AP, Albuquerque GA, Belém JM. Gender and sexuality in the training of nurses in brazilian public higher education: a documentary study. Rev Enferm Centro-O Min. 2021;11:e3877. doi: http://doi.org/10.19175/recom.v11i0.3877
Almeida LE, Oliveira JM, Oliveira V, Mialhe FL. Scientific production on LGBTQIA+ health: a critical analysis of the literature. Saúde Soc. 2022;31(4):e210836. doi: https://dx.doi.org/10.1590/S0104-12902022210836pt
Miskolci R. Teoria Queer: um aprendizado pelas diferenças. Belo Horizonte: Autêntica; 2017.
Parente JS, Moreira FTLS, Albuquerque GA. Physical violence against lesbian, gay, bisexual, transvestite and transgender individuals from Brazil. Rev Salud Pública. 2018;20(4):445-52. doi: https://doi.org/10.15446/rsap.V20n4.62942
Bezerra MVR, Magno L, Prado NMB, Santos AM. Historical conditions for emergence of the National Policy for Comprehensive LGBT Health in the social space of health in the State of Bahia, Brazil. Cad Saúde Pública. 2021;37(8):e00221420. doi: https://doi.org/10.1590/0102-311X00221420
Flick U. Qualidade na pesquisa qualitativa. Porto Alegre: Bookman Artmed; 2011.
Oliveira ALA, Souza BJ. Public health policies for rural men in the Northeastern semi-arid region. Est Soc Agric. 2020;28(3):644-75. doi: https://doi.org/10.36920/esa-v28n3-7
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.
Gonçalves JR, Lutosa GR. Analysis of nurses knowledge related to assistance to the LGBT population. Rev JRG Estud Acad [Internet]. 2019 [cited Jan 10, 2023];2(5):226-39. Available from: http://revistajrg.com/index.php/jrg/article/view/314/398
Melo IR, Amorim TH, Garcia RB, Polejack L, Seidl EMF. LGBT population’s right to health: contemporary challenges in the context of Brazilian national health service (SUS). Rev Psicol Saúde. 2020;12(3):63-78. doi: https://dx.doi.org/10.20435/pssa.vi.1047
Nogueira FJS, Aragão TAP. Brazilian policy of LGBT integral health: what actually happens from the point of view of agents and health professionals. Saúde Pesqu. 2019;12(3):463-70. doi: https://doi.org/10.17765/2176-9206.2019v12n3p463-470
Silva JF, Costa GMC. Health care of sexual and gender minorities: an integrative literature review. Rev Bras Enferm. 2020;73(Suppl 6):e20190192. doi: https://doi.org/10.1590/0034-7167-2019-0192
Guimarães NP, Sotero RL, Cola, JP, Antonio S, Galavote HS. Avaliação da implementação da Política Nacional de Saúde Integral à população LGBT em um município da região Sudeste do Brasil. Rev Eletron Comun Inf Inov Saúde. 2020;14(2):372-85. doi: https://doi.org/10.29397/reciis.v14i2.1712
Ferreira BO, Bonan C. Where are LGBTT populations in the Family Health Strategy? narratives of health professionals in Teresina, Piauí, Brazil. Ciênc Saúde Coletiva. 2021;26(5):1669-78. doi: https://doi.org/10.1590/1413-81232021265.04752021
Abade EAF, Chaves SCL, Silva GCO. Saúde da população LGBT: uma análise dos agentes, dos objetos de interesse e das disputas de um espaço de produção científica emergente. Physis Rev Saúde Coletiva. 2020;30(4):e300418. doi: https://doi.org/10.1590/S0103-73312020300418
Bezerra MVR, Moreno CA, Prado NMBL, Santos AM. LGBT health policy and its invisibility in public health publications. Saúde Debate. 2020;43(spe8):305-23. doi: http://doi.org/10.1590/0103-11042019S822
Rocon PC, Wandekoken KD, Barros MEB de, Duarte MJO, Sodré F. Acesso à saúde pela população trans no Brasil: nas entrelinhas da revisão integrativa. Trab Educ Saúde. 2020;18(1):e0023469. doi: https://doi.org/10.1590/1981-7746-sol00234
Cavalcante DR, Ribeiro SG, Pinheiro AKB, Soares PRAL, Aquino PS, Chaves AFL. Sexual practices of women who have sex with women and condom use. Rev Rene. 2022;23:e71297. doi: https://doi.org/10.15253/2175-6783.20222371297
Abreu PD, Araújo EC, Vasconcelos EMR, Moura JWS, Sousa JC, Santos CB. Transexual “womanhood” and the emergence of transfeminism: rhetorics of HIV/aids in the light of the queer theory. Texto Contexto Enferm. 2019;28:e20180294. doi: http://dx.doi.org/10.1590/1980-265X-TCE-2018-0294
Santos LES, Fontes WS, Oliveira AKS, Lima LHO, Silva ARV, Machado ALG. Access to the Unified Health System in the perspective of male homosexuals. Rev Bras Enferm. 2020;73(2):e20180688. doi: http://dx.doi.org/10.1590/0034-7167-2018-0688
Ferreira BO, Nascimento O. Construction of LGBT health policies in Brazil: a historical perspective and contemporary challenges. Ciênc Saúde Coletiva. 2022;27(10):3825-34. doi: https://dx.doi.org/10.1590/1413-812320222710.06422022
Lopes LP, Carvalho MGF, Araújo LMB. Gender diversity and health access: perceptions of the students of nursing and medicine of Centro Universitário Patos de Minas. Braz J Hea Rev. 2019;2(4):3286-302. doi: http://doi.org/10.34119/bjhrv2n4-092
Oliveira GS, Nogueira JA, Costa GPO, Silva FV, Almeida AS. Access by lesbians, gays, bisexuals and transvestites/transsexuals to the Basic Family Health Units. Rev Rene. 2018;19:e3295. doi: https://doi.org/10.15253/2175-6783.2018193295
Santos JS, Silva RN, Ferreira MA. Health of the LGBTI+ population in primary health care and the insertion of nursing. Esc Anna Nery. 2019;23(4):e20190162. doi: https://dx.doi.org/10.1590/2177-9465-EAN-2019-0162