Integral health care of LGBT population: Health education experience with community agents in basic attention
DOI:
https://doi.org/10.5712/rbmfc14(41)1758Keywords:
Reproductive Rights, Sexual and Gender Minorities, Homophobia, Education, Continuing, Community Health WorkersAbstract
Objective: To report a health education experience with community health agents about the health of the LGBT population in basic care. Methods: A continuous education action was carried out by means of the study of cases chosen by health agents within their micro-areas of action followed by group discussion and reflection on current practices. Results: Three cases presented by the health agents that dealt with the themes of: (1) school and prejudice; (2) the importance of family and social support; and (3) the role of family health strategy and health education. It was noticed that the theme remains excluded from the great discussions, especially in medical schools and primary care, the first contact with the Brazilian health system (SUS), thus strategies that aim to discuss the peculiarities of prevention, promotion and health care of these groups should be stimulated and reproduced with a view to a better quality of care in order to capture these patients in an environment favorable to integrative practices with respect to sexual diversity. Conclusion: It was concluded that the educational activity performed was extremely important to demystify myths and prejudices involving LGBT health in the primary care setting. It was observed that after the educational activity the CHAs were more confident and sensitized on the topics addressed and changed conceptions in order to respect the decisions of the patients and to carry out an appropriate approach to the reception of these users.
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Haas AP, Lane A; Working Group for Postmortem Identification of SO/GI. Collecting Sexual Orientation and Gender Identity Data in Suicide and Other Violent Deaths: A Step Towards Identifying and Addressing LGBT Mortality Disparities. LGBT Health. 2015;2(1):84-7. https://doi.org/10.1089/lgbt.2014.0083 DOI: https://doi.org/10.1089/lgbt.2014.0083
Rood BA, Puckett JA, Pantalone DW, Bradford JB. Predictors of Suicidal Ideation in a Statewide Sample of Transgender Individuals. LGBT Health. 2015;2(3):270-5. https://doi.org/10.1089/lgbt.2013.0048 DOI: https://doi.org/10.1089/lgbt.2013.0048
Remy LS, Scherer J, Guimarães L, Surratt HL, Kurtz SP, Pechansky F, et al. Anxiety and depression symptoms in Brazilian sexual minority ecstasy and LSD users. Trends Psychiatry Psychother. 2017;39(4):239-46. https://doi.org/10.1590/2237-6089-2016-0081 DOI: https://doi.org/10.1590/2237-6089-2016-0081
Magno L, Dourado I, Silva LAV, Brignol S, Brito AM, Guimarães MDC, et al. Factors associated with self-reported discrimination against men who have sex with men in Brazil. Rev Saúde Pública. 2017;51:102. https://doi.org/10.11606/S1518-8787.2017051000016 DOI: https://doi.org/10.11606/S1518-8787.2017051000016
Byne W. LGBT Health Equity: Steps Toward Progress and Challenges Ahead. LGBT Health. 2015;2(3):193-5. https://doi.org/10.1089/lgbt.2015.0084 DOI: https://doi.org/10.1089/lgbt.2015.0084
Dieter CT. As raízes históricas da homossexualidade, os avanços no campo jurídico e o prisma constitucional. Rio de Janeiro; 2011. [acesso 2019 Jan 6]. Disponível em: http://www.ibdfam.org.br/_img/artigos/As%20raízes%20históricas%2012_04_2012.pdf
Perucchi J, Brandão BC, Vieira HIS. Aspectos psicossociais da homofobia intrafamiliar e saúde de jovens lésbicas e gays. Estud Psicol (Natal). 2014;19(1):67-76. https://doi.org/10.1590/S1413-294X2014000100009 DOI: https://doi.org/10.1590/S1413-294X2014000100009
Lionço T. Que direito à saúde para a população GLBT? Considerando direitos humanos, sexuais e reprodutivos em busca da integralidade e da eqüidade. Saude Soc. 2008;17(2):11-21. https://doi.org/10.1590/S0104-12902008000200003 DOI: https://doi.org/10.1590/S0104-12902008000200003
Vianna CP. O movimento LGBT e as políticas de educação de gênero e diversidade sexual: perdas, ganhos e desafios. Educ Pesqui. 2015;41(3):791-806. https://doi.org/10.1590/s1517-97022015031914 DOI: https://doi.org/10.1590/s1517-97022015031914
Motta JIJ. Sexualidades e políticas públicas: uma abordagem queer para tempos de crise democrática. Saúde Debate. 2016;40(no.spe):73-86. https://doi.org/10.1590/0103-11042016s07 DOI: https://doi.org/10.1590/0103-11042016s07
Caldas JMP, Fonseca L, Almeida S, Almeida L. Escuela y diversidad sexual - ¿que realidad? Educ Rev (Belo Horizonte). 2012;28(3):143-58. https://doi.org/10.1590/S0102-46982012000300007 DOI: https://doi.org/10.1590/S0102-46982012000300007
Bortolini A. O sujeito homossexual como tema de aula: limites e oportunidades didáticas. Cad Pagu. 2015;45:479-501. https://doi.org/10.1590/18094449201500450479 DOI: https://doi.org/10.1590/18094449201500450479
Freitas DF, Coimbra S, Fontaine ANM. Resilience in LGB Youths: A Systematic Review of Protection Mechanisms. Paidéia (Ribeirão Preto). 2017;27(66):69-79. https://doi.org/10.1590/1982-43272766201709 DOI: https://doi.org/10.1590/1982-43272766201709
Hadland SE, Yehia BR, Makadon HJ. Caring for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Inclusive and Affirmative Environments. Pediatr Clin North Am. 2016;63(6):955-69. https://doi.org/10.1016/j.pcl.2016.07.001 DOI: https://doi.org/10.1016/j.pcl.2016.07.001
Soliva TB, Silva Junior JB. Entre revelar e esconder: pais e filhos em face da descoberta da homossexualidade. Sex Salud Soc (Rio J.). 2014;17:124-48. https://doi.org/10.1590/1984-6487.sess.2014.17.08.a DOI: https://doi.org/10.1590/1984-6487.sess.2014.17.08.a
Duncan DT, Hatzenbuehler ML. Lesbian, gay, bisexual, and transgender hate crimes and suicidality among a population-based sample of sexual-minority adolescents in Boston. Am J Public Health. 2014;104(2):272-8. https://doi.org/10.2105/AJPH.2013.301424 DOI: https://doi.org/10.2105/AJPH.2013.301424
Sekoni AO, Gale NK, Manga-Atangana B, Bhadhuri A, Jolly K. The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: a mixed-method systematic review. J Int AIDS Soc. 2017;20(1):21624. https://doi.org/10.7448/IAS.20.1.21624 DOI: https://doi.org/10.7448/IAS.20.1.21624
Nama N, MacPherson P, Sampson M, McMillan HJ. Medical students’ perception of lesbian, gay, bisexual, and transgender (LGBT) discrimination in their learning environment and their self-reported comfort level for caring for LGBT patients: a survey study. Med Educ Online. 2017;22(1):1368850.
https://doi.org/10.1080/10872981.2017.1368850 DOI: https://doi.org/10.1080/10872981.2017.1368850
Kano M, Silva-Bañuelos AR, Sturm R, Willging CE. Stakeholders’ Recommendations to Improve Patient-centered “LGBTQ” Primary Care in Rural and Multicultural Practices. J Am Board Fam Med. 2016;29(1):156-60. https://doi.org/10.3122/jabfm.2016.01.150205 DOI: https://doi.org/10.3122/jabfm.2016.01.150205
Grosz AM, Gutierrez D, Lui AA, Chang JJ, Cole-Kelly K, Ng H. A Student-Led Introduction to Lesbian, Gay, Bisexual, and Transgender Health for First-Year Medical Students. Fam Med [Internet]. 2016 [acesso 2019 Jan 6];49(1):52-6. Disponível em: http://www.stfm.org/FamilyMedicine/Vol49Issue1/Grosz52
Macapagal K, Bhatia R, Greene GJ. Differences in Healthcare Access, Use, and Experiences Within a Community Sample of Racially Diverse Lesbian, Gay, Bisexual, Transgender, and Questioning Emerging Adults. LGBT Health. 2016;3(6):434-42. https://doi.org/10.1089/lgbt.2015.0124 DOI: https://doi.org/10.1089/lgbt.2015.0124
Lee JH, Gamarel KE, Bryant KJ, Zaller ND, Operario D. Discrimination, Mental Health, and Substance Use Disorders Among Sexual Minority Populations. LGBT Health. 2016;3(4):258-65. https://doi.org/10.1089/lgbt.2015.0135 DOI: https://doi.org/10.1089/lgbt.2015.0135
Sawning S, Steinbock S, Croley R, Combs R, Shaw A, Ganzel T. A first step in addressing medical education Curriculum gaps in lesbian-, gay-, bisexual-, and transgender-related content: The University of Louisville Lesbian, Gay, Bisexual, and Transgender Health Certificate Program. Educ Health (Abingdon). 2017;30(2):108-114. https://doi.org/10.4103/efh.EfH_78_16 DOI: https://doi.org/10.4103/efh.EfH_78_16
Baig AA, Lopez FY, DeMeester RH, Jia JL, Peek ME, Vela MB. Addressing Barriers to Shared Decision Making Among Latino LGBTQ Patients and Healthcare Providers in Clinical Settings. LGBT Health. 2016;3(5):335-41. https://doi.org/10.1089/lgbt.2016.0014 DOI: https://doi.org/10.1089/lgbt.2016.0014
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