Formação em saúde sobre o cuidado à população Lésbica, Gay, Bissexual, Travesti e Transexual
The regulatory practices of the body, gender, and desire produce historical inequalities experienced by the Lesbian, Gay, Bisexual, Transvestite, and Transsexual (LGBT) population. These inequalities materialize in various forms of violence in institutional spaces within the scope of health, educ...
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Formato: | Dissertação |
Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/30007 |
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Resumo: | The regulatory practices of the body, gender, and desire produce historical inequalities
experienced by the Lesbian, Gay, Bisexual, Transvestite, and Transsexual (LGBT) population.
These inequalities materialize in various forms of violence in institutional spaces within the
scope of health, education, and social assistance services. The inclusion of the demands of
LGBT people in health services depends on the knowledge of their workers on this topic,
which highlights the need to include this approach in professional training. In this sense, the
present study aimed to analyze the insertion of the themes of gender, sex and sexual
orientation in health education. It was performed in two stages: 1) construction and validation
of the research instrument and 2) cross-sectional study with the application of the
questionnaire. In the first stage, the logical theoretical model was created, followed by the
previous elaboration of an inquiry, to be evaluated by 25 specialists. The consensus was
obtained by measures of central tendency and by the Content Validity Index. The
questionnaire was validated by 19 specialists, consisting of 39 items and 92 of 92.9% CVI. In
the second stage, a cross-sectional study was executed, with a quantitative approach, in the
setting of public higher education institutions in the province of Rio Grande do Norte. We
studied five campi: at the federal university, we investigated the campus in Natal and Santa
Cruz, and at the province university, we included the campus in Mossoró, Caicó, and Pau dos
Ferros. The instrument validated in the first stage was applied, composed of three modalities:
1) sociodemographic characterization, 2) training on LGBT health, and 3) conceptions on
LGBT health. All 517 students who completed Nursing, Physiotherapy, Speech Therapy,
Medicine, Nutrition, Dentistry, and Public Health courses in 2019 were invited to participate
in the research. In the end, 438 students answered the questionnaire. Descriptive, cluster
analysis were performed, bivariate through the Chi-square and Fischer Exact tests, and
multivariate through Poisson Regression and Multiple Correspondence Analysis, using SPSS
25.0 software. Higher frequencies were presented for items present in training related to
transsexuals and transvestites and the lowest concerning the National LGBT Comprehensive
Health Policy. The groupings showed an association between the average number of items
that students had access to and participation in social movements and political training
strategies. The final adjusted model revealed that the educational institution and selfdeclaration as LGBT are associated with greater access to LGBT care issues. Most of the
students agreed with health policies to the LGBT population, and we observed groups
between those who agree with all proposed policies, others that disagree, and those who did
not express an opinion. The training is crossed, therefore, by individual and institutional
experiences, which must be considered in the PNSI-LGBT guidelines, to enhance and
democratize access to essential items for the care of bodies in SUS. |
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