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Abstract(s)
A comunidade LGBTQ+, por ser uma comunidade historicamente discriminada,
tanto de um ponto de vista sociocultural como político-legal, enfrenta ainda hoje desafios
específicos, sendo que os cuidados de saúde não são exceção.
O principal objetivo desta investigação foi, neste âmbito, efetuar uma revisão
descritiva acerca dos conhecimentos científicos atuais sobre a saúde e a prestação de
cuidados de saúde à comunidade LGBTQ+, nomeadamente a respeito das especificidades
da saúde, acessibilidade e inclusividade da população LGBTQ+ nos cuidados de saúde.
Na realidade, desigualdades em saúde, comparativamente à população
heterossexual e cisgénero, são particularmente notórias no contexto da saúde sexual e
reprodutiva, saúde mental e consumo de substâncias. Em intersecção, estas áreas interagem
sinergicamente, cada uma exacerbando a vulnerabilidade às outras, o que resulta num
impacto adverso na saúde das pessoas LGBTQ+. Em conformidade, esta população
apresenta taxas mais elevadas de uma panóplia de problemas de saúde relacionados, como
o VIH e as doenças sexualmente transmissíveis, a depressão e o suicídio, e a dependência
de tabaco, álcool e substâncias ilícitas. Também as taxas de procura de cuidados
preventivos, como a contraceção ou os rastreios, estão diminuídas. A potenciar estas
desigualdades está a falta de acesso por parte desta população a cuidados de saúde não
discriminatórios, inclusivos, competentes e adaptados às suas necessidades, por sua vez
motivados pela falta de formação dos alunos e profissionais de saúde em saúde LGBTQ+, e
o ambiente heteronormativo e exclusivo dos serviços de saúde onde estes cuidados são
prestados.
Sendo este o panorama atual, é imperativo repensar os serviços de saúde com o
objetivo de os tornar mais inclusivos e mais humanos, através da educação e sensibilização
dos alunos e profissionais da área da saúde e da reestruturação dos princípios organizativos
das instituições de saúde, com vista a dissipar estas desigualdades e a consagrar o direito
esta população ao acesso à saúde.
The LGBTQ+ community has historically endured discrimination in sociocultural and political-legal settings and currently still faces specific challenges, with healthcare being no exception to this. Thus, the main objective of this monograph was to conduct a descriptive review of the most current scientific knowledge regarding LGBTQ+ healthcare while particularly approaching the specificities of LGBTQ+ health and the accessibility and inclusiveness of LGBTQ+ populations in healthcare settings. As a matter of fact, health inequalities, when compared to the heterosexual and cisgender populations, are particularly notorious regarding sexual and reproductive health, mental health, and substance use. While intersecting one another, these areas interact synergistically, each exacerbating the vulnerability to the others, resulting in an adverse impact on the health status of LGBTQ+ people. Accordingly, this population has higher rates of a panoply of related health problems such as HIV and other sexually transmitted diseases, depression and suicide, and dependence on tobacco, alcohol, and illicit substances. Furthermore, the rates at which this population seeks preventive healthcare, such as contraception or screenings, are decreased. Enhancing these inequalities is the lack of access by this population to non-discriminatory, inclusive, competent healthcare that is adaptable to their needs, which in turn is motivated by the paucity of proper education of students and healthcare professionals regarding LGBTQ+ health, and the heteronormative and exclusive environments where care is provided. On account of this being the current framework, it is imperative to rethink healthcare services to make them more inclusive and more human, with the intention of dispelling these inequalities and honoring the right of this population to accessible healthcare. Such a goal can be achieved through education and awareness-raising amongst students and health professionals along with the restructuring of the organizational principles of healthcare institutions.
The LGBTQ+ community has historically endured discrimination in sociocultural and political-legal settings and currently still faces specific challenges, with healthcare being no exception to this. Thus, the main objective of this monograph was to conduct a descriptive review of the most current scientific knowledge regarding LGBTQ+ healthcare while particularly approaching the specificities of LGBTQ+ health and the accessibility and inclusiveness of LGBTQ+ populations in healthcare settings. As a matter of fact, health inequalities, when compared to the heterosexual and cisgender populations, are particularly notorious regarding sexual and reproductive health, mental health, and substance use. While intersecting one another, these areas interact synergistically, each exacerbating the vulnerability to the others, resulting in an adverse impact on the health status of LGBTQ+ people. Accordingly, this population has higher rates of a panoply of related health problems such as HIV and other sexually transmitted diseases, depression and suicide, and dependence on tobacco, alcohol, and illicit substances. Furthermore, the rates at which this population seeks preventive healthcare, such as contraception or screenings, are decreased. Enhancing these inequalities is the lack of access by this population to non-discriminatory, inclusive, competent healthcare that is adaptable to their needs, which in turn is motivated by the paucity of proper education of students and healthcare professionals regarding LGBTQ+ health, and the heteronormative and exclusive environments where care is provided. On account of this being the current framework, it is imperative to rethink healthcare services to make them more inclusive and more human, with the intention of dispelling these inequalities and honoring the right of this population to accessible healthcare. Such a goal can be achieved through education and awareness-raising amongst students and health professionals along with the restructuring of the organizational principles of healthcare institutions.
Description
Keywords
Discriminação em Saúde Disparidades em Saúde Lgbtq+ Saúde Inclusiva Saúde Lgbtq+