Resumo Este estudo objetivou analisar como o Ministerio da Saude (MS) vem implementando o Processo Transexualizador (PrTr) no SUS, por meio da pesquisa de documentos oficiais de dominio publico, sistematizacao de dados quantitativos e analise das memorias do Comite Tecnico de Saude LGBT (CTSLGBT) do MS A pesquisa exploratoria combinou metodos quanti e qualitativos de estudo, tomando como base metodologica a proposta normativa de pesquisa de avaliacao de programas e sistemas de saude O estudo resultou no computo total das cirurgias de redesignacao sexual realizadas no SUS (2008-2016), que evidenciam nulidade de obitos e desigualdades regionais de acesso; e no acompanhamento das acoes de implementacao da Politica Nacional de Saude Integral Lesbicas, Gays, Bissexuais, Travestis e Transexuais (PNSILGBT) por comite especifico designado pelo MS Mesmo com avancos consideraveis, os desafios persistem, sendo o mais ameacador, atualmente, a possibilidade de retrocesso imposta por setores conservadores do executivo e legislativo Portanto, a visibilidade das acoes ja conquistadas e um passo decisivo para manutencao e potencializacao do PrTr no SUS

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The National Policy for Comprehensive Health of Lesbians, Gays, Bisexuals and Transgender (LGBT) and access to the Sex Reassignment Process in the Brazilian Unified Health System (SUS): progress and challenges

This study assessed the prevalence of recalled childhood sexual experiences with an older partner among men who have sex with men (MSM) and/or male-to-female transgender persons recruited in Campinas, Brazil. It also analyzed associations between such recalled experiences and sexual risk behavior in adulthood. Participants recruited using respondent driven sampling completed a self-administered, computer-based questionnaire, and underwent HIV testing. For data analysis, raw scores were weighted based on participants’ reported network size. Of 575 participants (85% men and 15% transgender), 32% reported childhood sexual experiences with an older partner. Mean age at first experience was 9 years, partners being, on average, 19 years old, and mostly men. Most frequent behaviors were partners exposing their genitals, mutual fondling, child masturbating partner, child performing oral sex on partner, and child being anally penetrated. Only 29% of the participants who had had such childhood sexual experiences considered it abuse; 57% reported liking, 29% being indifferent and only 14% not liking the sexual experience at the time it happened. Transgender participants were significantly more likely to report such experiences and, compared with men, had less negative feelings about the experience at the time of the interview. No significant associations were found between sexual experiences in childhood and unprotected receptive or insertive anal intercourse in adulthood. Results highlight the importance of assessing participants’ perception of abuse, regardless of researchers’ pre-determined criteria to identify abuse. MSM and transgender people may experience childhood sexual experiences with older partners differently from other populations (e.g., heterosexuals), particularly in countries with different cultural norms concerning sexuality than those prevalent in Europe and the U.S.

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Recalled Sexual Experiences in Childhood with Older Partners: A Study of Brazilian Men Who Have Sex with Men and Male-to-Female Transgender Persons

Bioethical implications in health care for the LGBTT public The aim of this study was to analyze academic publications regarding actions of health care for lesbians, gays, bisexuals, transvestites and the trans gender (LGBTT), in a focus of principialist bioethics. The methodology employed was trial design, in which the data gathered were divided into two sets: academic productions, and documents standardizing LGBTT health policy in the Single Health System (SUS). The studies showed that beyond the the actions aimed at the health of LGBTT, there exist prejudice and discrimination, requiring a new examination of ethical and bioethical interaction between the professional and the user. Thus professional performance based on principialist bioethics may be considered a way of overcoming values judgments on the part of health professionals, helping better pursue the integral nature of care.

https://revistabioetica.cfm.org.br/index.php/revista_bioetica/article/viewFile/1049/1271

Implicações bioéticas no atendimento de saúde ao público LGBTT

Este ensaio busca contribuir para a analise do campo de estudos socioantropologicos sobre diversidade sexual e de genero no Brasil. Nele, sao mapeadas questoes e abordagens que ganharam destaque na conformacao mais recente desse campo, marcado pela critica a "homossexualidade" como categoria classificatoria e identidade social englobante. Interessa-nos apontar alguns problemas de ordem conceitual e metodologica que tem se erguido como desafios aos pesquisadores, em um contexto de extraordinaria multiplicacao do numero de investigacoes sobre sexualidade e genero, bem como de crescente politizacao desses temas.

http://www.scielo.br/pdf/cpa/n42/0104-8333-cpa-42-00075.pdf

O campo de estudos socioantropológicos sobre diversidade sexual e de gênero no Brasil: ensaio sobre sujeitos, temas e abordagens

This is a survey conducted in 2009 with 2,282 students of both sexes enrolled in the three grades of high school in three cities of the west of Sao Paulo state (Assis, Presidente Prudente and Ourinhos). The data collection instrument was a self-administered and anonymous questionnaire with 131 questions. In this article, we reflect on how in schools the research participants reproduce and reinforce the hegemonic discourses of control of sexualities guided by the attempt to promote heterosexuality as the only form of sexual intelligibility, to the detriment of other forms of expression of sexuality. We discuss how homophobia and the devices of social control of sexuality (re) produce prejudices and stereotypies, resulting in vulnerabilities that non-heterosexual teenagers have, such as homophobic victimization, social and affective isolation, ideations and suicide attempts. The study shows that the invariant were discrimination, homophobic violence and the insults that are perpetrated in the values and discourses of adolescents at school and in their family, demonstrating the institutionalization of homophobia as a regulatory practice of the psychological and social construction of gender and sexual identities. We highlight how important it is for the school to appropriate the means of deconstruction of heterocentric normativity to preserve the rights and citizenship of the people who do not identify with the prevailing models of heterosexuality.

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Brasil. Ministério da Saúde

Papers

Brasil sem homofobia: Programa de Combate à Violência e a Discriminação contra GLTB e de Promoção da Cidadania Homossexual