Cultural case: sexual orientation as bias in health care practices

Authors

  • Grayce Alencar Albuquerque School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil
  • Cintia de Lima Garcia School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil
  • Jameson Moreira Belém Regional University of Cariri, Crato, Ceará, Brazil. 300 Eufrásio Alencar Street., Centro, ZIP 56230970, Exu (Pernambuco), Brazil
  • Francisco Winter dos Santos Figueiredo School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil
  • Laércio da Silva Paiva School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil
  • Glauberto da Silva Quirino Assistant Professor, Regional University of Cariri, Crato, Ceará, Brazil. Professor of the Nursing Course. 109 Manoel Miguel Cordeiro Street, José Geraldo da Cruz, ZIPE CODE 63033-265, Juazeiro do Norte (Ceará), Brazil
  • Luiz Carlos de Abreu School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil
  • Vitor Engrácia Valenti Assistant Professor, School of Phylosophy and Sciences, Paulista State University. 737 Hygino Muzzi Filho Ave., Palmital, ZIP CODE 17525-000, Marilia (São Paulo), Brazil
  • Fernando Adami Assistant Professor, School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 821 Príncipe de Gales Ave., Príncipe de Gales, ZIP CODE 09060650, Santo André (São Paulo), Brazil

DOI:

https://doi.org/10.3823/1631

Keywords:

Gender, Homosexuality, Bisexuality, Health services, Culture.

Abstract

Backgorund. The objective was to identify the perception of Lesbian, Gay, Bisexual, and Transgender people about the implications of non-heterosexual sexual orientation in health care practices. Methods. We adopted a qualitative research by conducting interviews with 30 gay and bisexual individuals recruited in the municipality of Juazeiro do Norte, Brazil, from the snowball technique in 2013. The data was categorized and analyzed based on the Theory of Diversity and Universality of Cultural Care. Findings. It was found that sexual minorities have encountered prejudiced and discriminatory professional practices in health care as a result of heteronormative cultural representations, which reflect difficulties in accessibility to the services. The exclusionary cultural care results in poor self-care and linked to sexually transmitted diseases, low attendance and distance of health services for gay and bisexual men. Conclusion. It is believed that the influence of heteronormative cultural conceptions in services imply deficit of self-care by the group.

Author Biographies

Grayce Alencar Albuquerque, School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil

Department of Collective Health.

Cintia de Lima Garcia, School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil

Department of Collective Health.

Jameson Moreira Belém, Regional University of Cariri, Crato, Ceará, Brazil. 300 Eufrásio Alencar Street., Centro, ZIP 56230970, Exu (Pernambuco), Brazil

Nurse

Francisco Winter dos Santos Figueiredo, School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil

Department of Collective Health.

Laércio da Silva Paiva, School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil

Department of Collective Health.

Glauberto da Silva Quirino, Assistant Professor, Regional University of Cariri, Crato, Ceará, Brazil. Professor of the Nursing Course. 109 Manoel Miguel Cordeiro Street, José Geraldo da Cruz, ZIPE CODE 63033-265, Juazeiro do Norte (Ceará), Brazil

Nurse

Luiz Carlos de Abreu, School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 232 Grã Bretanha Street., Princípe de Gales, ZIP CODE 090060500, Santo André (São Paulo), Brazil

Department of Collective Health.

Vitor Engrácia Valenti, Assistant Professor, School of Phylosophy and Sciences, Paulista State University. 737 Hygino Muzzi Filho Ave., Palmital, ZIP CODE 17525-000, Marilia (São Paulo), Brazil

Phylosophy and Sciences

Fernando Adami, Assistant Professor, School of Medicine of ABC, Santo André, SP, Brazil. Laboratory of Design of Studies and Scientific Writing, Department of Collective Health. 821 Príncipe de Gales Ave., Príncipe de Gales, ZIP CODE 09060650, Santo André (São Paulo), Brazil

Department of Collective Health.

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Published

2015-03-08

Issue

Vol. 8 (2015)

Section

Primary Care

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