LGBTQ+: The social evolution of a minority

pride 19

(Claudio Schwarz, Unsplash)

This article was exclusively written for The European Sting by Mr. Anderson de Castro Remedio, a second-year medical student at the University Center of the Americas (FAM). He is affiliated to the International Federation of Medical Students Associations (IFMSA), cordial partner of The Sting. The opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.


In recent years, transsexuals and transvestites are gaining more space and rights in the Transsexual Process, through Ordinance No. 2803, dated November 19, 2013, which ensures that the guidelines of the SUS as: equity, universality and integrality be put into practice in this community.

With the designation “transgender person” (or, simply, trans person) is meant the one who has a gender identity different from that imposed by binary patterns. Transsexual people subvert the belief in birth sex as a determinant of gender identity, so the human being who does not follow the binary and dichotomous (male-female) logic may suffer prejudice and discrimination, since Brazilian society is patriarchal and hereditary.

With this, transphobia is a major limbo between the LGBTQ + community and the health service, thus compromising quality assistance that contemplates the purpose of integrality.

LGBTQ +, when seeking health services, often omit their sexual orientation, or even more commonly, have their sexuality presumed by professionals to be heterosexual, which may discourage the patient from adhering to medical guidelines. It is concluded, therefore, that measures are needed that can make the health services environment more welcoming and receptive to this community, which does not align with the patriarchal norm of the heterosexual binary matrix for genders.

The methodology consists of the analysis of bibliography through systematic search understood by the terms: hormone therapy, transsexuality, transsexualism, transgenitalization surgery, transgenital surgery and sexual conversion surgery, through the search engine available on the website of the medical entity CFM.

It was find 20 records of documents with the term transsexualism, seven records with the term hormone therapy, eight transsexual records, 14 transgenital surgery registries, four records of sexual conversion surgery and 17 transgenital surgery registries, totaling 70 documents. This number was reduced to 31 records after discarding the duplicate documents and then to 14, when removed materials that did not meet the inclusion criteria, that is, the subject matter did not fall under the regulation of prescription of hormone therapy or transgender surgery in transsexual people, from July to August 2017.

From the first time that the CFM stands until the last time in 2013, a hiatus of 38 years, there have been many legalization changes on hormone therapy and transgenitalization, and this change was due to public influence and high morbidity, since this population had to resort to alternative means to be able to live well with themselves, putting at risk not only their lives but all those who lived around them.

Therefore, CFM created a committee of medical specialists to study the subject and the progress of medical knowledge was adopted as a criterion for reforming a council tradition, and thus, be able to meet not only the patients’ demands, but also the professionals who could understand this need and reduce the distance between the service and the servisse, and increase empathy in the process of gender change, reducing prejudice to the patient who just wants to be happy the way he looks.

References

dos Santos, Manoel Antônio, et al. “Transexualidade, ordem médica e política de saúde: controle normativo do processo transexualizador no Brasil.” Estudos Interdisciplinares em Psicologia 10.1 (2019): 03-19

DOS SANTOS, Manoel Antônio et al. Transexualidade, ordem médica e política de saúde: controle normativo do processo transexualizador no Brasil. Estudos Interdisciplinares em Psicologia, v. 10, n. 1, p. 03-19, 2019.

dos Santos, M. A., de Souza, R. S., da Silva Lara, L. A., de Oliveira, W. A., Alexandre, V., & de Oliveira-Cardoso, É. A. (2019). Transexualidade, ordem médica e política de saúde: controle normativo do processo transexualizador no Brasil. Estudos Interdisciplinares em Psicologia10(1), 03-19.

Brasil, Ministério da Saúde (2008a). Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais – LGBT. Brasília, DF: Conselho Nacional de Saúde. Recuperado em 28 de maio de 2019, de http://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_lesbicas_gays.pdf

Brasil. Ministério da Saúde (2008b). Mais saúde: direito de todos: 2008-2011. Brasília, DF: Ministério da Saúde. Recuperado em 28 de maio de 2019, de http://bvsms.saude.gov.br/bvs/publicacoes/mais_saude_direito_todos_3ed.pdf.

Cardoso, M. R., & Ferro, L. F. (2012). Saúde e população LGBT: demandas e especificidades em questão. Psicologia: Ciência e Profissão, 32(3), 552-563. http://dx.doi.org/10.1590/S1414-98932012000300003.

Cerqueira-Santos, E., Calvetti, P. U., Rocha, K. B., Moura, A., Barbosa, L. H., & Hermel, J. (2010). Percepção de usuários gays, lésbicas, bissexuais e transgêneros, transexuais e travestis do Sistema Único de Saúde. Revista Interamericana de Psicologia, 44(2), 235-245. Recuperado em 24 de maio de 2019, de http://www.redalyc.org/pdf/284/28420641004.pdf.

Ferraz, D., & Kraiczyk, J. (2010). Gênero e políticas públicas de saúde: construindo respostas para o enfrentamento das desigualdades no âmbito do SUS. Revista de Psicologia da UNESP, 9(1), 70-82. Recuperado em 24 de maio de 2019, de http://seer.assis.unesp.br/index.php/psicologia/article/view/428.

Gomes, A. P., & Rego, S. (2011). Transformação da educação médica: é possível formar um novo médico a partir de mudanças no método de ensino-aprendizagem? Revista Brasileira de Educação Médica, 35(4), 557-566. http://dx.doi.org/10.1590/S0100-55022011000400016.

http://dx.doi.org/10.1590/1414-49802016.00200011

Lima, M. C. P., & Cerqueira, A. T. A. R. (2008). Crenças sobre sexualidade entre estudantes de Medicina: uma comparação entre gêneros. Revista Brasileira de Educação Médica, 32(1), 49-55. http://dx.doi.org/10.1590/S0100-55022008000100007.

Lionço, T. (2009). Atenção integral à saúde e diversidade no processo transexualizador no SUS: avanços, impasses e desafios. Physis: Revista de Saúde Coletiva, 19(1), 43-63. http://dx.doi.org/10.1590/S0103-73312009000100004.

Melo, A. P. L. (2010). “Mulher mulher” e outras mulheres”: gênero e homossexualidade(s) no Programa de Saúde da Família. Dissertação (Mestrado). Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rio de Janeiro.

Moscheta, M. S., & Santos, M. A. (2010). Inclusão e o desafio de criar formas de investigação colaborativa: um relato de experiência. Saúde e Transformação Social, 1(1), 154-159. Recuperado em 24 de maio de 2019, de http://incubadora.periodicos.ufsc.br/index.php/saudeetransformacao/article/view/415/447.

Popadiuk, G. S., Oliveira, D. C., & Signorelli, M. C. (2017). A Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais e Transgêneros (LGBT) e o acesso ao Processo Transexualizador no Sistema Único de Saúde (SUS): avanços e desafios. Ciência & Saúde Coletiva, 22(5), 1509-1520. https://dx.doi.org/10.1590/1413-81232017225.32782016

Portaria nº 2803, de 19 de novembro de 2013. (2013). Redefine e amplia o Processo Transexualizador no Sistema Único de Saúde (SUS). Diário Oficial da União; 20 novembro 2013.

Portaria nº 457, de 19 de agosto de 2008. (2008). Aprova a Regulamentação do Processo Transexualizador no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União; 20 agosto 2008.

Rocon, P. C., Sodré, F., & Rodrigues, A. (2016). Regulamentação da vida no processo transexualizador brasileiro: uma análise sobre a política pública. Revista Katálysis, 19(2), 260-269. http://dx.doi.org/10.1590/1414-49802016.00200011.

Silva, M. C. B. A. (2014). Sentidos da diversidade sexual entre estudantes de Medicina. Dissertação (Mestrado em Ciências Humanas), Universidade Federal de Uberlândia, Uberlândia.

About the author

Anderson de Castro Remedio, a second-year medical student at the University Center of the Americas (FAM). Local coordinator of the IFMSA BRAZIL FAM committee, occupying the role of LOME (Local Coordinator of Medical Education) and auxiliary of the NUPEC (Nucleus of Scientific Research) of the Local Committee, during the management 2018-2019. Assistant of Sponsorship and Permanence of the Academic Center Dr. Delorme Baptista Pereira, management 2019. Member of the Founding Committee of the Academic Congress of the University Center of the Americas-FAM (COAM-FAM). Volunteer at the Pediatric Hospital Sabará.

the sting Milestones

Featured Stings

Can we feed everyone without unleashing disaster? Read on

These campaigners want to give a quarter of the UK back to nature

How to build a more resilient and inclusive global system

Stopping antimicrobial resistance would cost just USD 2 per person a year

China Unlimited: an exclusive interview with the former Ambassador of Hungary to China

Healthcare workers’ safety: a forgotten necessity

Understanding the ‘second brain’ in your gut

5 things to know about the exploding world of pro gaming

First EU-wide protection for whistle-blowers agreed

The EU has to prove it can remain one piece

These 8 countries have perfect scores for women’s rights at work

International Women’s Day: Where does she belong?

Africa-Europe Alliance: European Commission committed to a sustainable African agri-food sector

4 things ISPs can do to reduce the impact of cybercrime

Trump ‘used’ G20 to side with Putin and split climate and trade packs

State aid: Commission opens in-depth investigation into arbitration award in favour of Antin to be paid by Spain

Vile act of torture prohibited ‘under all circumstances’, UN chief affirms on International Day to support victims

3 ways to ensure the internet’s future is creative, collaborative and fair

This lethal fungus is threatening to wipe out the world’s bananas

EU food watchdog: more transparency, better risk prevention

New rules on drivers’ working conditions and fair competition in road transport

Help African farmers cope with climate change threats, UN food agency urges

Why cybersecurity matters more than ever during the coronavirus pandemic

Europe eyes to replace US as China’s prime foreign partner

3 ways to make technologies more inclusive for people with disabilities

Confidence in the COVID-19 vaccine grows in UK and US, but global concerns about side effects are on the rise

Preventing and resolving conflicts must form ‘backbone’ of collective efforts – UN chief

UPDATED: Thousands flee fighting around Libyan capital as Guterres condemns escalation, urges ‘immediate halt’ to all military operations

How emerging markets will shape Africa in 2020

5 factors driving the Chinese lawtech boom

This tool shows you which cities will flood as ice sheets melt

High-tech or ‘high-touch’: UK survey gives clues to the jobs of the future

Security Council urges ‘maximum restraint’ around Gulf region as Iran and United States trade diplomatic blows in New York

EU Parliament says ‘no’ to austerity budget

ISIS fighters fleeing Mosul for Syria can topple Assad. Why did the US now decide to uproot them from Iraq?

China and China-EU Relations in the New Era

5 things you might not know about forests – but should

More hiring freedom can reduce teacher shortages in disadvantaged areas

When it comes to envirotech adoption, NGOs can lead us out of the woods

‘Extinction crisis’ pushes countries to agree stronger protection for global wildlife

Why we need both science and humanities for a Fourth Industrial Revolution education

The digital transformation is a skills and education opportunity for all. Companies must use it

European Commission increases support for the EU’s beekeeping sector

Building a Climate-Resilient Future – A new EU Strategy on Adaptation to Climate Change

The UK option: An overarching alternative for the whole Brexit options

‘The time for action is now’ senior UN peacekeeping official says, urging support for regional force combating Sahel terrorism

Mediterranean migrant drownings should spur greater action by European countries, urge UN agencies

Carbon levy on EU imports needed to raise global climate ambition

Iran: women hunger strikers entitled to medical care, UN rights experts urge

It is now the era to evolve mutually as the bacteria do

COVID-19: Revised rules to encourage banks to lend to companies and households

Fashion’s hot new trend: clothes you don’t need to wash (very often)

Stronger partnerships with post-conflict countries needed to ensure ‘path towards durable peace’: UN chief

Republic of Korea President proposes DMZ as future ‘peace and cooperation district’ on Peninsula

Women’s work faces the greatest risk of automation, says new research

May led Britain to chaos, now looks for way out with unpredictable DUP

We must rethink and repurpose cybersecurity for the COVID-19 era

EU-Turkey relations: EU considers imposing sanctions while Turkey keeps violating Cyprus’ sovereignty

National parks give a $6 trillion boost to mental health worldwide

Here’s how data can shine a light on financial crime

Will Eurozone be able to repay its debts? Is a bubble forming there?

Eight years in, Syria still embroiled in conflict ‘that no longer sparks outrage’, Security Council hears

Difficulties of vaccination against COVID-19

Services are the hidden side of the US-China trade war

More Stings?

Speak your Mind Here

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s