Bioethical implications in health care for the LGBTT public

Santos, Adilson Ribeiro dos; Santos, Rose Manuela Marta; Souza, Marcos Lopes de; Boery, Rita Narriman Silva de Oliveira; Sena, Edite Lago da Silva; Yarid, Sérgio Donha

doi:10.1590/1983-80422015232078

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Research article • Rev. Bioét. 23 (2) • May-Aug 2015 • https://doi.org/10.1590/1983-80422015232078 linkcopy

Bioethical implications in health care for the LGBTT public

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstracts

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.

Bioethics; Minority health; Public policies; Gender identity; Transgendered persons; Homosexuality; Homophobia

Author/year	Research objective	Method
Lionço/2008 ¹⁹	To question the relevance of a specific health care policy for the gays, lesbians, bisexuals, transvestites and transgender (GLBTT) population	Theoretical essay
Andrade & Ferrari/2009 ²⁰	To analyze the changes that enabled the reception of requests from gay men to achieve recognition of their relationships and family constitution from adoption to assisted procreation	Bibliographic research
Valadão & Gomes/2011 ²¹	To discuss the elements that could explain the invisibility of lesbians and bisexual women in the area of integral care to women’s health	Bibliographic research
Silva & Nardi/2011 ²²	To indicate and understand, in the Brazilian context, the construction of a social, political and legal network to combat discrimination based on sexual orientation	Documentary research
Natividade & Oliveira/2011 ¹	To debate about the challenge of developing an integral health care policy for lesbian women	Ethnographic research
Toledo & Pinafi/2012 ²³	To propose an ethical discussion about the vicissitudes of clinical psychology with the LGBTT population	Bibliographic search
Cardoso & Ferro/2012 ²⁴	To contribute to the analysis of some elements that interfere with the health process of the LGBTT population	Bibliographic search

Documents/year	Content
Constitution of the Federal Republic of Brazil/1988 ²⁵	The Federal Constitution defines, in its 5th article, that all are equal before the law, without any type of distinction, guaranteeing Brazilians and foreign residents in the country the inviolable right to life, freedom, equality, security and property
Law 8.080/1990 ²⁶	In its Chapter II, “The principles and guidelines”, in Section I of the 7th Article, it is stated that the actions and public health services will be conducted according to the principle of universal access to health services at all levels of care
Brazil without Homophobia/2004 ²⁷	This is to combat violence and discrimination against GLTB (gays, lesbians, transgender and bisexuals) and for the promotion of citizenship of homosexuals
Charter of the Rights of Health Care Users/2006²⁸	This refers to the right citizens have to access to the actions and services of promotion, protection and recovery of health promoted by the Single Health System (Sistema Único de Saúde – SUS)
Principles of Yogyakarta/2006 ²⁹	Principles of the application of the international legislation of human rights in relation to sexual orientation and gender identity
National Policy of Integral Health of Lesbians, Gays, Bisexuals, Transvestites and Transgender/2010 ¹⁴	Defines the specifications of care of lesbians, gays, bisexuals, transvestites and transgender, with regard to the health and disease process

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Conselho Federal de Medicina SGAS 616, Conjunto D, Lote 115, L2 Sul, CEP: 70200-760, Tel: (61) 3445-5932 - Brasília - DF - Brazil
E-mail: bioetica@portalmedico.org.br

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