A homoparentalidade como questão da saúde coletiva: uma revisão de escopo
DOI:
https://doi.org/10.11606/s1518-8787.2023057005447Palabras clave:
Homossexualidade, Família, Minorias Sexuais e de Gênero, Saúde, RevisãoResumen
OBJETIVO: Mapear a produção científica global sobre homoparentalidade no campo da saúde coletiva ou saúde pública. MÉTODOS: Em termos de procedimentos metodológicos, foi realizada uma revisão de escopo, tendo como norte a seguinte pergunta: quais são os aspectos abordados na produção científica global a respeito de famílias homoparentais no campo da saúde coletiva ou pública? As buscas foram realizadas em sete fontes de literatura científica, sendo incluídos 58 estudos, envolvendo artigos científicos e dissertações. O tratamento analítico dado aos estudos, em sua maioria qualitativos, seguiu a técnica de análise de conteúdo na modalidade temática. RESULTADOS: Os resultados indicam que percepções de homossexuais e de profissionais sobre cuidados prestados e serviços de saúde em geral foi a temática abordada por maior número de estudos (n = 31), seguida de contexto heteronormativo dos serviços de saúde (n = 26); revelação da orientação sexual (n = 20); fertilização (n = 14); informações e ações educativas (n = 5). CONCLUSÃO: Embora a questão da homoparentalidade venha sendo discutida em alguns setores da saúde, há ciência de que é preciso contar com uma base consolidada por meio de inúmeros estudos ao se problematizar essa temática. Conclui-se que, dentre outros aspectos, que o escopo desta revisão não é problematizado de forma suficiente no âmbito da formação e atuação de profissionais de saúde.
Referencias
Weston K. Families we choose: lesbians, gays, kinship. New York: Columbia; 1997.
Zambrano E. Parentalidades “impensáveis”: pais/mães homossexuais, travestis e transexuais. Horiz. Antrop. 2006; 12(26):123-47. https://doi.org/10.1590/S0104-71832006000200006
Ribeiro CR, Gomes R, Moreira MC. A paternidade e a parentalidade como questões de saúde frente aos rearranjos de gênero. Cien Saude Colet. 2015;20(11):3589-98. https://doi.org/10.1590/1413-812320152011.19252014
Castells M. O poder da identidade: a era da informação. 9. Volume 2. São Paulo, Rio de Janeiro: Paz e Terra; 2018.
Dias MB. A união homoafetiva e a Constituição Federal. In: Costa H, et al. Retratos do Brasil homossexual: fronteiras, subjetividades e desejos. São Paulo: EDUSP; 2010. p. 21-6.
Paim JS. Desafios para a saúde coletiva no século XXI. Salvador: EDUFBA, 2006. Nova Saúde Pública ou Saúde Coletiva? p. 139-53.
Peters MD, Godfrey C, McInerney P, Soares CB, Khalil H, Parker D. Scoping reviews. In: Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer’s manual. Adelaide: Joanna Briggs Institute; 2017. p. 406-451.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018 Oct;169(7):467-73. https://doi.org/10.7326/M18-0850
Gomes R, Toma TS, da Silva A, De Lucca Da Silva J, Domene FM. Protocolo: A homoparentalidade como questão da saúde coletiva: uma revisão de escopo. 2022 [citado 6 jan. 2023]. Disponível em: https://osf.io/5mwdk
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016 Dec;5(1):210. https://doi.org/10.1186/s13643-016-0384-4
Gomes R. Análise e interpretação de dados de pesquisa qualitativa. Minayo MCS, org. Pesquisa social: teoria, método e criatividade. Petrópolis: Vozes; 2007. p. 79-108.
Bardin L. Análise de conteúdo. Lisboa: Edições 70; 1979.
Gomes R, Toma TS, Silva A, De Lucca Da Silva J, Domene FM. Suplementos do manuscrito: A homoparentalidade como questão da saúde coletiva: uma revisão de escopo. 2022 [citado 6 jan. 2023]. Disponível em: https://osf.io/ktj9r
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar;372(71):n71. https://doi.org/10.1136/bmj.n71
Albuquerque GA, Belém JM, Cavalcante Nunes JF, Leite MF. Quirino GS. Planejamento reprodutivo em casais homossexuais na estratégia saúde da família. Rev APS. 2018 Jan;21(1):104-11. https://doi.org/10.34019/1809-8363.2018.v21.15639
Andersen AE, Moberg C, Bengtsson Tops A, Garmy P. Lesbian, gay and bisexual parents’ experiences of nurses’ attitudes in child health care-A qualitative study. J Clin Nurs. 2017 Dec;26(23-24):5065-71. https://doi.org/10.1111/jocn.14006
Brennan R, Sell RL. The effect of language on lesbian nonbirth mothers. J Obstet Gynecol Neonatal Nurs. 2014;43(4):531-8. https://doi.org/10.1111/1552-6909.12471
Carvalho PG, Cabral CD, Ferguson L, Gruskin S, Diniz CS. ‘We are not infertile’: challenges and limitations faced by women in same-sex relationships when seeking conception services in São Paulo, Brazil. Cult Health Sex. 2019 Nov;21(11):1257-72. https://doi.org/10.1080/13691058.2018.1556343
Chapman R, Wardrop J, Freeman P, Zappia T, Watkins R, Shields L. A descriptive study of the experiences of lesbian, gay and transgender parents accessing health services for their children. J Clin Nurs. 2012a Apr;21(7-8):1128-35. https://doi.org/10.1111/j.1365-2702.2011.03939.x
Chapman R, Wardrop J, Zappia T, Watkins R, Shields L. The experiences of Australian lesbian couples becoming parents: deciding, searching and birthing. J Clin Nurs. 2012b Jul;21(13-14):1878-85. https://doi.org/10.1111/j.1365-2702.2011.04007.x
Chapman R, Watkins R, Zappia T, Combs S, Shields L. Second-level hospital health professionals’ attitudes to lesbian, gay, bisexual and transgender parents seeking health for their children. J Clin Nurs. 2012c Mar;21(5-6):880-7. https://doi.org/10.1111/j.1365-2702.2011.03938.x
Chapman R, Zappia T, Shields L. An essay about health professionals’ attitudes to lesbian, gay, bisexual and transgender parents seeking healthcare for their children. Scand J Caring Sci. 2012d Jun;26(2):333-9. https://doi.org/10.1111/j.1471-6712.2011.00938.x
Dahl B, Fylkesnes AM, Sørlie V, Malterud K. Lesbian women’s experiences with healthcare providers in the birthing context: a meta-ethnography. Midwifery. 2013 Jun;29(6):674-81. https://doi.org/10.1016/j.midw.2012.06.008
Dahl B, Malterud K. Neither father nor biological mother. A qualitative study about lesbian co-mothers’ maternity care experiences. Sex Reprod Healthc. 2015 Oct;6(3):169-73. https://doi.org/10.1016/j.srhc.2015.02.002
Dibley L. Experiences of lesbian parents in the UK: interactions with midwives. Evid Based Midwifery. 2009 Jan;7:94-100.
Eliason MJ. Lesbian and gay family issues. J Fam Nurs. 1996 Feb;2(1):10-29. https://doi.org/10.1177/107484079600200102
Appelgren Engström H, Häggström-Nordin E, Borneskog C, Almqvist AL. Mothers in same-sex relationships-Striving for equal parenthood: a grounded theory study. J Clin Nurs. 2019 Oct;28(19-20):3700-9. https://doi.org/10.1111/jocn.14971
Erlandsson K, Linder H, Häggström-Nordin E. Experiences of gay women during their partner’s pregnancy and childbirth. Br J Midwifery. 2010 Feb;18(2):99-103. https://doi.org/10.12968/bjom.2010.18.2.46407
Fantus S. Experiences of gestational surrogacy for gay men in Canada. Cult Health Sex. 2021 Oct;23(10):1361-74. https://doi.org/10.1080/13691058.2020.1784464
Goldberg L, Harbin A, Campbell S. Queering the birthing space: phenomenological interpretations of the relationships between lesbian couples and perinatal nurses in the context of birthing care. Sexualities. 2011 Apr;14(2):173-92. https://doi.org/10.1177/1363460711399028
Gregg I. The health care experiences of lesbian women becoming mothers. Nurs Womens Health. 2018 Feb;22(1):40-50. https://doi.org/10.1016/j.nwh.2017.12.003
Hammond C. Exploring same sex couples’ experiences of maternity care. Br J Midwifery. 2014;22(7):495-500. https://doi.org/10.12968/bjom.2014.22.7.495
Hayman B, Wilkes L, Halcomb EJ, Jackson D. Marginalised mothers: lesbian women negotiating heteronormative healthcare services. Contemp Nurse. 2013 Apr;44(1):120-7. https://doi.org/10.5172/conu.2013.44.1.120
Hayman B, Wilkes L, Halcomb E, Jackson D. Lesbian women choosing motherhood: the journey to
conception. J GLBT Fam Stud. 2015 May;11(4):395-409. https://doi.org/10.1080/1550428X.2014.921801.
Hayman B, Wilkes L. De novo families: lesbian motherhood. J Homosex. 2017;64(5):577-91.
https://doi.org/10.1080/00918369.2016.1194119
Imaz E. Same-sex parenting, assisted reproduction and gender asymmetry: reflecting on the differential effects of legislation on gay and lesbian family formation in Spain. Reprod Biomed Soc Online. 2017 Feb;4:5-12. https://doi.org/10.1016/j.rbms.2017.01.002
Juntereal NA, Spatz DL. Breastfeeding experiences of same-sex mothers. Birth. 2020 Mar;47(1):21-8. https://doi.org/10.1111/birt.12470
Kelsall-Knight L. Experiences of LGBT parents when accessing healthcare for their children: a literature
review. Nurs Child Young People. 2021 May;33(3):17-24. https://doi.org/10.7748/ncyp.2021.e1346
Kerppola J, Halme N, Perälä ML, Maija-Pietilä A. Parental empowerment: lesbian, gay, bisexual, trans or queer parents’ perceptions of maternity and child healthcare. Int J Nurs Pract. 2019 Oct;25(5):e12755. https://doi.org/10.1111/ijn.12755
Klein DA, Malcolm NM, Berry-Bibee EN, Paradise SL, Coulter JS, Keglovitz Baker K, et al. Quality primary care and family planning services for LGBT clients: a comprehensive review of clinical guidelines. LGBT Health. 2018 Apr;5(3):153-70. https://doi.org/10.1089/lgbt.2017.0213
Klittmark S, Garzón M, Andersson E, Wells MB. LGBTQ competence wanted: LGBTQ parents’ experiences of reproductive health care in Sweden. Scand J Caring Sci. 2019 Jun;33(2):417-26. https://doi.org/10.1111/scs.12639
Larsson AK, Dykes AK. Care during pregnancy and childbirth in Sweden: perspectives of lesbian women. Midwifery. 2009 Dec;25(6):682-90. https://doi.org/10.1016/j.midw.2007.10.004
Lee E. Lesbian users of maternity services: appropriate care. Br J Midwifery. 2004 Jun;12(6):353-8. https://doi.org/10.12968/bjom.2004.12.6.13132
Lee E, Taylor J, Raitt F. ‘It’s not me, it’s them’: How lesbian women make sense of negative experiences of maternity care: a hermeneutic study. J Adv Nurs. 2011 May;67(5):982-90. https://doi.org/10.1111/j.1365-2648.2010.05548.x
Lucio FPS, Araújo EC. A maternidade de mães lésbicas na perspectiva da enfermagem: revisão integrativa. Rev Eletrônica Enferm. 2017;19:1-11. https://doi.org/10.5216/ree.v19.40304
Malmquist A, Nelson KZ. Efforts to maintain a “just great” story: lesbian parents’ talk about encounters with professionals in fertility clinics and maternal and child healthcare services. Fem Psychol. 2014 May;24(1):56-73. https://doi.org/10.1177/0959353513487532
McManus AJ, Hunter LP, Renn H. Lesbian experiences and needs during childbirth: guidance for health care providers. J Obstet Gynecol Neonatal Nurs. 2006;35(1):13-23. https://doi.org/10.1111/j.1552-6909.2006.00008.x
McNair R, Brown R, Perlesz A, Lindsay J, De Vaus D, Pitts M. Lesbian parents negotiating the health care system in Australia. Health Care Women Int. 2008 Feb;29(2):91-114. https://doi.org/10.1080/07399330701827094
Mikhailovich K, Martin S, Lawton S. Lesbian and gay parents: their experiences of children’s health care in Australia. Int J Sex Gend Stud. 2001;6(3):181-91. https://doi.org/10.1023/A:1011586417276
Nicol P, Chapman R, Watkins R, Young J, Shields L. Tertiary paediatric hospital health professionals’ attitudes to lesbian, gay, bisexual and transgender parents seeking health care for their children. J Clin Nurs. 2013 Dec;22(23-24):3396-405. https://doi.org/10.1111/jocn.12372
Nimbi FM, Viozzi E, Tripodi F, Simonelli C, Baiocco R. Could educational programs in sexology have an influence on attitudes towards same-sex marriage and parenting? Sexologies. 2020;29(3):e77-83. https://doi.org/10.1016/j.sexol.2020.01.001
Norton W, Hudson N, Culley L. Gay men seeking surrogacy to achieve parenthood. Reprod Biomed Online. 2013 Sep;27(3):271-9. https://doi.org/10.1016/j.rbmo.2013.03.016
O’Neill KR, Hame HP, Dixon R. Perspectives from Lesbian women: their experiences with healthcare professionals when transitioning to planned parenthood. Divers Equal Health Care. 2013 Dec;10(4):213-22.
Obem MK. A (in)visibilidade de famílias homoafetivas durante atendimentos nos serviços de saúde. Rio Grande do Sul [dissertação]. Santa Maria: Universidade Federal de Santa Maria; 2018.
Perrin EC, Kulkin H. Pediatric care for children whose parents are gay or lesbian. Pediatrics. 1996 May;97(5):629-35. https://doi.org/10.1542/peds.97.5.629
Renaud MT. We are mothers too: childbearing experiences of lesbian families. J Obstet Gynecol Neonatal Nurs. 2007;36(2):190-9. https://doi.org/10.1111/j.1552-6909.2007.00136.x
Röndahl G, Bruhner E, Lindhe J. Heteronormative communication with lesbian families in antenatal care, childbirth and postnatal care. J Adv Nurs. 2009 Nov;65(11):2337-44. https://doi.org/10.1111/j.1365-2648.2009.05092.x
Ross LE, Steele LS, Epstein R. Lesbian and bisexual women’s recommendations for improving the provision of assisted reproductive technology services. Fertil Steril. 2006 Sep;86(3):735-8. https://doi.org/10.1016/j.fertnstert.2006.01.049
Rozental A, Malmquist A. Vulnerability and acceptance: lesbian women’s family-making through assisted reproduction in Swedish Public Health Care. J GLBT Fam Stud. 2015 Mar;11(2):127-50. https://doi.org/10.1080/1550428X.2014.891088
Shields L, Zappia T, Blackwood D, Watkins R, Wardrop J, Chapman R. Lesbian, gay, bisexual, and transgender parents seeking health care for their children: a systematic review of the literature. Worldviews Evid Based Nurs. 2012 Dec;9(4):200-9. https://doi.org/10.1111/j.1741-6787.2012.00251.x
Silva DA. Enfim mães! Da experiência da reprodução assistida à experiência da maternidade lésbica [dissertação]. Rio de Janeiro: Universidade do Estado do Rio de Janeiro; 2013.
Silva JL, Costa MJ, Távora RC, Valença CN. Planejamento para famílias homoafetivas: releitura da saúde pública brasileira. Rev Bioet. 2019;27(2):276-80. https://doi.org/10.1590/1983-80422019272310
Singer RB. Improving prenatal care for pregnant lesbians. The Free Library. 2012 Oct [citado 6 jan 2023]. Disponível em: https://www.thefreelibrary.com/Improvingprenatalcareforpregnantlesbians.-a0334177975
Spidsberg BD. Vulnerable and Strong: lesbian women encountering maternity care. J Adv Nurs. 2007 Dec;60(5):478-86. https://doi.org/10.1111/j.1365-2648.2007.04439.x
Spidsberg BD, Sørlie V. An expression of love: midwives’ experiences in the encounter with lesbian women and their partners. J Adv Nurs. 2012 Apr;68(4):796-805. https://doi.org/10.1111/j.1365-2648.2011.05780.x
Stewart M. Lesbian parents talk about their birth experiences. Br J Midwifery. 1999 Feb;7(2):96-101. https://doi.org/10.12968/bjom.1999.7.2.8377
Doussa H, Power J, McNair R, Brown R, Schofield M, Perlesz A, et al. Building healthcare workers’ confidence to work with same-sex parented families. Health Promot Int. 2016 Jun;31(2):459-69. https://doi.org/10.1093/heapro/dav010
Weber S. Parenting, family life, and well-being among sexual minorities: nursing policy and practice implications. Issues Ment Health Nurs. 2008 Jun;29(6):601-18. https://doi.org/10.1080/01612840802048824
Wells MB, Lang SN. Supporting same-sex mothers in the Nordic child health field: a systematic literature review and meta-synthesis of the most gender equal countries. J Clin Nurs. 2016 Dec;25(23-24):3469-83. https://doi.org/10.1111/jocn.13340
Werner C, Westerståhl A. Donor insemination and parenting: concerns and strategies of lesbian couples: a review of international studies. Acta Obstet Gynecol Scand. 2008;87(7):697-701. https://doi.org/10.1080/00016340802011603
Wilton T, Kaufmann T. Lesbian mothers’ experiences of maternity care in the UK. Midwifery. 2001 Sep;17(3):203-11. https://doi.org/10.1054/midw.2001.0261
Wojnar DM, Katzenmeyer A. Experiences of preconception, pregnancy, and new motherhood for lesbian nonbiological mothers. J Obstet Gynecol Neonatal Nurs. 2014;43(1):50-60. https://doi.org/10.1111/1552-6909.12270
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2023 Romeu Gomes, Tereza Setsuko Toma, Jessica De Lucca Da Silva, Fernando Meirinho Domene, Adriano da Silva
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Cómo citar
Datos de los fondos
-
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Números de la subvención 306801/2021-3
