A homoparentalidade como questão da saúde coletiva: uma revisão de escopo

Autores/as

  • Romeu Gomes Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Ensino. Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0003-3100-8091
  • Tereza Setsuko Toma Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde (NEv-IS). Núcleo de Evidências. São Paulo, SP, Brasil https://orcid.org/0000-0001-9531-9951
  • Jessica De Lucca Da Silva Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde (NEv-IS). Núcleo de Evidências. São Paulo, SP, Brasil https://orcid.org/0000-0002-8822-5639
  • Fernando Meirinho Domene Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde (NEv-IS). Núcleo de Evidências. São Paulo, SP, Brasil https://orcid.org/0000-0003-2806-7875
  • Adriano da Silva Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Estudos sobre Violência e Saúde Jorge Careli. Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0002-1105-9046

DOI:

https://doi.org/10.11606/s1518-8787.2023057005447

Palabras clave:

Homossexualidade, Família, Minorias Sexuais e de Gênero, Saúde, Revisão

Resumen

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

Publicado

2023-10-26

Número

Sección

Revisão

Cómo citar

Gomes, R., Toma, T. S., Silva, J. D. L. D., Domene, F. M., & Silva, A. da. (2023). A homoparentalidade como questão da saúde coletiva: uma revisão de escopo. Revista De Saúde Pública, 57(1), 80. https://doi.org/10.11606/s1518-8787.2023057005447

Datos de los fondos