Abstract
Abstract Objective: To reflect on the approaches to the health of the LGBTI+ population, Primary Health Care and Nursing in the care of this population. Method: The reflection is based on a brief characterization of the LGBTI+ population and their health, an analysis of the nurses' work in Primary Health Care (PHC), and a debate about particularities of the nursing care for the LGBTI+ population in the PHC. Results: The LGBTI+ population is composed of many populations defined by the diversity of gender identity and expression, sexual orientation, and biological sex. In Family Health teams, nurses must know the main demands of this population. The institutional reorientation of PHC imposes new challenges to the enjoyment of the right to health of the LGBTI+ population. Conclusion and implications for practice: Although the National LGBT Health Policy is seven years old, studies are still scarce, foremost in Nursing. Considering that the LGBTI+ population is also under the Nursing responsibility in the PHC, it is up to this professional category to provide integral assistance with a view to minimizing the inequalities suffered by this population.
Highlights
Gender identity is how a person identifies with the genders, whether male or female, or other non-binary identities, and sexual orientation relates to sexual, affective and emotional attraction to similar, different, or multiple genders
It is still necessary to understand the LGBTI+ population in order to recognize the diversity of gender expression, as in the case of the cross-dresser and queer populations, and the biological sex, as in the case of the intersex population.[1]
Among the various acronyms available to characterize the lesbian, gay, bisexual, transgender, and intersex groups, and all other gender identities and sexual orientations, the acronym LGBTI+ will be used in this study to comprehend the multiple possibilities of existence other than cis-heteronormatives, in attention to the terms and definitions about gender and sexual diversities according to the LGBTI+ Communication Manual of the 2018 National LGBTI Alliance.[1]
Summary
Gender identity is how a person identifies with the genders, whether male or female, or other non-binary identities, and sexual orientation relates to sexual, affective and emotional attraction to similar, different, or multiple genders. The specific needs and the challenges faced by the LGBTI+ population require preparation and lack of training can perpetuate prejudice and discrimination, resulting in poor quality health care actions and in an increased incidence of diseases and their risk factors; there must be investments in professional education and practice guidelines, so that there is a wide, comprehensive, scientific, and human offer to this population group.[6] About the clinical guidelines for the provision of primary care and family planning services to the LGBTI+ population, a review study shows that there are important advances.[36] In this sense, there is the need to reflect on this matter and to place it on the debate agenda, both in the training as well as in the permanent education activities in health care services, and in the scientific events of the area, facilitating to consider the specificity of the health context and the lives of the LGBTI+ people, expanding dialog and sharing the knowledge needed for the health care practices to be incorporated in the PHC daily routine. Considering human plurality in its varied possibilities of expression is the primary condition for the practice of health care, despite the complexity inherent to these fields: health, nursing, care
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