Transgender and gender diverse people (TGD) have specific healthcare needs and struggles with access barriers that should be addressed by public health systems. Our study aimed to address this topic in the Brazilian context. A hospital and web-based cross-sectional survey built with input from the medical and transgender communities was developed to assess TGD healthcare needs of and access barriers in two Brazilian states. Although services that assist this population have existed in Brazil since the 1990s, TGD have difficulty accessing these services due to discrimination, lack of information and a policy design that does not meet the needs of TGD. A history of discrimination was associated with a 6.72-fold increase in the frequency of health service avoidance [95% CI (4.5, 10.1)]. This article discusses the urgent necessity for adequate health policies and for the training of professionals regarding the needs of Brazilian TGD.

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The objective of this study was to assess the effectiveness of a multidimensional (educational, affective and behavioural) web-based intervention to change healthcare practitioners' attitudes toward lesbian, gay, bisexual and transgender population. It aimed to measure gender and sexual (GenSex) prejudice pre- and post-intervention in relation to sociodemographic characteristics. A total of 307 health practitioners from southern Brazil enrolled and completed the follow-up assessment. The intervention had significant effects, varying across traditionally high prejudiced groups. State- and street-level continuous prejudice reduction policies are suggested.

The aim of the study was to evaluate the generalizability of the minority stress model on predicting depressive symptomatology among sexual minority men living outside of the United States. In addition, the role of resilience and its relationship between individual minority stressors and depressive symptomatology is examined. The study utilized online purposive sampling and focused on sexual minority men living in Brazil; participants’ (N = 388) ages ranged from 18 to 56 years (Mage = 25.31, SDage = 7.87, Mdnage = 23). Participants completed measures that assessed sociodemographics, minority stressors, resilience, and symptoms of depression. Results of a hierarchical regression indicated that, while accounting for sociodemographics, enacted stigma and internalized homonegativity independently predicted participants’ depressive symptomatology, whereas concealment of sexual identity did not. Further, to assess the role of resilience, while accounting for the effects of sociodemographics and minority stressors, results suggested that resilience significantly added to predicting depressive symptomatology and indicated that enacted stigma was the only minority stressor that significantly predicted depressive symptomatology. Lastly, when interactions between individual minority stressors and resilience were added to the model, results suggested that resilience moderated the relationship between concealment of sexual orientation and depressive symptomatology. The study’s findings highlight the importance of considering sociocultural context and resilience in evaluating minority stress and depressive symptomatology among sexual minorities. The authors discuss the implications of this study in the context of theory, research, clinical practice, and policy among sexual minority men.

Since it was coined in the 1970s, in the United States, the term "homophobia" has been invoked to define the prejudice against nonheterosexual orientation. Besides the US, the phenomenon has been detected in many contemporary societies, including Brazil. Prejudice against nonheterosexual orientation is strongly associated with the historical and social contexts in which it is embedded, which means that the term should not be used without a clear definition of its local specificities. This applies to the recent debate around homophobia in the Brazilian context. In an attempt to identify existing studies of prejudice against nonheterosexual orientations in Brazil, a systematic review was conducted in SciELO indexes, PubMed, PsycINFO, SCOPUS, and Web of Science. The articles were collected using the keyword "homophobia" and related terms, and "Brazil", in the languages of the databases. The search returned 355 articles. Of these, 247 were removed because they were duplicates. The abstracts of 109 studies published between 1973 and 2011were analyzed. Thirty-one articles were identified as relevant. The reviewed studies indicate that prejudice against nonheterosexual orientations is an evident and widespread phenomenon that is prevalent in various populations and contexts. Nevertheless, prejudice in Brazil is not homogeneous, and particular attention is necessary to the inequality of gender relations (sexism) and prejudice against gender nonconformity, which seem to explain, if not cause, most of the prejudice against nonheterosexual orientations. Although theoretically there is a clear distinction between sexual orientation and gender expression, from the standpoint of manifestation of prejudice that distinction seems to be more tenuous.

Este artigo traz uma reflexão crítica sobre o projeto de formação "Educando para a Diversidade" realizado pela ONG Nuances, na cidade de Porto Alegre, financiado pelo governo federal no quadro de ações do programa "Brasil sem Homofobia". Os procedimentos de pesquisa que sustentam este texto foram: observação participante, entrevistas individuais, grupos de reflexão e análise documental. O objetivo foi compreender como se instalam os debates sobre a diversidade sexual no cotidiano escolar. Este trabalho indica que a ruptura com a visibilidade abjeta que é reservada às/aos jovens e professores/as não heterossexuais ou que se desviam da conformidade de gênero e a construção de uma visibilidade ética-cidadã demandam esforço e trabalho contínuo. É a legitimidade da discussão acerca da sexualidade que está em questão. A possibilidade de ampliar o efeito das ações passaria pela criação de um centro de suporte e acompanhamento para as iniciativas das/os educadoras/es que realizaram a formação.

Federal do Rio Grande do Sul O presente estudo problematiza os processos de subjetivação a partir da experiência de afastamento do trabalho por adoecimento em trabalhadores de um hospital público de Porto Alegre (RS). Discutem-se as experiências desses trabalhadores que se encontram no período de reintegração ao trabalho com o objetivo de analisar os processos de ruptura/continuidade produzidos nessas situações. Do ponto de vista conceitual, tomamos a noção de acontecimento-ruptura como operador analítico para compreender os efeitos do afastamento nos processos de subjetivação desses trabalhadores. Através deste estudo, pode-se perceber que, nas diferentes situações, esboça-se uma identidade de "trabalhador sem trabalho" que pressiona para a reconfiguração dos modos de viver e dos projetos de vida dos trabalhadores. Palavras-chave: Trabalho, Subjetividade, Reabilitação profissional, Saúde do trabalhador. The experience of being away from work due to work related diseases lived as rupture or continuity process of ways of living This study problematizes the subjectification processes associated to the experience of being away from work due to work related diseases among workers from a Porto Alegre's public hospital. We will discuss the experiences of workers in the period of occupational reintegration in order to analyze the rupture or continuity processes present in these situations. We chose the concept of rupture-event as an analytical operator aiming to understand the effects of being away work from in the subjectification processes. Immediately, we notice that, in different situations, the emergence of a "worker without work" identity that reconfigures the workers' way of life and life projects.

This study assessed HIV prevalence and associated factors in 284 male-to-female transsexuals from southern Brazil. Seroprevalence was 25 %. Seroprevalence was higher and associated with older age, residence in the metropolitan area, history of diagnosis of other STDs, and reported history of sex work. The year of diagnosis showed no significant relationship with the prevalence of HIV nor the fact of being in a stable relationship, a history of drug use, years of education, and race/ethnicity. The odds of HIV infection compared with the general Brazilian population was 55.55 (95 % CI 38.39-80.39). Changes in the views of the vulnerable groups to HIV/AIDS in Brazil and efforts in the construction of strategies of prevention and in the guarantee of human rights are required.