Inclusión de la orientación afectivo-sexual y de las identidades de género como determinantes sociales de la salud

Gasch-Gallén, Ángel; Rodríguez-Arenas, M. Ángeles; Tomás-Aznar, Concepción; Latasa, Pello; Gil-Borrelli, Christian Carlo; Muñoz, César Velasco; Mateos, José Tomás

doi:10.1016/j.gaceta.2017.12.008

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The implications of this system include social norms, 45 institutional systems, 46 the nuclear monogamous family, the division between public and private spheres, the separation between productive and reproductive work, 47 and the canons of beauty. Individuals apprehend the foundations of the system through gender socialization, 48 such as the subordination of women, which is considered accepted and even attractive to men, 49 the legitimization of macho violence 29 and LGBTIphobia, a structural violence toward sexual and gender dissidence, 50 which has severe consequences on health.…”

Section: Results: a Conceptual Framework Of Determinants Of Healthy A...mentioning

confidence: 99%

“…Social stratification. Social stratification is the categorization of people into hierarchical groups according to axes of power, such as gender, 67 social class, racialization, 68 functionality, age, 59 desire orientation and gender identity, 50 migration status, and place of residence. The axes of power combine differentially in the same way that systems of oppression intertwine to form the matrix of domination.…”

Section: Structural Determinantsmentioning

confidence: 99%

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Healthy and Equitable Interpersonal Relationships, Health Inequalities and Socio‐Educational Interventions: A Conceptual Framework for Action

Forcadell-Díez

Martínez

Abiétar

et al. 2023

Journal of School Health

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BACKGROUND Interpersonal relationships undoubtedly have a bidirectional connection with the health of individuals and communities. Relational models based on equity contribute to well‐being, while asymmetrical relationships based on hierarchies and differences of power negatively impact mental, physical, and social health. METHODS A conceptual framework for understanding the determinants of interpersonal relational models was developed. RESULTS Structural determinants were identified as the combined action of systems of oppression, the socio‐historical context that normalizes violence, and social stratification and segregation, consequences which included inequitable access to power, resources, and opportunities. Intermediate determinants include individual, psychosocial, behavioral, and community aspects. Structural and intermediate determinants impact health and health inequalities through multiple relational patterns that are simultaneously established and sustained by individuals and communities. The health impact of inequitable relational patterns includes: Reduced self‐esteem; anxiety, stress, and depression; acceptance of violence; physical and sexual harm; suicide; and murder. CONCLUSIONS This conceptual framework allows for the modification of relational models by influencing structural and intermediate determinants. Six areas of intervention have been identified: educative policies, school governance, physical and symbolic space, school curriculum, school‐community relations, and socio‐educative interventions to promote healthy and equitable relationships. Healthy and equitable relationships are associated with improved subjective well‐being, health status and protection from violence. Socio‐educational interventions that consider the elements of this conceptual framework may be effective in promoting healthy and equitable relational models.

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Section: Results: a Conceptual Framework Of Determinants Of Healthy A...mentioning

confidence: 99%

Section: Structural Determinantsmentioning

confidence: 99%

Healthy and Equitable Interpersonal Relationships, Health Inequalities and Socio‐Educational Interventions: A Conceptual Framework for Action

Forcadell-Díez

Martínez

Abiétar

et al. 2023

Journal of School Health

View full text Add to dashboard Cite

show abstract

“…These inequalities may vary according to gender, age, income and disabilities (Zeeman et al, 2017). Therefore, it is essential to understand the specific health needs resulting from discrimination, concealment and clandestine living (Gasch‐Gallén et al, 2018). A comprehensive approach to providing appropriate health care and service to these populations must include knowledge of the characteristics of LGBTI realities and the acquisition of specific competencies (Blondeel et al, 2016; Gasch‐Gallén et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Nursing students' care of and attitudes towards lesbian, gay, bisexual, trans, and intersex people in times of COVID‐19 in Spain: A cross‐sectional study

Torrente-Jimenez

Gasch-Gallén

Graells-Sans

et al. 2022

J Nursing Management

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Objective To measure the knowledge and attitudes of Catalan nursing students regarding lesbian, gay, bisexual, trans and intersex (LGBTI) patients, as well as their perception of specific training in this area, according to their internship modalities, sociodemographic circumstances and academic background during the COVID‐19 pandemic. Background During the COVID‐19 pandemic, the Spanish Government created the “Health‐Aid” internship: a paid alternative to curricular internships. There is extensive evidence that paid work environments perpetuate negative attitudes towards LGBTI patients. Method Cross‐sectional survey aimed at Catalan nursing students. The "Attitudes Towards and Knowledge About Lesbian, Gay, Bisexual, Trans and Intersex Patients" questionnaire was adapted. Descriptive study and backward regression models were constructed. Results 337 students, mean age 23.80 years (SD: 5.17) participated. 85% women and 54 (16%) completing the Health Aid internship modality. More than 50% did not attend specific training on the care of the LGBTI population. Differences between internship modalities showed higher values in the curricular internship group: attitudes (U = 6526.50, p = 0.031) and training perception (U = 5926.50, p = 0.008). Conclusions Nursing students’ attitudes towards LGBTI patients and their perception of specific training on care for this population were negatively influenced by the paid Health Aid internship during the pandemic. Implications for Nursing Management Even under dire circumstances, clinical training must be properly managed to address the specific health needs of vulnerable populations, such as LGTBI patients. Paid internships in emergency scenarios may impede these objectives.

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Políticas sanitarias, perspectiva de género y diversidad afectivo sexual: ¿una asignatura pendiente?

Azuara

Gasch-Gallén

Cía³

et al. 2020

Atención Primaria

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Inclusión de la orientación afectivo-sexual y de las identidades de género como determinantes sociales de la salud

Cited by 3 publications

References 6 publications

Healthy and Equitable Interpersonal Relationships, Health Inequalities and Socio‐Educational Interventions: A Conceptual Framework for Action

Healthy and Equitable Interpersonal Relationships, Health Inequalities and Socio‐Educational Interventions: A Conceptual Framework for Action

Nursing students' care of and attitudes towards lesbian, gay, bisexual, trans, and intersex people in times of COVID‐19 in Spain: A cross‐sectional study

Políticas sanitarias, perspectiva de género y diversidad afectivo sexual: ¿una asignatura pendiente?

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