Die gesundheitliche Lage von lesbischen, schwulen, bisexuellen sowie trans- und intergeschlechtlichen Menschen
Titelübersetzung:The health of lesbian, gay, bisexual, transgender and intersex people
Autor/in:
Pöge, Kathleen; Dennert, Gabriele; Koppe, Uwe; Güldenring, Annette; Matthigack, Ev B.; Rommel, Alexander
Quelle: Journal of Health Monitoring, 5 (2020) S1, S 1-30
Details
Inhalt: Geschlechter, sexuelle Orientierungen und die damit verbundenen Lebensweisen sind heterogen. Inwieweit Menschen ihr Geschlecht, ihre Sexualität und ihre Lebensform selbstbestimmt und frei leben können, und mit welchen gesellschaftlichen Ressourcen, Teilhabechancen und Diskriminierungen dies verbunden ist, beeinflusst ihre Lebenslagen und damit auch ihre gesundheitliche Situation. Es wurde ein narratives Review zur gesundheitlichen Situation von lesbischen, schwulen, bisexuellen, trans- und intergeschlechtlichen Personen (LSBTI) durchgeführt und dazu internationale und deutsche Reviews, Metaanalysen und bevölkerungsbezogene Studien herangezogen. Der Beitrag beschreibt schlaglichtartig den Stand der rechtlichen, gesellschaftlichen und medizinischen Anerkennung in Deutschland sowie die gesundheitliche Lage von LSBTI-Personen. Die rechtlichen Rahmenbedingungen in Deutschland haben sich für homo- und bisexuelle Menschen schrittweise verbessert, während für trans- und intergeschlechtliche Personen aus Sicht vieler Akteur*innen bezüglich sowohl der medizinischen als auch rechtlichen Anerkennung noch große Defizite bestehen und wissenschaftliche Erkenntnisse noch ungenügend Eingang in die medizinische Praxis gefunden haben. Die verfügbaren Daten zur gesundheitlichen Situation von LSBTI-Personen verweisen auf Handlungsbedarfe im Bereich der psychischen Gesundheit und der Gesundheitsversorgung. Die Datenlage ist jedoch sehr lückenhaft und lässt kaum Aussagen über die allgemeine gesundheitliche Lage und über gesundheitliche Ressourcen von LSBTI-Personen zu. Für die konkrete Planung und Umsetzung von Maßnahmen und die differenzierte Beschreibung der Situation in Deutschland bedarf es eines Ausbaus der Datengrundlagen, nicht zuletzt auch in bevölkerungsrepräsentativen Erhebungen.
Schlagwörter:Gesundheit; health; gender; Transsexualität; transsexualism; sexuelle Orientierung; sexual orientation; Homosexualität; homosexuality; Bisexualität; bisexuality; Gesellschaft; society; Gesundheitszustand; health status; Gesundheitsversorgung; health care; Lebensweise; way of life; Sexualität; sexuality; Diskriminierung; discrimination; rechtliche Faktoren; legal factors; Menschenrechte; human rights; Gleichstellung; affirmative action; medizinische Faktoren; medical factors; psychische Gesundheit; mental health; Gesundheitsförderung; health promotion; SOEP; SOEP; Mikrozensus; microcensus; Federal Republic of Germany; Intergeschlechtlichkeit; Transgeschlechtlichkeit
SSOAR Kategorie:Frauen- und Geschlechterforschung, Medizinsoziologie
Dokumenttyp:Zeitschriftenaufsatz
The health of lesbian, gay, bisexual, transgender and intersex people
Titelübersetzung:Die gesundheitliche Lage von lesbischen, schwulen, bisexuellen sowie trans- und intergeschlechtlichen Menschen
Autor/in:
Pöge, Kathleen; Dennert, Gabriele; Koppe, Uwe; Güldenring, Annette; Matthigack, Ev B.; Rommel, Alexander
Quelle: Journal of Health Monitoring, 5 (2020) S1, S 1-27
Details
Inhalt: Sex, gender and sexual orientation are diverse, as are the ways of living associated with them. The extent to which people can live a free and self-determined life according to their own body, gender, sexuality and way of life influences their social resources, opportunities for participation and discrimination and has an influence on their life situation and health. A narrative review of lesbian, gay, bisexual, transgender and intersex (LGBTI) health was conducted including international and German reviews, meta-analyses and population-based studies. The focus of this article is the legal, social and medical recognition as well as health status of LGBTI people in Germany. While the legal framework in Germany for homosexual and bisexual people has gradually improved, many civil society stakeholders have pointed to major deficits in the medical and legal recognition of transgender and intersex people. In addition, scientific findings frequently have not yet found its way into medical practice to an adequate extent. Available data on LGBTI health indicate a need for action in the areas of mental health and health care provision. However, due to a lack of comprehensive data, conclusions cannot be drawn on the general health situation and health resources of LGBTI people. For the concrete planning and implementation of measures as well as the differentiated portrayal of the situation in Germany, the databases must be expanded, not least via population-representative surveys.
Schlagwörter:Gesundheit; health; gender; Transsexualität; transsexualism; sexuelle Orientierung; sexual orientation; Homosexualität; homosexuality; Bisexualität; bisexuality; Gesellschaft; society; Gesundheitszustand; health status; Gesundheitsversorgung; health care; Lebensweise; way of life; Sexualität; sexuality; Diskriminierung; discrimination; rechtliche Faktoren; legal factors; Menschenrechte; human rights; Gleichstellung; affirmative action; medizinische Faktoren; medical factors; psychische Gesundheit; mental health; Gesundheitsförderung; health promotion; SOEP; SOEP; Mikrozensus; microcensus; Federal Republic of Germany; sex and gender; intersex; transgender
SSOAR Kategorie:Frauen- und Geschlechterforschung, Medizinsoziologie
Dokumenttyp:Zeitschriftenaufsatz
Die "gute Geburt" - Ergebnis richtiger Entscheidungen? Zur Kritik des gegenwärtigen Selbstbestimmungsdiskurses vor dem Hintergrund der Ökonomisierung des Geburtshilfesystems
Titelübersetzung:Is a "good birth" the result of the "right" choices? A critique of the current discourse on self-determination in light of the economization of obstetric services
Autor/in:
Jung, Tina
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 9 (2017) 2, S 30-45
Details
Inhalt: "Selbstbestimmung, informed choice und informed consent sind zu Schlüsselbegriffen in der Geburtshilfe avanciert. Dabei fällt die Popularität des gegenwärtigen Selbstbestimmungsdiskurses in eine Zeit, in der die Geburtshilfe im Zeichen der neoliberalen Ökonomisierung einem tiefgreifenden Wandel unterliegt, der sich u.a. in einer deutlichen Verschlechterung der strukturellen Rahmenbedingungen der Versorgungsqualität von schwangeren und gebärenden Frauen und in einer Abwertung von somatisch-beziehungsorientierten Momenten von Geburtsbegleitung zeigt. Der Beitrag untersucht, welche Bedeutungsverschiebungen das Verständnis von Selbstbestimmung durchlaufen und welche Effekte dies aktuell für schwangere und gebärende Frauen in der Geburtshilfe hat. Gezeigt wird, dass und wie der derzeitige Selbstbestimmungsdiskurs in der Geburtshilfe dazu beiträgt, die Verantwortung für das Gelingen einer 'guten' Geburt auf die Frauen zu verschieben und gleichzeitig den Verlust jener somatisch-beziehungsorientierten Bedingungen, auf die es für eine gute Geburtshilfe ankommt, zu legitimieren. Im Beitrag wird dafür plädiert, Selbstbestimmung nicht länger als Frage der Information, der Vorbereitung und der Entscheidung zu verstehen, sondern als Frage der Befähigung zu Urteilskraft, die Momente der Angewiesenheit, Achtsamkeit, Fürsorge, Schmerz, Angst, aber auch Kraft, Lust und Freude einschließen kann." (Autorenreferat)
Inhalt: "Self-determination, informed choice and informed consent have become important keywords in obstetric and midwifery practice. The popularity of the current discourse on self-determination coincides with the fact that obstetrics is increasingly being subjected to neoliberal economization and is thereby undergoing profound change. This change manifests itself, above all, in the fact that the structural framework of care for pregnant and birthing women is clearly deteriorating, and in that the somatic relationship-oriented aspects of obstetrics and midwifery are being devalued. I analyze the shift in our understanding of what self-determination is and I also map out the current effects of this shift on pregnant women and women in labour. Furthermore, I illustrate that, and in what way, the current discourse on self-determination in obstetric and midwifery practice leads to the fact that the responsibility for a “good” birth is being transferred onto women. This signifies a loss of the particular temporality and the somatic phenomena the woman in labour experiences. In my conclusion I argue that self-determination should no longer be understood as a question of information, preparation and decision, but rather as enabling judgement, which includes aspects of dependence, awareness, care, pain, fear, but also power, desire and joy." (author's abstract)
Schlagwörter:Selbstbestimmung; self-determination; Geburtshilfe; obstetrics; Ökonomisierung; economization; Schwangerschaft; pregnancy; Gesundheitsversorgung; health care; Qualität; quality; Feminismus; feminism; woman; Gesundheit; health; Federal Republic of Germany
SSOAR Kategorie:Frauen- und Geschlechterforschung, Medizinsoziologie
Dokumenttyp:Zeitschriftenaufsatz
Prenatal care and practices developed by the health team: integrative review
Titelübersetzung:Assistência ao pré-natal e as práticas desenvolvidas pela equipe de saúde: revisão integrativa
Autor/in:
Santiago, Cintia Mikaelle Cunha de; Sousa,Carla Nadja Santos de; Nóbrega, Líbne Lidianne da Rocha e; Sales, Linda Katia Oliveira; Morais, Fátima Raquel Rosado
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 9 (2017) 1, S 279-288
Details
Inhalt: Objective: To understand the practices and professionals involved in prenatal care in the Family Health Strategy. Methods: An integrative review of the literature with a temporal scope between the years 2001 and 2012, in the SciELO database and CAPES portal of journals, using the following descriptors: Women's Health; Prenatal Care; and Health Personnel. Results: It was observed that some articles emphasize the work of nurses over the multidisciplinary work, revealing the difficulty of a comprehensive team practice. Furthermore, the focus of care is almost exclusively technical, demonstrating that the most relevant aspects to the quality of the actions during prenatal care concern the number of consultations, tests and vaccines. Conclusion: It is essential that health professionals work in a multidisciplinary perspective, in which the care given to pregnant women happens is comprehensive and complementary.
Schlagwörter:woman; Betreuung; care; Pflege; caregiving; Gesundheitspersonal; health professionals; Gesundheitsvorsorge; health care; Gesundheit; health; Schwangerschaft; pregnancy; Geburt; birth
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Dokumenttyp:Zeitschriftenaufsatz
Quality gap of family health care services in Kashan health centers: an Iranian viewpoint
Autor/in:
Sabahi Bidgoli, Mohammad; Kebriaei, Ali; Moosavi, Sayed Gholamabas
Quelle: International Letters of Social and Humanistic Sciences, (2016) 70, S 14-20
Details
Inhalt: Patients' viewpoints are commonly used to assess quality of care in diverse healthcare organizations. This permits managerial decisions to be made based on knowledge rather than conjecture. The purpose of the current study is to investigate quality gap of family health care through measuring differences between clients' perceptions and expectations at Kashan city health centers in Iran.Methodology: A cross-sectional design was applied in 2013. The study sample was composed of 384 women clients of family health services randomly selected from Kashan city health centers. The SERVQUAL questionnaire was used for data collection. Service quality gap was measured by computing the difference between the rating respondents assign to expectations and perceptions statements. For pair wise comparison of the expectations and perceptions the Wilcoxon Signed Rank test was used. Internal consistency of the scale was confirmed with Cronbach's Alpha coefficients (.81 for expectations and .84 for perceptions).Findings: In all dimensions of the services a significant (P<0.001) negative quality gap was observed. The maximum quality gap was in the tangibility (-0.60±0.37) and the minimum one was in the responsiveness (-0.41±0.31) dimension. The findings of the research demonstrated that there was negative gap between clients' expectations and perceptions in all dimensions of the services. Thus, family health care managers should apply improvements in all five dimensions of the services.
Schlagwörter:quality; perception; Iran; Gesundheit; Erwartung; Iran; Management; Wahrnehmung; health care; Familie; Gesundheitsversorgung; expectation; public health services; Qualität; woman; management; family; health; Gesundheitsdienst; Patient; patient
SSOAR Kategorie:Medizinsoziologie
Dokumenttyp:Zeitschriftenaufsatz
Gendered innovation in health and medicine
Titelübersetzung:Gendered Innovation in Gesundheit und Medizin
Autor/in:
Schiebinger, Londa; Klinge, Ineke
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 7 (2015) 2, S 29-50
Details
Inhalt: "'Gendered Innovations' integriert eine Sex und Genderanalyse in alle Phasen der biomedizinischen und Gesundheitsforschung, um Exzellenz und Qualität auf Ergebnisseite zu sichern. Der Beitrag stellt die interdisziplinären internationalen Kooperationsbemühungen dar, in deren Rahmen sowohl zeitgemäße Methoden der geschlechterfokussierten Analyse im Bereich von Gesundheit und Medizin entwickelt als auch Fallstudien durchgeführt wurden: zur Osteoporoseforschung bei Männern, zu genetischen Faktoren der Geschlechtsbestimmung, Herzerkrankungen bei Frauen, Stammzellenforschung, Tierversuchen, Nutrigenomik und zum 'Degendering' bei Knieimplantaten. Der Beitrag schließt mit einem kurzen Blick auf kanadische, US-amerikanische und europäische Gesundheitsinstitute, medizinische Curricula und den Umgang peer-reviewter Zeitschriften mit Forschungsberichten über Sex-/Genderanalysen" (Autorenreferat)
Inhalt: "'Gendered Innovations' integrates sex and gender analysis into all phases of biomedical and health research to assure excellence and quality in outcomes. This article reports on the interdisciplinary, international collaboration that produced: 1) state-of-the-art methods of sex and gender analysis for health and medicine; and 2) case studies to illustrate how gender analysis leads to discovery in biomedicine and better outcomes in health research: osteoporosis research in men, the genetics of sex determination, heart disease in women, stem cell research, animal research, nutrigenomics and degendering knee implants. The article concludes with a short review of policy at the Canadian, US, and European institutes of health, medical curricula, and policies for peer-reviewed journals in relation to reporting sex/gender analysis in research." (Autorenreferat)
Schlagwörter:Gender; gender; Geschlechterforschung; gender studies; Biomedizin; biomedicine; Gesundheit; health; gender-specific factors; Diagnostik; diagnostic; genetischer Test; genetic test; Herzkrankheit; heart disease; Gesundheitsverhalten; health behavior; Gesundheitsvorsorge; health care; research; Gendered Innovations; Sex-/ Genderanalyse
SSOAR Kategorie:Frauen- und Geschlechterforschung, Medizinsoziologie
Dokumenttyp:Zeitschriftenaufsatz
Cervical cancer precursor lesions: significance for women in a referral center in brazil
Titelübersetzung:Lesões precursoras de câncer cervical: significado para mulheres em um centro de referência no brasil
Autor/in:
Melo, Rosana Oliveira de; Moreira, Rita de Càssia Rocha; Lopes, Regina Lúcia Mendonça
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 4, S 3327-3338
Details
Inhalt: Objective: understand the experience of women with cervical cancer precursor lesions. Method: phenomenological study, with the reduction, construction, and destruction steps. Data interpretation was performed through Heidegger's comprehensive analysis. Results: the phenomena unveiled were related to women's doubts, due to lack of diagnosis; changes in relationships with partners; difficulties in making friends; family importance; coping strategies; relationship with health professionals and distrust in care; shame and embarrassment to undergo the Pap test; and fear of death. Conclusion: it was found that there is an urgent need to resize the care for a woman with cervical cancer precursor lesions, given the challenge of understanding the need that a health professional provides care from the Heideggerian perspective, establishing a relationship of being-with-the-other, appreciating her as a subject of possibilities.
Schlagwörter:Erfahrung; experience; woman; Krebs; cancer; Gesundheitsversorgung; health care; soziale Faktoren; social factors; Phänomenologie; phenomenology; Gesundheit; health; Arzt; physician; Arzt-Patient-Beziehung; physician-patient relationship; Familie; family; soziale Beziehungen; social relations; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Dokumenttyp:Zeitschriftenaufsatz
Experiences of mothers of premature infants in the context of spirituality
Titelübersetzung:Vivências de mães de bebês prematuros no contexto da espiritualidade
Autor/in:
Vieira, Juna Maria Fernandes; Farias, Maria de Fátima; Santos, José Lotero dos; Davim, Rejane Marie Barbosa; Silva, Richardson Augusto Rosendo da
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 4, S 3206-3215
Details
Inhalt: Objective: to understand how mothers of preterm infants perceive the relationship between health and spirituality and its benefits on the severity health picture of their children. Method: qualitative research with 32 mothers whose children were admitted to a Neonatal Intensive Care Unit of a maternity hospital in Natal/RN/Brazil. There were semi-structured interviews and focus groups between February and May 2012, after a favorable opinion from the Ethics Committee in Research of UFRN and CAAE 0336.0.051.000.1. Data analysis was thematic analysis. Results: the relationship between health and spirituality was unveiled in the study as a positive phenomenon helping mothers avoiding discouragement and keeping hope in restoring the health of the child in the Intensive Care Unit. Conclusion: it is suggested after the results, actions and projects that promote soft technologies, aiming at promoting and completeness in health care.
Schlagwörter:research; Gesundheit; Säugling; Latin America; baby; Intensivmedizin; Krankenhaus; Brazil; Pflege; hospital; Anpassung; Mutter; Psychologie; Eltern-Kind-Beziehung; Brasilien; intensive care medicine; Spiritualität; caregiving; spirituality; health care; mother; qualitative method; Gesundheitsversorgung; adaptation; qualitative Methode; parent-child relationship; Südamerika; psychology; South America; health; Lateinamerika
SSOAR Kategorie:Frauen- und Geschlechterforschung, Medizinsoziologie
Dokumenttyp:Zeitschriftenaufsatz
The quality of an integrated network: accessibility and coverage in prenatal care
Titelübersetzung:A qualidade de uma rede integrada: acessibilidade e cobertura no pré-natal
Autor/in:
Silva, Luana Asturiano da; Alves, Valdecyr Herdy; Rodrigues, Diego Pereira; Padoin, Stela Maris de Mello; Branco, Maria Bertilla Lutterbach Riker; Souza, Rosangela de Mattos Pereira de
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 2, S 2298-2309
Details
Inhalt: Objective: analyzing the values expressed in the speech of women/mothers in the accessibility of monitoring examinations of prenatal care. Method: a phenomenological, descriptive, exploratory study with a qualitative approach. There were interviwed fifty women/pregnant of the Prenatal Program of Niteroi, Rio de Janeiro, Brazil. The data analyzed allowed formulating themes articulated with the Theory of Values. Results: barriers experienced by women on laboratory/images examinations: delay in results, misinformation and lack of a service of quality, a value considered of vital use for them. We realize the need for change in monitoring prenatal, considering a network of unified and integrated health with quality services at different levels of care, promoting wellness, comfort and safety to pregnant women as a vital value to their health. Conclusion: the health network should be unified for a better quality of services offered to women.
Schlagwörter:woman; Mutterschaft; motherhood; Schwangerschaft; pregnancy; Gesundheitsvorsorge; health care; Netzwerk; network; Dienstleistung; service; Gesundheit; health; Wertsystem; value system; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Dokumenttyp:Zeitschriftenaufsatz
The profile of hypertensive women in climacterium attended at the program hiperdia
Titelübersetzung:O perfil de mulheres hipertensas no climatério atendidas no programa hiperdia
Autor/in:
Pasklan, Amanda Namíbia Pereira; Sardinha, Ana Hélia de Lima; Nascimento, Jucian Silva do; Gomes, Bruna
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 6 (2014) 1, S 249-260
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Inhalt: Objective: To characterize climacteric women according to the socio-economic and demographic profile, beyond analyzing the life habits and food and clinical-laboratorial profiles and gynecological characteristics. Methods: This is a descriptive study, of a quantitative approach, evaluated with 59 hypertensive women in climacterium, enrolled in Hiperdia, the Program of the Ministry of Health in São Luís-Maranhão. Results: It was found that this group is characterized mostly by women withbrown color, in old age, with low education, working at home, have no smoking or consuming alcohol, do not exercise, do diet, already entered to menopause starting between 45 and 49 years old. Conclusion: It was found in this study the importance of health professionals of this level of complexity to develop strategies for early diagnosis, prevention, health promotion to hypertensive women during the climacterium.
Schlagwörter:woman; Klimakterium; menopause; Gesundheit; health; Gesundheitsförderung; health promotion; Prophylaxe; prophylaxis; Gesundheitsvorsorge; health care; Lebensweise; way of life; soziale Faktoren; social factors; demographische Faktoren; demographic factors; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Dokumenttyp:Zeitschriftenaufsatz