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
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
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
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
Inhalt: Healthcare has long been a gendered enterprise, with women taking responsibility for maintaining health and engaging with service providers. Universal healthcare provision notwithstanding, women nonetheless undertake a range of healthcare work, on their own account and on behalf of others, which remains largely invisible. As part of a multi-method comparative European study that looked at access to healthcare in diverse neighbourhoods from the point of view of people's own health priorities, the concept of "healthcare bricolage" describes the process of mobilizing resources and overcoming constraints to meet particular health needs. Bricolage mediates between different kinds of resources to meet particular challenges and describing these processes makes visible that work which has been unseen, over-looked and naturalised, as part of a gendered caring role. Drawing on 160 semi-structured interviews and a survey with 1,755 residents of highly diverse neighbourhoods in Germany, UK, Sweden and Portugal, this article illustrates the gendered nature of healthcare bricolage. The complex variations of women's bricolage within and beyond the public healthcare system show how gendered caring roles intersect with migration status and social class in the context of particular healthcare systems.
The creative and rigorous use of art in health care research
Titelübersetzung:Die kreative und konsequente Nutzung von Kunst in der Gesundheitsforschung
Autor/in:
Nguyen, Megan
Quelle: Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 19 (2018) 2, 21 S
Inhalt: Obwohl kunstbasierte Verfahren in der Gesundheitsforschung an Popularität gewonnen haben, werden sie eher selten systematisch integriert. Gerade weil menschliches Erleben jedoch komplex und emotional ist, wäre es unangemessen, auf Methoden zu verzichten, die unterschiedliche Erfahrensweisen mobilisieren. Ich diskutiere deshalb in diesem Beitrag, wie diese Verfahren kreativ und konsequent im Forschungsprozess genutzt werden können. Hierzu nutze ich Beispiele aus meiner Masterarbeit, in der mich mit den Liebesbeziehungen von Frauen beschäftigt habe, die an einem Reizdarmsyndrom leiden. Die Ergebnisse veranschaulichen, dass mittels kunstbasierter Ansätze unterschiedliche Wissensformen sowie der Ausdruck von persönlichem Denken und Fühlen eruiert werden können, wenn über herkömmliche Wege der Wissensgenerierung hinausgegangen wird. Ich zeige, wie dies in jedem Abschnitt des Forschungsprozesses gelingen kann.
Inhalt: The adoption of arts-based research methods is gaining popularity in health care yet few of these methods integrate the arts throughout the inquiry. Given that so much of the human experience is imbued with emotion and complexity, it would be counter-intuitive to omit research methods, such as the arts, that mobilize different ways of thinking. The purpose of this article is to discuss the creative and rigorous use of art throughout the research process, drawing on the example of a graduate research study that explored women's narratives of intimate relationships while living with irritable bowel syndrome. The findings reveal that the arts can evoke a different kind of knowing and can portray the artist's personal thoughts and feelings without the use of words. Embracing creative functioning through the arts necessitates surrendering conventional ways of pursuing knowledge. This work advances research to date on arts methodology by explicating how the arts can be used to support each stage of the research.
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
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
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
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
The women's perception on the violence experienced
Titelübersetzung:Percepção de mulheres acerca da violência vivenciada
Autor/in:
Santos, Dherick Fraga; Castro, Denise Silveira de; Lima, Eliane de Fátima Almeida; Neto, Leônidas Albuquerque; Moura, Maria Aparecida Vasconcelos; Leite, Franciéle Marabotti Costa
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 9 (2017) 1, S 193-199
Inhalt: Objective: To analyse the women's perception on the violence experienced. Method: Qualitative study. Data was obtained through a semi-structured interview, and was analysed through the Content Analysis modality. Results: Four thematic categories were identified from the analysis of the accounts of the 14 participating women: 34,8% of the accounts fit in the category Perception and Feelings about violence; 26,1% presented accounts on the category Perception of the Motives for the Experience of Violence; and also in the category Freedom Cessation; and 13,0% in the category Reflex of Violence on Health. Conclusion: There is a need for policies and actions that support and contribute to women's freedom from violence, as well as the strengthening of intersectoral support networks, as violence poses a number of problems not only of socio-economic nature, but also damages the health of their victims.
Quelle: International Letters of Social and Humanistic Sciences, (2016) 70, S 14-20
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
Study of the perceptions of women of childbearing age about the effects of alcohol intake during pregnancy as a proposal for systematization of teaching practices by nursing for the prevention of fetal alcohol spectrum disorders
Titelübersetzung:Estudo das percepções de mulheres em idade fértil sobre os efeitos da ingestão de bebidas alcoólicas durante a gravidez como proposta para sistematização de práticas de ensino pela enfermagem para a prevenção dos transtornos do espectro alcoólico fetal
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 1, S 3860-3872
Inhalt: Objectives: to identify the knowledge of women about the effects of alcohol intake during pregnancy; to propose educative actions involving this topic for guidance on women's health in the pre-conception and gestational period. Method: exploratory study of quantitative character. The scenario was the Estacio de Sa University (campus Niteroi-RJ). The subjects were 99 women. A structured interview was used for data collection and it was conducted after the research was approved by the Research Ethics Committee of the University. Results: analysis of the data collected has allowed to identify women's ignorance on the subject and reduced participation of the nursing professional in the orientation of these women. Conclusion: it is necessary to increase the disclosure of these damages to health through educational campaigns promoted by health institutions and greater participation of nursing professionals in the education of this target audience.
Schlagwörter:woman; Schwangerschaft; pregnancy; Alkohol; alcohol; Alkoholismus; alcoholism; Gesundheitsschaden; damage to one's health; gesundheitliche Folgen; health consequences; Pflege; caregiving; Gesundheit; health; Krankenpfleger; male nurse; Ausbildung; training; Wissen; knowledge; Bildung; education; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung, soziale Probleme
Women's feelings about the changes caused by mastectomy
Titelübersetzung:Los sentimientos de las mujeres acerca de los cambios causados por la mastectomía
Autor/in:
Sousa, Kamilla Abrantes de; Pinheiro, Maria Berenice Gomes Nascimento; Fernandes, Marcelo Costa; Costa, Stéphany Pereira da; Oliveira. Erveny Jaiane Costa de; Silva, Iara Diógenes
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 4, S 5032-5038
Inhalt: Objective: to analyze the feelings of women in a support group for the changes caused by mastectomy. Method: descriptive study with a qualitative approach, performed in a support group for women with mastectomies in Cajazeiras, in the state of Paraíba, Brazil, in June and July 2014, with 20 subjects. It was used a semi-structured interview for data collection. The analysis was performed using the methodological process of the Collective Subject Discourse. Results: it was evident that women have adopted a unique way of face the breast cancer varying between negative feelings, concern about a move away from their children, closer spirituality and natural acceptance of the disease. Conclusions: importantly, from the understanding of these feelings, the nurse can build an appropriate care plan for the health needs of this target audience, thus providing a more efficient, effective and humane action.