Estratégias educativas para prevenção de ISTs e HIV/AIDS na população LGBTQIAP+: Educational strategies for preventing STIs and HIV/AIDS in the LGBTQIAP+ population

Hilza Beatriz Barbosa de Sousa; Rafael Jeremias de Aquino Nunes; Rafael Tavares Silveira Silva; Rodrigo Jácob Moreira de Freitas; Rosane Shirley Saraiva de Lima

doi:10.17765/2176-9206.2025v18e13028

Authors

Hilza Beatriz Barbosa de Sousa Faculdade Evolução Alto Oeste Potiguar https://orcid.org/0000-0003-2841-9447
Rafael Jeremias de Aquino Nunes Faculdade Evolução Alto Oeste Potiguar https://orcid.org/0000-0002-1587-4099
Rafael Tavares Silveira Silva Faculdade Evolução Alto Oeste Potiguar https://orcid.org/0000-0001-8076-8404
Rodrigo Jácob Moreira de Freitas Universidade do Estado do Rio Grande do Norte https://orcid.org/0000-0002-5528-2995
Rosane Shirley Saraiva de Lima Faculdade Evolução Alto Oeste Potiguar https://orcid.org/0000-0003-1571-982X

DOI:

https://doi.org/10.17765/2176-9206.2025v18e13028

Keywords:

Sexual and Gender minorities, Sexual health, Health Education

Abstract

Objective: To investigate the implementation of nurses' practices regarding the use of educational actions to prevent STIs and HIV/AIDS in the LGBTQIAP+ population in PHC. Method: Conducted in Pau dos Ferros - RN with 12 nurses from 7 Basic Health Units, the research adopted an exploratory descriptive method with a quantitative approach. Results: 75% of nurses know prevention strategies but have not received specific training; all participants agreed on the need for training. Additionally, 91.7% do not feel prepared to develop educational interventions for this audience, and only 58.3% have already carried out educational actions on sexuality and prevention of STIs and HIV/AIDS with the LGBTQIAP+ community. Conclusion: This reveals that, although nurses have a certain level of familiarity with the topic, a significant portion of these professionals do not carry out educational activities.

Downloads

Download data is not yet available.

Author Biographies

Hilza Beatriz Barbosa de Sousa, Faculdade Evolução Alto Oeste Potiguar

Bachelor's degree in Nursing from Faculdade Evolução (FACEP). Ongoing specialization in Public Health with an Emphasis on Family Health from Faculdade Líbano. Academic monitor in the discipline of Human Anatomy (2022). Extensionist of the extension projects: Worker's Health (2022). Member of the research group Health Assistance for the LGBTQIA+ Population (2022). Interests in the following research areas: Women's Health; Gender and Sexuality; Health of the LGBTQIAP+ Population and Worker's Health.

Rafael Jeremias de Aquino Nunes, Faculdade Evolução Alto Oeste Potiguar

Graduated in Nursing from Faculdade Evolução Alto Oeste Potiguar- FACEP, he was a volunteer scholarship holder of the Research Project Implementation of the Systematization of Nursing Care by Students during Curricular Internships, monitor of the discipline Semiology and Semiotechnics of Nursing. He completed an extracurricular internship at the VI regional health department of the state of Rio Grande do Norte. Postgraduate in Nursing in Urgency and Emergency, postgraduate in Auditing in Health Services, postgraduate in Women's Health and Occupational Nursing and undergraduate in the course of Letters - English - UERN. Currently Professor of Nursing at Faculdade Evolução Alto Oeste Potiguar- FACEP and Laboratory Technician at Faculdade Evolução Alto Oeste Potiguar- FACEP.

Rafael Tavares Silveira Silva, Faculdade Evolução Alto Oeste Potiguar

I am a nurse graduated from the Federal University of Rio Grande do Norte, with a Master's degree from the Postgraduate Program in Nursing at UFRN, a postgraduate degree in Nursing in Dermatology from the Faculdade Integrada de Patos (FIP) and in Health Management from UFRN. I have a reasonable understanding of the English language, good knowledge of computers, ease in social communication (such as public speaking), good resourcefulness in educational activities and ease with people management. I am currently a professor of the Psychology Course and professor and Coordinator of the Nursing Course at Faculdade Evolução Alto Oeste Potiguar (FACEP).

Rodrigo Jácob Moreira de Freitas, Universidade do Estado do Rio Grande do Norte

Graduated in Nursing (Bachelor's and Bachelor's Degree) from the State University of Rio Grande do Norte - UERN (2010), Master's and Doctorate in Clinical Care in Nursing and Health from the State University of Ceará - PPCCLIS / UECE (2019). Class III, Level IV Teacher of the Nursing course at the State University of Rio Grande do Norte - UERN / Pau dos Ferros Campus - CAPF. Permanent Professor of the Postgraduate Program in Health and Society - PPGSS / UERN. Permanent Professor of the Master's and Professional Doctorate Program in Family Health - PPGSF / RENASF, UECE nucleator. Permanent professor of the Professional Master's in Family Health PROFSAÚDE / UERN. Leader of the Research Group: Knowledge, Nursing and Population Health (GRUPESCES) - UERN and Research Member of the Research Group: Clinical Care, Mental Health and Family Health (GPECCS) - UECE. Research on the use of theories (Alfred Schutz's Social Phenomenology and Phil Barker's Tidal Model) in clinical nursing care in mental health. Teaches the subjects of Semiology and Semiotics of the Nursing Care Process; Nursing in the Adult Health/Illness Process, specifically Adult Mental Health; and Gender, Nursing and Health. Working mainly on the following topics: mental health nursing, education, violence, gender, health of the LGBTQ+ population and sexuality.

Rosane Shirley Saraiva de Lima, Faculdade Evolução Alto Oeste Potiguar

Master in Nursing from the Postgraduate Program in Nursing at the Regional University of Cariri (CMAE - PMAE - URCA). Specialist in Family Health from the Regional University of Cariri-URCA. Nurse from Faculdade Vale do Salgado - FVS (Scholarship holder - University for All Program, PROUNI, 2017).

References

1. Freitas IG, Eloi HM, Felix AMS. Conhecimento de estudantes de enfermagem sobre infecções sexualmente transmissíveis. Rev baiana enferm. 2022;36(1):e43593. https://doi.org/10.18471/rbe.v36.43593.

2. Organização Pan-Americana de Saúde (OPAS), Organização Mundial da Saúde (OMS). Plano de ação para prevenção e controle do HIV e de infecções sexualmente transmissíveis 2016-2021. Washington: Organização Pan-Americana de Saúde; 2017. 46 p.

3. Bretas I. “ANO PASSADO EU MORRI, MAS ESTE ANO EU NÃO MORRO”: a atuação da Assessoria Jurídica Popular em Saúde na defesa dos Direitos Humanos das pessoas que vivem com HIV/aids [monografia]. Santa Rita: Universidade Federal da Paraíba; 2020. 62 p.

4. Ivankovich MB, Fenton KA, Douglas JM. Considerations for national public health leadership in advancing sexual health. Public Health Rep. 2013;128(1):102-110. https://doi.org/10.1177/00333549131282S112

5. Jongbloed D, Kouwenberg CVM, Minderhoud SC, Green A, Poot CC et al. Sexual and gender minority youth and sexual health education: a systematic mapping review of the literature. J Adolesc Health. 2020;68(6):1040-1052. https://doi.org/10.1016/j.jadohealth.2020.09.032

6. Mariano RC. A exposição de mulheres lésbicas cisgênero a infecções sexualmente transmissíveis em relações sexuais desprotegidas [monografia]. Brasília: Centro Universitário de Brasília; 2020. 25 p.

7. Pinheiro NJ, Paz FAN. Difficulties of nurses in basic care for people living with HIV/AIDS. Res, Soc Dev. 2021;10(6):e5541061616. https://doi.org/10.33448/rsd-v10i6.16160

8. Bezerra MVR, Moreno CA, Prado NMBL, Santos AM. Política de saúde LGBT e sua invisibilidade nas publicações em saúde coletiva. Saúde Debate. 2019;43(8):305-323. https://doi.org/10.1590/0103-11042019S822

9. Santos MF. DA PREVENÇÃO AO DIAGNÓSTICO: HIV/AIDS o impacto aos cuidados de enfermagem ao grupo de vulnerabilidade LGBTQIAP+ [monografia]. Lagarto: Centro Universitário AGES; 2019. 72 p.

10. Carlsson M. Self-reported competence in female and male nursing students in the light of theories of hegemonic masculinity and femininity. J adv nurs. 2019;76(1):191-198. https://doi.org/10.1111/jan.14220

11. Organização Mundial de Saúde; Organização Pan-americana de Saúde. Enfermagem. 2020.

12. Conselho Federal de Enfermagem. Enfermagem em Números. 2020.

13. Petry S, Filho CAT, Mazera M, Schneider DG, Martini JG. Autonomia da Enfermagem e sua Trajetória na Construção de uma Profissão. Hist enferm Rev eletronica. 2019;10(1): 66-75.

14. Nunes LCC, Barros RRS. A comunidade LGBTQIAP+ e seus embates de preconceito e discriminação no mercado de trabalho [monografia]. São Carlos: Faculdade de Tecnologia de São Carlos; 2022. 13 p.

15. Ziegler M, Rauh C. Visible Growth; Invisible Fears. Getting to Equal 2020: Pride.

16. Paiva EF, Freitas RJM, Bessa MM, Araújo JL, Fernandes SF, Góis PS. Conhecimento e prática de enfermeiros da Atenção Primária sobre gênero e assistência às pessoas LGBTQIAP+. Rev Rene. 2023;24(1):e83152. https://doi.org/10.15253/2175-6783.20232483152

17. Oliveira DC. Representativeness of the LGBTQIA+ population in epidemiological research in the context of the National Policy for Comprehensive Health of Lesbians, Gays, Bisexuals, Transvestites and Transsexuals in Brazil: expanding the production of knowledge within the SUS for social justice. Epidemiol Serv Saúde. 2022;31(1):e2022020. https://doi.org/10.1590/S1679-49742022000100030

18. Silva ASM, Alves GJ. Política Nacional de Saúde Integral de LGBT: percepção de enfermeiros da atenção primária à saúde. Com Ciências Saúde. 2021;32(2):71?80. https://doi.org/10.51723/ccs.v32i02.512

19. Valerio FR, Coutinho GA, Oliveira NLC, Storck IJ, Farias EFR, Silva UAO, et al. Prevenção e controle de infecções sexualmente transmissíveis (ISTs) através da educação continuada em saúde. Rev CPAQV. 2024;16(2). https://doi.org/10.36692/p6pv1c05

20. Medina-Martínez J, Saus-Ortega C, Sánchez-Lorente MM, Sosa-Palanca EM, García-Martínez P, Mármol-López MI. Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review. Int. J. Environ. 2021;18(21):1-16. https://doi.org/10.3390/ijerph182211801

21. Logie CH, Perez-Brumer A, Mothopeng T, Latif M, Ranotsi A, Baral SD. Conceptualizing LGBT Stigma and Associated HIV Vulnerabilities Among LGBT Persons in Lesotho. AIDS Behav. 2020;24(1):3462-3472. https://doi.org/10.1007/s10461-020-02917-y

22. Pereira MM, Graupe ME, Dall’igna DM. Política Nacional de Saúde LGBT: relatos de profissionais da saúde e pessoas LGBT. RELIES. 2022;8(1):1-14. https://doi.org/10.46661/relies.6184

23. Brasil. Ministério da Saúde. Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais. Brasília (DF): Ministério da Saúde; 2011.

24. Paranhos WR, Willerding IAV, Lapolli EM. Formação dos profissionais de saúde para o atendimento de LGBTQI+. Interface (Botucatu). 2021;25(1):e200684. https://doi.org/10.1590/interface.200684

25. Costa-Val A, Manganelli MS, Moraes VMF, Cano-Prais HA, Ribeiro GM. O cuidado da população LGBT na perspectiva de profissionais da Atenção Primária à Saúde. Physis (Rio J.). 2022;32(2):e320207.https://doi.org/10.1590/S0103-73312022320207

26. Ferreira BO, Pereira EO, Rocha MB, Nascimento EF, Albuquerque ARS, Almeira MMS et al. “Não tem essas pessoas especiais na minha área”: saúde e invisibilidade das populações LGBT na perspectiva de agentes comunitários de saúde. RECIIS (Online). 2019;13(3):496-508. https://doi.org/10.29397/reciis.v13i3.1703

27. Albuquerque MRTC, Botelho NM, Rodrigues CCP. Atenção integral à saúde da população LGBT: Experiência de educação em saúde com agentes comunitários na atenção básica. Rev Bras Med Fam Comunidade. 2019];14(41):1-11. https://doi.org/10.5712/rbmfc14(41)1758

28. Sherman ADF, Cimino AN, Clark KD, Smith K, Klepper M, Bower KM.LGBTQ+ health education for nurses: An innovative approach to improving nursing curricula. Nurse Educ Today. 2021;97(1):e104698. https://doi.org/10.1016/j.nedt.2020.104698

29. Matta TF, Junior ECS, Costa CMA, Araujo LM. Saúde LGBT e currículo de enfermagem: visão de futuras enfermeiras. Res, So Dev. 2020;9(9):e722997855. https://doi.org/10.33448/rsd-v9i9.7855

30. Costa CMA, Matta TF, Santos Junior EC, Araujo LM, Martins ERC, Spíndola T. Saberes e práticas de alunos de enfermagem na atenção à saúde das minorias sexuais. Glob Acad Nurs. 2020;1(3):e42. https://doi.org/10.5935/2675-5602.20200042

31. Ravadelli N, Souza JSM. POLÍTICA NACIONAL DE SAÚDE INTEGRAL À POPULAÇÃO LGBT: CONHECIMENTOS DE DISCENTES DA ÁREA DA SAÚDE. Rev Ciênc Saúde Nova Esperança. 2021;19(3)167-75. https://doi.org/10.17695/rcsnevol19n3p167-175

32. Teixeira E, Palmeira IP, Rodrigues ILA, Brasil GB, Carvalho DS, Machado TDP. Desenvolvimento participativo de tecnologia educacional em contexto HIV/Aids. REME - Rev Min Enferm. 2019;23(1):e-1236. http://dx.doi.org/10.5935/1415-2762.20190084