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.

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.