A Percepção das mulheres lésbicas sobre o cuidado na estratégia saúde da família

Abstract

The current study analyzed the perception of lesbian women about Primary Health Care, specifically in the Family Health Strategy in Sobral, Ceará. It is an analytical research with a qualitative approach. The research participants are lesbian women living in the territories of the Family Health Strategy of Sobral, Ceará. Eighteen semi-structured interviews were conducted. The data were verified from the thematic content analysis. This research was conducted from February 2017 to September 2019. To become involved health context, this study conducted a literature review about the Primary Health Care, Family Health Strategy, Women and Lesbian Women's Health Policies, and LGBT Health Policy. With the purpose of understand the place occupied by women and the representations of women throughout history, it was necessary to understand the interactions between family, culture and religion in the structuring of sexuality. Then, to see how lesbian women’s existence became erased and invisible, resulting various types of violence, including compulsory heterosexuality and lesbophobia. The explored theories highlight the influence of family, school and religion in the construction of a culture that reinforces heteronormativity. These interactions are still factors that reverberate in prejudice, stigma and violence that hinder access to fundamental rights, in the case of this study, health. Faced with a scenario of advancing conservatism and disenfranchisement, in which minorities are the first to be harmed, it is believed that the results of the study reveal the pertinent challenges to the health care of lesbians, with the aim of mitigating inequities in health and expand access and quality of health care.