Matriz de competências culturais em saúde para atuação com minorias sexuais e de gênero

Abstract

Cultural competence in health is the ability to provide effective care to populations by understanding the cultural issues that operate in the processes of health-illness production, modifying universal and neutral care practices to a culturally sensitive approach aimed at equity. Based on a review of the literature that highlighted the health demands of Sexual and Gender Minorities (SGM) and interventions to develop cultural competencies in health professionals, a “Matrix of cultural competencies in health for working with SGM” was constructed. The Matrix underwent a reconstruction-validation process using the Nominal Group Technique, bringing together LGBTQIA+ people who use the health system; health professionals with a history of working with LGBTQIA+ people; higher education teachers in the field of public health/SGM health. It is structured around four domains: 1) Gender identities and sexual orientations: concepts and experiences; 2) Biopsychosocial aspects of LGBTQIA+ population health; 3) Professional-healthcare user relationship; 4) Healthcare network, support network, and territory. For each domain, corresponding knowledge, skills, and attitudes. The matrix supports both the field of training by offering references for the implementation of content to be developed in teaching-learning processes, as well as professional action by proactively guiding interventions and decision-making. This research was approved by the research ethics committee of the Federal University of Ceará under opinion number 7.354.457.