Comunicação em evento científico
Men sexual health in Portugal: gaps and proximities with health care professionals
Alexandra Tereso (Alexandra Tereso);
Título Evento
14ª Conferência Internacional de Investigação em Enfermagem
Mais Informação
Conceptual framework: Men vulnerability to sexual disease is influenced by socialization processes, sexual literacy, and existence of effective public policies and possibilities of access to sexual health care in their daily lives (Almeida, 2004). Sexual and reproductive health policies traditionally don’t include men as subjects what can be seen in the health care political organization and in the medical regulation of sexual health care access. Objective - Identify health professional’s perceptions about possibilities and constraints regarding access to sexual health care by men. Method – Qualitative and exploratory study was conducted in line with Bardin’s (2014) referential. Semi-structured interviews were carried out, recorded and transcribed. Doctors, nurses, psychologists, sexologists and pharmacists (24 professionals - 11 women e 13 men) were selected as privileged informants for their relevant position in the scope of resources and therapeutic pathways related to men sexual health [organization and reorganization of health services; designing reproductive health strategies at the national level; health services management; coordination of associations and societies in the field of sexual and reproductive rights; doctors, psychologists and sexologists graduation (1st and 2nd cycles); research on sexuality and sexual health]. Ethical considerations were taken into account. Informed consent of all the participants was obtained and anonymity and confidentiality was assured. Outcomes – From the content analysis the following categories have emerged: Constraints experienced by men: awkwardness in physical exposure; disease considered as a weakness; communication difficulties related with sexual health as a subject; lack of contact with health services; difficulties in scheduling appointments. Constraints experienced by professionals: lack of training, time and privacy issues to address sexual health; desire and pleasure considered as taboos; female reproduction centered approach; valuation of examination prescriptions and devaluation of physical observation; feminization of health services. Possibilities: opportunistic approach in other care situations; dissemination of pharmacological alternatives to sexual dysfunctions; health professionals participation in sexual health in schools; search for help related with the diagnosis of sexually transmitted infections. It should be noted that in each category, the heterogeneity of the professional characteristics of the interviewees did not make possible to identify profiles. Conclusion – These findings highlight the need to: consider sexual health as an area per se and men as subjects in the health care programmes; improve men access to sexual health care; develop health care professional competences in sexuality and in men sexual health approach. References : Almeida, Ana Nunes (org.) (2004). Fecundidade e Contracepção. Lisboa: Imprensa de Ciências Sociais Bardin, L. (2014). Análise de Conteúdo. (5ªed.). Lisboa: Edições 70
men,sexual health,health care professionals