Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-11-06T20:51:19Z No. of bitstreams: 1 GiordanoBrunoSouzaDosSantos_DISSERT.pdf: 1163230 bytes, checksum: c540940aac53afc06ed541131cbea58d (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-11-20T21:47:52Z (GMT) No. of bitstreams: 1 GiordanoBrunoSouzaDosSantos_DISSERT.pdf: 1163230 bytes, checksum: c540940aac53afc06ed541131cbea58d (MD5) / Made available in DSpace on 2017-11-20T21:47:52Z (GMT). No. of bitstreams: 1 GiordanoBrunoSouzaDosSantos_DISSERT.pdf: 1163230 bytes, checksum: c540940aac53afc06ed541131cbea58d (MD5) Previous issue date: 2017-08-30 / A discuss?o acerca da identidade de g?nero, orienta??o sexual e especialmente no que tange ? aten??o ? sa?de de pessoas LGBT ainda ? negligenciada no projeto pedag?gico dos cursos da ?rea da sa?de, em geral, e da Medicina, em particular. Diante disso, a presente pesquisa teve como objetivo geral elaborar um componente curricular sobre aten??o ? sa?de da popula??o LGBT em um curso de gradua??o em Medicina. Para tanto, foi realizada uma pesquisa-a??o junto ao curso de Medicina da Escola Multicampi de Ci?ncias M?dicas da Universidade Federal do Rio Grande do Norte. A pesquisa compreendeu as seguintes etapas: a) fase explorat?ria; b) coloca??o dos problemas ou necessidades; c) teoriza??o; d) semin?rios; e) coleta de dados; f) plano de a??o; e g) divulga??o interna e externa. Como resultado desse estudo obteve-se a proposta de inclus?o de um componente curricular denominado ?Aten??o ? Sa?de da Popula??o LGBT?, com carga hor?ria de 45 horas, no projeto pedag?gico do curso de Medicina da institui??o-cen?rio desta pesquisa. Al?m disso, foi submetida e aprovada uma Oficina Pr?-congresso sobre a mesma tem?tica a ser realizada no 55? Congresso Brasileiro de Educa??o M?dica. Sendo assim, pode-se concluir que a inclus?o da tem?tica objeto deste estudo ? de fundamental import?ncia para a forma??o do m?dico com perfil generalista, conforme as Diretrizes Curriculares Nacionais para os curso de gradua??o em Medicina vigente. / The discussion about gender identity, sexual orientation and especially about the health care of LGBT people is still neglected in the pedagogical project of the courses of health in general, and Medicine in particular. In view of this, the present research had as general objective to elaborate a curricular component on health care of the LGBT population in a graduation course in Medicine. For that, an action research was carried out next to the medical course of the Multicampi School of Medical Sciences of the Federal University of Rio Grande do Norte. The research comprised the following steps: a) exploratory phase; B) placement of problems or needs; C) theorizing; D) seminars; E) data collection; F) action plan; And g) internal and external disclosure. As a result of this study, a proposal was made for the inclusion of a curricular component called "Health Care of the LGBT Population", with a 45-hour workload, in the pedagogical project of the medical course of the institution-scenario of this research. In addition, a Pre-congress Workshop was submitted and approved on the same theme to be held at the 55th Brazilian Congress of Medical Education. Thus, it can be concluded that the inclusion of the subject matter of this study is of fundamental importance for the training of physicians with a generalist profile, according to the National Curricular Guidelines for undergraduate medical courses.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T22:22:48Z No. of bitstreams: 1 GlauberWederDosSantosSilva_DISSERT.pdf: 1380898 bytes, checksum: a7007909c759e518f56eebb06a733ba2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-10T23:16:21Z (GMT) No. of bitstreams: 1 GlauberWederDosSantosSilva_DISSERT.pdf: 1380898 bytes, checksum: a7007909c759e518f56eebb06a733ba2 (MD5) / Made available in DSpace on 2017-04-10T23:16:21Z (GMT). No. of bitstreams: 1 GlauberWederDosSantosSilva_DISSERT.pdf: 1380898 bytes, checksum: a7007909c759e518f56eebb06a733ba2 (MD5) Previous issue date: 2016-12-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Introdu??o: No mundo, anualmente, ocorrem milh?es de suic?dios e parassuic?dios, os quais s?o temas reconhecidos como prioridade da Sa?de P?blica. Estudos internacionais realizados nos ?ltimos dez anos evidenciam associa??o de aspectos psicol?gicos e sociais no comportamento suicida de pessoas transg?nero. N?o foram encontrados no Brasil estudos que tenham rastreado e avaliado os aspectos associados ? Idea??o Suicida (IS) nesse p?blico. Objetivo: Analisar a associa??o entre IS e os aspectos sociodemogr?ficos, de sa?de-doen?a, de depress?o, de viol?ncia e comportamento suicida em pessoas transg?nero. M?todo: Trata-se de um estudo com abordagem quantitativa, do tipo descritivo-anal?tico e transversal, desenvolvido junto a quatro Organiza??es N?o Governamentais (ONGs) de Direitos de Pessoas Travestis e Transexuais no Rio Grande do Norte. A popula??o foi constitu?da por 58 sujeitos. A coleta de dados ocorreu no per?odo de novembro de 2015 a junho de 2016, utilizando-se tr?s instrumentos espec?ficos: (1) Escala de Idea??o Suicida de Beck; (2) Invent?rio de Depress?o de Beck; e (3) Question?rio de informa??es sociodemogr?ficas, de sa?de-doen?a, viol?ncia e comportamento suicida. Os dados coletados foram organizados e armazenados em um banco de dados constru?do no software Microsoft Office Excel? vers?o 2016, com dupla digita??o e, posteriormente, importados para o software R vers?o 3.3.1 para realiza??o de testes. Para a an?lise descritiva, consideraram-se as frequ?ncias absolutas e relativas, medidas de tend?ncia central e de dispers?o. Para verificar a associa??o das vari?veis, aplicou-se o Teste Qui-Quadrado de Pearson para Independ?ncia e, quando os pr?-requisitos para o teste n?o foram atendidos, aplicouse o Teste Exato de Fisher. Adotou-se o n?vel de signific?ncia de 5%. O estudo foi autorizado pelas ONGs colaboradoras, aprovado pelo Comit? de ?tica em Pesquisas e todos os participantes assinaram o TCLE. Resultados: IS foi presente em 41,38% dos participantes, entre os quais prevaleceram as seguintes caracter?sticas: identidade de g?nero transexual (62,07%); sujeitos jovens com faixaet?ria de 18 aos 29 anos (68,97%); solteiros (81,03%); escolaridade menor ou igual a ensino m?dio (77,59%); ra?a negra ou parda (68,97%); em atividade de prostitui??o (29,31%) ou sem ocupa??o laboral (17,24%); e com renda mensal de at? um sal?rio m?nimo (44,83%). Verificou-se associa??o estatisticamente significante com a presen?a de IS as seguintes vari?veis: n?veis de depress?o (p=0,002); viol?ncia escolar (p=0,012); expuls?o do n?cleo familiar em raz?o da identidade de g?nero (p=0,020); hist?rico de tentativa de suic?dio (p=0,008); e intensidade da vontade de morrer na ?ltima tentativa de suic?dio (p=0,028). A IS n?o se associou aos aspectos sociodemogr?ficos nem de sa?de-doen?a. Conclus?es: Os resultados alertam para a necessidade da implementa??o, em car?ter de urg?ncia, de interven??es que objetivem o controle da IS, enquanto agravo ? Sa?de P?blica, na popula??o estudada. / Introduction: Millions of suicides and parasuicides occur all over the world, every year, which are issues recognized as a Public Health priority. In the last decade, international researches have been demonstrating associations among psychological and social aspects in the suicidal behavior of transgender people. In Brazil, there are no researches that have tracked and evaluated the aspects associated to the Suicide Ideation (SI) among these people. Objective: To analyze the association among Suicidal Ideation and the aspects related to the issues: sociodemographic; healthillness; depression; violence and suicidal behavior in transgender people Method: This research presents a quantitative approach, descriptive-analytical and transversal type; which was developed with the collaboration of four Non- Governmental Organizations (NGOs) concerning the Civil Rights of Transvestite and Transsexual People in the State of Rio Grande do Norte, Brazil. This population was constituted by 58 individuals. Data collection occurred between November, 2015 and June, 2016. Three specific instruments have been used: (1) Beck?s Suicidal Ideation Scale; (2) Beck Depression Inventory; and (3) a Questionnaire involving sociodemographic, health-illness, violence and suicide information behavior. The collected data were organized and stored in a database built in the software Microsoft Office Excel?version 2016, with double entry; these data were then imported into the software R version 3.3.1 to provide tests realization. Regarding the descriptive analysis, the following criteria were considered: relative and absolute frequency and measures of central and dispersion tendency. In order to verify the association among the variables, Pearson's Chi-Square Test of Independence was used, and when the prerequisites weren?t met, Fisher's Exact Test was applied instead. It was adopted a 5% significance level. The study was authorized by the collaborative NGOs, approved by the Research Ethics Committee, and all participants signed a Free Informed Term of Consent. Results: SI was detected in 41,38% of the participants, among them prevailed the following characteristics: transsexual gender identity (62,07%); young individuals ? age range varying from 18 to 29 years old (68,97%); singles (81,03%); educational level ? high school or lower (77,59%); black or brown race (68,97%); under prostitution activities (29,31%) or without any occupation (17,24%); and with a monthly income up to the Brazilian minimum wage (44,83%).It was verified an association, statistically significant, regarding the presence of SI and the following variables: depression levels (p=0,002); school violence (p=0,012); expulsion from the family environment due to the gender identity (p=0,020); suicide attempts background (p=0,008): and dying wishing intensity during the last suicide attempt (p=0,028). SI was not associated to the sociodemographic aspects, neither to the health-illness ones. Conclusions: The results alert to the need of interventions implementation, under an urgent status, which would aim SI control, as damage to the Public Health, on the researched population.