Gomes Romeu, Murta Daniela, Facchini Regina, Meneghel Stela Nazareth
Instituto Nacional de Saúde da Criança, da Mulher e do Adolescente Fernandes Figueira, Fiocruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
Superintendência de Promoção da Saúde, Secretaria Municipal de Saúde. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2018 Jun;23(6):1997-2006. doi: 10.1590/1413-81232018236.04872018.
This article is an objective examination of aspects of gender and sexual rights, and their implications in the field of health field, using the methodology of an essay. The first part discusses femicide, highlighting that there are deaths of women due to the fact of being women, which constitute what could be described as the crimes of lèse-humanité or 'femi-genocide'. The second part discusses sexual and gender diversity, with an emphasis on the fragility of the 'right to have rights' expressed in the deterioration in health conditions of the population that is LGBTI (Lesbians, Gays, Bisexuals, Transvestites, Transsexuals and Intersex). Finally, the essay discusses recognition of gender plurality, and the limitations imposed on the rights of non-usual normativebodies bodies; criticism is directed at reiteration of the binary and cisgender normative ethos, which can exacerbate the health vulnerability of people with trans and other non-normative bodies and identities. It is concluded that, in the 30 years' existence of Brazil's Unified Health System (SUS), there have been advances in the political sphere, many of them created by or as a result of social movements, and initiatives that seek to confront femicide and the inadequate assistance available to LGBTI people. In the context of these challenges, it is reiterated that there is a necessary relationship between promotion of health and protection of human rights related to gender and sexuality.
本文采用论文的方法，对性别和性权利的各个方面及其在卫生领域的影响进行了客观审视。第一部分讨论了杀害妇女行为，强调存在因女性身份而导致的妇女死亡，这构成了可被描述为反人类罪或“女性灭绝”的罪行。第二部分讨论了性取向和性别多样性，重点关注LGBTI（女同性恋者、男同性恋者、双性恋者、异装癖者、变性者和双性人）群体健康状况恶化所体现的“拥有权利的权利”的脆弱性。最后，本文探讨了对性别多元性的认可，以及对非传统规范群体权利所施加的限制；批评针对的是二元和顺性别规范精神的反复强调，这种强调可能会加剧跨性别者和其他非规范身体及身份者的健康脆弱性。结论是，在巴西统一卫生系统（SUS）存在的30年里，政治领域取得了进展，其中许多是由社会运动创造或因社会运动而产生的，还有旨在应对杀害妇女行为和为LGBTI群体提供不足援助的举措。在这些挑战的背景下，重申了促进健康与保护与性别和性取向相关的人权之间存在必要联系。
