Rafael Ricardo de Mattos Russo, Gil Adriana Costa, Santos Helena Gonçalves de Souza, Caravaca-Morera Jaime Alonso, Breda Karen Lucas
Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem, Departamento de Enfermagem de Saúde Pública, Rio de Janeiro, RJ, Brazil.
Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem, Rio de Janeiro, RJ, Brazil.
Rev Esc Enferm USP. 2023 Oct 20;57:e20230240. doi: 10.1590/1980-220X-REEUSP-2023-0240en. eCollection 2023.
The inclusion of the "gender identity" field in the Brazilian violence surveillance system, although representing a step forward, still has limitations that may compromise epidemiological data validity. Existing response options for victims' identities do not adequately cover the diversity of this analysis category, resulting in classification biases. Additionally, the absence of options for cisgender identities reflects an approach that naturalizes these identities, while trans identities are considered deviant and subject to surveillance. To overcome these limitations, it is imperative to adopt a broader understanding of gender as a social and performative construction. This requires a reassessment of social structures and data collection instruments. In this context of discussion, this theoretical-methodological essay aims to reflect on gender identity measurement in the Reporting Diseases System interpersonal and self-inflicted violence surveillance system, taking as frameworks the theoretical conceptions about gender as a performative act and the foundations of validity in epidemiological investigations.
巴西暴力监测系统中纳入“性别认同”字段，尽管是向前迈出的一步，但仍存在局限性，可能会损害流行病学数据的有效性。现有的受害者身份应对选项未能充分涵盖这一分析类别的多样性，从而导致分类偏差。此外，缺乏顺性别身份的选项反映出一种将这些身份自然化的做法，而跨性别身份则被视为异常并受到监测。为克服这些局限性，必须对性别形成更广泛的理解，将其视为一种社会和表演性建构。这需要重新评估社会结构和数据收集工具。在这一讨论背景下，这篇理论方法论文章旨在以性别作为表演行为的理论概念以及流行病学调查有效性的基础为框架，对报告疾病系统人际和自我伤害暴力监测系统中的性别认同测量进行反思。
