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Given the nature of the object of study, we opted to use semistructured interviews, a qualitative method designed to gain a deeper understanding of the meaning of phenomena. Therefore, in order to protect and avoid influencing the adolescent, the invite was made only after a second meeting, and thus after having built a certain bond with the patient. The following is an extract from one of the interviewees' accounts: Adolescence is an age of experimentation in which teens get to know their own erotic body whose boundaries reflect multiple social norms. Like this document? There was that thing, you know, [I thought], is this abnormal"?
Cad Cedes. In this respect, it is important to reflect on the development of sexuality in order to meet the broad spectrum of demands for sexual and reproductive health care stemming from adolescent homosexuals. The current dynamics of the AIDS epidemic involves an increase in the number of cases among young men who have sex with men YMSM , in contrast to other age groups where rates are declining.
Aids no Brasil [Internet].
MS; [acesso Maio 14]. Cad Saude Publica. Rev Saude Publica. Saude Soc.
Adolescent homosexuality: Arch Pediatr Adolesc Med. Suicidality in a venue-based sample of young men who have sex with men. J Adolesc Health. Efforts have been made by the health field to understand the homoerotic trajectories of adolescents and the different forms of discrimination that make this group more vulnerable in terms of health.
Guaranteeing sexual and reproductive health rights within health services requires a comprehensive and impartial understanding of the technical and human aspects of sexuality as a vital process for every individual. Nondisclosure of sexual orientation to a physician among a sample of gay, lesbian, and bisexual youth. This investigation was motivated by the clinical experiences of adolescent care in a primary health care setting, where we observed the difficulties faced by youth in expressing their health problems related to the fear of revealing their homosexual behavior.
Cienc Saude Colet. Given the nature of the object of study, we opted to use semistructured interviews, a qualitative method designed to gain a deeper understanding of the meaning of phenomena. The facility belongs to a public university, and is a center of reference for the care of adolescents aged between 12 and 19 years at the primary, secondary and tertiary level.
At the primary level, the facility provides treatment for random cases or those referred from other health facilities.
The majority of patients who seek treatment at this facility are from a less privileged socioeconomic background. Interviews were conducted between and We used convenience sampling adopting the following inclusion criterion: It is important to highlight the difficulties involved in establishing this research sample due to the fact that adolescents who do not accept their own feelings and sexual orientation have difficulty in revealing their homosexual experiences. Therefore, in order to protect and avoid influencing the adolescent, the invite was made only after a second meeting, and thus after having built a certain bond with the patient.
One person refused to participate and two adolescents who accepted the invite did not turn up on the day scheduled to conduct the interview. As result of 18 months of field work, 14 adolescents participated in the study; nine male and five female.
The participants were interviewed in the health facility. Interviews were conducted following an interview guide that included questions related to the following aspects: The interviews lasted an average of 70 minutes and were recorded and fully transcribed. O desafio do conhecimento: Hucitec; Rio de Janeiro: Editora Fiocruz; Furthermore, all interviewees were guaranteed continued health care, thus respecting not only the ethical principles for research involving human subjects, but also meeting the health demands arising throughout the investigation.
The age of the interviewees ranged from 15 to 19 years and the first homosexual experience occurred between the age of eight and 18 years. The majority of adolescents were more than two years behind in their schooling, and all interviewees had been exposed to violence in and outside the family, including personal insults, physical aggression, manifestations of homophobia, understood as attitudes that express hate and aversion towards homosexuals.
Adolescent homosexuality and concerns regarding disclosure. J School Health. However, the type of violence experienced by young homosexuals differs depending on whether they are male or female, and has results that can affect their identity and intersubjective relations.
Male adolescents mentioned episodes of homophobic violence, while girls were victims of gender-based violence. Twelve of the 14 interviewees mentioned suicidal ideation or attempted suicide and two of the boys who sought STD treatment were HIV-positive. With regard to sexual orientation, only With regard to health care, none of the interviewees had been previously asked by health professionals about homosexual experiences or had received guidance on the issue.
However, none of the adolescents mentioned that they had been discriminated due to their sexual orientation. Acta Paediatr.
For some, the homosexual experience depended on particular circumstances based on curiosity-driven experimentation, while for others it was associated with prostitution. However, for the majority, the experience was a matter of self-declared sexual orientation. Casual sexual activity and experimentation were mentioned as random occurrences in which the adolescents found themselves involuntarily involved in situations that culminated in homosexual contact.
These adolescents showed a feeling of guilt regarding these encounters, despite the fact that such sexual experiences are part of the development of sexuality and did not define their sexual orientation.
This feeling is probably influenced by homophobia, which makes them reject the possibility of considering themselves homosexual or bisexual. The sociocultural context governed by compulsory heteronormativity, a social norm in which heterosexuality is compulsory, constructs a necessary and coherent relationship between gender identity, desires and sexual behavior. All I know is that it was impulsive. We were all the same age. It began as an exchange of affection, like one of their games and, before we knew it, we were having a relation".
And, I just let it happen.
Casual homosexual experiences during childhood and adolescence are part of the construction of sexual identity, which only acquires its final form generally at the end of adolescence. O aprendizado da sexualidade: Garamond, Fiocruz; Freud, in his essays on sexuality, published for the first time in , raises an important aspect about the understanding of sexual object choice, which presupposes an "original" bisexuality in human beings and, furthermore, that it should be considered that adult sexual posture requires fluctuation and learning from both parts, considering the complexity and various possible subjective arrangements.
Another meaning assigned to the homosexual experiences of the boys relates to prostitution, which was observed in the accounts of both the adolescents that considered themselves heterosexual and those that were openly homosexual. In both cases, the justification for this practice was financial gain.
They mentioned being harassed by older men and were bitter about the hardship they have to suffer due to lack of money. We noted that the adolescents apparently consider it natural to engage in homosexual practices through prostitution, masking its inherent violence, not only in structural terms, but also the violence that results from the unequal power relationship between the perpetrator and the adolescent prostitute. The behavior of these adolescents was forged through relations and by meanings of sexuality constructed throughout history and at different social levels that encompass macro-social and socio-historic issues and the specific aspects of interpersonal relationships.
Sexualidade juvenil: The third meaning of homosexual experience mentioned by the majority of the male interviewees was associated with self-declared homosexual identity. The first homosexual experience of these adolescents was generally at a young age, during childhood or preadolescence and sometimes with partners who were a lot older.
The male imperative makes having sexual relations practically compulsory, replicating the standard behavior of heterosexual men and showing that the affective and sexual trajectory of youth appears to be strongly structured by gender patterns.
HIV risk and perceptions of masculinity among young black men who have sex with men. With respect to the construction of the homosexual identity, a large part of the interviewees had sexual relations with women, expressing the need to test their desires and be certain of their sexual orientation.
Sexual orientation is defined during adolescence. It is beyond the scope of the present article to attempt to describe the complexities of the identification process. Suffice to say that it is lived by the subject as transgression, provoking feelings of strangeness when an individual becomes aware of homosexual desires.
People are born that way, with it inside them. I repressed myself a lot before, you know? I was unhappy.
There was that thing, you know, [I thought], is this abnormal"? I have always seen myself as man-woman. I felt really alone when I was little. I was always slightly effeminate.
Today, I accept myself more. You know, an ET in the middle of a crowd, who no one recognizes". Caravansarai; The first sexual relation of the majority of those interviewed by Nunan was with a woman, as a way of experimenting and being certain about their sexual orientation.
With respect to the sexual development of the adolescents interviewed by the present study, when telling us about their sexual history, some, paradoxically, mentioned their childhood experiences and associated being gay with the fact that they had been abused. They used a past marked by violence to justify the present, as the following extract shows:. I ended up liking it. This influenced my path, definitely. I did it with others and became more and more accustomed to it".
Educ Pesqui. Rev Estud Fem. The health system is organized around the needs of the heterosexual population. Health professionals almost always assume that an adolescent is heterosexual, which makes it more difficult for the individual to reveal their real identity. The adolescents interviewed by this study told of degrading treatment by the family when they revealed their sexual orientation such as humiliation and emotional abuse, and beatings, which in some cases led to fractures and permanent scares.
Many gays under the age of 18 are thrown out of home and, having nowhere to live and no one to turn to, go into prostitution as male prostitutes or transvestites. Why not share! Em swedenborg-doctrina-novae-hieros Embed Size px. Start on. Show related SlideShares at end.
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