Aspectos relativos à saúde bucal da população LGBTQIA+
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Publicado
Apr 15, 2025
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Resumo
Objetivo: Revisar os principais artigos disponíveis e analisar sobre as peculiaridades de saúde bucal da população LGBTQIA+. Revisão bibliográfica: A população LGBTQIA+ apresenta iniquidades em relação ao acesso aos serviços de saúde, portanto, o Ministério da Saúde instituiu, em 2011, a Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transsexuais (PNSI-LGBT), a qual, contudo, não cita diretamente as peculiaridades odontológicas desse público. A literatura não identifica disparidades de hábitos de higiene bucal desses indivíduos em relação às pessoas heterossexuais e cisgêneras, no entanto, indica maiores razões de prevalência de hábitos deletérios à saúde bucal, de algumas patologias bucais e piores resultados em parâmetros subjetivos de saúde bucal nos indivíduos de minorias sexuais e de gênero, em comparação às pessoas heterossexuais e cisgêneras. Considerações finais: Torna-se evidente a necessidade de se considerar as iniquidades de saúde bucal da população LGBTQIA+, objetivando garantir a plena implementação da PNSI-LGBT, a fim de proporcionar um acesso integral e equitativo dessa população aos serviços odontológicos.
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Como Citar
GuimarãesI. C., DomicianoA. C. B., & LeiteI. C. G. (2025). Aspectos relativos à saúde bucal da população LGBTQIA+. Revista Eletrônica Acervo Saúde, 25, e19836. https://doi.org/10.25248/reas.e19836.2025
Seção
Revisão Bibliográfica
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Referências
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2. ALMEIDA LE, et al. LGBTQ+ related curricular activities in Brazilian Dental Schools: Do institutional and/or deans’ profiles matter? Journal of Dental Education, 2024; 88(4): 434-444.
3. ALMEIDA LE, et al. Oral health-related quality of life in the LGBTIQ+ population: a cross-sectional study. Brazilian Oral Research, 2024; 38(41): 41.
4. BRASIL. Ministério da Saúde. Portaria nº 2.836 de 1 de dezembro de 2011. Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais. Diário Oficial da União. Brasília. 2011.
Disponível em:. Aces sado em: 07 de setembro de 2024.
5. BULGARELLI AF, et al. Tooth loss condition and social discrimination in brazilian healthcare services. International journal of public health, 2021; 66: 586-597.
6. DOWNING JM e PRZEDWORSKI JM. Health of transgender adults in the US, 2014–2016. American Journal of Preventive Medicine, 2018; 55(3): 336-344.
7. FERREIRA ACG, et al. Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil. Transgender Health, 2019; 4(1): 107-117.
8. GADHIRAJU T, et al. Prevalence of dental caries and periodontal disease among transgenders in Belagavi district, Karnataka, India: a cross‐sectional study. Special Care in Dentistry, 2023; 43(5): 546-553.
9. GREENE MZ, et al. Comparing medical, dental, and nursing students’ preparedness to address lesbian, gay, bisexual, transgender, and queer health. PLoS One, 2018; 13(9): 1-16.
10. GRINER SB, et al. Oral healthcare visits among sexual minority adolescents ages 14–18, 2019, USA. Journal of Public Health Dentistry, 2023; 83(2): 207-211.
11. GUPTA A, et al. Cost‐related avoidance of oral health service utilization among lesbian, gay, and bisexual individuals in Canada. Journal of Public Health Dentistry, 2023; 83(3): 254-264.
12. HEIMA M, et al. Dental fear among transgender individuals‐a cross‐sectional survey. Special Care in Dentistry, 2017; 37(5): 212-222.
13. HILLENBURG KL, et al. LGBT coverage in US dental schools and dental hygiene programs: results of a national survey. Journal of Dental Education, 2016; 80(12): 1440-1449.
14. JACKSON CL, et al. Sexual orientation identity disparities in health behaviors, outcomes, and services use among men and women in the United States: a cross-sectional study. BMC public health, 2016; 16(807): 1-11.
15. JUNIOR OLA, et al. Perceived discrimination in health services and preventive dental attendance in Brazilian adults. Community Dentistry and Oral Epidemiology, 2020; 48(6): 533-539.
16. LUDWIG DC, et al. US Oral and Maxillofacial Residents’ Experience with Transgender People and Perceptions of Gender‐Affirmation Education: A National Survey. Journal of Dental Education, 2019; 83(1): 103-111.
17. MACRI D e WOLFE K. My preferred pronoun is she: Understanding transgender identity and oral health care needs. The Canadian Journal of Dental Hygiene, 2019; 53(2): 110-117.
18. MANPREET K, et al. Oral health status among transgender young adults: a cross-sectional study. BMC Oral Health, 2021; 21(1): 1-6.
19. MCCABE SE, et al. Tobacco use and sexual orientation in a national cross-sectional study: age, race/ethnicity, and sexual identity–attraction differences. American Journal of Preventive Medicine, 2018; 54(6): 736-745.
20. MOHD FN, et al. Oral health related quality of life among transgender women in Malaysia. Journal of Critical Reviews, 2020; 7(18): 4624-4630.
21. MURALIDHARAN S, et al. Dentition status and treatment needs and its correlation with oral health-related quality of life among men having sex with men and transgenders in Pune city: A cross-sectional study. Journal of Oral and Maxillofacial Pathology, 2018; 22(3): 1-5.
22. NOWASKIE DZ, et al. A multicenter, multidisciplinary evaluation of 1701 healthcare professional students’ LGBT cultural competency: Comparisons between dental, medical, occupational therapy, pharmacy, physical therapy, physician assistant, and social work students. PLoS One, 2020; 15(8): 1-11.
23. PRAEGER R, et al. The prevalence and factors associated with smoking among lesbian and bisexual women: Analysis of the Australian National Drug Strategy Household Survey. International Journal of Drug Policy, 2019; 70: 54-60.
24. PRATES SG, et al. Oral health self-perception for transgender people: a controlled cross-sectional study. Bioscience Journal, 2021; 37(1): 1-7.
25. RAISIN JA, et al. Understanding and caring for LGBTQ+ youth by the oral health care provider. Dental Clinics, 2021; 65(4): 705-717.
26. RAMOS SR, et al. Substance use, general health and health literacy as predictors of oral health in emerging adult sexual minority men of color: a secondary data analysis. International Journal of Environmental Research and Public Health, 2021; 18(4): 1987-2004.
27. SAMUEL SR, et al. Transgender HIV status, self‐perceived dental care barriers, and residents’ stigma, willingness to treat them in a community dental outreach program: Cross‐sectional study. Special Care in Dentistry, 2018; 38(5): 307-312.
28. SCHWARTZ SB, et al. Sexual orientation‐related oral health disparities in the United States. Journal of Public Health Dentistry, 2019; 79(1): 18-24.
29. SEKONI AO, et al. The effects of educational curricula and training on LGBT‐specific health issues for healthcare students and professionals: a mixed‐method systematic review. Journal of the International AIDS Society, 2017; 20(1): 21624-21637.
30. SEO D, et al. Differences in perceived health status outcomes among heterosexual, homosexual (gay or lesbian) and bisexual Korean adolescents. Universitas Psychologica, 2015; 14(1): 339-344.
31. SHARMA S. et al. An Exploratory Research Comparing Oral Health, Pattern of Substance Abuse and Nicotine Dependence among LGBT, Female Sex Workers and Heterogenders. The Journal of Contemporary Dental Practice, 2023; 24(2): 991-997.
32. SOARES MO e GIRIANELLI VR. Assistência à saúde bucal na população LGBTQIA+. Saúde em Debate. Rio de Janeiro,2023; 47(1): 8970.
33. STEPLEMAN LM, et al. Health needs and experiences of a LGBT population in Georgia and South Carolina.Journal of Homosexuality, 2019; 66(7): 989-1013.
34. THARP G, et al. Reviewing challenges in access to oral health services among the LGBTQ+ community in Indiana and Michigan: a cross-sectional, exploratory study. PloS one, 2020; 17(2): 264-271.
35. VAROTTO BLR, et al. LGBTIQ+ population: access to dental treatment and preparation of the dental surgeon: an integrative review. Revista da ABENO, 2020; 22(2): 1-12.
2. ALMEIDA LE, et al. LGBTQ+ related curricular activities in Brazilian Dental Schools: Do institutional and/or deans’ profiles matter? Journal of Dental Education, 2024; 88(4): 434-444.
3. ALMEIDA LE, et al. Oral health-related quality of life in the LGBTIQ+ population: a cross-sectional study. Brazilian Oral Research, 2024; 38(41): 41.
4. BRASIL. Ministério da Saúde. Portaria nº 2.836 de 1 de dezembro de 2011. Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais. Diário Oficial da União. Brasília. 2011.
Disponível em:
5. BULGARELLI AF, et al. Tooth loss condition and social discrimination in brazilian healthcare services. International journal of public health, 2021; 66: 586-597.
6. DOWNING JM e PRZEDWORSKI JM. Health of transgender adults in the US, 2014–2016. American Journal of Preventive Medicine, 2018; 55(3): 336-344.
7. FERREIRA ACG, et al. Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil. Transgender Health, 2019; 4(1): 107-117.
8. GADHIRAJU T, et al. Prevalence of dental caries and periodontal disease among transgenders in Belagavi district, Karnataka, India: a cross‐sectional study. Special Care in Dentistry, 2023; 43(5): 546-553.
9. GREENE MZ, et al. Comparing medical, dental, and nursing students’ preparedness to address lesbian, gay, bisexual, transgender, and queer health. PLoS One, 2018; 13(9): 1-16.
10. GRINER SB, et al. Oral healthcare visits among sexual minority adolescents ages 14–18, 2019, USA. Journal of Public Health Dentistry, 2023; 83(2): 207-211.
11. GUPTA A, et al. Cost‐related avoidance of oral health service utilization among lesbian, gay, and bisexual individuals in Canada. Journal of Public Health Dentistry, 2023; 83(3): 254-264.
12. HEIMA M, et al. Dental fear among transgender individuals‐a cross‐sectional survey. Special Care in Dentistry, 2017; 37(5): 212-222.
13. HILLENBURG KL, et al. LGBT coverage in US dental schools and dental hygiene programs: results of a national survey. Journal of Dental Education, 2016; 80(12): 1440-1449.
14. JACKSON CL, et al. Sexual orientation identity disparities in health behaviors, outcomes, and services use among men and women in the United States: a cross-sectional study. BMC public health, 2016; 16(807): 1-11.
15. JUNIOR OLA, et al. Perceived discrimination in health services and preventive dental attendance in Brazilian adults. Community Dentistry and Oral Epidemiology, 2020; 48(6): 533-539.
16. LUDWIG DC, et al. US Oral and Maxillofacial Residents’ Experience with Transgender People and Perceptions of Gender‐Affirmation Education: A National Survey. Journal of Dental Education, 2019; 83(1): 103-111.
17. MACRI D e WOLFE K. My preferred pronoun is she: Understanding transgender identity and oral health care needs. The Canadian Journal of Dental Hygiene, 2019; 53(2): 110-117.
18. MANPREET K, et al. Oral health status among transgender young adults: a cross-sectional study. BMC Oral Health, 2021; 21(1): 1-6.
19. MCCABE SE, et al. Tobacco use and sexual orientation in a national cross-sectional study: age, race/ethnicity, and sexual identity–attraction differences. American Journal of Preventive Medicine, 2018; 54(6): 736-745.
20. MOHD FN, et al. Oral health related quality of life among transgender women in Malaysia. Journal of Critical Reviews, 2020; 7(18): 4624-4630.
21. MURALIDHARAN S, et al. Dentition status and treatment needs and its correlation with oral health-related quality of life among men having sex with men and transgenders in Pune city: A cross-sectional study. Journal of Oral and Maxillofacial Pathology, 2018; 22(3): 1-5.
22. NOWASKIE DZ, et al. A multicenter, multidisciplinary evaluation of 1701 healthcare professional students’ LGBT cultural competency: Comparisons between dental, medical, occupational therapy, pharmacy, physical therapy, physician assistant, and social work students. PLoS One, 2020; 15(8): 1-11.
23. PRAEGER R, et al. The prevalence and factors associated with smoking among lesbian and bisexual women: Analysis of the Australian National Drug Strategy Household Survey. International Journal of Drug Policy, 2019; 70: 54-60.
24. PRATES SG, et al. Oral health self-perception for transgender people: a controlled cross-sectional study. Bioscience Journal, 2021; 37(1): 1-7.
25. RAISIN JA, et al. Understanding and caring for LGBTQ+ youth by the oral health care provider. Dental Clinics, 2021; 65(4): 705-717.
26. RAMOS SR, et al. Substance use, general health and health literacy as predictors of oral health in emerging adult sexual minority men of color: a secondary data analysis. International Journal of Environmental Research and Public Health, 2021; 18(4): 1987-2004.
27. SAMUEL SR, et al. Transgender HIV status, self‐perceived dental care barriers, and residents’ stigma, willingness to treat them in a community dental outreach program: Cross‐sectional study. Special Care in Dentistry, 2018; 38(5): 307-312.
28. SCHWARTZ SB, et al. Sexual orientation‐related oral health disparities in the United States. Journal of Public Health Dentistry, 2019; 79(1): 18-24.
29. SEKONI AO, et al. The effects of educational curricula and training on LGBT‐specific health issues for healthcare students and professionals: a mixed‐method systematic review. Journal of the International AIDS Society, 2017; 20(1): 21624-21637.
30. SEO D, et al. Differences in perceived health status outcomes among heterosexual, homosexual (gay or lesbian) and bisexual Korean adolescents. Universitas Psychologica, 2015; 14(1): 339-344.
31. SHARMA S. et al. An Exploratory Research Comparing Oral Health, Pattern of Substance Abuse and Nicotine Dependence among LGBT, Female Sex Workers and Heterogenders. The Journal of Contemporary Dental Practice, 2023; 24(2): 991-997.
32. SOARES MO e GIRIANELLI VR. Assistência à saúde bucal na população LGBTQIA+. Saúde em Debate. Rio de Janeiro,2023; 47(1): 8970.
33. STEPLEMAN LM, et al. Health needs and experiences of a LGBT population in Georgia and South Carolina.Journal of Homosexuality, 2019; 66(7): 989-1013.
34. THARP G, et al. Reviewing challenges in access to oral health services among the LGBTQ+ community in Indiana and Michigan: a cross-sectional, exploratory study. PloS one, 2020; 17(2): 264-271.
35. VAROTTO BLR, et al. LGBTIQ+ population: access to dental treatment and preparation of the dental surgeon: an integrative review. Revista da ABENO, 2020; 22(2): 1-12.