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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: O artigo tem por objetivo analisar recomenda\u00e7\u00f5es de sa\u00fade p\u00fablica da Organiza\u00e7\u00e3o Mundial da Sa\u00fade e das manifesta\u00e7\u00f5es de seu Diretor-geral durante a epidemia de var\u00edola dos macacos endere\u00e7adas a homens que fazem sexo com homens (HSH) \u00e0 luz da microagress\u00e3o como categoria de an\u00e1lise. Questiona-se o potencial estigmatizador de divulga\u00e7\u00e3o estat\u00edstica, para p\u00fablico amplo, de que 98% dos infectados estavam entre HSH, bem como a utiliza\u00e7\u00e3o da pr\u00f3pria categoria HSH e da sugest\u00e3o de abstin\u00eancia sexual parcial ou total como forma de interromper a dissemina\u00e7\u00e3o viral. Sugere-se como alternativas capazes de, simultaneamente, garantir pol\u00edticas de preven\u00e7\u00e3o de doen\u00e7as sem estigmatizar grupos vulner\u00e1veis, especialmente a popula\u00e7\u00e3o LGBTQIA+: (i) diferenciar as divulga\u00e7\u00f5es voltadas ao p\u00fablico geral das destinadas \u00e0s popula\u00e7\u00f5es predominantemente contaminadas e sujeitas a maior grau de vulnerabilidade social; (ii) superar a utiliza\u00e7\u00e3o da express\u00e3o HSH para, nas comunica\u00e7\u00f5es destinadas \u00e0 ampla audi\u00eancia, utilizar a express\u00e3o SGD (popula\u00e7\u00e3o sexo e g\u00eanero diversa), mantendo-se o procedimento de registrar, nas pesquisas cient\u00edficas e nos formul\u00e1rios de atendimento, a identidade de g\u00eanero e a orienta\u00e7\u00e3o sexual por autodeclara\u00e7\u00e3o dos pacientes; (iii) evitar mensagens que abordem a sexualidade de modo negativo, reforcem uma viv\u00eancia sexual majorit\u00e1ria e gerem uma responsabiliza\u00e7\u00e3o socialmente punitiva do infectado, excluindo, pois, das recomenda\u00e7\u00f5es voltadas ao p\u00fablico amplo a sugest\u00e3o de abstin\u00eancia sexual parcial, relativa \u00e0 redu\u00e7\u00e3o do n\u00famero de parceiros, ou de abstin\u00eancia sexual total, exceto para os casos de pessoas na fase ativa da infec\u00e7\u00e3o ou no per\u00edodo imediato \u00e0 recupera\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/0102-311xpt020623","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T11:19:42Z","timestamp":1699615182000},"source":"Crossref","is-referenced-by-count":2,"title":["As recomenda\u00e7\u00f5es em sa\u00fade p\u00fablica como microagress\u00f5es: var\u00edola dos macacos e popula\u00e7\u00f5es LGBTQIA+"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0970-0842","authenticated-orcid":false,"given":"Douglas Antonio Rocha","family":"Pinheiro","sequence":"first","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5461-7848","authenticated-orcid":false,"given":"Alexandre Gustavo Melo Franco de Moraes","family":"Bahia","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ouro Preto,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","series-title":"International health regulations (2005).","year":"2016","edition":"3\u00aa Ed"},{"key":"ref2","series-title":"Media briefing on monkeypox, COVID-19 and other global health issues."},{"key":"ref3","series-title":"Monkeypox: public health advice for gay, bisexual and other men who have sex with men."},{"key":"ref4","series-title":"Public health advice for gay, bisexual and other men who have sex with men on the recent outbreak of 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