{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T10:06:09Z","timestamp":1776506769871,"version":"3.51.2"},"reference-count":66,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>No Brasil, crian\u00e7as intersexo ainda s\u00e3o submetidas a procedimentos para designa\u00e7\u00e3o de sexo bin\u00e1rio no nascimento e a interven\u00e7\u00f5es corporais subsequentes. A Resolu\u00e7\u00e3o n\u00ba 1.664\/2003, do Conselho Federal de Medicina, legitima interven\u00e7\u00f5es sobre as corporalidades intersexo, se constituindo como o \u00fanico instrumento normativo nacional que trata sobre o tema. No entanto, as demandas advindas do ativismo pol\u00edtico internacional intersexo v\u00eam expondo o quanto as interven\u00e7\u00f5es precoces na inf\u00e2ncia para a designa\u00e7\u00e3o de um sexo bin\u00e1rio mutilam os corpos das crian\u00e7as e violam uma s\u00e9rie de direitos humanos. Esta pesquisa visa identificar como os procedimentos precoces, irrevers\u00edveis e normalizadores, realizados sem o consentimento da pessoa intersexo, revelam-se violadores de direitos humanos. Sob as lentes do conceito de (in)justi\u00e7a epist\u00eamica, partimos das disputas em torno da produ\u00e7\u00e3o de evid\u00eancias que embasam as pr\u00e1ticas m\u00e9dicas. Demonstramos como esses procedimentos violam os direitos humanos \u00e0 sa\u00fade, \u00e0 integridade corporal e \u00e0 autonomia e os direitos sexuais e reprodutivos, e analisamos quais t\u00eam sido as estrat\u00e9gias para evitar essas viola\u00e7\u00f5es. Propomos que pessoas intersexo estejam no centro das decis\u00f5es sobre o pr\u00f3prio corpo e que sejam debatidos, junto a pacientes e familiares, caminhos n\u00e3o cir\u00fargicos e proibidas interven\u00e7\u00f5es precoces, invasivas, mutilat\u00f3rias, prejudiciais, cosm\u00e9ticas e n\u00e3o consentidas nos corpos de crian\u00e7as intersexo. A proposi\u00e7\u00e3o de mudan\u00e7as em instrumentos norteadores que deixem de regular esses corpos \u00e9 necess\u00e1ria para, a partir de uma perspectiva interdisciplinar, incluir inst\u00e2ncias bio\u00e9ticas e de direitos humanos, assim como pessoas do ativismo pol\u00edtico intersexo.<\/jats:p>","DOI":"10.1590\/0102-311xpt066322","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T07:58:36Z","timestamp":1675670316000},"source":"Crossref","is-referenced-by-count":3,"title":["Viola\u00e7\u00f5es de direitos humanos nos procedimentos normalizadores em crian\u00e7as intersexo"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2705-0078","authenticated-orcid":false,"given":"Paulo Gilberto Cogo","family":"Leivas","sequence":"first","affiliation":[{"name":"Minist\u00e9rio P\u00fablico Federal,  Brasil; Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6286-7548","authenticated-orcid":false,"given":"Amanda de Almeida","family":"Schiavon","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3198-1959","authenticated-orcid":false,"given":"Alice Hertzog","family":"Resadori","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9984-6043","authenticated-orcid":false,"given":"Aline Aver","family":"Vanin","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brazil; Universidade de Santa Cruz do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4485-9944","authenticated-orcid":false,"given":"Alexandre do Nascimento","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2375-9461","authenticated-orcid":false,"given":"Paula Sandrine","family":"Machado","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","article-title":"Resolu\u00e7\u00e3o n\u00ba 1.664, de 13 de maio de 2003. 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