ROSANA MACHIN BARBOSA

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Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/38 - Laboratório de Epidemiologia e Imunobiologia, Hospital das Clínicas, Faculdade de Medicina

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Agora exibindo 1 - 10 de 24
  • article 1 Citação(ões) na Scopus
    'This family rejection harmed my health as well': Intersections between the meanings of family and health for trans people and family members in a trans healthcare service in Brazil
    (2022) PAULINO, Danilo Borges; PASTOR-VALERO, Maria; MACHIN, Rosana
    Transgender people deal with intense discrimination in every aspect of life. These experiences increase when they face family rejection. The research on social and family environment surrounding gender transition has been largely overlooked. We examine the meanings of family and health, and how these intersect, among trans people and their family members in a health service in Brazil. We conducted a qualitative study (between December 2017 and July 2018), an ethnography with the triangulation of three sources: interviews with 8 transgender men, 8 transgender women and 5 family members; a focus group with another 8 transgender men and approximately 100 h of field observation. Our study shows that family and health are interpreted as ideal protective environments, and seen as causes of disappointment, abandonment and illness. The meanings of family and health are interconnected and constituted in relation to each other. We also found that there are differences within these meanings of family and health when we consider the ethnicity and the economic status of the participants. The participants reported that the society education towards transsexuality is fundamental to improving trans people's quality of life. Our results challenge health services to provide comprehensive healthcare and assure health equity for transgender people.
  • article 8 Citação(ões) na Scopus
    Casais de mesmo sexo e parentalidade: um olhar sobre o uso das tecnologias reprodutivas
    (2015) VITULE, Camila; COUTO, Marcia Thereza; MACHIN, Rosana
    Same-sex couples’ perceptions about the use of reproductive technologies in order to put plans for parenthood into effect are discussed in this paper. This qualitative study was based on semistructured interviews that were conducted in 2011 and 2012, with 26 respondents (12 couples, one man and one woman) who were living in the greater São Paulo region of Brazil. It was noted that biological bonds preponderated in the discourse of the women, who tended to want to use reproductive technologies, especially reception of oocytes from partner (ROPA). Even when men expressed the desire to have a genetically related child, they chose adoption because of fear of the bonds that might become established through pregnancy between the surrogate mother and the child, among other reasons. The medicalization of society, and how science, technology and the market are imbricated in creating healthcare needs, is discussed.
  • article
    Reproducción transnacional con terceros: el mercado reproductivo en Brasil
    (2022) MACHIN, Rosana
    Abstract The expansion of assisted reproductive technologies has led to an increase in the mobility of people and genetic material on a global scale. Access to third party fertility is characteristic of this expansion. This context includes countries with different regulations and practices that imply different logics of mobility in a convergent, contradictory and interdependent way. It is a complex market, dependent on the reproductive work of women, whether it is paid work or not. To evaluate the situation of the sex cells market in Brazil, a study was carried out with a qualitative methodology and documentary analysis of the gamete import records. A total of 33 semistructured interviews were conducted with reproductive health professionals between 2016-2018. Among the main results, we highlight that the medical regulation adopted in the country, the existence of legal loopholes and the growing demand for gametes favored the increase in the importation of genetic material from semen banks in the United States and from egg banks in Spain. The different regulatory systems operating in these countries promote the sex cell market by reinforcing the business logic of the power of supply/demand.
  • article 21 Citação(ões) na Scopus
    HOMOPARENTALIDADE E ADOÇÃO: (RE) AFIRMANDO SEU LUGAR COMO FAMÍLIA
    (2016) MACHIN, Rosana
    Abstract Throughout the last decade in Brazil (as well as in other countries) is possible to observe the increasing demand for the adoption of children by same sex couples. This fact has generated distinct views on the specificities of this kind of parental relationship and its psychological impacts in children and teenagers. In this context we present the contributions of an empirical research with 12 same sex couples (3 of women and 9 of men) held in Sao Paulo/Brazil, between 2011 and 2012, including couples with a prospect of adoption and those that already have adopted children. The material analysis revealed conceptions of family and gender perspectives, which underlie the demands formulated by the couples, as well as their wishes and values, expressed by the desire of having children. In these couples' perspective, having a child is considered an important step in the affirmation of their capacity of constitute a family.
  • article
    Virtualities and limits of life stories as the methodology in the study of activist women for sexual and reproductive rights in Brazil
    (2022) ABELIN, Paloma; MACHIN, Rosana
    This article addresses the use of the methodology of life stories in research, based on a study that explored the militancy life experiences and claims of women in the field of sexual and reproductive rights in Brazil. Based on fieldwork carried out with five activist women, methodological aspects are problematized from the choice of participants, the meetings' relevant elements, its registration and result analysis. The contributions and limitations of its use in qualitative research are evaluated. The life stories' potency is directed towards the valorization of the trajectory of activist women and the memory in the paths related to the structure of feminist claims in the sphere of public health policies in Brazil.
  • bookPart
  • article 1 Citação(ões) na Scopus
  • bookPart
    Atividades de Ciências Sociais e Humanas em Saúde
    (2021) AYRES, José Ricardo Carvalho Mesquita; D'OLIVEIRA, Ana Flávia Pires Lucas; MOTA, André; NOVAES, Hillegonda Maria Dutilh; SCHRAIBER, Lilia Blima; FALCãO, Márcia Thereza Couto; SATO, Mariana Eri; SCHEFFER, Mário; SOáREZ, Patrícia Coelho de; TEIXEIRA, Ricardo Rodrigues; MACHIN, Rosana; NASCIMENTO, Thaís Moura Ribeiro do Valle
  • article 1 Citação(ões) na Scopus
    It was like this for me: homosexual, transvestite, and, now, trans: trans performativity, family, and health care
    (2020) PAULINO, Danilo Borges; MACHIN, Rosana; PASTOR-VALERO, Maria
    Transsexuality is an identity experience that emerges as an inevitable response to a way of organizing social life and, consequently, health care based on the production of subjects. We aim to understand how a certain trans identity context mobilizes identity performances, in articulation with family and health service. We performed an ethnography with a semi-structured interview and participant observation in a health service specialized in trans-specific care in the Brazilian National Health System (SUS), between December 2017 and July 2018. The story of Marilda was highlighted for being emblematic when narrating the transition from ""homosexual man"" to ""transvestite"" and, currently, to ""trans woman,"" in an identity performance that aims for family recognition and belonging, access to health, education, and a profession other than prostitution. Her story allows us to understand that trans people construct different meanings for their identity experiences, with elements that can reiterate binarism and heteronormativity. It is important to recognize, within the family and health context, that different identity performances are possible and that their senses may compose the integral health care of each trans person.
  • article
    CROSS-BORDER REPRODUCTION: THE REPRODUCTIVE MARKET IN ANGOLA BRAZIL
    (2018) MACHIN, Rosana; AUGUSTO, Maria Helena Oliva; MENDOSA, Douglas
    Assisted Reproductive Technologies (ART) have grown significantly since the first birth through in vitro fertilization (IVF) in 1978 in the United Kingdom. Despite the massive global expansion of ART services over the past years, they remain inaccessible in Sub-Saharan Africa. In this article, we consider transnational mobility around ARTs by investigating the search for infertility treatment by Angolan couples in Brazil based on empirical material produced on the services of assisted reproduction in Brazil. Quantitative and qualitative methodologies were used. The quantitative online survey, answered by 84 out of 141 fertility clinics in Brazil, showed that there were a significant number of people coming to this country from Africa, Europe and North and South America, with a significant proportion of couples from Angola. To explore those findings, in-depth interviews were carried out with health professionals in Brazil (Sao Paulo) and Angola, and couples undergoing fertility treatments. The study discusses the dynamics involved in seeking treatment from developing countries (south-south relationship), the reproductive strategies and their implications in terms of cultural practices and community.