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Domene FM, Silva JDLD, Toma TS, Silva AD, Gomes R. Reproduction in cisgender same-sex couples: a scoping review. Cien Saude Colet 2024; 29:e18172023. [PMID: 38655957 DOI: 10.1590/1413-81232024294.18172023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 11/26/2023] [Indexed: 04/26/2024] Open
Abstract
The aim of this article is to present the state of the art, in the field of public health, on cis homoparental reproduction, from 28 studies addressing barriers to reproduction by homoparental couples for legal, ethical, technical or economic reasons, in addition to prejudice and discrimination. Six studies addressed facilitators, such as receptiveness in services, availability of conception and contraceptive methods and training of health professionals. The results show that the discussion has focused more on the barriers than on the facilitating factors. This may indicate a continuing need to problematise the hegemonic model of a heterosexual, nuclear family.
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Affiliation(s)
- Fernando Meirinho Domene
- Núcleo de Evidências (NEv-IS), Instituto de Saúde, Secretaria de Estado da Saúde de São Paulo. R. Santo Antonio 590. 01314-000 São Paulo SP Brasil.
| | - Jessica De Lucca Da Silva
- Núcleo de Evidências (NEv-IS), Instituto de Saúde, Secretaria de Estado da Saúde de São Paulo. R. Santo Antonio 590. 01314-000 São Paulo SP Brasil.
| | - Tereza Setsuko Toma
- Núcleo de Evidências (NEv-IS), Instituto de Saúde, Secretaria de Estado da Saúde de São Paulo. R. Santo Antonio 590. 01314-000 São Paulo SP Brasil.
| | - Adriano da Silva
- Departamento de Estudos sobre Violência e Saúde Jorge Careli, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil
| | - Romeu Gomes
- Instituto Fernandes Figueira, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil
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2
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Gomes R, Toma TS, Silva JDLD, Domene FM, da Silva A. Homoparenting as a public health issue: a scoping review. Rev Saude Publica 2023; 57:80. [PMID: 37937654 PMCID: PMC10609659 DOI: 10.11606/s1518-8787.2023057005447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 05/08/2023] [Indexed: 11/09/2023] Open
Abstract
OBJECTIVE To map global scientific production on homoparenting in the field of collective health or public health. METHODS In terms of methodological procedures, a scoping review was carried out, guided by the following question: What are the aspects addressed in global scientific production regarding homoparental families in the field of collective or public health? The searches were carried out in seven sources of scientific literature, including 58 studies, involving scientific articles and dissertations. The analytical treatment given to the studies, most of which were qualitative, followed the content analysis technique in the thematic modality. RESULTS The results indicate that the perceptions of homosexuals and professionals about the care provided and health services in general was the topic addressed by the largest number of studies (n = 31), followed by heteronormative context of health services (n = 26); disclosure of sexual orientation (n = 20); fertilization (n = 14); educational information and actions (n = 5). CONCLUSION Although the issue of same-sex parenthood has been discussed in some health sectors, there is awareness that it is necessary to rely on a consolidated basis through numerous studies when discussing this issue. It is concluded that, among other aspects, the scope of this review is not sufficiently problematized within the scope of health professionals' training and performance.
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Affiliation(s)
- Romeu Gomes
- Fundação Oswaldo CruzInstituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes FigueiraDepartamento de EnsinoRio de JaneiroRJBrazil Fundação Oswaldo Cruz
.
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira
.
Departamento de Ensino
.
Rio de Janeiro
,
RJ
,
Brazil
- Hospital Sírio-LibanêsDiretoria de Compromisso SocialSão PauloSPBrazil Hospital Sírio-Libanês
.
Diretoria de Compromisso Social
.
São Paulo
,
SP
,
Brazil
.
| | - Tereza Setsuko Toma
- Secretaria de Estado da Saúde de São PauloInstituto de SaúdeNúcleo de EvidênciasSão PauloSPBrazil Secretaria de Estado da Saúde de São Paulo
.
Instituto de Saúde
(NEv-IS).
Núcleo de Evidências
.
São Paulo
,
SP
,
Brazil
| | - Jessica De Lucca Da Silva
- Secretaria de Estado da Saúde de São PauloInstituto de SaúdeNúcleo de EvidênciasSão PauloSPBrazil Secretaria de Estado da Saúde de São Paulo
.
Instituto de Saúde
(NEv-IS).
Núcleo de Evidências
.
São Paulo
,
SP
,
Brazil
| | - Fernando Meirinho Domene
- Secretaria de Estado da Saúde de São PauloInstituto de SaúdeNúcleo de EvidênciasSão PauloSPBrazil Secretaria de Estado da Saúde de São Paulo
.
Instituto de Saúde
(NEv-IS).
Núcleo de Evidências
.
São Paulo
,
SP
,
Brazil
| | - Adriano da Silva
- Fundação Oswaldo CruzEscola Nacional de Saúde Pública Sergio AroucaDepartamento de Estudos sobre Violência e Saúde Jorge CareliRio de JaneiroRJBrazil Fundação Oswaldo Cruz
.
Escola Nacional de Saúde Pública Sergio Arouca
.
Departamento de Estudos sobre Violência e Saúde Jorge Careli
.
Rio de Janeiro
,
RJ
,
Brazil
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D'Amore S, Green RJ, Mouton B, Carone N. European gay fathers via surrogacy: Parenting, social support, anti-gay microaggressions, and child behavior problems. Fam Process 2023. [PMID: 37918437 DOI: 10.1111/famp.12950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 10/16/2023] [Accepted: 10/19/2023] [Indexed: 11/04/2023]
Abstract
The present study investigated child behavior problems, parenting styles, coparenting, and couple relationship satisfaction in 67 European gay father families via surrogacy and 67 European heterosexual parent families via unassisted conception, all with children aged 1.5-10 years (M = 3.57 years, SD = 2.09). The two family groups were matched for child age and gender. In the gay father group only, the associations between family anti-gay microaggressions, family/friend support, and other main variables also were explored. Children of gay fathers had fewer externalizing and internalizing problems compared to children of heterosexual parents. Also, gay fathers reported more effective parenting styles, greater coparenting quality, and higher couple relationship satisfaction compared to heterosexual parents. Overall, child externalizing problems (i.e., aggression, rule-breaking) and internalizing problems (i.e., anxiety, depression) were more strongly associated with being raised in a heterosexual parent family, more authoritarian parenting, and lower positive coparenting. Specific to the gay father sample, anti-gay microaggressions experienced by family members were associated with more child internalizing problems, lower positive coparenting, and lower social support from family and friends. These results refute concerns about possible detrimental effects on child development of surrogacy conception or of being raised by gay fathers. The results further suggest that family therapists treating child behavior problems should focus mainly on improving the coparenting relationship, reducing authoritarian/punitive parenting styles, and (for gay father families specifically) coping with anti-gay microaggressions and lack of social support outside the nuclear family.
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Affiliation(s)
- Salvatore D'Amore
- Faculty of Psychological Sciences and Education, DéFaSy (Centre de Recherche sur la Psychologie du Développement, de la Famille et des Systèmes Humains), Université Libre de Bruxelles, Brussel, Belgium
| | - Robert-Jay Green
- California School of Professional Psychology, Alliant International University, San Francisco, California, USA
| | - Benedicte Mouton
- Faculty of Psychological Sciences and Education, DéFaSy (Centre de Recherche sur la Psychologie du Développement, de la Famille et des Systèmes Humains), Université Libre de Bruxelles, Brussel, Belgium
| | - Nicola Carone
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
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Permezel J, Arnold ASC, Thomas J, Maepioh AL, Brown R, Hafford-Letchfield T, Skouteris H, Hatzikiriakidis K, McNair RP. Experiences in the delivery of preconception and pregnancy care for LGBTIQA+ people: A systematic review and thematic synthesis of patient and healthcare provider perspectives. Midwifery 2023; 123:103712. [PMID: 37178659 DOI: 10.1016/j.midw.2023.103712] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 05/01/2023] [Accepted: 05/04/2023] [Indexed: 05/15/2023]
Abstract
BACKGROUND The widespread availability of reproductive technology and family planning services has led to an increase in the number of available pathways to parenthood for LGBTIQA+ people. However, emerging research indicates that significant healthcare inequities have been documented among LGBTIQA+ people and attributed to the pervasiveness of structural and systemic discrimination that extends to preconception and pregnancy care. AIM The aim of this systematic review was to synthesise qualitative research that has explored the experiences of LGBTIQA+ people in navigating preconception and pregnancy care services to inform healthcare quality improvement. METHOD Six databases were searched for relevant research published between 2012 and 2023. The findings of all included studies underwent a secondary thematic synthesis, and methodological quality was assessed using the Joanna Briggs Institute Checklist for Qualitative Research. FINDINGS A total of 37 studies were eligible for inclusion. Four major themes were constructed through thematic synthesis: (1) unavailability of information, services, and support; (2) clinical competencies of healthcare staff; (3) hetero- and cis-sexist care experiences; and (4) discrimination and traumatisation. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE The findings of this review indicate that LGBTIQA+ people experience significant challenges during the journey towards parenthood, marked predominantly by the pervasiveness of inequity, and defined by discriminatory healthcare processes. This review has led to several recommendations for future healthcare quality improvement through an investment in policies, procedures, and interactions that are sensitive to the needs of LGBTIQA+ people. Importantly, future research must be co-designed and led by LGBTIQA+ community input.
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Affiliation(s)
| | - Amelia St Clair Arnold
- Department of Social Work, Griffith University, Australia; Women's Health in the North (WHIN), Australia
| | - Jacob Thomas
- Faculty of Medicine, Nursing, and Health Sciences, Monash University, Australia
| | - Anita Lorelle Maepioh
- Health and Social Care Unit, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Australia
| | - Rhonda Brown
- School of Nursing and Midwifery, Deakin University, Australia
| | - Trish Hafford-Letchfield
- School of Social Work and Social Policy, Faculty of Humanities and Social Sciences, University of Strathclyde, United Kingdom
| | - Helen Skouteris
- Health and Social Care Unit, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Australia; Warwick Business School, Warwick University, United Kingdom
| | - Kostas Hatzikiriakidis
- Health and Social Care Unit, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Australia
| | - Ruth P McNair
- Department of General Practice, University of Melbourne, Australia.
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Kelly HK, Geller S, Swami V, Shenkman G, Levy S, Ridge D. A relational investigation of Israeli gay fathers' experiences of surrogacy, early parenthood, and mental health in the context of the COVID-19 pandemic. PLoS One 2023; 18:e0282330. [PMID: 36827339 PMCID: PMC9956003 DOI: 10.1371/journal.pone.0282330] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 02/14/2023] [Indexed: 02/25/2023] Open
Abstract
Perinatal distress affects approximately 10% of fathers, but little is known about how gay fathers experience the challenges surrounding childbirth and early parenting of a child. This study explored gay fathers' experiences of having a baby via transnational surrogacy, raising that baby as a gay parent, and the context of the COVID-19 pandemic. In-depth qualitative interviews were conducted with 15 Israeli men to understand their experiences of surrogacy and early parenthood, focusing on the impact on their mental health and the relational factors involved. Secondary narrative analysis revealed that fathers constructed surrogacy as a perilous quest that required strong intentionality to undertake. The first year of parenthood was conceptualised alternately as a joyful experience and/or one that challenged fathers' identities and mental health. A relational framework was applied to better conceptualise the fathers' narratives, revealing that actual connections-and the potentials for links-considerably shaped experiences of surrogacy, perinatal distress and recovery. Implications for research and policy are discussed.
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Affiliation(s)
- Hannah Kate Kelly
- School of Social Sciences, University of Westminster, London, United Kingdom
| | - Shulamit Geller
- Statistics Education Unit, The Academic College of Tel Aviv Yaffo, Tel Aviv-Yafo, Israel
| | - Viren Swami
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom,Centre for Psychological Medicine, Perdana University, Kuala Lumpur, Malaysia
| | - Geva Shenkman
- School of Psychology, Reichman University (Interdisciplinary Center, IDC), Herzliya, Israel
| | - Sigal Levy
- Statistics Education Unit, The Academic College of Tel Aviv Yaffo, Tel Aviv-Yafo, Israel
| | - Damien Ridge
- School of Social Sciences, University of Westminster, London, United Kingdom,* E-mail:
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6
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Pereira H. Children of Single Fathers Created by Surrogacy: Psychosocial Adjustment Considerations and Implications for Research and Practice. Children (Basel) 2022; 9:1644. [PMID: 36360372 PMCID: PMC9688871 DOI: 10.3390/children9111644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/24/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
The existence of single-father families formed by surrogacy is becoming a more visible reality, even though this type of family organization is still perceived with stigma and negative attitudes by more traditional sectors of society, because it raises some concerns regarding the psychosocial well-being of children who are born into single-fathers' families via surrogacy, and in many cases, to gay single men who wish to become fathers. On the other hand, available research on the psychosocial well-being of these children is still very scarce and limited to a handful of Western countries. Hence, it is of utmost importance to examine studies that explore the psychosocial adjustment of these children. In this mini review, I show that all the studies revised demonstrate the good psychosocial adjustment of these children, and that they are as likely to flourish as children born into traditional families, even if they may find themselves exposed to prejudice and stigma. In conclusion, single fatherhood and surrogacy do not contribute to any adverse consequences to the children's psychosocial development and adjustment, and there is no observed evidence to why single men, irrespective of their sexual orientation, should not be fathers via surrogacy. Finally, implications for future research and interventions are also discussed.
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Affiliation(s)
- Henrique Pereira
- Department of Psychology and Education, Faculty of Social and Human Sciences, University of Beira Interior, Pόlo IV, 6200-209 Covilhã, Portugal;
- Research Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), 5000-801 Vila Real, Portugal
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Kneebone E, Beilby K, Hammarberg K. Surrogates’ and intended parents’ experiences of surrogacy arrangements: A systematic review. Reprod Biomed Online 2022. [DOI: 10.1016/j.rbmo.2022.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 06/09/2022] [Accepted: 06/09/2022] [Indexed: 11/17/2022]
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8
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Tao H. A desirable future or unaffordable hope? Queer people becoming parents through assisted reproductive technology (ART) in Guangdong, China. Culture, Health & Sexuality 2022; 25:413-427. [PMID: 35294853 DOI: 10.1080/13691058.2022.2049879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Based on one-year's ethnographic fieldwork, this article unpacks experiences of assisted reproductive technology (ART) among queer parents and queer wannabe parents in Guangdong, China. Although existing state regulation on the use of ART and birth planning tends to deny parenthood to single and queer people and further limits their ability to form legible family units, queer parents who have had children through ART are growing in number in urban China. This research delineates how state and cultural conventions, together with market and economic conditions, have shaped queer individuals' decision making regarding whether, when and how to have children. Findings make an original contribution to studies of the use of reproductive technology in Chinese queer lives. Narratives regarding how queer parents employ ART services unscramble links between sexual citizenship and reproductive agency, as individuals make consumer choices and reproductive decisions synchronously. The paper also explores alleged LGBT-friendly ART companies and the image of a desirable 'rainbow baby' they have created. Chinese queer parents' participation in assisted reproduction has destabilised the dominant hetero-reproductive family matrix while simultaneously contributing to stratified reproduction.
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Affiliation(s)
- Han Tao
- Department of Anthropology, University of Sussex, Brighton, UK
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Carone N, Manzi D, Barone L, Lingiardi V, Baiocco R, Bos HMW. Father-child bonding and mental health in gay fathers using cross-border surrogacy during the COVID-19 pandemic. Reprod Biomed Online 2021; 43:756-64. [PMID: 34417139 DOI: 10.1016/j.rbmo.2021.05.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 04/29/2021] [Accepted: 05/28/2021] [Indexed: 01/24/2023]
Abstract
Research question What are the psychological implications of the COVID-19 pandemic for father–child bonding and mental health among Italian gay fathers pursuing surrogacy in the USA or Canada? Design Between 20 March and 29 July 2020, this cross-sectional case–control study collected data on father–child bonding quality, depression, anxiety and somatization in 30 Italian gay fathers (n=15 families) who were having or successfully had a child through cross-border surrogacy during the COVID-19 pandemic. These fathers were compared with a sociodemographically similar group of 50 Italian gay fathers (n=25 families) who had children through cross-border surrogacy prior to the pandemic. Results Although father–child bonding quality and the mental health symptoms of fathers scored below the clinical cut-off points in both groups, fathers who had or were having a child during the COVID-19 pandemic reported poorer father–child bonding (estimate 3.04, SE 1.47, P=0.044) and more depressive (estimate –1.47, SE 0.49, P=0.005), anxious (estimate –1.96, SE 0.55, P<0.001) and somatic symptoms (estimate –2.48, SE 0.52, P<0.001). Conclusions The findings call for the development of international guidelines for cross-border surrogacy and underline the need for tailored and ongoing psychological and legal support for intended gay fathers to ease their strain and anxiety related to having a child through cross-border surrogacy during the COVID-19 pandemic.
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