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Reproduction in cisgender same-sex couples: a scoping review
Fernando Meirinho Domene1, Jessica De Lucca Da Silva1, Tereza Setsuko Toma1
1Núcleo 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. fernando.domene@alumni.usp.br.
Ciencia & Saude Coletiva
|April 24, 2024
Summary
Public health research on cis homoparental reproduction highlights significant barriers, including legal and social challenges. While facilitators exist, barriers are more discussed, suggesting a need to challenge traditional family structures.
Area of Science:
- Public Health
- Reproductive Health
- Sociology of the Family
Background:
- Cis homoparental couples face unique challenges in reproduction.
- Existing literature often focuses on barriers rather than facilitators.
- The hegemonic model of heterosexual nuclear families influences reproductive discussions.
Purpose of the Study:
- To present the state of the art in public health regarding cis homoparental reproduction.
- To synthesize findings from studies on barriers and facilitators to reproduction for homoparental couples.
- To identify research gaps and areas for future focus.
Main Methods:
- Systematic review of 28 studies on barriers to cis homoparental reproduction.
- Analysis of 6 studies focusing on facilitators for cis homoparental reproduction.
- Qualitative synthesis of research findings.
Main Results:
- Barriers identified include legal, ethical, technical, economic, prejudice, and discrimination issues.
- Facilitators include service receptiveness, available conception/contraceptive methods, and health professional training.
- A greater emphasis was found on discussing barriers compared to facilitators.
Conclusions:
- The focus on barriers suggests a need to address systemic challenges in reproductive healthcare for homoparental couples.
- Further research should explore facilitators to improve reproductive experiences.
- Challenging the traditional family model is crucial for equitable reproductive health discussions.
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