Rev Esc Enferm USP. 2026 Apr 10;60:e20250517. doi: 10.1590/1980-220X-REEUSP-2025-0517en. eCollection 2026.
ABSTRACT
OBJECTIVE: To reflect on Affirmative Nursing care as support for the expression of sexual orientation in older gay men.
METHOD: A theoretical study, developed between 2023 and 2025, including articles, government materials, observatories, a manual, a book/book chapter, and a resolution. The analysis was conducted through interpretive reading, based on the framework of Affirmative Action, guided by a checklist. Development: Heteronormativity reflects a problematic scenario that such men experience worldwide, surrounded by homophobia, symbolic violence, marginalization by health services due to embarrassing experiences, self-segregation, double stigmatization, social exclusion, and invisibility, contributing to an impaired Coming Out. Affirmative Nursing is based on principles of affective, inclusive, and culturally sensitive care. Together with social gerontology and public policies, they propose practices that recognize identities, promote safe environments, and strengthen therapeutic bonds.
CONCLUSION: Creating a caregiving trend integrated into affirmative action policies is a way to reduce prejudice and increase adherence to health services, a practice that needs to be configured to safeguard the dignity of older gay men, protecting them from any inhumane and/or embarrassing treatment.
PMID:41996666 | DOI:10.1590/1980-220X-REEUSP-2025-0517en
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