Palavras-chave
Como Citar
Resumo
The National Policy for Comprehensive Men’s Health Care (PNAISH), implemented in 2009, represents an important milestone in Brazilian public health. However, more than a decade after its launch, significant barriers persist that compromise its effectiveness. This article presents an integrative literature review that analyzes the sociocultural, institutional, and epidemiological factors that hinder the implementation of PNAISH, incorporating updated perspectives on masculinities, technological innovations, and epidemiological data from the period 2023-2025. The research identified that hegemonic masculinity continues to be a central obstacle, now understood in light of concepts such as toxic masculinity and its implications for mental health. Additionally, it was observed that emerging technologies such as telemedicine and artificial intelligence have significant potential to transform access to men’s health, although their implementation is still limited. It is concluded that the effective implementation of the National Policy for Comprehensive Men’s Health (PNAISH) requires a multifaceted approach that integrates the deconstruction of gender stereotypes, the strengthening of primary care, the incorporation of technological innovations, and an intersectional perspective.
Referências
ANS. (November 12, 2025). *Blue November: ANS emphasizes habits to reduce the risk of prostate cancer*. Gov.br Portal. Retrieved from https://www.gov.br/ans/pt-br/assuntos/noticias/beneficiario/novembro-azul-ans-enfatiza-habitos-para-a-reducao-de-risco-do-cancer-de-prostata
Public Health Observatory Library. (December 11, 2024). *Deaths from cardiovascular diseases in Brazil*. Retrieved from https://biblioteca.observatoriosaudepublica.com.br/blog/doencas-cardiovasculares-fatores-de-risco-e-perfil-de-pessoas-acometidas/
Public Health Observatory Library. (September 2, 2025). *Men’s health: how is men’s disease care handled?*. Retrieved from https://biblioteca.observatoriosaudepublica.com.br/blog/saude-masculina-a-importancia-dos-cuidados-medicos-preventivos/
CNN Brazil. (October 15, 2025). *Smart ring: meet the technological accessory that monitors health*. Retrieved from https://www.cnnbrasil.com.br/tecnologia/anel-inteligente-conheca-o-acessorio-tecnologico-que-monitora-a-saude/
CNN Brazil. (September 4, 2025). *Is erectile dysfunction no longer taboo? SUS shows increase in treatment*. Retrieved from https://www.cnnbrasil.com.br/saude/disfuncao-eretil-deixou-de-ser-tabu-sus-apresenta-aumento-no-tratamento/
Costa-Júnior, F. M., & Maia, A. C. B. (2009). Health services and sexuality: what do adolescents think? *Interface - Communication, Health, Education*, 13(28), 239-250.
Couto, M. T., Pinheiro, T. F., Valença, O., Machin, R., Silva, G. S. N., Gomes, R., ... & Schraiber, L. B. (2010). Men in primary health care: discussing (in)visibility from a gender perspective. *Interface - Communication, Health, Education*, 14(33), 257-270.
Estadão. (September 3, 2025). *Consultations for erectile dysfunction increase 82% in six years; understand the types of treatment*. Retrieved from https://www.estadao.com.br/saude/atendimentos-por-disfuncao-eretil-aumentam-82-em-seis-anos-entenda-os-tipos-de-tratamento-nprm/
Facchini, L. A., Piccini, R. X., Tomasi, E., Teixeira, V. A., & Silveira, D. S. (2008). Performance of the Family Health Program in Southern and Northeastern Brazil: institutional and epidemiological evaluation of Primary Health Care. *Ciência & Saúde Coletiva*, 11(3), 669-681.
Figueiredo, W. (2005). Men’s health care: a challenge for primary care services. *Ciência & Saúde Coletiva*, 10(1), 105-109.
G1. (July 28, 2025). *Telemedicine is offered in only 10% of Brazilian municipalities*. Retrieved from https://g1.globo.com/jornal-nacional/noticia/2025/07/28/telemedicina-e-oferecida-em-apenas-10percent-dos-municipios-brasileiros.ghtml
Gomes, R., Nascimento, E. F., & Araújo, F. C. (2007). Why do men seek health services less than women? Explanations from men with low education and men with higher education. *Cadernos de Saúde Pública*, 23(3), 565-574.
Groner, M. (May 9, 2025). *The Role of the Urologist in Family Planning*. Retrieved from https://www.drmatheusgroner.com.br/post/planejamento-familiar-masculino-a-import%C3%A2ncia-do-urologista-em-s%C3%A3o-paulo
Fight for Life Group. (October 28, 2025). *Blue November: prostate cancer has more than a 90% chance of cure when diagnosed early*. Retrieved from https://grupolutapelavida.org.br/2025/10/28/novembro-azul-cancer-de-prostata-tem-mais-de-90-de-chance-de-cura-quando-diagnosticado-cedo/
Her, W. S. (2025). The Invisible Weight: Stigma, Mental Health, and the Paradox of Male Suicide. *Interference*, 4(1), e438.
Instagram. (February 18, 2025). *Did you know that in 2024, telemedicine in Brazil became established...*. Retrieved from https://www.instagram.com/p/DGOXqdyt05V/
Leite, M. T. S., Figueiredo, M. L. F., Dias, F. A., Vieira, M., & Forte, F. D. S. (2010). Successful aging of vulnerable elderly people. *Brazilian Journal of Nursing*, 63(2), 288-295.
Medicinasa. (March 6, 2025). *Panorama of Digital Health 2025*. Retrieved from https://medicinasa.com.br/ia-edi29/
Medrado, B., Lyra, J., Campos, D. S., Fonseca, V. N., & Nascimento, M. (2025). The implementation of the Men’s Health Policy in the state of Rio de Janeiro, Brazil: challenges and perspectives. *Interface - Communication, Health, Education*, 29(suppl 1), e240373. https://doi.org/10.1590/interface.240373
Meirelles, Z. V., & Hohl, K. G. (2009). Men’s health: knowledge and attitude of health professionals. *Revista Gaúcha de Enfermagem*, 30(2), 277-284.
Ministry of Health. (2008). *National Policy for Comprehensive Men’s Health Care: Principles and Guidelines*. Brasília: Ministry of Health.
Ministry of Health. (2025). *Men’s Health*. Gov.br Portal. Retrieved from https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/s/saude-do-homem
O Globo. (December 27, 2024). *Most men will suffer from erectile dysfunction throughout their lives; see the advances in treatments*. Retrieved from https://oglobo.globo.com/saude/noticia/2024/12/27/maioria-dos-homens-sofrera-de-disfuncao-eretil-ao-longo-da-vida-veja-os-avancos-nos-tratamentos.ghtml
O Norte Online. (December 2, 2025). *Blue November exposes challenges in men’s healthcare and reinforces the importance of early diagnosis*. Retrieved from https://onorteonline.com/colunas/novembro-azul-expoe-desafios-do-cuidado-masculino-e-reforca-importancia-do-diagnostico-precoce/
OncoGuia. (2024, November 5). *Prostate cancer: AI may help in diagnosis and treatment, says study*. Retrieved from https://www.oncoguia.org.br/conteudo/cancer-de-prostata-ia-pode-ajudar-no-diagnostico-e-tratamento-diz-estudo/17464/7/
Schraiber, L. B., Gomes, R., & Couto, M. T. (2005). Men and health on the agenda of Public Health. *Ciência & Saúde Coletiva*, 10(1), 7-17.
UNESP. (December 6, 2024). *New AI system uses clinical data and test results to identify cases of prostate cancer that pose a significant health risk*. Retrieved from https://jornal.unesp.br/2024/12/06/novo-sistema-de-ia-usa-dados-clinicos-e-resultados-de-testes-para-identificar-casos-de-cancer-de-prostata-que-apresentem-risco-significativo-a-saude/
Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. *Journal of Advanced Nursing*, 52(5), 546-553.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Luis Fernando do Nascimento