Zvimwe zvidikanwi zvisati zvisingatenderwi nehurumende yehutano hurumende
Pakave zvichiwedzera kufarira kwevanhu mumararamiro evanhu vanotevera mushure mekubudiswa kukuru kweCaitlyn Jenner pamwe nekuedza kwevanhu vakadaro seAlly Is The New Black actress Laverne Cox uye mubatsiri / munyori Chaz Bono.
Pasinei nokuti uri chikamu cheGGBT yakakura (vagadziri vebonde, vanoita gay, bisexual uye transgender), kwete kunyanya kutarisa kwakaiswa kuvanhu ve transgender, kunyanya maererano nehutano hwehutano uye zvinoda zvevarume nevakadzi (MTF) uye mukadzi-ku-murume (FTM) transgender people.
Ongororo ichangobva kuitika yakatarira muhutachiwana hweHIV kumunhu we transgender, kusanganisira zvipatara zvinowanikwa kune avo vanorarama nehutachiona. Zvinonyanya kugadziriswa ndezvokuti njodzi yeHIV haina kungosiyana chete neboka iri revanhu, asi kuti kunezve kusanzwisisana kukuru pamusoro pezvinodiwa zvehutano hwevakadzikadzi vevarume nevarume, mazhinji ayo achiri kusinganzwisisiki.
Kupararira kweHIV muTransgender People
Muchimiro chakamirira munyika yevanhu vanotapukirwa nehutachiwana vanotambira kurapwa, inofungidzirwa kuti 1.3 muzana inoratidzirwa sevakadzi ve transgender. Kuongorora kwakarongeka kwakapedzisa zvakare kuti, munyika 16 dzine denda revarume (kusanganisira US), kupararira kweHIV pakati pevakadzi vanofanirwa kwakafungidzirwa kuva 19.1 muzana-yakawandisa kwazvo uye inofungidzirwa kuti yakawanda kwazvo (kureva, ichiitika 15 muzana yevanhu kana kupfuura).
Hondo dzeHIV, zvinoshamisa, dzaive dzakakwirira munyika dzakapfuma (21.6 kubva muzana) kudarika munyika dzepasi uye dzepakati pekuwana (17,7 muzana), uye inowanzova nengozi katatu yekuwana HIV kana ichienzaniswa nevanhu vazhinji.
Nhamba yepamusoro yezvose, zvisinei, yaiva muU.S., ine inokwana 27.7 muzana nehuwandu hweHIV.
Kunyange zvazvo pasina dambudziko rakawanda maererano neHIV muvanhu ve transgender, kuwandisa kwehuwandu hwehuwandu hwehuwandu hwehuwandu hwehuwandu hwehuwandu hwehuwandu hwehuwandu hwehutachiona hwehutachiona hwehutachiona hunofungidzirwa kuti hwakaderera, maererano nekuongorora kwe2008 ne US Centers for Disease Control and Prevention (CDC).
Njodzi yeHIV muTransligender People
Vakadzi veTransgender muUnited States vanowanzosarudzwa uye hurumende inorwisana kupfuura vanhu vasiri transgender, kazhinji vanga vasina pokugara nemari shoma uye kutora zvishoma kutarisira hutano. Ruzhinji (60-70 muzana) haruwanzoregi kutarisirwa kurapwa kunokonzerwa kwete nekutengesa chete asi kushayikwa kwebasa rekubatsira-chengetedzo. Somugumisiro, chikamu chikuru-zvose maMFF neFTM-zvinomanikidzwa kuwana hutachiona hweHodmon kuburikidza nemichina isina kukodzera , tsika inozivikanwa kuwedzera mikana yeHIV Infection.
Nhau idzi dzinongowedzera kuwedzera muhutano hweMTF transgender, umo maitiro ekumanikidzwa zvepabonde (52 muzana), kuvharirwa (37 muzana), zvepabonde mukutsinhana nezvinhu (59 muzana), uye kuoma pakutsvaga basa (63 muzana) vanovaisa pa inowanzova njodzi yakakura yeHIV .
Uyezve, kuwedzera kwepabonde pasi pesimba remishonga kana doro (53 muzana) yakabatanidzwawo nehupamhi hwehutachiwana husina kudzivirirwa hwepabonde (49 muzana). Uye nepo kuvhara kushandiswa kwezvinodhaka uye kushandiswa kwesero kunonzi kusingawaniki, 29 muzana inonzi yakasvibiswa isina kuvharasi yakisi ye-silicon-muitiro usingatauri zvakananga neHIV asi iyo inobatanidza nehutano hwakashata (kusanganisira scleroderma , breathing embolism, uye autoimmune disorders).
Zvimwe Zvirwere Zvisina Kurapa muTransgender Women
Zvose izvi zvinongowedzera kuvhiringidzika kwevakadzi vanoita zvekunze, nekuzviparadzanisa uye kushorwa kunowedzera hutachiwana hutachiona hweHIV pamwe nekuchengetedzwa kwenguva refu kweavo vanotapukirwa. Izvi zvinoratidzwa nekushaikwa kwekubudiswa kunoonekwa muvakadzi vazhinji veA transgender vane HIV. A 2008 kuongororwa neCDC yakagumisa kuti, nepo 27.7 muzana yevakadzi ve transgender vakaedzwa vane hutachiwana hweHIV, asi 11,8 muzana chete vakazviti ivo vane HIV.
Izvi zvinogona kutsanangura, mune chikamu, nei chikamu chemazana chevakadzi ve transgender vachikwanisa kuchengetedza maitiro ekurapa uye nei 50 chete muzana pamishonga inokwanisa kukwanisa kuchengetedza zvakakwana kutarisa utachiona .
Kunyangwe pakati pevakadzi vasina kukanganisa nehutano inshuwarano vanogara vachiona mukuru wevashandi, 25 muzana vanoona mari, ruzivo rwevanyori, uye urombo hwevanyengeri nevashambadzi-vanoita sevanodzidza sevanodzivirira.
Kushandurwa kwemakiriniki epanguva ino-pamwe nekunyatsonzwisiswa kwezvinodiwa zvevarume nevadzimai vasina kukwanisa-zvinogona kuvandudza kunaka kwehutachiwana hweHIV uye kudzivirira kwevanhu vari pangozi yevanhu. Kunyanya kunyanya, izvi zvinoda kuisa:
- Kuve nekunzwira tsitsi uye mazano anobatsira kuti uwirirane nevevanhu ve transgender.
- Kuziva kuti munhu wei transgender ndewechokwadi, kusanganisira kushandiswa kwemashoko akakodzera uye mazita.
- Kunyoresa zviri nani kuhutano hwehutano.
- Dzidzo uye zvinhu zvekudzivirira zvinokodzera kuchiitiko che transgender.
Sources:
Mizuno, Y ;; Frazier, E ;; Huang, P .; et al. "Zviratidzo zveTransgender Vakadzi Vanorarama neHIV Kuchengetedzwa Kwechiremba muUnited States." LGBT Utano. April 28, 2015; doi: 10.1089 / lgbt.2014.0099.
Bharal, S ;; Poteat, T .; Strömdahl, S .; et al. "Mutoro wenyika yose weHIV mune vakadzi ve transgender: kuongorora kwakarongeka uye kuongorora meta." The Lancet Infectious Diseases. March 2013; 13 (3): 214-222.
Herbst, J .; Jacobs, E .; Finlayson, T .; et al. "Kuongorora kuwandisa kweHIV uye Njodzi dzevanhu vanotengesa kuTransgender muUnited States: Ongororo Yakarongeka." AIDS Maitiro. January 2008; 12 (1): 1-17.
Sanchez, N .; Sanchez, J .; uye Danoff, A. "Kushandiswa Kwezvoutano, Zvipingamupinyi Zvokutarisira, uye Hormone Usashandiswa pakati pevarume nevakadzi ve Transgender Persons muNew York City." American Journal of Public Health. April 2009; 99 (4): 713-719.
Lombardi, E. "Kuvandudza utano hwemitemo." American Journal of Public Health ; 91 (6): 869-872.