Nyaya yeCCDC Inopupurira Vulnerabilties Inopindirana Inobatsira Gay Varume Vemavara
Musi waFebruary 23, 2016, Centers for Disease Control and Prevention (CDC) yakabudisa mushumo wekutanga-wayo-waro unoongorora upenyu hwengozi hweHIV muUnited States nehurumende, uyewo nehuwandu huri panjodzi. Hazvishamisi kuti vanhu vanogara kumaodzanyemba (iyo nzvimbo inozivikanwa kuva pakati pehuwandu hwehutachiwana hutachiwana hutachiona hweHIV) yakaratidzwa kusvika pamatambudziko akawanda muupenyu.
Izvo zvakashamisa vazhinji vaiva chokwadi ndechekuti rimwe boka rakati-gay-varume vane mhombwe-vakaudzwa kuti vane chinotyisa mune mikana miviri yekuwana HIV mune hupenyu hwose, pasinei nezera kana nzvimbo.
Dare reCDC, iro rakarondedzera dambudziko rekucherechedza kweHIV kubva muna 2009 kusvika muna 2013, rakaratidza zvakare kusawirirana muhutachiwana hwekutapurika nekuongorora dambudziko rekuita zvepabonde, rudzi / rudzi, uye zvepabonde, umo:
- Vakomana varochani nevarume vanoita zvepabonde vakarondedzerwa kuva nehupenyu hwehupenyu hweumwe chete mu11.
- Vanhu vemazuva ano varume vanoita zvepabonde vakaonekwa kuti vane rimwe chete mumatambudziko eupenyu hwe20 (zvichienzaniswa nemumwe ari mumusana we13 muvanhu vatsvene vane hutano hwakanaka).
- Kunyange kuvhara vashandisi vezvinodhaka (IDUs) vakaonekwa kunge vari pangozi yakaderera, nevanhurume veDIDU vane rimwe chete mumatambudziko eupenyu hwe 36 apo vakadzi veDUU vaiva nehupenyu hwehupenyu hwemakore makumi maviri nezviviri.
Nei Gay Black Man Men Are At Great Risk
Kunzwisisa kusiyana kukuru kwehupenyu hwehutachiona hweHIV hakusi nyore nguva dzose. Zvinowanzoitika, kugadzikana kwemabvi kunogona kunge kuri kupedzisa, nekunzwira tsitsi, kuti tsika dzepabonde dzakabatana nemafungiro emitemo uye mufambiro ndiyo chete inowanzoisa varume varochani vegayari pamatambudziko akakwirira zvikuru.
Asi chokwadi chiri pachena ndechokuti varume vemazino varoyi muUnited States vanogara inopikisa yezvipembenene zvakasiyana-siyana, izvo pamwe pamwe zvinokonzera utachiona zvachose asi zvisingadziviriki kune vamwe vanhu.
Kubva pane huwandu hwehutano hwevanhu, inozivikanwa kuti chero hutachiona-kana hutachiona hweHIV kana chero humwe hutachiona hunoita-hunoita kuti uite mapoka anonyadziswa zvakanaka pamberi pechiitiko chechirwere.
Izvi zvinowanzoitika nokuti kune kazhinji masangano matsvene munzvimbo inopindira, zvichienderana nemishonga uye zvepamutemo, uye kazhinji kacho kufarira zvishoma kubva kune avo kunze kwevanhu vanosemesa.
Takaona izvi muchikamu chekutanga chechirwere cheAIDS muma1980 apo varume vanoita zvepabonde, kungobuda kubva panguva yekushungurudzwa kwemapurisa nekusafarirwa kwekutonga, vakawirwa nehuwandu hwehutachiona husina nzira dzokumisa nayo, pakanga pasina chinhu chiri munzira zvemashoko ezvehutano hwegayira kana mapoka ekurudzira kuti varwise kusagadzikana kune hurumende kana hurumende.
Saka, nerufu ruchibva kumazana kusvika kune zviuru, hurumende yevamwe varume yakazvitorera ivo (kazhinji nekubatanidzwa kwevanhu vakanyatsogadzikana, varume vane hukama hwepamusoro-soro), kuti vaise mabasa avo ehutano (sezvakaita Gay Men's Health Crisis in New York) uye maitiro emagariro evanhu (akaita ACT UP).
Izvozvowo hazvirevi chokwadi kune varume vasiri varume vane gay. Nepo pave pari kuve nekushanda kwakawanda kwakaitwa pamusangano wehurumende kuti uwane huwandu hwevarume, pane imwe nzvimbo inoratidzika muhuwandu hwemagariro-evanhu hunotarirwa zvakananga kune varume vanoita zvechinguvana vemavara.
Kusiyana neElton John kana mutambi wenhepfenyuro -playwright Larry Kramer , kune vashomanana vane mashomanana emasikati vanoenda mberi kuzotaura kana kuti panzvimbo yevanhu vomunharaunda kana vazhinji vanozvikudza vanopemberera vanosimudzira boka racho (nenzira iyo, inoti, Elizabeth Taylor akaita guta guru re gay mumakore ekutanga 80s).
Sezvo zvakadaro, kubva pakuona kwekudzivirira zvirwere, varume vemazino varochani vari kure. Uyezve, huwandu hwehutachiona hunoita kuti husimbise kusagadzikana kusina kunaka, uko varume vemazino varoyi vanoonekwa nevamwe kuti "vasina hanya," "vanonyengera" kana kuti "kuwana zvavanofanirwa."
Ihwo hutsinye hunotyisa hunongowedzera hutsinye hunhu hwevarume vevanhu vane gayi apo huchiratidza hutachiwana hutachiwana hutachiwana hwehutachiwana hwehutachiwana hwehutachiona.
Njodzi yeHIV inosanganiswa ne Multiple Vulnerability
Apo patinotaura pamusoro pekukanganisa kutadza, tinotarisa zvipingamupinyi zvakananga zvekudzivirira hutachiwana hweHIV, kurapwa, uye kutarisirwa mukati mevanhu vari pangozi. Zvimwe zvipingamupinyi zviripo, inowedzera dambudziko.
Kusiyana neizvi, kuzivisa zvipingamupinyi izvi kunoita kuti masangano ehutano ehurumende akwanise kushandisa mapurogiramu chaiwo emagariro uye mazano ekugadzirisa zviri nani.
Epidemiological uye kuchipatara zvakaratidza kuti, seboka, varume vanorara nevarume vane hutano hwehutachiwana hunokonzerwa neHIV nekuda kwezvikonzero zvezviri pachena uye zvisingave zvakadaro-pachena. Pakati pavo:
- Kuita zvepabonde kunoramba kuripo pakati pezvipingamupinyi zvakakonzerwa nehutachiona hweHIV, kutakura chirwere chakakura chema18 chinotapurirwa kana chichienzaniswa nevakadzi. Nhamba dzakakwirira dzekubatana kwezvirwere zvepabonde zvinowedzera ngozi. ICDC inotaura kuti syphilis, chlamydia, uye gonorrhea mumurume mutsvuku inowanikwa pamatanhatu matanhatu, gumi nemana makumi matanhatu nematanhatu, zvichienderana, yevarume varume muAmerica
- Kuwedzera kwehurombo, kusashanda kwebasa, uye kuiswa mujeri munharaunda dzevanhu vemadimusi zvakabatana nehuwandu hwehutachiona hweHIV. Iye zvino, uwandu hwehurombo pakati pevatema veAmerica ndi 27.5 muzana kusvika 9,9 muzana mune vatsvene. Southern states inogona kupfuurira kudarika idzi nhamba, dzakadai muLouisana uko 40 muzana yevanhu vemahombe vanogara varombo.
- G ivo varume vane ruvara vanowanzoita zvepabonde nehupenyu hwavo maererano neCDC, zvinoreva kuti maitiro avo ezvepabonde ari maduku uye akawanda. Sezvo zvakadaro, mikana yekuparidzika inowanda nekuda kwekuti kune huwandu hwepamusoro hweHIV huri mukati memusangano.
- Varume vane mavara vane ruvara vanowanzoita zvepabonde nevarume vakwegura semigumisiro yemazana mashomanana epabonde. Sezvo varume vakwegura vane mikana yokuva neHIV, varume vemachani vanoita zvepabonde vanowanzobatwa nehutachiwana pamakore akare kupfuura avo vanoita zvepabonde varume.
- Nhamba dzakakwirira dzekushandisa inoshandiswa kwezvinodhaka pakati pevarume varume vemazuva ose , kana ichienzaniswa nevarume vachena, inoshandura kune ngozi yakawanda (sezvinoonekwa nevasingadi kuisa vakadzi vemavara avo vanoita zvepabonde ari mushandisi wezvinodhaka).
- Kukundikana kwemagariro evanhu, mapurisa, maitiro ehutano uye hurumende mumasangano mashoma anowana mari inowanzoita kuti vanhu vasavimba nehurongwa hwehurumende, kusanganisira iyo inotarisirwa kuongororwa kwe HIV nekudzivirira. Somugumisiro, inofungidzirwa kuti 75 kubva muzana yevatema veAmerica vane makore 18-64 vasina kuongororwa neHIV, asi 34 muzana chete yevaya vanobatwa neHIV vanoramba vachiri kutarisirwa.
- Kusavimba kwevakuru vakuru vehutano hwevanhu vanowanzosimbisa mafungiro asina kunaka nezvekudzivirira HIV uye kurapa, kuwedzera kukuramba uye kunyange kutenda kwekuita . Maererano nekuongorora kubva kuHarvard Medical School mugore ra2011, kutenda kwakadaro kunobatsira kuderedza nguva yekurarama nevarume vemazuva ekuderedza kurapa kwakakodzera, kusanganisira kushandiswa kwemakondomu uye kushandiswa kwehutano hwakanaka.
- Stigma, iyo yose inozivikanwa uye yechokwadi, inopa hutachiwana hweHIV pakati pevatema veAmerica vachitya kuzarurirwa kwehupenyu hwavo. Chidzidzo cha2008 nevatsvakurudzi veKansas State University yakaratidza kuti zvitendero zvakasimba zvakatendeseka zvakanyatsoenderana nekushorwa kweHIV. Kuwedzera izvi kunyadzisa kukuru kwevarume vevarume vegayari kune vose vari vaviri uye munharaunda yepamusoro, izvo zvinoendesa mberi kune vanhu vari pangozi kubva pakuwana rubatsiro.
HIV Zvinyorwa zveGay Black Black Men
Iko CDC yakagadzirira mitoo yakawanda yekugadzirisa kukanganisa uku, kusanganisira Testing Inotipa Simba rakasimba rekushambadzira kwevanhu vanoita zvevarume vevarume vane makore 18 kusvika ku44.
Kutungamira kushandiswa kwemabasa uye kuzivikanwa mumharaunda yevanhu vane gay ndeye CDC-inotsigirwa Black Men's Xchange (BMX), iyo inoshanda zvitsauko 16 muU.S., neCentral for Black Equity, iyo inoshanda nemasangano ekudada emunharaunda mumaguta 31 eU.S.
Kuti uwane mapurogiramu nemabasa mukati memunharaunda yako kana hurumende, taura nharaunda yako yemaawa 24 yeAIDS . Nokuda kwekusununguka, chakavanzika chekuongororwa kweHIV, shandisa 800-CDC-INFO (800-232-4636) yekutumira kana kushandisa sangano reEIDSVu rekuongorora kurapa HIV rakagadzirirwa neRollins School of Public Health kuEmory University.
Sources:
Nzvimbo dzeDaase Control and Prevention (CDC). "Ngozi yehupenyu hwehutachiona hweHIV Inosangana muUnited States." Atlanta, Georgia; yakabudiswa naFebruary 23, 2016.
CDC. " Kuongororwa kweHIV Infection muUnited States s uye Dependent Areas, 2013." HIV Monitoring Report. February 2015; 25: 1-82.
Henry J. Kaiser Family Foundation (KFF). "Vanhu vemaAmerica neHIV / AIDS." Yakabudiswa musi waApril 25, 2014.
Smit, P .; Brady, M .; Carter, M .; et al. "Kuvhiringidzwa kwehutachiwana hweHIV mukati mevanhu vanoita zvepabonde: Kuongorora mabhuku." AIDS Care. April 2012; 24 (3-4): 405-412.
Bogart, L .; Galvan, F .; Wagner, G; et al. "Longitudinal Association yeHIV Kuita Zvepfungwa Nehutano hwepabonde Pakati pevarume vemaviri Vane HIV." AIDS Maitiro. August 2011; 15 (6): 1180-1186.