Munyika yose, vakadzi vechitenderedzwa vakanzi vave nehuwandu hwepamusoro hweHIV . Kunyange zvazvo kazhinji inowanikwa nevarume vanoita zvepabonde nevarume kuti vaongorore zvinangwa, vakadzi veC transgender vane mavo avo akasiyana nehutachiwana hweHIV nezvimwe zvinetso. Semuenzaniso, vakadzi ve transgender vanoona zvipingamupinyi zvakawanda zvekubudirira muupenyu hwavo hwose.
Izvi zvinosanganisira zvinetso nekuwana basa, dzimba, nezvimwe zvinhu zvinokosha muupenyu. Zvipingamupinyi zvakadai zvakabatanidzwa nehuwandu hwekuedza maitiro ekuvadza, zvakadai sepabonde rekudzivirira isina kudzivirirwa. Zvipingamupinyi zvinogona kunge zvakanyanya kupfuura vakadzi ve transgender vane ruvara.
Ndezvipi zvakawandisa hutachiwana hweHIV pakati pevakadzikadzi? Mutsvakurudzo wegore ra2013 wakawana kuti, mumaguta mashanu ekuwana mari, inopera 22 muzana yevakadzi ve transgender vaiva neHIV. Kutaura zvazviri, madzimai echitenden aive kazhinji kaviri kuti ave nehutachiona hweHIV pane vanhu vakuru vose. Zvimwe kuongororwa kwehutachiona hweHIV muvakadzi veSconsex vakadzika kubva kubva ku16-17 muzana pakati pevakadzi vachena neLatina kusvika kune 56 kubva muzana yevakadzi vemavara. Izvi zvinodhura zvakanyanya kudarika vanhu vakawanda uye zvakaenzana nemitengo inowanikwa kune varume vanoita zvepabonde nevarume.
Ndivanaani Ava Vakadzi?
Vakadzi veTransgender vanogara munyika dzakawanda pasi rose.
Vanoenda nemazita akasiyana-siyana, asi vane chinhu chimwe chete. Vakadzi veTransgender ndivo vanhu avo vanoita zvepabonde vakaberekwa pakuberekwa kwaiva mukomana asi vane hutano hwevakadzi nevakadzi. Kunze kweizvozvo, vanogara upenyu hwakasiyana-siyana.Vangadaro vanoita zvepabonde, vanoita zvepabonde, kana vanoita zvepabonde. Vanogona kunge vakaroorana kana vasina kuroorwa, vanoshandira kana vasina basa.
Vanogona kunge vakasiya chikoro kana kudzidzisa kuunivhesiti.
Vamwe vakadzi vanokanganisa vanorarama sevakadzi munguva yenguva. Vamwe vanogara sevakadzi nguva yakazara. Vamwe vanoshandisa kurapwa kwepabonde kwepabonde kuti vabatsire kusimbisa hutano hwavo. (Aya mahomoni anogona kukonzera kuchinja kweganda uye kukura kwezamu, pakati pezvimwe zvinogadzirisa.) Vamwewo vari mumhando dzakasiyana-siyana dzehutano hunoshandiswa . Zvisarudzo zvevakadzi vanokanganisa vanoita maitiro ekusimbisa nekuratidza maitiro avo dzimwe nguva zvinokonzera kutapukira kweHIV.
Trans Misogyny
Vakadzi veTransgender vanowanzova nekunyadziswa kukuru nekusarurwa, kunyanya kana maitiro avo asingawirirane nezvinodiwa zvehukadzi kune dzimwe tsika dzavanogara. Julia Serano akagadzira izwi rokuti "trans-misogyny" mubhuku rake rinonzi Whipping Girl. Anoshandisa izwi iri kurondedzera nzira dzinofanirana nevakadzikadzi vechitendende dzinowanzoratidza zvose zvidzinza ravo uye huzivi hwavo sevakadzi.
Munowanzo, vakadzi ve transgender vanorondedzera zvakanyanya kusarura kupfuura vanodzingisa varume. Izvi zvinogona kuva, muchidimbu, nekuda kwezvinetso, zvido zvepabonde-zvinokosha zvinokonzera chero munhu ane peni sehutano hwepabonde kuvakadzi. Mienzaniso yeiyi inogona kuonekwa mune nhaurirano pamusoro pemitemo yevanhu vanogara.
Vanhu vanopesana nemitemo yekushambidzira vanotaura nezvekutyisidzira kwe "varume" mumadzimai ekugezera emadzimai nokuti havaoni vakadzi vechitendende sevakadzi. Zvisinei, vashomanana vanhu vanotaura nezvekunetseka pamusoro pevarume vevanhu vanoshandisa nzvimbo yevarume. Ivo havaziviwo njodzi yokuti vakadzi vanobva kune vakadzi vanotora kana vakashandisa nzvimbo dzevarume panzvimbo.
Nzira Nhatu Dzinoshandiswa Kuchinja-Misogyny Dzinokonzera Njodzi yeHIV
Kusarudzwa kwemasimba uye kusarura kwevanhu vanopesana nevanokanganisa vanoita kuti pave nehutachiwana hweHIV kune vakadzi vanobva kune dzimwe nyika nenzira dzakasiyana-siyana:
- Vakadzi veTransgender vanogona kuwana rusarura rukuru pavanotsvaka dzimba uye basa. Izvi zvinogona kutungamirira kumamiriro ezvinhu akaipisisa sekuguma nekusava nemusha kana kudiwa kuita basa repabonde kuti vararame. Basa repabonde ndiro dambudziko guru rekuwana HIV, uye vashandisi vebonde vanoita zvepabonde vanogara munyika dzose. Vanhu vasina pokugara vanogonawo kuvhara mahomoni nemaune, kusanganisira pamwe chete nesingano.
- Trans-misogyny inobatanidza nehuwandu hwehutano hwekuora mwoyo, uye vakadzi ve transgender vanofungidzirwa vakawanda kuti vanopfuura mazera ematambudziko ekutambudzika uye kusagadzikana. Kushandiswa kwezvinodhaka kwezvinodhaka chimwe chiitiko chikuru chekutengesa kweHIV.
- Vanhu veTransgender vakaderedza kusvikirwa kwehutano hwehutano , pakati pezvimwe zvinhu, kune vashandi vezvokurapa vasinganzwisisiki pakuvabata. Vangave vangave vachizeza kutsvaga kutarisira utano, kusanganisira kuongororwa kweHIV kana vakave vaine ruzivo rwakashata navanachiremba munguva yakapfuura.
Biology uye njodzi yeHIV yevakadzi veTransgender
Isingaenzaniswi nekutapukisa misogyny, panewo zvimwe zvikonzero zvehupenyu zvinokonzera kuti vakadzi vevanodarika vangave vakawedzera hutachiwana hweHIV. Izvi zvinosanganisira tsika dzekuita zvepabonde dzakagamuchirwa, kunyanya kurara kwepabonde isina kudzivirirwa. Kuita zvepabonde kunofungidzirwa sechiitiko chakaipisisa cheHIV. Vaginal zvepabonde mushure mekuvhiyiwa kwepabonde kunogona kuvawo mungozi kune vakadzi ve transgender. Pakupedzisira, tsvakurudzo inoratidza kuti mishonga inoshandiswa kugadzira neo-vagin inogonawo kuwedzera njodzi yeHIV kana ichienzaniswa nehutano hunowanikwa kune zvepabonde mumadzimai eCisgender .
Mhedziso
Nzira dzekuzvibata dzinoita basa muhutachiona hwakakosha hweHIV hunoonekwa nekuda kwevakadzi vakadzi. Zvisinei, hutano uye zvikonzero zvingangove zvakakosha zvikuru. Kuwedzera kuwanika kwehutano hwakanaka nekuderedza kusarura kwevanhukadzi uye kushanduka-misogyny kunogona kuva zvishandiso zvine simba mukuderedza hutachiwana hweHIV munharaunda iyi.
Cherechedza: Kune boka guru revarume ve transgender vanoona zvinhu zvakawanda zvakafanana zvekusarura nekusarura zvinotaurwa munyaya ino. Zvisinei, nenyaya ino inotarisa pamusoro pevakadzi vanokanganisa nekuda kwehuwandu hwehutachiona hwaHIV.
Sources:
Bharal SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Munyika yose mutoro weHIV mune vakadzi ve transgender: kurongeka kwakarongeka uye meta-analysis. Lancet Infect Dis 2013; 13 (3): 214-22.
Benotsch EG, Zimmerman RS, Cathers L, Pierce J, McNulty S, Heck T, Perrin PB, Snipes DJ. Kwete-kushandiswa kwechiremba yemishonga inorapwa nemishonga uye utachiona hwehutachiwana hweHIV mumadzimai eA transgender muMiddle Atlantic muUnited States. Int J STD AIDS. 2015 Jul 15. pii: 0956462415595319.
Cochran BN, Stewart AJ, Ginzler JA, Cauce AM. Zvinetso zvinotarisana nevasina misha dzepabonde dzisina misha: kuenzaniswa nevarume vanoita zvepabonde, vanobatana nemadzimai, vanoita zvepabonde, uye vanopinda vasina vana vasina hanya nevanoita zvepabonde. Am J Public Health. 2002 May; 92 (5): 773-7.
Fletcher JB, Kisler KA, Reback CJ. Mamiriro ehutano uye hutachiona hwehutachiwana hweHIV pakati pevakadzi vanokanganisa muLos Angeles. Arch Sex Sex Behav. 2014 Nov; 43 (8): 1651-61. doi: 10.1007 / s10508-014-0368-1.
Grant, Jaime M., Lisa A. Mottet, Justin Tanis, Jack Harrison, Jody L. Herman, uye Mara Keisling. Kusaruramisira Pamwe Chete: Chiitiko cheNational Transgender Discrimination Survey . Washington: National Center for Transgender Equality uye National Gay and Lesbian Task Force, 2011.