Haisi 'Nhete Yemavara'
Chii Chinoderera Pasi?
Iyo yakaderera ishoko rinoshandiswa kureva varume vari muhukama nevakadzi, asi avo vanoita zvepabonde nevarume (MSM). Izwi iri rakatangira munharaunda yevatema; zvisinei, rudzi urwu rwekuzvibata harusi chete kune veAfrica America. Varume vanobva kumarudzi ose nemitemo vave vachizivikanwa kuti vanoramba kukwezva kune vamwe varume.
Sangano revanhu rinomanikidza simba guru.
Muhurukuro yaSeptember 2007, purezidhendi weIranian Mahmoud Ahmadinejad akati "hapana vanhu vanoita zvevakomana muIran." Zvaaireva chaizvoizvo ndezvokuti, muIrish, vanhu varochani havabvumirwi kurarama hupenyu hwavo pasina kutya kwekutambudzwa uye rufu.
Iko kune mapoka mazhinji muUnited States avo vanoda kuda kutaura chinhu chimwe chete - kuti hapana varume vane gayana pano. Vanoda kuramba kuvapo kweiwo ungochani munharaunda yavo. Kunyange zvazvo vazhinji vavo vasingagoni kutsigira chisimba, ivo vanongoda kukurudzira munyengetero, kurapwa, kana kuramba kusingadi. Chinetso chacho ndechekuti, zvisinei kuti iwe unotenda mune zvakasikwa kana kuti unorera, vanhu vanoita zvepabonde, savanhu vose, vachiri kuda kuda uye zvepabonde. Saka, kana iwe uchivakamanikidza kuti vadzivirire hupenyu hwavo kana kuti varambe zvepabonde, zvinogona kuisa ivo, uye avo varoorana navo vari vaviri, pangozi.
Icho Chakavanzika Chaicho Chinetso, Kwete Urochani
Nguva ipi neipi munhu ari muukama apo mumwe wako anotenda kuti ukama hune hukama humwe, uye mumwe wacho ari kuita zvepabonde kunze kweukama, shamwari yakatendeka iri kuwedzerwa ngozi.
Vanhu vari mune zvavanoona kuti vakazvipira hukama hwavo kazhinji havakwanisi kuvimba nekuita zvepabonde zvakachengeteka. Apo munhu angangodaro akave nechinetso chekushandisa kondomu nemafambidzana evanhu, vanogona kunzwa kuti vanogona kunonoka kamwe muukama hwakasimba. Kana, kunyange zvakadaro, mumwe wavo anenge achiri kuita zvepabonde kunze kwehukama, vangave vakave vari pangozi neku "kugadzirisa pasi."
Ichi hachisi chinetso chevakadzi vanobatanidzwa nevarume vari pasi pasi. Ndiyo nyaya kune munhu wese muukama apo mumwe munhu ari kusatendeseka pamusoro pehutano hwavo hwekuvimbika.
Zvimwe Dambudziko Dzakaderera
Saka sei uchitaura pamusoro pevarume vari pasi pasi? Pane zvinhu zvevarume ava vanozviisa, uye avo vanobatsirana navo, vari pangozi. Varume vari pasi zvakaderera havakwanisi kuonekwa nemishandirapamwe yekudzivirira inotarisirwa kuMSM iyo inonyatsozivikanwa sevanhurume kana vanhurume. Havasiwo mikana yekugara vachiongororwa zveHIV. Kunyange zvazvo vangave vane hutsika hwepamusoro hwekuzvipira kwakanyanya kune vamwe varume, hutsika huno hutsika hwevarume vari pasi zvakaderera huri mune humwe hukuru hunogona kuita denderedzwa - kunyanya sezvo vakawanda vavo vane vakadzi vakawanda pamwe nevarume.
Zvidzidzo zvakawana kuti, kazhinji, MSM yakasviba yakawanda kwazvo kupfuura dzimwe MSM kuva nevasikana. Zvisinei, vakadzi vatema havakwanisi kudarika vakadzi vemamwe madzinza kuti vataure kuti varume vavo vanhurume vanoita zvepabonde. Mazhinji masayendisiti anotenda kuti, zvakare zvakare, izvi zvine chokuita nematambudziko emagariro ekuratidza unhu husati huri hwepabonde hwevanhukadzi kubva kune dzimwe tsika dzinoisa kukoshesa zvakanyanya pamabasa evanhukadzi.
Zvakafanana nemigumisiro, kunyange zvisingaiti zvakanyanya, zvinowanikwawo kuPanki MSM.
Nei Black Black MSM paAn High High Risk?
Vanhu veAfrica veAmerica vari pasi vakaderera vari kune yakakwirira kudarika kuwandisa kwehutachiona hweHIV. Zvisinei, kutsvakurudza kunoratidza kuti izvi hazvina basa ne "pasi pasi" basa kupfuura 1) mazinga akawandisa emamwe mapepa anokonzera kutapukirwa kweHIV uye 2) mazana madzimai ekuongororwa kweHIV munharaunda ino. Zvimwe zvinhu zvakasiyana-siyana zvinogonawo kukanganisa hutachiwana hutachiwana hwehutachiwana hweHIV hunotariswa neWMM yemamwe madzinza. Yokutanga yeiyi inowanzoita sedzingiso yekudzingiswa, sezvo varume vasina kudzingiswa, kazhinji, vanowanikwa neHIV.
Imwe nyaya ndeyekuti vazhinji veSMS MSs vane hutano husina kunaka hwehutano hwezvehutano, kana vashandi vane rusununguko rwekuwana hutano hwakanaka. Vanhu vakadaro, kana vane HIV vanotapukirwa, vangave vane hutachiona hwepamusoro, izvo zvinowedzera mikana yekuparidzika munguva yepabonde.
Munguva yakapfuura, masayendisiti akawanda akanga aine pfungwa yokuti vanhu veAfrica America vari pasi vakaderera vaine nhamba yepamusoro yepabonde reAIDS muAfrica vakadzi, asi izvi hazvina kumbobatsirwe nekutsvakurudza. Kunyange zvazvo varume vakadaro vanoita zvinokonzera chirwere ichi, hapana ikozvino chikonzero chekutenda kuti vanoita zvakadaro kupfuura varume vanoita zvekutengesa hutano hwepabonde nevanowanzobatana navo kana vashandi vezvinodhaka veVV.
Chii Chinogadziriswa?
Nzira chete yekugadzirisa dambudziko revanhu vanoita zvepabonde mushure mevakaroorana navo ndeyekuti vachinje sangano kuitira kuti kutaurirana pachena uye kutendeseka panyaya dzepabonde ndicho chimiro. Zvisinei, kune mhinduro iri nyore: Iva nemwoyo murefu. Rega vanhu kuti vave ivo ivo, vangave vari varume vanoita zvepabonde, vakarurama, kana varochani. Vabvumira kuti vasarudze kugamuchira vanhu vavanoda. Vabvumirire mukanhu wekuudza chokwadi kuvanhu vavanoda. Kuita ungochani hunogamuchirwa hunogona kupedza vanhu vazhinji, kana chido, kuva pasi.
Kana kushivirira kwakaoma, kune imwe nzira yekugadzirisa nekuwedzera kwezvirwere zvehutano. Bvuma hutano hwakachengeteka sechimiro, kunyange mune hukama hukama. Vakaroorana vakawanda vechidiki vanoona kubvisa makondomu sechinangwa uye nzira yekuratidza kuzvipira kwavo kune mumwe nemumwe. Mune dzimwe nzvimbo umo pabonde yakachengeteka inowanzokoshesa zvikuru, kuva nemumwe munhu waunogona kuita naye pabonde risina kudzivirirwa inonyatsozivikanwa se "mvura yakasungwa," uye hukama uhwu hunoiswa pasi. "Zvichida rimwe zuva, tichasvika ikoko," vakaroorana vanofunga. Zvakadini kana, pane kudaro, vanhu vakawanda vakangobvuma kuti makondomu, madhaini emeno, nezvimwe zvakadaro zvaizova chikamu cheupenyu hwepabonde kusvikira, uye kunze kwekuti, vakasarudza kuva nevana?
Kunyange zvazvo kutendeseka kwakakwana kunonyanya kukosha kune munhu wese ane hukama hwakanaka hwepfungwa, pariyaya ine utano inogona kuve yakanaka kune utano hwako.
Zvinotevera: Sei varume vanoita zvepabonde nevarume vari pangozi yakawanda yeHIV ...
Sources:
Ford et al. (2007) "Utsotsi hwehupombwe, hupfumi hwehupfumi, nekutsvaga tsvakurudzo Targeting 'The Down Low' (\ DL ')." Ann Epidemiol 17: 209-216.
Miller et al. (2005) "Kusiyana Kwepabonde Pakati Pevanhu Vose Vanoita Zvepabonde Nevanhu Munharaunda Yomumaguta." J Urban Health 82 (1 suppl 1): i26-i34
Millett et al. (2006) "Dambudziko Guru reHIV Rakatarisana nevarume Vose Vanoita Zvepabonde Nevarume: Ongororo Inokosha Yezvinyorwa." Am J Public Health. 96: 1007-1019
Montgomery et al. (2003) "Kuwanda kwehutano hwevanhukadzi nehutachiona hweHIV hutachiwana hwevanhu vane hutachiona uye hunobatsira pakuparidzirwa kune avokadzikadzi." AIDS Kutarisira 15 (6): 829-837