Transgender in Africa: Invisible, inaccessible, or ignored?

Transgender in Africa: Invisible, inaccessible, or ignored?
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DOI:
10.1080/17290376.2012.743829
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发表时间:
2012-09-01
影响因子:
1.1
通讯作者:
Kim, He-Jin
Kim, He-Jin
中科院分区:
医学4区
文献类型:
--
作者:
Jobson, Geoffrey A.;Theron, Liesl B.;Kim, He-Jin

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跨性别者是全球艾滋病毒风险的一个重要关键人群,几项研究发现,跨性别人群的艾滋病毒流行率明显高于其他关键人群,如男男性行为者(MSM)。非洲缺乏对变性人群体的研究,目前几乎没有关于非洲大陆变性人艾滋病毒流行率和风险的数据。在非洲的流行病学数据中看不到变性人,这可能与许多国家将同性行为定为犯罪以及随后担心参与研究会产生负面影响有关。或者,由于研究人员对如何提出有关性别认同的问题感到困惑,跨性别者可能在研究中被忽视。到目前为止,跨性别人群也可能只是在研究中被忽视了。如果不对跨性别艾滋病毒的流行率和风险进行研究,就很难知道这一风险人群需要采取哪些干预措施和服务。因此,研究人员、各国政府、非政府组织和捐助组织必须开始在非洲开展艾滋病毒相关研究和方案时明确关注变性人。
Transgender people are an important key population for HIV risk globally, and several studies have found HIV prevalence rates in transgender populations that are significantly higher than those among other key populations such as men who have sex with men (MSM). There is a lack of research on transgender populations in Africa, and at present, there is almost no data available on HIV prevalence and risk among transgender people on the continent. It is possible that the invisibility of transgender people in epidemiological data from Africa is related to the criminalisation of same-sex behaviour in many countries and the subsequent fear of negative repercussions from participation in research. Alternatively, transgender people may be being overlooked in research due to confusion among researchers about how to ask questions about gender identity. It is also possible that transgender populations have simply been ignored in research to date. Without research on transgender-specific HIV prevalence and risk, it is very difficult to know what interventions and services are needed for this risk population. Therefore, it is important that researchers, governments, Non Governmental Organisations (NGOs) and donor organisations begin to pay explicit attention to transgender people in their HIV-related research and programmes in Africa.