问题

编者案

露德协会于20101011月针对全台407位感染朋友进行生活现况调查。调查主题包括感染者最关心的议题、感染者其他疾病状况、感染者因服药产生的副作用及困扰、感染艾滋造成生活和生理影响、感染者的性生活与性行为等七个方面。为其它地区的读者和患者提供了解台湾艾滋病群体的窗口。


2010台湾爱滋感染者生活现况调查结果


感染者最关心的议题

20072010年的调查中,我们发现发明解药及身体健康一直是感染者最关心的议题,值得注意的是,对于治疗费用、活得快乐及感染者权益三个议题在2010年有明显提升。此外,每三个感染者就有一人担心经济状况、每四个人就有一人想要找到可以支持的感染者团体,因此,如何满足医疗、经济、人际支持的平衡、未来生涯规划及如何活得更好等课题,都是感染朋友需提前准备与学习克服的。


Read more: http://www.lourdes.org.tw/Page_Show.asp?Page_ID=2452


组织:Taiwan Lourdes Association - 社团法人台湾露德协会   

Music helps former users heal misery of addiction

The Myanmar Times
By Than Htike Oo and Zon Pann Pwint


KO Hla Htun Myo tells an all too common story of drug use leading to addiction and, in turn, the loss of friends, family and self-respect. But though his drug abuse was defining, now that he is free of them he, and others like him, are working to make sure that they are not defined by their past.

Read more: http://www.mmtimes.com/2010/timeout/556/timeout55601.html

Stigma and Violence Against Transgender Sex Workers


Khartini Slamah and Sam Winter and Kemal Ordek


This article is part of a series published by RH Reality Check in partnership with the Global Network of Sex Work Projects (NSWP) to commemorate the International Day to End Violence Against Sex Workers, December 17th, 2010. It is excerpted from Research for Sex Work 12, published 17 December 2010 by the NSWP, an organization that upholds the voice of sex workers globally and connects regional networks advocating for the rights of female, male, and transgender sex workers. Download the full journal, with eight more articles about sex work and violence, for free at http://nswp.org/research-sex-work


Andrea is in her early twenties. She comes from a poor family in the provinces of a Southeast Asian country. Unlike most women, she has a male birth certificate. She is a transgender woman.

Andrea has felt female as long as she can remember, and began living a female life as soon as she could. For this she was insulted by neighbours, teased by teachers and classmates at school, beaten up and raped by a bunch of young boys one night, and eventually beaten and disowned by her father. She dropped out of school, left home and migrated to the city, to stay with an older transwoman from her home town who, it turned out, was a transgender sex worker working the streets. Andrea didn't much like the idea of sex work, but without education or connections was unable to get a job. Being 'trans' worked against her. No one wanted to employ her, even as a waitress or shop assistant. She turned to the 'entertainment' sector. Unable to get a job as a bar dancer or hostess, and barred from nightclubs and discos (all because she is trans), she too began to work on the streets. She has done it for five years, earning money for food and lodging, and a little extra for hormones and new silicon injections for her hips and breasts.

Andrea's story is one of many thousands of transwomen worldwide (especially those like Andrea who are rural, less educated and socially isolated) who turn to sex work, not as the most attractive of a range of job options, but as the sole viable option for survival. Doubly stigmatised as transsexuals and as sex workers, pushed into street work, they become victims of abuse and violence perpetrated by bystanders, customers, their own 'sisters,' and (sadly) even by those who should be protecting them - the police.

As Andrea soon found out, competition on the streets is tough. There are too many trans sex workers and too few customers. Increasingly, her competitors are younger and more attractive. There have been fights over customers. Bystanders often abuse her verbally. Customers sometimes refuse to pay, angrily claiming they did not know she is trans. She has been beaten a few times. She knows others have been murdered. Nowadays, in order to avoid violence, she makes clear to every man who approaches her that she is transgender, even if that loses her customers. 

Discrimination, Abuse and Violence

Latin America perhaps presents the most shocking examples of violence against transwomen, especially sex workers. Possibly hundreds of travesties have been murdered in recent years. But the situation in Asia, with which we are more familiar, is pretty bad too. Continent-wide conservative attitudes and religious beliefs fuel intolerance and stimulate discrimination, abuse and violence against transgender people; particularly against transwomen. All three thrive because concepts of individual rights and equal opportunity are often undervalued or unenforced.

A few recent cases from the first half of 2010 illustrate the situation well. An ultra-nationalist group in Mongolia has beaten, abducted and raped transwomen, and has issued death threats, all because they consider these persons un-Mongolian. A Vietnamese woman was gang-raped, her case making news because her legal status (male) invalidated any rape charges against the perpetrators. In Bali, transwomen have been pursued, assaulted and humiliated by young men who have shaved the hair from their victims' heads. In Turkey there has been a long series of incidents involving thugs beating transwomen on the streets, and police arbitrarily arresting, beating and humiliating transgender activists. In a most recent incident, just a few days before completion of this article, a Turkish transwoman was found murdered; stabbed twelve times and with wounds from her throat to her stomach. Finally, across Indonesia, thugs have broken into meetings of transwomen and driven away the participants, chasing them into the streets, all on the grounds that they are un-Islamic.

Partner violence against transwomen seldom makes it into the newspapers or web blogs. And yet it is a major problem. Many transwomen drift into abusive and violent relationships through low self-esteem. Once there, many feel unable to leave their partners. Beliefs about gender roles foster an even higher tolerance for violence. One South Asian transwoman admitted, "I don't mind if my girya (man) beats me up. It only shows how manly and powerful he is." Another claimed, "When my parik ("husband") beats me, I feel as helpless as a woman. Since I want to be a woman, it actually makes me feel good."1

As is already apparent from the Turkish example above, abuse and violence are often perpetrated by state organs supposedly there to protect the weak. In Kuwait, Nepal and India there have been clear cases of organised police violence against trans communities; so organised as to take on the appearance of 'sexual cleansing' programmes (apparently aimed at instilling fear into transwomen intending to come out of their homes). In some countries anti-homosexuality laws have been used to oppress transwomen, and anti-sex work laws have been used to oppress transgender sex workers (along with others). In Cambodia, programmes of forced occupational rehabilitation for sex workers have resulted in transwomen (and other women) being placed into training programmes aimed at providing workers for the garment industry. Not for nothing does APNSW (the Asia-Pacific Network of Sex Workers) feature a 'no sewing machines' image as its logo.

Andrea has had her share of police encounters. The police often harass her and have arbitrarily arrested her. Police extortion is a problem too (either after arrest or as a condition for not arresting her). A few times they charged her with being a nuisance to tourists (though in each case it was the tourist who approached her). At other times they found her in possession of a condom and charged her with prostitution, which is illegal in her country. She now does not carry condoms anymore, and often has unprotected sex. She had twice been sexually assaulted in a police station, once by two police officers, and another time by a male inmate with whom she had been locked up. In each case there was no condom used. She recently found out that she is HIV positive.

High-risk Sex

Worldwide, HIV prevalence rates for transwomen are commonly found to reach double figures. One suspects that the precise figure often depends in part on the proportion of the sample involved in sex work. High HIV infection rates, often coupled with lack of access to HIV/ AIDS care, arguably represent the most glaring example of violence perpetrated against transwomen. This is not just about commercial sex or receptive anal intercourse; transwomen's HIV rates are sometimes higher than those for female sex workers or men who have sex with men. Rather they are the inevitable consequence of widespread prejudice that frames transgenderism as unnatural, immoral or mentally disordered; of legal frameworks that view transwomen as men, denying them respect, equality and dignity as women; and of laws that criminalise sex between transwomen and men as same-sex activities.

In these circumstances many trans sex workers drift or get pushed into high-risk sex. Water-based lubricants may be too expensive. Some substitute them with oil-based lubricants (including engine oil), which are known to corrode condoms. Sex work on the street may be hurried (leaving less time for a condom anyway). In any case, trans sex workers like Andrea often avoid carrying condoms and lubricants as a way of depriving police of evidence of sex work. Rural migrants, often cut off from family, and less educated and informed than their urban counterparts, are particularly at risk for unsafe sex. Drug and alcohol use, which are quite common among those involved in transgender sex work, exacerbate the problem. Viagra and its analogues, making for longer and repeated sexual intercourse and raising the risk of anal wounds, also increase risk.

Many trans sex workers, despite being poor, need money for hormones, silicone injections or surgery. The associated costs increase their poverty, making it harder to refuse a customer who does not want to use a condom. And then there is the pervasive problem faced by many (trans)women worldwide: low in self-esteem and desperate for a life partner, glimpsing an opportunity for a long-term relationship, wanting to put trust in someone, they cease to use condoms all too quickly.

Human Rights

The organisers of a recent Barcelona conference on transgender rights (the first truly global conference organised by and for transpeople) were keenly aware of violence in the lives of transpeople, especially of trans sex workers.2 Several sessions touched on sex work and violence issues. A document on violence and criminalisation, widely endorsed in a plenary final session, declared a set of basic rights relevant to all transpeople, but often denied to them - especially to those in sex work.3 With regards to violence, the document calls upon Governments:

  • to recognise and condemn as human rights violations all cases of transrelated violence;
  • to investigate such cases of violence (including when perpetrated by organs of the state);
  • to provide fully funded trauma counselling and care for survivors of trans-related violence;
  • to enact laws providing protection against such violence;
  • to provide free and equal access to the justice system for transpeople; and
  • to provide administrative, security and legal personnel with sensitivity training on trans issues, as well as on human rights standards on transrelated issues.

In Asia we are a long way from implementation of the list of principles and recommendations produced in Barcelona. Hopefully, some day in the future, properly observed and implemented, they will contribute towards a much needed improvement in the quality of life of Andrea, other trans sex workers, and of transgender people in general.


About the Authors

Khartini Slamah is coordinator of the Asia- Pacific Network of Sex Workers (APNSW) and a founding member of the Asia-Pacific Transgender Network. Sam Winter is associate professor at the University of Hong Kong, director of the Transgender ASIA Research Centre and a board member of WPATH (the World Professional Association for Transgender Health). Kemal Ordek is the general secretary of Pink Life LGBTT Solidarity Association ( Pembe Hayat, the only trans rights association in Turkey); and sexual orientation and gender identity taskforce member of the Youth Coalition for Sexual and Reproductive Rights.

Notes

1 Cited by Shivananda Khan in a paper presented at the 2nd International Expert Meeting on HIV Prevention on MSM, WSW and Transgenders, Amsterdam, November 2009.

2 The International Congress on Gender Identity and Human Rights, Barcelona, June 2010. A key feature of this conference, drawing participants from six continents, was that almost all attending were transpeople, and many were sex workers.

3 Violence, Criminalization, and Gender Identity (2010), available from: http://web.hku.hk/


weblink http://www.rhrealitycheck.org/blog/2010/12/16/stigma-exclusion-violence-against-trans-workers


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Key Topics 关键话题

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There were dozens of sessions and over 20,000 people at the 2010 International AIDS Conference, whose theme was "Rights Here, Rights Now". We can't bring it all to you, but here's a roundup of the highlights:

2010年的国际艾滋病大会,共有20,000人参加,召开了多场会议。本次会议的主题是 "我们的权利,就在此时此地"。在此,我们不能将会议的全部呈现给各位,但将为各位呈上本次会议亮点的综述。

 

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Ken Oh - Asia Catalyst


第十八届国际艾滋病大会于今日在奥地利维也纳开幕。在大会召开地Reed Wien Messe会展中心的门前,艾滋活动家们已经率先用自己的方式向外界传递了他们的声音。

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The XVIII International AIDS Conference began today in Vienna, Austria.  Activists made an early impression by demonstrating outside the Reed Wien Messe, where the conference is being held.  

 

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Mizzima -  Salai Han Thar San

 

新德里(Mizzima通讯社)- 据一家环保组织指出,缅甸军事当局正在加快从水电站工程所在地区迁移60个村庄的行动。

亚太人权网络是一个联系整个亚太地区人权组织及个别有关活动的网络。亚太人权网络通过与其个人及组织会员建立正式关系及增强彼此合作,以达至解决跨亚太地区人权问题的目的。

太权网的秘书处络透过以下方法协助会员:

·         准确和定时地提供有关不同国家的人权机构,联合国及其特定机构的资料

·         对国家整体及个别案件进行提倡游说活动

·         对人权活跃分子提供相关的培训,培训他们如何运用国家、国际准则和程序于人权推动运动上

·         根据各非政府组织的个别需要,提供法律、政治及一些具体意见

 

亚太权网络进行不同的研究项目并以此制定国际人权标准及程序。网络的所有的活动和计划是对其会员们进行了广泛咨询,对他们的实际和个别的需要提供协助。

电邮: http://aphrn.org/

电话:  +91-11-26192717

地址: B-6/6, Safdarjung Enclave Extension, New Delhi-110 029 (India)

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菲律宾高度充斥各种各样商业化儿童性剥削,包括性旅游、儿童色情制品和人口贩卖。


 

加入邮件组: yzdc@asiacatalyst.org

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