“… if you are `a home-based care worker, what are you going do with it’ if you ask for a glove, they (nurses) are going to ask you? About your intimate orientation, specially in hospitals, it generates it much more hard. If you tell them” Alletta, 35yrs old, Durban
The 2 individuals above make reference to the real ways responses from some wellness providers could make individuals feel exposed and sometimes even `deviant’. Such behaviours or attitudes can drive lesbians away and hinder usage of solutions, therefore placing ladies at further danger.
In general most medical care practitioners had been regarded as really supportive pertaining to take care of individuals coping with HIV. This excluded dealing with an individual’s intimate orientation and intimate history. Conversations about individual history that is sexual limited by gay and lesbian organisations where most individuals received information, care and help. During these areas, individuals may possibly also easily speak about their sexual behavior and intimate identification. Outside such organisations, individuals had been uncomfortable to reveal their intimate orientation as a result of concern with stigma and prejudice:
“I have not mentioned that (i am a lesbian) due to the stigma related to disclosing your sex. A few of the (HIV) organisations i will be associated with for instance — is a Christian organisation. Referring to my sex in their mind is so very hard. ” Tambu, 40 yrs old, Zimbabwe
Individuals’ incapacity to communicate about their sexuality (due to anxiety about stigma and prejudice) also hindered their usage of safer intercourse information and protective means. Generally in most instances, preventative measures had been unavailable, as well as in places where they existed, they’re not easily available.
“When it comes down to intercourse, well that you can’t engage in sex if you do not have money (to buy protection) for us(lesbians) – we don’t have protection available for free, which means. ” Zanele, 31 yrs old, Durban
“Even whenever we (lesbians) wish to make use of security we do not gain access to it. There are numerous condoms, that are free. I have to see for myself – pop out money from my own pocket and go to a pharmacy to look for something that smells nice – like gloves – not that we can afford things like that when it comes to my life, my side of protection. It free gay male videos generates our everyday lives more susceptible. ” Lesego, 29 years old, Pretoria
Individuals claimed that despite the fact that they may wish to protect their lovers from being HIV infected, this is hard as safer sex means are not easy to get at. For folks who have use of LGBT organisations, dental dams, little finger condoms as well as other kinds of security were easily available. Nevertheless, lots of HIV lesbians that are positive far from areas where such organisations existed. Their primary wellness facilities had been general general public clinics and hospitals, which offered male and condoms that are sometimes female. Individuals argued that although male condoms may occur, these try not to take care of all lesbian intimate methods.
On the basis of the provided data that are qualitative our research shows that lesbians aren’t a `no danger’ team. Different facets, some just like other danger facets all women face, can place lesbians susceptible to HIV disease. Some feamales in this research reported sexual relationships with males. Numerous reported finding away about their HIV status that is positive these relationships. Rape as well as other kinds of intimate physical violence had been additionally reported as placing lesbians prone to HIV disease. This might be a major problem that impacts numerous lesbians’ lives in Southern Africa and cannot be overlooked with regards to HIV danger (Polders and Wells 2004; Reddy, Sandfort and Rispel 2009).
The ladies’s Institute (2009) has noted that the usa Centers for Disease Control and Prevention in 2006 identified that “the HIV virus may be sent through bloodstream and menstrual bloodstream, breast milk and vaginal secretions”. According to these understood practices of transmission, it may not any longer be thought that lesbians and ladies who have intercourse with females and whoever intimate play involves these processes of transmission are in little if any danger. Also, intimate orientation shouldn’t be the cornerstone upon which danger for STDs is presumed (Workowski and Berman 2010).