ЛГБТ-сообщество

«Код 103»: новый символ ЛГБТ в борьбе за жизнь

"Код 103": новый символ ЛГБТ в борьбе за жизнь

Этот код присваивается мужчинам практикующим секс с мужчинам которые проходят тестирование в СПИД центрах. «Парни Плюс» расскажет о том, как код 103 может объединить вокруг себя все ЛГБТ сообщество.

Статистика — упрямая вещь. Цифры зачастую — единственный весомый аргумент для того, чтобы признать существование той или иной проблемы и заняться ее решением. Эпидемия ВИЧ — не исключение. Более того, в статистике по данному вопросу кроется одна из ключевых проблем, мешающих повышению эффективности противодействия распространению ВИЧ-инфекции в России. Помимо регулярного расхождения данных Минздрава РФ и Роспотребнадзора, очень остро стоит вопрос о достоверной картине распространения эпидемии в ключевых группах (мужчины практикующие секс с мужчинами (МСМ), секс работники (СР), люди употребляющие наркотики (ЛУН).

Влияние закона о «пропаганде»

Основной месседж борьбы с ВИЧ в России заключается в том, что эпидемия приняла генерализованный характер, то есть вышла за пределы ключевых групп и угрожает всем, а гетеросексуальный путь передачи инфекции выбился в «лидеры». В рамках этого контекста выстраивается и государственная профилактика ВИЧ, а работа с ключевыми группами ложится, преимущественно, на плечи небольшого количества некоммерческих организаций, у которых очень мало возможностей получить финансирование своей деятельности от государства.

Пациенты СПИД-центров, вставая на учет, скрывают источник заражения, боясь дискриминации со стороны врачей, а те, в свою очередь не всегда это выясняют, небезосновательно опасаясь агрессивной реакции в ответ.

В частности, практически лишены их организации, работающие с МСМ — мужчинами, практикующими секс с мужчинами. Для государства этой ключевой группы как будто бы и нет, и один из основных аргументов опять же статистика. По официальным данным, людей живущих с ВИЧ в категории МСМ в России всего 1,5%, а значит и отдельного внимания они не заслуживают.

Исследовательские данные некоммерческих организаций говорят о 18% и росте числа новых случаев передачи ВИЧ-инфекции в внутри популяции мужчин практикующих секс с мужчинами (гей-сообщества прежде всего).

* По предварительным данным биоповеденческого исследования среди МСМ, проведенного в 2017 году, средняя пораженность ВИЧ инфекцией в городах, участвовавших в исследовании составляет 18% (Москва 13%, Санкт Петербург 24%, Екатеринбург 16%). По данным самоотчетов в проекте по самотестированию SAFEBOX за 2017 г. в городах Москва, Санкт Петербург, Екатеринбург, Омск (n=1243) 16% МСМ живущих с ВИЧ

"Код 103": новый символ ЛГБТ в борьбе за жизнь

Государственная гомофобная политика, в частности, закон об ЛГБТ-«пропаганде» дает свои плоды. Пациенты СПИД-центров, вставая на учет, скрывают источник заражения, боясь дискриминации со стороны врачей, а те, в свою очередь не всегда это выясняют, небезосновательно опасаясь агрессивной реакции в ответ. Благодаря этому мы и получаем увеличение доли гетеросексуального пути передачи ВИЧ-инфекции.

Код 103

Изменить ситуацию на сегодня могут только сами пациенты, осознав, что присутствие ВИЧ в их жизни стало возможным, в том числе, «благодаря» стигматизирующему молчанию со стороны государства, и что преодоление своего страха на приеме у врача необходимая мера для формирования понимания истинных масштабов эпидемии ВИЧ среди МСМ. В СПИД-центрах существует система кодов, которые присваиваются пациентам той или иной группы. Код МСМ — 103. Именно благодаря кодировке становится ясно, как распространяется эпидемия. В ситуации, когда ее масштабы лишь увеличиваются, а для профилактики среди МСМ со стороны государства делается «ничего», «код 103» может и должен стать символом российского ЛГБТ-сообщества в борьбе за право быть видимыми и жить. Когда уже практически бесполезно говорить с точки зрения прав человека, остается единственный аргумент — цифры. Потому что статистика — упрямая вещь.

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