6 de Noviembre: La feminización del VIH/SIDA

I’d like to apologize to my readers; lately, teaching and research responsibilities have made me unable to update the blog as regularly as I would like.  However, an article published today in La Paz’s La Prensa paper has prompted me to draft this brief post.  The article, entitled, “The La Paz resident with HIV/AIDS is young, male, heterosexual, a worker, and a city dweller,” explores the (growing) phenomenon of HIV/AIDS in the Andean city.  Despite the title of the article, it goes on to explain a trend occurring around the world–the feminization of HIV/AIDS.  Despite the fact that most known HIV/AIDS carriers in Bolivia are male, new cases of the virus are found just as often in women now as in men–particularly among younger generations.

Not surprisingly, local health department official René Barrientos noted that women are likely infected due to the infidelity (and sexual carelessness) of their partners.  “Generally,” states Barrientos, “women who complete domestic tasks are at home and are infected by their partners, since these also pursue sexual liaisons outside the household and then take the infection home.  In absolute numbers, 69 women who work in this area were found positive across the period [of study]…This is alarming because it places the household at risk” (all translations mine).

Barrientos also notes that life expectancy of HIV/AIDS carriers in Bolivia is considerably shorter than that of carriers in other countries, since people often do not know they have the virus.  In July and August of 2010, 38 new cases were discovered in the city of La Paz.  18 of these individuals already had AIDS.

Having spoken with a number of people of different social classes in the cities of La Paz and El Alto about sexual and reproductive health, I am convinced that few people seek testing for sexually transmitted infections (STIs).  In general, the population seems to believe that STIs affect only “dirty,” “promiscuous,” or “sexually deviant” individuals–ie., not them.  Attitudes such as these do not reflect the realities of STI infection and transmission, and typically stem from abstinence-only education and an atmosphere of fear and shame around the discussion of sex.  This article is a good reminder that abstinence-only education, the shaming of sex, the lack of acceptance and availability of condoms, and people’s reluctance to seek STI testing, equal death.

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