"You Have to Keep Yourself Hidden": Perspectives From Malaysian Malay-Muslim Men Who Have Sex With Men on Policy, Network, Community, and Individual Influences on HIV Risk
"You Have to Keep Yourself Hidden": Perspectives From Malaysian Malay-Muslim Men Who Have Sex With Men on Policy, Network, Community, and Individual Influences on HIV Risk
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DOI：
10.1080/00918369.2018.1525946
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发表时间：
2020-01-02
影响因子：
2.6
通讯作者：
Beyrer, Chris
中科院分区：
文献类型：
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作者：
Lim, Sin How;Brown, Shan-Estelle;Beyrer, Chris
与男性发生性行为的马来穆斯林男子(MSM)在马来西亚被边缘化和隐藏，马来西亚是东南亚一个以穆斯林为主的国家。我们于2013年10月至2014年1月在吉隆坡和哥打巴鲁进行了26次深度访谈和1次焦点小组讨论(n=5)，探讨了与马来穆斯林MSM感染HIV有关的政策、网络、社区和个人因素。由于宗教在他们的生活中扮演着重要的角色，参与者认为同性恋是一种罪恶。对艾滋病毒/艾滋病的低风险认知和误解很常见，大多数参与者表示，除非他们有症状，否则不愿咨询医生。此外，购买避孕套令人尴尬和焦虑。由于担心受到保健提供者和社区的歧视，参与者无法公开性行为和获得保健服务。政府和宗教领袖发表的恐同言论和政策引起了与会者的关注。需要一个安全和有利的环境来降低马来穆斯林MSM中的艾滋病毒风险。
Malay-Muslim men who have sex with men (MSM) are marginalized and hidden in Malaysia, a predominantly Muslim country in southeast Asia. We explored the policy, network, community, and individual factors related to HIV infection among Malay-Muslim MSM through 26 in-depth interviews and one focus group discussion (n = 5) conducted in Kuala Lumpur and Kota Bharu between October 2013 and January 2014. As religion plays an important role in their lives, participants viewed homosexuality as a sin. Low risk perception and misconceptions about HIV/AIDS were common, and most participants expressed reluctance to consult a doctor unless they had symptoms. Additionally, buying condoms was embarrassing and anxiety-producing. Fear of discrimination by health care providers and community hindered participants from disclosing sexual behaviors and accessing health services. Homophobic comments and policies by the government and religious leaders were concerns of participants. A safe and enabling environment is needed to reduce HIV risks among Malay-Muslim MSM.