Transgender women in Malaysia, in the context of HIV and Islam: a qualitative study of stakeholders' perceptions.
Transgender women in Malaysia, in the context of HIV and Islam: a qualitative study of stakeholders' perceptions.
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DOI：
10.1186/s12914-017-0138-y
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发表时间：
2017-10-18
影响因子：
3
通讯作者：
Aljunid SM
中科院分区：
文献类型：
--
作者：
Barmania S;Aljunid SM
在全球范围内，被认为具有感染艾滋病毒高风险的关键群体之一是变性妇女，她们往往是一个被边缘化的群体。在马来西亚，有关变性妇女的已发表研究很少，这在穆斯林占多数的国家是一个敏感问题，伊斯兰教在社会中发挥着重要作用。此外，关于这些问题如何与马来西亚跨性别妇女的艾滋病毒预防联系起来的研究也很缺乏。因此，本研究的目的是探讨在伊斯兰背景下，参与马来西亚艾滋病毒预防政策的利益相关者对跨性别妇女的态度。与参与艾滋病毒预防工作的利益攸关方、卫生部、宗教领袖和艾滋病毒感染者（包括变性妇女）进行了深入访谈。2013年6月至12月，在吉隆坡及周边地区采用有目的抽样方法招募了35名参与者。采访是面对面的，录音，逐字记录，并使用框架分析。定性数据中出现了五个中心主题；对跨性别女性的认知及其社会地位向跨性别女性伸出援手；伊斯兰教义;“治愈”，“纠正”，最后是“耻辱和歧视”。讨论：伊斯兰教关于跨性别主义的规定通常是参与者惩罚跨性别女性的理由，同时也有更进步的态度和辩论的空间。普遍存在的负面态度、污名和歧视创造了一种氛围，让跨性别女性在非政府组织中往往感觉更自在。鉴于马来西亚的穆斯林背景和现行法律制度，马来西亚跨性别妇女的状况和艾滋病预防对所有利益相关者来说都是一个高度敏感和具有挑战性的环境。尽管存在这种明显的僵局，但在优化马来西亚跨性别妇女的艾滋病毒预防服务和环境方面，仍有实际可实现的改进领域。
Globally, one of the key groups considered to be at high risk of acquiring HIV are transgender women, often a marginalised group. In the Malaysian context there has been a scarcity of published research relating to transgender women, a sensitive issue in a Muslim majority country, where Islam plays an influential role in society. Furthermore, there has been a paucity of research relating to how such issues relate to HIV prevention in transgender women in Malaysia. Thus, the aim of this study is to explore the attitudes of stakeholders involved in HIV prevention policy in Malaysia towards transgender women, given the Islamic context. In-depth interviews were undertaken with stakeholders involved in HIV prevention, Ministry of Health, Religious Leaders and People Living with HIV, including transgender women. Thirty five participants were recruited using purposive sampling from June to December 2013 within Kuala Lumpur and surrounding vicinities. Interviews were in person, audiotaped, transcribed verbatim and used a framework analysis. Five central themes emerged from the qualitative data; Perceptions of Transgender women and their place in Society; Reaching out to Transgender Women; Islamic doctrine; ‘Cure’, ‘Correction’ and finally, Stigma and Discrimination. Discussion: Islamic rulings about transgenderism were often the justification given by participants chastising transgender women, whilst there were also more progressive attitudes and room for debate. Pervasive negative attitudes and stigma and discrimination created a climate where transgender women often felt more comfortable with non-governmental organisations. The situation of transgender women in Malaysia and HIV prevention is a highly sensitive and challenging environment for all stakeholders, given the Muslim context and current legal system. Despite this apparent impasse, there are practically achievable areas that can be improved upon to optimise HIV prevention services and the environment for transgender women in Malaysia.
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影响因子：
3.3
作者：
Gibson BA;Brown SE;Rutledge R;Wickersham JA;Kamarulzaman A;Altice FL
通讯作者：
Altice FL
影响因子：
4.5
作者：
Barmania, Sima;Aljunid, Syed Mohamed
通讯作者：
Aljunid, Syed Mohamed
影响因子：
--
作者：
Alipour, M.
通讯作者：
Alipour, M.
DOI：
10.1016/s0140-6736(16)00684-x
发表时间：
2016-07-23
期刊：
Lancet (London, England)
影响因子：
--
作者：
Reisner SL;Poteat T;Keatley J;Cabral M;Mothopeng T;Dunham E;Holland CE;Max R;Baral SD
通讯作者：
Baral SD
影响因子：
0.3
作者：
ROWSON, EK
通讯作者：
ROWSON, EK