HIV/AIDS PREVENTION KNOWLEDGE, PRACTICES, AND SECRECY AMONG MARRIED BISEXUAL MEN ENGAGING IN MSM BEHAVIOR IN MALAYSIA
DOI:
https://doi.org/10.37268/mjphm/vol.25/no.1/art.3026Keywords:
HIV/AIDS prevention, married bisexual men, MSM, secrecy, stigma reduction, dramaturgical theory, Malaysia, public health interventionsAbstract
HIV/AIDS remains a major public health challenge, with men who have sex with men (MSM) at increased risk globally. In conservative societies like Malaysia, married bisexual men engaging in MSM face additional barriers to HIV prevention due to societal stigma, legal constraints, and the need to conceal their sexual orientation within heterosexual marriages. This study explores HIV/AIDS prevention knowledge, practices, and experiences among 15 married bisexual men in Malaysia using a qualitative methodology with snowball sampling and in-depth interviews. Goffman’s dramaturgical theory reveals how participants balance societal expectations with health needs, often resulting in secrecy around HIV testing and selective condom use. Findings underscore the importance of confidential HIV testing and counselling services tailored to this population. Public health interventions focused on stigma reduction and discrete healthcare access could greatly improve HIV prevention efforts for married bisexual men in Malaysia
References
UNAIDS. Global AIDS Monitoring Report. https://www.unaids.org/en/global-aidsmonitoring (Accessed 21 October 2024).
Baral S, Burrell E., Scheibe A., Brown B. et al. HIV risk and associations of hiv infection among men who have sex with men in Peri-Urban Cape Town, South Africa. BMC Public Health 2011; 11(1).
Rahman M, & Jackson S. Gender & Sexuality: Sociological Approaches. Polity 2010.
Kanter J, Koh C, Razali K, et al. Risk behaviour and hiv prevalence among men who have sex with men in a multiethnic society: a venue-based study in kuala lumpur, malaysia. International Journal of STD & Aids 2011; 22(1): 30-37.
Lim S, Alias H, Kien, J, et al. A qualitative study of hiv “test-and-treat” experience among men who have sex with men in Malaysia. Aids Education and Prevention 2019; 31(3): 193-205.
Abdullah T, Min R, Abdullah S, et al. Counselling experiences among men having sex with men and living with hiv in Malaysia. Plos One 2022; 17(9): e0274251.
Boellstorff T. The Gay Archipelago: Sexuality and Nation in Indonesia. Prince University Press 2015.
Qashqari FS, Alsafi RT, Kabrah SM, et al. Knowledge of HIV/AIDS transmission modes and attitudes toward HIV/AIDS infected people and the level of HIV/AIDS awareness among the general population in the kingdom of Saudi Arabia: A cross-sectional study. Frontiers in Public Health 2022; 10.
Goffman E. The presentation of self in everyday life. Doubleday 1959.
Schrock D, Schwalbe M. Men, masculinity, and manhood acts. Annual Review of Sociology 2009; 35: 277–295.
Okal J, Geibel S, Muraguri M, et al. Estimates of the size of key populations at risk for HIV infection: Men who have sex with men, female sex workers and injecting drug users in Nairobi, Kenya. Sexually Transmitted Infections 2013; 89(5): 366–371.
Pattanasin S, Cadwell BL, Smith DK, et al. Estimating the impact of HIV combination prevention in men who have sex with men, the Bangkok MSM Cohort Study, Thailand. International Journal of STD & AIDS 2020; 31(7): 637–641.
Underhill K, Morrow KM, Colleran C, et al. A Qualitative Study of Medical Mistrust, Perceived Discrimination, and Risk Behavior Disclosure to Clinicians by U.S. Male Sex Workers and Other Men Who Have Sex with Men:Implications for Biomedical HIV Prevention. Journal of Urban Health 2015; 92(4): 667-686.